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An Overview of Ondine’s Curse and its Diagnostic Options in the Medical Field Ondine诅咒及其在医学领域的诊断选择综述
Q4 Medicine Pub Date : 2022-06-30 DOI: 10.24321/0019.5138.202276
Margret Chandira Rajappa
One of the most captivating mythical tales in the realm of medicine is Ondine’s curse. Ondine was an eternal water spirit who became human after falling in love, marrying, and having a child with a man. When she saw her husband sleeping with another woman, she cursed him to stay awake to control his breathing, according to one version of the story. The unusual illness marked by loss of autonomic breath control while voluntary breathing remains intact was cleverly called “Ondine’s curse” during the nineteenth century. Nowadays, Ondine’s curse is most commonly connected with congenital central hypoventilation syndrome; nevertheless, it is also used to describe a variety of respiratory illnesses in the medical literature.
医学领域最引人入胜的神话故事之一是奥丁的诅咒。奥丁是一个永恒的水精灵,她在与一个男人恋爱、结婚并生了孩子后变成了人类。根据这个故事的一个版本,当她看到丈夫和另一个女人睡觉时,她诅咒他保持清醒,以控制他的呼吸。这种罕见的疾病的特点是失去自主呼吸控制,而自主呼吸仍然完好无损,在19世纪被巧妙地称为“奥丁的诅咒”。如今,奥丁诅咒最常与先天性中枢性低通气综合征有关;然而,在医学文献中,它也被用来描述各种呼吸系统疾病。
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引用次数: 0
Effect of Coronavirus among Kidney Disease Patients 冠状病毒对肾脏疾病患者的影响
Q4 Medicine Pub Date : 2022-06-30 DOI: 10.24321/0019.5138.202267
Ahmed Fadhil Idan
Background: COVID-19 is a novel coronavirus disease caused by the severe acute respiratory syndrome coronavirus 2. Chronic kidney disease (CKD) is associated with an increased risk of both inpatient and outpatient pneumonia. Objective: To describe the effect of COVID-19 virus on patients with kidney disease and renal transplants and analyse the outcomes of patients at the time of the study. Patients and Method: This is a descriptive study conducted in Baghdad Medical City, Al Shifa Center (single centre study). The study included 13 RTPCR-positive patients who were screened in the inpatient and outpatient departments. All patients received treatment according to the Iraq Ministry of Health protocol with dose adjusted as per the glomerular filtration rate (GFR). Result: The mean age of participants was 51.46 years with males more than females. Among the positive cases, 2 had acute kidney injury (15.4%), 3 had chronic kidney diseases (23.1%), 5 had end-stage renal disease (38.5%), and 3 had had renal transplants (23.1%). 6 patients out of 13 were diabetic, 11 were hypertensive, and 1 patient had heart failure. 7 (53.8%) patients were given conservative treatment, 4 were given isolated conventional haemodialysis, and only 2 patients were kept in an intensive care unit on continuous renal replacement therapy. 2 male patients died during the treatment. Conclusion: Chronic kidney disease is a risk factor for COVID-19 infection and more mortality and infection were found in male patients as compared to female patients in our study.
