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Predictive value of insulin marker before and after recovery of Grave’s disease patients graves病患者康复前后胰岛素标志物的预测价值
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-08-30 DOI: 10.51248/.v43i4.3104
Abeer Salih Ali, Rana Hazim Hamoode, Zena A. Khalaf, Bahaa Abdullah Lafttah Al-Rubaii
Introduction and Aim: Grave’s disease is a disease of the thyroid glands. Early diagnosis of hyperthyroidism can improve treatment and control. This study examined hyperthyroidism-related insulin hormone alterations before and after radioactive iodine 131 treatment. This study also examined how the medical condition affected these indicators. Materials and Methods: The participants in this study included 50 people who were diagnosed with Grave’s disease, as well as 23 healthy individuals as controls. Direct inquiry was used as the technique for gathering demographic information from the patients who participated in the study. The thyroid stimulating and insulin hormonal levels of each patient were recorded before and after undergoing a hypothyroidism treatment regimen of three months that consisted of a dose of radioactive iodine 131 ranging from 10 to 20 mci. Results: This research indicated a significant relation to exist between age and insulin levels among patients diagnosed with Grave’s disease. In addition, the research also demonstrated a significant association between levels of thyroid-stimulating hormone (TSH) and insulin hormones in patients both before and after radiation therapy. Conclusion: Insulin hormonal levels could be used as a predictor of the severity of hyperthyroidism.
简介与目的:格雷夫斯病是一种甲状腺疾病。早期诊断甲状腺机能亢进可以改善治疗和控制。本研究检查了放射性碘131治疗前后甲状腺功能亢进相关的胰岛素激素变化。本研究还考察了医疗状况如何影响这些指标。材料和方法:本研究的参与者包括50名诊断为格雷夫斯病的人,以及23名健康个体作为对照。直接询问是收集参与研究的患者人口统计信息的方法。每位患者在接受为期三个月的甲状腺功能减退治疗方案之前和之后的甲状腺刺激和胰岛素激素水平均被记录下来,该治疗方案由剂量从10至20毫微克的放射性碘131组成。结果:本研究提示格雷夫斯病患者胰岛素水平与年龄有显著关系。此外,该研究还证明了放射治疗前后患者促甲状腺激素(TSH)和胰岛素激素水平之间存在显著关联。结论:胰岛素激素水平可作为甲状腺功能亢进严重程度的预测指标。
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引用次数: 0
Qualitative and in silico evaluation of phytochemical constituents of leaf, peel and bark extracts of pomegranate (Punica granatum L.) 石榴(Punica granatum L.)叶、皮、皮提取物化学成分的定性和计算机评价
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-08-30 DOI: 10.51248/.v43i4.3036
Poojitha B. Sridara Setty, Raghavendra L.S. Hallur, Gopinath S.M.
Introduction and Aim: The qualitative evaluation of phytochemicals is the most important consideration in the evaluation of phytochemicals as biomedicines. The present study deals with qualitative assessment of phytochemical components of leaf, peel and bark extract of pomegranate (Punica granatum L.). Materials and Methods: The phytochemical components were biochemically qualitatively assessed and their profiles analyzed using TLC and HPLC techniques. Solvent extracts were prepared in methanol, chloroform, hexane, and water. The methanol leaf fraction was further subjected to LC-MS, FTIR and NMR. The identified compound in silico analyzed for inhibition towards topoisomerase I (1A36) and topoisomerase II (5GWK). Results: Methanol recovered the highest amount of phytoconstituents, specifically 2.30 g (11.5%), 2.80 g (14%) and 3.20 g (16%) for leaves, peel and bark. The methanol extract of the leaf (LE), peel (PE) and bark (BE) showed two bands in the TLC profile. On HPLC analysis LE confirmed a purity of 82.49 % with an area of 24729443 24729443 and an RT of 2.129. The PE showed a purity of 98.93% with an area of 16074171 and an RT of 2.176. The BE confirmed 99.63% purity with a range of 35396516 and an RT of 2.168. LC-MS, FTIR and NMR analysis identified the compound as Ethyl Heneicosanoate (EHO). In in silico analysis, EHO showed good binding affinity to topoisomerase I (1A36) and topoisomerase II (5GWK) with binding energies of -6.8 kcal/mol and -6.4 kcal/mol, respectively. Conclusion: Our study suggested that EHO may have anticancer potential and could be further explored as an anticancer drug.
简介与目的:植物化学物质的定性评价是植物化学物质作为生物医药进行评价时最重要的考虑因素。本文对石榴叶、皮、皮提取物的化学成分进行了定性评价。材料与方法:采用薄层色谱法和高效液相色谱法对植物化学成分进行生物化学定性分析。用甲醇、氯仿、己烷和水制备溶剂提取物。进一步对甲醇叶分进行LC-MS、FTIR、NMR等表征。该化合物对拓扑异构酶I (1A36)和拓扑异构酶II (5GWK)的抑制作用进行了计算机模拟分析。结果:甲醇对叶、皮、皮的植物成分回收率最高,分别为2.30 g(11.5%)、2.80 g(14%)和3.20 g(16%)。甲醇提取物的叶(LE)、皮(PE)和皮(BE)在薄层色谱中呈双谱带。HPLC分析结果表明,纯度为82.49%,面积为24729443 24729443,RT为2.129。PE纯度为98.93%,面积为16074171,RT为2.176。BE证实纯度为99.63%,范围为35396516,RT为2.168。LC-MS、FTIR和NMR鉴定该化合物为邻苯二甲酸乙酯(EHO)。在硅分析中,EHO对拓扑异构酶I (1A36)和拓扑异构酶II (5GWK)具有良好的结合亲和力,结合能分别为-6.8 kcal/mol和-6.4 kcal/mol。结论:本研究提示EHO可能具有抗癌潜力,可作为一种抗癌药物进一步开发。
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引用次数: 1
Surface roughness and bacterial adhesion on composite materials: an in vitro comparative evaluation 复合材料表面粗糙度和细菌粘附:体外比较评价
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-08-30 DOI: 10.51248/.v43i4.2947
Ishani Sengupta, Mamatha Ballal, Saahithya Mahesh, Shashi Rashmi Acharya
Introduction and Aim: Despite being popular, composite materials frequently degrade, and cause secondary caries in the oral cavity. Studies suggest that surface characteristics, particularly surface roughness, can impact the functionality, durability, and biofilm formation of these materials. This study was carried out to evaluate and compare the surface roughness of nano-ceramic restorative and bulk-fill flowable composite materials and their bacterial adhesion properties using Streptococcus mutans. Materials and Methods: 16 disks of each composite type, Ceram x SphereTEC one universal nano-ceramic restorative material and SDR flow plus bulk-fill flowable material were fabricated and grouped as A and B, respectively. 2D surface roughness of the samples were recorded using Contact Profilometer. For bacterial adhesion test, samples were incubated in a culture of S. mutans overnight. Adhered bacteria were determined by spread plate technique, colonies were enumerated and reported as CFU/mL. Kolmogorov-Smirnov and Shapiro-Wilk tests helped determine normality distribution of surface roughness, and statistical significance was analysed using Independent-samples t test. Bacterial adhesion was analysed using Mann-Whitney U test. Results: Surface roughness values were found to be normally distributed, and the difference between the two groups was noted to be statistically significant (p<0.05). However, there was no statistical difference between bacterial adhesion amongst the two materials (p>0.05). Conclusion: Surface roughness value of the nano-ceramic restorative material was lower than that of bulk-fill flowable resin material albeit, the two composites did not show a significant difference in terms of bacterial adherence.