背景:新冠肺炎是由严重急性呼吸综合征冠状病毒2引起的新型冠状病毒疾病。慢性肾脏疾病(CKD)与住院和门诊肺炎的风险增加有关。目的:描述新冠肺炎病毒对肾脏疾病和肾移植患者的影响,并分析研究时患者的结果。患者和方法:这是一项在巴格达医疗城Al-Shifa中心进行的描述性研究(单中心研究)。该研究包括13名RTPCR阳性患者,他们在住院部和门诊部接受了筛查。所有患者均根据伊拉克卫生部方案接受治疗,并根据肾小球滤过率(GFR)调整剂量。结果:参与者的平均年龄为51.46岁,男性多于女性。阳性病例中,急性肾损伤2例(15.4%),慢性肾脏疾病3例(23.1%),终末期肾脏疾病5例(38.5%),肾移植3例(231%)。13例中有6例为糖尿病,11例为高血压,1例为心力衰竭。7名(53.8%)患者接受了保守治疗,4名患者接受了单独的常规血液透析,只有2名患者被留在重症监护室接受持续的肾脏替代治疗。2名男性患者在治疗过程中死亡。结论:慢性肾脏病是新冠肺炎感染的危险因素,在我们的研究中,男性患者的死亡率和感染率高于女性患者。
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引用次数: 0
Mass Gathering and Population Movement in India: Possible Risk of Vector-Borne Diseases 印度的大规模聚集和人口流动:媒介传播疾病的可能风险
Q4 Medicine Pub Date : 2022-06-30 DOI: 10.24321/0019.5138.202270
SN Sharma
Surveillance tools measure and help to predict the possibility of the onset of any disease including vector-borne diseases during some specific situations likemass gatherings (MGs) that are closely related tothe disease epidemiology (why, what, who, where, when, and how)concerningthe transmission of infectious diseases including vector-borne diseases. Some situations ofmass gatherings may bring closely large and diverse population groups coming from different endemic zones/areas leading tothe transmission of communicable diseases including vector-borne diseases. Mass gatherings (MGs) may have the potential to enhance the transmission dynamics of vector-borne diseasesowing to different geographical, social, and climatic factors. Usually, MGs have been thought to have enhanced risks of disease transmission.Theyalso have the potential to increase the opportunities for other types of mechanical injuriesfrom accidents, stampedes, alcohol use, internal group fights etc. that may result in morbidity or mortality.Besides, they are potential breeding places for the proliferation of vector species, capable of transmitting malaria, dengue, chikungunya, and JE including ticks and mites-borne diseases. It is a well-known fact there area large number of asymptomatic cases which act as sub-clinical cases, hence, chances of local transmission through vectors during such mass gatherings can not be ruled out.There is always a need for well-structured, intensified real-time disease and vector surveillance and reporting systems in place which is essential for efficient MG planning, to ensure disease prevention and control. In the present context of the ongoing COVIDpandemic, such surveillance systems havebecome a vital component of such events of mass gatherings and large-scale movement of people.
监测工具测量并帮助预测在某些特定情况下,包括与疾病流行病学密切相关的大规模集会(为什么、什么、谁、在哪里、何时和如何)期间,包括媒介传播疾病在内的任何疾病发作的可能性。在某些情况下,大规模集会可能会将来自不同流行区/地区的大量不同人群聚集在一起,导致包括媒介传播疾病在内的传染病的传播。大规模集会可能有可能增强媒介传播疾病对不同地理、社会和气候因素的传播动态。通常,MGs被认为会增加疾病传播的风险。它们有可能增加其他类型机械损伤的机会,如事故、踩踏、饮酒、内部群殴等,这些可能导致发病率或死亡率。此外,它们是媒介物种增殖的潜在繁殖地,能够传播疟疾、登革热、基孔肯雅病和乙脑,包括蜱和螨虫传播的疾病。众所周知,该地区有大量无症状病例作为亚临床病例,因此,不能排除在此类大规模集会期间通过媒介传播的可能性。始终需要建立结构良好、强化的实时疾病和病媒监测和报告系统,这对于有效的MG规划至关重要,以确保疾病预防和控制。在当前新冠肺炎疫情持续的背景下,此类监测系统已成为此类大规模集会和人员大规模流动事件的重要组成部分。
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引用次数: 0
Entomological Sampling Strategy, Sampling Tools and Analytical Techniques with regard to Vector-Borne Diseases: Indian Perspective 媒介传播疾病的昆虫学采样策略、采样工具和分析技术:印度视角
Q4 Medicine Pub Date : 2022-03-31 DOI: 10.24321/0019.5138.202258
SN Sharma
Entomological surveillance is an integral component of surveillance activities for any vector-borne disease. The vector surveillance in a given area shall depend on the laid down objective and keeping in view of the expected outcome. The sampling strategy for vector surveillance shall depend on routine entomological surveillance, outbreak situation and insecticide resistance monitoring. The selection of any sampling strategy and technique should always be kept in mind for its appropriate application depending on the target species. The sampling strategy shall imply that vector surveillance teams are supposed to select different options depending on the short or long term study at hand. The present ongoing operational vector sampling methods usually lack standardisation, quantitative comparisons across different situations in case of outbreak situations and one time measurements, and it makes it difficult to assess the real situation. The sampling strategy should always meet the requirement of the laid objectives to fulfil the desired outcome. The present document is an attempt to act as a guiding principle for use as appropriate sampling strategy for any vector-borne diseases in the country.