简介与目的:复合材料虽广受欢迎,但易降解,导致口腔继发性龋病。研究表明,表面特性,特别是表面粗糙度,会影响这些材料的功能、耐久性和生物膜的形成。本研究以变形链球菌为研究对象,评价和比较了纳米陶瓷修复和填充型可流动复合材料的表面粗糙度及其细菌粘附性能。材料与方法:制备每种复合类型的16个圆盘,Ceram x SphereTEC一种通用纳米陶瓷修复材料和SDR流动加块状填充流动材料,分别分为A和B。使用接触式轮廓仪记录样品的二维表面粗糙度。为了进行细菌粘附试验,样品在变形链球菌培养物中孵育过夜。涂布平板法测定粘附菌数,计数菌落,报CFU/mL。Kolmogorov-Smirnov和Shapiro-Wilk检验确定表面粗糙度的正态分布,采用独立样本t检验分析统计显著性。采用Mann-Whitney U检验分析细菌粘附性。结果:表面粗糙度值呈正态分布,两组间差异有统计学意义(p<0.05)。两种材料的细菌粘附性差异无统计学意义(p>0.05)。结论:纳米陶瓷修复材料的表面粗糙度值低于填充型可流动树脂材料,但两种复合材料在细菌粘附方面无显著差异。
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引用次数: 0
Patterns of clinical and biochemical studies on elderly patients with anemia in the southern regions of Kyrgyzstan 吉尔吉斯斯坦南部地区老年贫血患者的临床及生化研究模式
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-08-30 DOI: 10.51248/.v43i4.3114
Sabirakhan Mamatova, Nazgul Karabekova, Venera Madraimova, Umutai Tazhibaeva, Taalaibek kyzy Akmaral, Mira Arstanbekova, Sagynali Mamatov, Farida Imanalieva
Introduction and Aim: Most studies indicate that between 10% and 45% of older people have anemia. The etiology is diverse and usually complicated. The aim of this study is to evaluate the clinical and hematological models of anemia in elderly residents of nursing homes in Kyrgyzstan's southern regions who are 60 years of age and older. Materials and Methods: A total of 223 elderly persons, including 97 (43.5%) men and 126 (56.5%) women, participated in this study at nursing facilities in the southern areas of Kyrgyzstan. The elderly persons were 77.95.18 years old on average. Results: 23.3% of the 223 older people in the study living in wards of nursing facilities in the southern areas of Kyrgyzstan were anemic. Iron deficiency anemia (IDA) (50%) was the most prevalent type of anemia, followed by vitamin B12 deficiency anemia (26.7%), and anemia of chronic disease (23.1%). Both blood ferritin and serum iron levels were considerably below normal, which is common for IDA. The value of vitamin B12 in the blood, which was within the usual limits (461.0–5.73 ng/l), was also revealed, indicating IDA. Conclusion: Anemia affects quality of life and increases morbidity and mortality in elderly people.
简介和目的:大多数研究表明,10%至45%的老年人患有贫血。病因多样,通常很复杂。本研究的目的是评估吉尔吉斯斯坦南部地区60岁及以上老年人养老院居民贫血的临床和血液学模型。材料和方法:在吉尔吉斯斯坦南部地区的护理机构中,共有223名老年人参与了这项研究,其中包括97名(43.5%)男性和126名(56.5%)女性。老年人平均年龄77.95.18岁。结果:研究中居住在吉尔吉斯斯坦南部地区护理机构病房的223名老年人中有23.3%患有贫血。缺铁性贫血(IDA)(50%)是最常见的贫血类型,其次是维生素B12缺乏性贫血(26.7%)和慢性病贫血(23.1%)。血铁蛋白和血清铁水平均明显低于正常水平,这在IDA患者中很常见。血液中维生素B12值在正常范围内(461.0 ~ 5.73 ng/l),提示IDA。结论:贫血影响老年人生活质量,增加发病率和死亡率。
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引用次数: 0
Comparison of clinical effectiveness of propofol auto co-induction and midazolam propofol co-induction using the priming principle among patients undergoing surgeries 应用启动原理异丙酚自动共诱导与咪达唑仑异丙酚共诱导在手术患者中的临床效果比较
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-08-30 DOI: 10.51248/.v43i4.2775
Chethana Chaparala, Anand Subramanian, Balamurugan Balasubramaniya
Introduction and Aim: Anaesthesia is a balance between adequate usage of anaesthetic drugs and the state of arousal of the patient. Inadequate dose of anaesthesia leads to increased incidence of awareness, while administration of generous drugs leads to complications such as hemodynamic instability and delayed recovery. The objective of the present study was to investigate the clinical effectiveness of propofol auto co-induction (PP) and midazolam propofol co-induction (PM) using the priming principle among patients undergoing surgeries. Materials and Methods: A prospective, randomized and comparative study, recruited 80 patients who were admitted for elective surgeries was carried out after the approval from institutional ethics committee approval and the trial was registered with the clinical trial registry-India (CTRI). Patients were randomly divided into 2 groups: PP group, where patients received 0.4mg/kg of propofol and PM group, where patients received 0.05mg/kg of midazolam. This was followed by propofol induction (2 mg/kg)-10mg every 15 seconds until a BIS value of 45 was attained in both groups. The collected data was assessed for the normality using the Shapiro-Wilk test. A p-value greater than 0.05 (>0.05) was considered to check the normality. The Student’s t-test and Mann-Whitney U test was used to analyse parametric data and non-parametric data before and after the intervention, respectively. Results: The results depicted a significantly reduced requirement of propofol (induction dose) in the PM group. Conclusion: Pre-dosing with Midazolam significantly decreases the induction dose (propofol) requirement without affecting hemodynamic stability.
简介和目的:麻醉是麻醉药物的充分使用和病人的觉醒状态之间的平衡。麻醉剂量不足导致意识发生率增加,而给药量大导致血流动力学不稳定和恢复延迟等并发症。本研究的目的是探讨异丙酚自动共诱导(PP)和咪达唑仑异丙酚共诱导(PM)在手术患者中的临床效果。材料与方法:一项前瞻性、随机、比较研究,招募80例择期手术患者,经机构伦理委员会批准,并在印度临床试验注册中心(CTRI)注册。将患者随机分为两组:PP组(0.4mg/kg异丙酚)和PM组(0.05mg/kg咪达唑仑)。随后进行异丙酚诱导(2 mg/kg)-每15秒10mg,直到两组的BIS值均达到45。使用Shapiro-Wilk检验对收集的数据进行正态性评估。认为p值大于0.05 (>0.05)为检验正态性。采用Student’s t检验和Mann-Whitney U检验分别对干预前后的参数数据和非参数数据进行分析。结果:PM组对异丙酚(诱导剂量)的需取量明显降低。结论:预给药咪达唑仑可显著降低诱导剂量(异丙酚)需用量,且不影响血流动力学稳定性。
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引用次数: 0
Harnessing the power of plants: How nano-formulated plant-based compounds are revolutionizing pathogen treatment? 利用植物的力量:纳米配方植物基化合物如何彻底改变病原体治疗?
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-08-30 DOI: 10.51248/.v43i4.2768
Suganya Kannan, Jeyakumar Balakrishnan, Mohan Sundaram
Antibiotic resistance is a global public health crisis that has led to an urgent need for new strategies to combat bacterial infections. One promising approach is the use of natural compounds derived from plants, which have shown potential in combating pathogens. However, the efficacy of plant-based compounds can be limited by their bioavailability and the difficulty of targeting specific pathogens. The development of nano vehicles that encapsulate plant-based compounds has provided a solution to these challenges. In this article, we provide an overview of the various mechanisms by which nano-formulated plant-based compounds combat pathogens, including disruption of cell membranes, inhibition of enzyme activity, interference with quorum sensing, oxidative stress, immunomodulation, and interference with biofilm formation. We also present case studies demonstrating the efficacy of nano-formulated plant-based compounds in treating various bacterial and fungal infections, including candidiasis, tuberculosis, periodontitis, acne, and urinary tract infections. Finally, we discuss promising areas for future research and development of nano-formulated plant-based compounds, including combination therapy, synergistic effects, personalized medicine, alternative to traditional antibiotics, environmental applications, novel delivery systems, and large-scale production.
抗生素耐药性是一场全球公共卫生危机,迫切需要制定新的战略来对抗细菌感染。一种有希望的方法是使用从植物中提取的天然化合物,这些化合物在对抗病原体方面显示出潜力。然而,植物基化合物的功效可能受到其生物利用度和靶向特定病原体的困难的限制。封装植物基化合物的纳米交通工具的开发为这些挑战提供了解决方案。在这篇文章中,我们概述了纳米配方植物基化合物对抗病原体的各种机制,包括破坏细胞膜、抑制酶活性、干扰群体感应、氧化应激、免疫调节和干扰生物膜形成。我们还介绍了一些案例研究,证明纳米配方植物基化合物在治疗各种细菌和真菌感染方面的功效,包括念珠菌病、结核病、牙周炎、痤疮和尿路感染。最后,我们讨论了纳米配方植物基化合物未来研究和发展的前景,包括联合治疗、协同效应、个性化用药、替代传统抗生素、环境应用、新型给药系统和大规模生产。
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引用次数: 0
In silico molecular docking studies of drugs Donepezil and Galantamine towards SARS-CoV-2 main protease (Mpro) 多奈哌齐和加兰他敏对SARS-CoV-2主蛋白酶(Mpro)的硅分子对接研究
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-08-30 DOI: 10.51248/.v43i4.2646
Sumitha A., Parthiban Brindha Devi, Vidhya Subramanian, Geetha B., Vaishnavi G.