昆虫学监测是任何媒介传播疾病监测活动的一个组成部分。某一地区的病媒监测应取决于既定目标并考虑到预期结果。媒介监测的抽样策略应取决于常规昆虫学监测、疫情情况和杀虫剂耐药性监测。任何取样策略和技术的选择都应始终牢记,以便根据目标物种适当应用。抽样策略应意味着病媒监测小组应根据手头的短期或长期研究选择不同的选择。目前正在进行的病媒取样方法通常缺乏标准化,在爆发情况下缺乏在不同情况下的定量比较和一次性测量,因此难以评估实际情况。抽样策略应始终满足既定目标的要求,以实现预期的结果。本文件试图作为一项指导原则,以便在该国对任何病媒传播的疾病采取适当的抽样策略。
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引用次数: 0
An Analytical Study of the Early COVID-19 Cases in Jordan 约旦新冠肺炎早期病例分析研究
Q4 Medicine Pub Date : 2022-03-31 DOI: 10.24321/0019.5138.202252
Ashraf I Khasawneh
Background: The daily cases and fatalities in the COVID-19 pandemic are still on the rise. This study aimed to examine the epidemiological trends of the COVID-19 patients at an early stage in the pandemic. Methods: This study included all COVID-19 positive patients who were admitted to the Prince Hamza Hospital between the 2nd and 31st of March 2020. The demographic, clinical, and laboratory data of the COVID-19 positive patients were reviewed and analysed.Results: Of the 132 patients admitted during the period of study, 81 were males, with a mean age of 38.9 years (SD ± 19 yrs). Of those, 55 (41.7%) had comorbidities, 9% required oxygen supplementation, and 3 (2.2%) died. The most common clinical manifestations on admission were fever (36.4%), dry cough (17.4%), shortness of breath (12.9%), and anosmia (10.6%). CRP was elevated in 45.4%, and ESR was also high in 22.7% of patients with CRP elevation and was statistically significant in symptomatic patients (p = 0.004). Likewise, D-dimer was markedly elevated in 42.1% of the symptomatic patients (p = 0.025). Chest CT scans in symptomatic patients showed statistically significant bilateral lung infection (17.2%) as compared to non-symptomatic patients (p = 0.049). Conclusion: The COVID-19 outbreak in Jordan at the beginning of the pandemic had presented clinically significant symptoms associated with higher values of CRP and CT chest findings.
背景:新冠肺炎疫情的每日病例和死亡人数仍在上升。本研究旨在研究新冠肺炎患者在大流行早期的流行病学趋势。方法:本研究包括2020年3月2日至31日期间入住哈姆扎王子医院的所有新冠肺炎阳性患者。对新冠肺炎阳性患者的人口统计学、临床和实验室数据进行了回顾和分析。结果:在研究期间入院的132名患者中,81人为男性,平均年龄38.9岁(SD±19岁)。其中,55人(41.7%)有合并症,9%需要补充氧气,3人(2.2%)死亡。入院时最常见的临床表现是发烧(36.4%)、干咳(17.4%)、呼吸急促(12.9%)和嗅觉缺失(10.6%)。在CRP升高的患者中,45.4%的患者CRP升高,22.7%的患者ESR也很高,在有症状的患者中具有统计学意义(p=0.004)。同样,42.1%的有症状患者D-二聚体显著升高(p=0.025)。与无症状患者(p=0.049)相比,有症状患者的胸部CT扫描显示双侧肺部感染具有统计学意义(17.2%)CT胸部表现。
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引用次数: 0
Effectiveness of Anti-TB Medicines in Treating Patients Experiencing COVID-19 Symptoms 抗结核药物治疗出现COVID-19症状患者的有效性
Q4 Medicine Pub Date : 2022-03-31 DOI: 10.24321/0019.5138.202254
J. F. Al-Musawi
Introduction: COVID-19, the life-threatening disease caused by the pathogenic SARS-CoV-2 virus, has limited treatment or measures for curing the infected persons. However, many antibiotics have been tried with varied results. Objective: To assess the effectiveness of anti-tubercular medicines in treating patients who are experiencing COVID-19 symptoms.Methods: The present research work included nearly 2885 patients experiencing COVID-19 symptoms, who were categorised into two groups. The first group comprised nearly 1399 patients who were injected with 1 gm/day of streptomycin dose for a period of 10 days and 600 mg/day dosage of rifampicin was administered for a period of 10 days depending on the clinical symptoms. The second group (1486 patients) received 1 gm ceftriaxonein 100 ml saline solution for a continuous period of 12 hours continued for 10 days and 500 mg oral azithromycin continued for treatment for 5 days.Results: The use of ceftriaxone 1 gm twice daily for 10 days and azithromycin 500 mg twice daily for 5 days improved 1486 (51.51%) patients, and streptomycin 1 gm twice daily for 10 days made nearly 1399 (48.49%) patients respond well, considering the significant level for improving the total number of patients confirmed with COVID-19. Additionally, the researchers have proved that patients treated with both streptomycin and rifampicin had higher percentages of recovery from COVID-19 signs and symptoms, with 304 patients (21.72%) aged between 46 years and 55 years old and 305 patients (21.80%) aged between 56 years and 65 years. Individuals treated with both ceftriaxone and azithromycin showed good improvement [374 (25.16%) and 339 (22.81%) patients aged 36-55 years]. The present study also confirmed that the treatment using a combined form of rifampicin and streptomycin was more successful in 78% of males and 61% of females. Also, considering the treatment using both azithromycin and ceftriaxone, there was no change of improvement among the patients. Conclusions: The combined form of rifampicin and streptomycin is seen to have a significant effect with a good immune response for treating COVID-19 patients.