Introduction and Aim: COVID-19(Corona viral disease) has caused morbidity and mortality across the globe. In spite of some repurposed drugs and vaccines, researchers are in search of effective treatment against SARS-CoV-2 infection. Donepezil and Galantamine are acetylcholinesterase inhibitor drugs with pharmacological benefit in Alzheimer’s therapy. An effort has been made in this study for in silico evaluation of drugs Donepezil and Galantamine for its antiviral activity against Coronavirus. Materials and Methods: Molecular docking studies of ligands Donepezil and Galantamine were executed by using corona viral Protease (Mpro) protein as a target. Docking study was performed using Autodock 4.2.6 software. The activity of ligands depends on hydrogen bond interactions with active sites of protein of Mpro protein and docking score. Results: Docking studies reveal that the compound Donepezil is well interacted with nonpolar amino acids. The Galantamine molecule has good affinity towards the protein and reveals the docking score of -7.3 kcal/mol. The tight binding of ligands Donepezil and Galantamine to the protein of MPro will stop further replication and transcription of viral proteins. Conclusion: Ligands Donepezil and Galantamine are well engaged with the active site of the main protease (M Pro) of SARS-CoV-2. These compounds can help in novel drug identification towards Covid-19.
简介和目的:COVID-19(冠状病毒病)在全球范围内造成了发病率和死亡率。尽管有一些重新利用的药物和疫苗,但研究人员仍在寻找对抗SARS-CoV-2感染的有效治疗方法。多奈哌齐和加兰他敏是乙酰胆碱酯酶抑制剂药物,在阿尔茨海默病的治疗中具有药理效益。本研究对多奈哌齐和加兰他敏对冠状病毒的抗病毒活性进行了计算机评价。材料与方法:以冠状病毒蛋白酶(Mpro)蛋白为靶点,对配体多奈哌齐和加兰他敏进行分子对接研究。对接研究采用Autodock 4.2.6软件进行。配体的活性取决于与Mpro蛋白活性位点的氢键相互作用和对接分数。结果:对接研究表明,化合物多奈哌齐与非极性氨基酸具有良好的相互作用。加兰他明分子对该蛋白具有良好的亲和力,其对接分数为-7.3 kcal/mol。配体多奈哌齐和加兰他明与MPro蛋白的紧密结合将阻止病毒蛋白的进一步复制和转录。结论:配体多奈哌齐和加兰他敏与SARS-CoV-2主蛋白酶(M Pro)活性位点结合良好。这些化合物可以帮助鉴定针对Covid-19的新药物。
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引用次数: 0
Green synthesis of zinc oxide nanoparticles from Phoenix dactylifera and their anti-microbial potentiality – An in vitro study 凤凰草氧化锌纳米颗粒的绿色合成及其体外抑菌潜力研究
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-08-30 DOI: 10.51248/.v43i4.2230
Jency Evanjelin P., Uma Maheswari T. N., Devika S. Pillai, Rajeshkuamar S.
Introduction and Aim: The consumption of date palm (Phoenix dactylifera) fruit holds a widespread presence globally and holds notable importance in the diets of various Arabian nations. The adoption of green synthesis for nanoparticle production presents multiple advantages over conventional physio-chemical methods. Furthermore, these nanoparticles have found diverse applications within the medical field. In light of this, the synthesis of zinc oxide nanoparticles using extracts from Phoenix dactylifera (dates) was undertaken. The primary objective of this research was to employ a biosynthesis approach for the creation of zinc oxide nanoparticles utilizing extracts from Phoenix dactylifera (Mabroom dates), and subsequently assessing their potential antimicrobial efficacy. Materials and Methods: In the present study, the Dates extract and zinc sulphate solution was mixed and centrifuged to synthesise zinc oxide nanoparticles. Characterization was assessed using visual identification and UV visual spectrometry analysis. The anti-bacterial activity was analyzed in Mueller Hinton agar against the S. mutans pathogen, whereas anti-fungal activity was analyzed in Rose Bengal agar against the C. albicans pathogen to rule out the zone of inhibition. Results: UV-Visible spectrophotometric spectra acquired after 40 hours of incubation revealed an absorption peak at 275 nm, indicating the existence of zinc oxide nanoparticles. The assessment of antibacterial activity against S. mutans exhibited heightened efficacy with 100 µl of dates and ZnO nanoparticles, demonstrating stronger antibacterial effects. Similarly, the evaluation of antifungal activity against C. albicans displayed robust antifungal potency with 100 µl of dates and ZnO nanoparticles. Conclusion: Zinc oxide nanoparticles synthesized using dates exhibited potent anti-microbial activity and thus future clinical trials can use this for Oral potentially malignant disorders such as candidal leukoplakia, erosive lichen planus etc.
简介和目的:椰枣(凤凰dactylifera)果实的消费在全球范围内广泛存在,在各种阿拉伯国家的饮食中具有显著的重要性。采用绿色合成技术生产纳米颗粒与传统的物理化学方法相比具有多种优势。此外,这些纳米颗粒在医学领域也有不同的应用。在此基础上,采用凤凰花(枣)提取物合成氧化锌纳米颗粒。本研究的主要目的是采用生物合成方法,利用凤尾草提取物制备氧化锌纳米颗粒,并随后评估其潜在的抗菌功效。材料与方法:将红枣提取物与硫酸锌溶液混合离心制备氧化锌纳米颗粒。采用目视鉴定和紫外光谱法分析。对Mueller Hinton琼脂对变形链球菌病原菌的抑菌活性进行了分析,对Rose Bengal琼脂对白色念珠菌病原菌的抑菌活性进行了分析,以排除抑菌区。结果:孵育40 h后紫外可见分光光度在275 nm处有一个吸收峰,表明氧化锌纳米颗粒的存在。结果表明,100µl的红枣和ZnO纳米粒子对变形链球菌的抑菌效果较好,具有较强的抑菌作用。同样,对白色念珠菌的抗真菌活性评估显示,100µl的枣和ZnO纳米颗粒具有强大的抗真菌效力。结论:用红枣合成的氧化锌纳米颗粒具有较强的抗菌活性,未来的临床试验可将其用于口腔潜在恶性疾病,如念珠菌白斑、糜烂性扁平苔藓等。
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引用次数: 0
Decision tree analysis for the management of vesiculobullous lesions 小囊性病变处理的决策树分析
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-08-30 DOI: 10.51248/.v43i4.3017
Swathi K. V., Maragathavalli G.
A mucocutaneous condition known as a vesiculobullous lesion is characterized by the presence of fluid-filled vesicles and bullae. Bullae and vesicles typically have different sizes. Bullae have a diameter greater than 5–10 mm, whereas vesicles have a diameter of less than 5–10 mm. Infectious etiologies such herpes simplex, varicella zoster infection, hand, foot, and mouth disease, herpangina, and measles can cause vesiculobullous lesions. Additionally, immunobullous conditions including pemphigus vulgaris, pemphigoid, dermatitis herpetiformis, linear IgA disease, or inherited conditions like epidermolysis bullosa may be to blame. The management of common vesiculobullous disorders is reviewed using a decision tree analysis based on etiopathogenesis, clinical characteristics, and diagnostic criteria. A decision tree has been formulated based on predominantly vesicular and predominantly bullous lesions with specific lesions in each category based on recent scientific evidence. This decision tree will guide the clinicians for effective management of the vesiculobullous lesions in the dental office. The timely recognition and management of these lesions is very essential as they can compromise the quality of life due to their chronicity and frequent recurrence in nature.