导语:COVID-19是由致病性SARS-CoV-2病毒引起的危及生命的疾病,目前对感染者的治疗或治疗措施有限。然而,许多抗生素的试验结果各不相同。目的:评价抗结核药物对新冠肺炎症状患者的治疗效果。方法:本研究纳入近2885例出现COVID-19症状的患者,将其分为两组。第一组包括近1399名患者,他们注射1克/天的链霉素剂量,为期10天,并根据临床症状给予600毫克/天的利福平剂量,为期10天。第二组1486例患者给予头孢曲松100 ml生理盐水溶液1 gm,连续治疗12小时,连续10天,阿奇霉素500 mg口服,连续治疗5天。结果:头孢曲松1 gm 2次/天,连用10 d,阿奇霉素500 mg 2次/天,连用5 d,改善1486例(51.51%)患者,链霉素1 gm 2次/天,连用10 d,改善近1399例(48.49%)患者,对改善新冠肺炎确诊患者总数有显著性作用。此外,研究人员已经证明,同时接受链霉素和利福平治疗的患者从COVID-19体征和症状中恢复的百分比更高,304名患者(21.72%)年龄在46岁至55岁之间,305名患者(21.80%)年龄在56岁至65岁之间。同时使用头孢曲松和阿奇霉素的患者有良好的改善[36-55岁分别有374例(25.16%)和339例(22.81%)患者]。目前的研究还证实,使用利福平和链霉素联合治疗在78%的男性和61%的女性中更为成功。同时考虑阿奇霉素和头孢曲松联合治疗,患者间无改善变化。结论:利福平联合链霉素治疗新型冠状病毒肺炎疗效显著,免疫应答良好。
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引用次数: 0
Medical Entomologists - A Disappearing Profession in Public Health System: Indian Perspective 医学昆虫学家-一个正在消失的职业在公共卫生系统:印度的观点
Q4 Medicine Pub Date : 2022-03-31 DOI: 10.24321/0019.5138.202263
P. Rajagopalan
As a biologist and a non-medical epidemiologist, it has now become necessary to talk about the plight of the present day entomologists. Without entomologists, malaria, or for that matter any vector-borne disease would never have been controlled anywhere else in the world, including India
作为一名生物学家和非医学流行病学家,现在有必要谈谈当今昆虫学家的困境。如果没有昆虫学家,疟疾或任何媒介传播的疾病都不会在世界其他地方得到控制,包括印度
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引用次数: 0
Transition of Malaria Control to Malaria Elimination in India 印度从控制疟疾向消除疟疾的过渡
Q4 Medicine Pub Date : 2022-03-31 DOI: 10.24321/0019.5138.202259
R. Kumari
India achieved spectacular gains in malaria control during the ‘Eradication Era’ in the 1950s till the mid-1960s. The Global Malaria Eradication Programme of WHO launched in the 1950s was a huge success in India with the incidence dropping from an estimated 75 million cases and 8,00,000 deaths in 1947 to just 49,151 cases and no deaths in 1961 and malaria was thought to be on the verge of eradication. Thus, since the early 1950s, the malaria program in India has produced a number of successes, and has faced some setbacks also which have led to malaria resurgences. Recently, India envisages eliminating malaria by 2030 in line with the Global Technical Strategy (2016-2030). The National Framework for Malaria Elimination was launched in 2016 and National Strategic Plan 2017-2022 in 2017, provide a phased approach to elimination and outline priority areas and activities required to be implemented based on district-level stratification of burden. Malaria program is now moving away from “One Fit Size to All”. States and districts are classified in four categories to eliminate malaria in a phased manner. In 2019, India recorded a 60% reduction in reported cases compared with 2017 and a 46% reduction compared with 2018. India’s progress for drastic reduction of malaria incidences have also mentioned in World Malaria Report 2018, 2019 and 2020. However, there are challenges for the country to sustain the progress made so far and to accelerate further malaria activities to achieve the goal for malaria elimination by 2030. Since the discovery of malaria transmission was made in India by Sir Ronald Ross in 1897, an intensive works was carried on malaria control in India. There were different phases for malaria control in the country to moving from control towards eradication and elimination. The paper gives a brief history of malaria control in India and analyses the present malaria situation.