一种被称为囊泡性病变的粘膜皮肤状况,其特征是存在充满液体的囊泡和大泡。大疱和囊泡通常有不同的大小。大泡的直径大于5-10毫米,而囊泡的直径小于5-10毫米。感染性病因,如单纯疱疹、水痘带状疱疹感染、手足口病、疱疹性咽峡炎和麻疹可引起水疱性病变。此外,免疫性大疱性疾病,包括寻常型天疱疮、类天疱疮、疱疹样皮炎、线状IgA疾病或遗传性疾病,如大疱性表皮松解症,都可能是罪魁祸首。常见的囊泡性疾病的管理是回顾使用决策树分析的基础上的病因,临床特点和诊断标准。根据最近的科学证据,制定了一个决策树,主要基于水疱性和大疱性病变,每个类别中都有特定的病变。这个决策树将指导临床医生有效地管理在牙科诊所的水泡性病变。及时识别和处理这些病变是非常重要的,因为它们可能会损害生活质量,因为它们的慢性和频繁复发的性质。
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引用次数: 0
Burden of illness, risk factor and physical activity in cardiovascular disease- A review 心血管疾病的疾病负担、危险因素和身体活动综述
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-08-30 DOI: 10.51248/.v43i4.2139
Shazia Neelam N., Swathi Saina, P. Senthil, Om Prakash P.
Cardiovascular illness encompasses a group of diseases affecting the blood vessels and the structure of the heart, and it remains one of the most prevalent non-communicable diseases worldwide. Over the years, the rate of death from cardiovascular diseases has shown a significant decline in several high-income countries, primarily due to reductions in risk factors and advancements in cardiovascular disease management. Nonetheless, the global burden of cardiovascular diseases remains substantial, with an estimated 55 million deaths occurring in 2017, out of which 17.7 million were attributed to cardiovascular disease. The focus of this review is to explore the burden of illness, risk factors, and physical activity levels in populations affected by cardiovascular diseases. Studies have identified 14 potentially modifiable risk factors that were strongly associated with cardiovascular disease and mortality, surpassing the significance of body mass index (BMI), as evidenced by the PURE (Prospective Urban and Rural Epidemiology) study and prior research. While cardiovascular deaths have decreased in several developed countries, there has been a significant increase in low- and middle-income countries. Physical activity has emerged as a critical factor in reducing the risk of mortality and major cardiovascular events, regardless of the type of physical activity and other risk factors. The Physical Activity Guidelines (PAG) for Americans in 2008 recommended a range of moderate and vigorous physical activity and highlighted its inverse association with all-cause mortality, cardiovascular disease mortality, and incident CVD. Emphasizing the importance of physical activity, this low-cost approach holds tremendous potential in reducing deaths and cardiovascular diseases on a global scale. Overall, this review highlights the ongoing global challenge of cardiovascular diseases and underscores the importance of preventive measures, including promoting physical activity, to improve cardiovascular health and reduce the burden of illness worldwide.
心血管疾病包括一组影响血管和心脏结构的疾病,它仍然是世界上最普遍的非传染性疾病之一。多年来,在一些高收入国家,心血管疾病死亡率显著下降,这主要是由于风险因素减少和心血管疾病管理取得进展。尽管如此,心血管疾病的全球负担仍然很大,2017年估计有5500万人死亡,其中1770万人死于心血管疾病。本综述的重点是探讨受心血管疾病影响人群的疾病负担、危险因素和身体活动水平。研究已经确定了14个与心血管疾病和死亡率密切相关的潜在可改变的风险因素,超过了身体质量指数(BMI)的重要性,正如PURE(前瞻性城乡流行病学)研究和先前的研究所证明的那样。虽然一些发达国家的心血管死亡人数有所减少,但低收入和中等收入国家的心血管死亡人数却大幅增加。无论身体活动的类型和其他风险因素如何,身体活动已成为降低死亡率和主要心血管事件风险的关键因素。2008年美国人的身体活动指南(PAG)推荐了一系列适度和剧烈的身体活动,并强调了其与全因死亡率、心血管疾病死亡率和心血管疾病发病率的负相关。这种低成本方法强调身体活动的重要性,在全球范围内减少死亡和心血管疾病方面具有巨大潜力。总体而言,本综述强调了心血管疾病的持续全球挑战,并强调了预防措施的重要性,包括促进身体活动,以改善心血管健康和减轻世界范围内的疾病负担。
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Biomedicine (India)
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