从20世纪50年代到60年代中期,印度在疟疾控制方面取得了令人瞩目的成就。世界卫生组织在20世纪50年代发起的全球根除疟疾方案在印度取得了巨大成功,发病率从1947年估计的7500万例和80万例死亡下降到1961年的49151例,没有死亡,疟疾被认为即将根除。因此,自20世纪50年代初以来,印度的疟疾项目取得了一些成功,但也面临一些挫折,导致疟疾死灰复燃。最近,印度设想根据《全球技术战略》(2016-2030年),到2030年消除疟疾。《国家消除疟疾框架》于2016年启动,《2017-2022年国家战略计划》于2017年启动,提供了分阶段消除疟疾的方法,并根据地区层面的负担分层,概述了需要实施的优先领域和活动。疟疾项目现在正在从“一刀切”转变为“一刀切的”。各州和地区分为四类,以分阶段消除疟疾。2019年,印度报告的病例比2017年减少了60%,比2018年减少了46%。《2018年、2019年和2020年世界疟疾报告》也提到了印度在大幅降低疟疾发病率方面取得的进展。然而,该国在维持迄今取得的进展和加快进一步的疟疾活动以实现到2030年消除疟疾的目标方面面临挑战。自从1897年罗纳德·罗斯爵士在印度发现疟疾传播以来,印度对疟疾控制进行了深入的研究。该国的疟疾控制从控制到根除和消除有不同的阶段。本文简要介绍了印度疟疾控制的历史,并分析了当前的疟疾形势。
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引用次数: 0
Revisiting the Impact of Temperature on Survival of Anopheles stephensi and Aedes aegypti and Implications on Extrinsic Incubation Period 温度对斯氏按蚊和埃及伊蚊生存的影响及其对体外孵化期的影响
Q4 Medicine Pub Date : 2022-03-31 DOI: 10.24321/0019.5138.202251
R. Dhiman
Background: Vector-borne diseases are climate-sensitive as vectors are poikilothermic. Among climatic factors, temperature is of prime importance as it affects vectors’ development and pathogen transmission as well. Therefore, the present study was undertaken to understand the impact of constant variable temperatures, and indoor versus outdoor temperatures on the survival of An. stephensi and Ae. aegypti and its implication on the transmission of malaria and dengue respectively.Method: Two to three days old laboratory-bred An. stephensi and Ae. Aaegypti female mosquitoes were kept individually in environmental chambers at different temperatures ranging from 32-42 °C and relative humidity i.e. 65-75 ± 5%. Control experiment was set up at 26 °C and 65-75% RH. Kaplan-Meier method was employed for estimation of survival probabilities and log-rank (Mantel-Cox test) for comparison, and Chi-square was determined. The daily recorded temperature was used to calculate extrinsic incubation periods of malaria parasites and dengue virus using Indirect Moshkovsky’s and Oganov-Rayevsky methods, respectively.Results: The Kaplan Meier plots of adult survival revealed that the overall survival of exposed groups significantly decreased with increasing temperature in both the vectors. The median days of survival were found higher in Ae. aegypti than An. stephensi. EIP was shorter in dengue as compared to malaria parasites. Indoor temperature was found to be more conducive for both the pathogens’ transmission. Ae. aegyptiappears more sturdy in terms of thermal tolerance.Conclusion: The potential increase in the faster rate of development of dengue at a higher temperature indicates that with a projected rise in temperatures due to climate change, the transmission of dengue would expand temporally. Further prospective studies are needed in real-time monitoring of temperature and RH in field conditions, vis-a-vis survival of vectors for refinement of the projected scenario of vectors’ survival and/ or disease transmission.
背景:媒介传播的疾病对气候敏感,因为媒介是高温的。在气候因素中,温度是最重要的,因为它影响病媒的发育和病原体的传播。因此,本研究旨在了解恒定可变温度和室内外温度对斯氏安和埃及伊蚊生存的影响,以及其对疟疾和登革热传播的影响。方法:将实验室培育的两至三天大的斯氏安蚊和埃及艾蚊分别饲养在不同温度(32-42°C)和相对湿度(65-75±5%)的环境室内。对照实验在26°C和65-75%相对湿度下进行。Kaplan-Meier方法用于估计生存概率,对数秩(Mantel-Cox检验)用于比较,并确定卡方。每日记录的温度分别使用间接Moshkovsky和Oganov-Rayevsky方法计算疟原虫和登革热病毒的外源潜伏期。结果:成年存活率的Kaplan-Meier图显示,暴露组的总存活率随着两种载体温度的升高而显著降低。埃及伊蚊的中位生存天数高于斯氏伊蚊。与疟疾寄生虫相比,登革热的EIP更短。室内温度被发现更有利于这两种病原体的传播。埃及伊蚊在耐热性方面显得更结实。结论:登革热在更高温度下发展速度更快的潜在增加表明,随着气候变化导致的预计温度上升,登革热的传播将暂时扩大。需要进一步的前瞻性研究来实时监测田间条件下的温度和相对湿度,以及媒介的存活情况,以完善媒介存活和/或疾病传播的预测情景。
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引用次数: 0
Immune Profile (Th1, Th2, Th17, T-reg) of Maternal-Paediatrics Population in Leprosy Endemic Areas in East Java, Indonesia: A Cross-Sectional Study 印度尼西亚东爪哇麻风流行地区妇幼人群的免疫谱(Th1, Th2, Th17, T-reg):一项横断面研究
Q4 Medicine Pub Date : 2022-03-31 DOI: 10.24321/0019.5138.202242
F. Prakoeswa
Background: Leprosy is one of the neglected tropical infectious diseases in developing countries caused by Mycobacterium leprae. Various morbidity and stigma associated with leprosy infection which affects women more than men have led to its late diagnosis and treatment. Gender status, the role of a person in the household, and parenting are some of the factors that greatly influence the transmission of Mycobacterium leprae to children. This increase in the number of cases will also affect the number of new cases of leprosy in children.Aim: To analyse the immune profile in the maternal-children population in leprosy endemic areas in East Java, Indonesia.Method: We investigated the activities of four subsets of T cells, Th1, Th2, Th17, and Treg by measuring the circulated cytokines (IFN-γ for Th1, IL-4 for Th2, IL-17 for Th17) or marker levels (FOXP3+ for Treg) by using ELISA.Results: The comparison analysis of this study showed a significant difference in FOXP3+ level of maternal leprosy compared with a healthy maternal population and IL-17 level of children leprosy compared with a healthy children population. A negative correlation was found between maternal FOXP3+ levels and children IL-17 levels.Conclusion: The immune profile of the maternal-paediatrics population could be beneficial in planning an intervention to eradicate leprosy.
背景:麻风是发展中国家被忽视的由麻风分枝杆菌引起的热带传染病之一。与麻风病感染相关的各种发病率和耻辱感导致麻风病的诊断和治疗较晚,而麻风病对女性的影响大于男性。性别地位、一个人在家庭中的角色以及养育子女是极大影响麻风分枝杆菌向儿童传播的一些因素。病例数量的增加也将影响儿童麻风新病例的数量。目的:分析印度尼西亚东爪哇麻风病流行区孕产妇的免疫状况。方法:采用ELISA法测定循环细胞因子(IFN-γ用于Th1,IL-4用于Th2,IL-17用于Th17)或标志物水平(FOXP3+用于Treg),研究Th1、Th2、Th17和Treg四种T细胞亚群的活性。结果:本研究的比较分析显示,与健康的母亲群体相比,母亲麻风病的FOXP3+水平和儿童麻风病与健康的儿童群体相比,IL-17水平存在显著差异。母体FOXP3+水平与儿童IL-17水平呈负相关。结论:孕产妇儿科人群的免疫状况有助于制定根除麻风病的干预措施。
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引用次数: 0
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Journal of Communicable Diseases
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