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The Germinative Preponderance-Sebaceous Epithelioma 皮脂腺上皮瘤
Pub Date : 2019-08-30 DOI: 10.31031/tteh.2019.01.000524
Anu Bajaj
Sebaceous epithelioma is a benign, exceptional, distinctive neoplasm comprised of basaloid cells and mature sebocytes. Although a sporadic neoplasm, Muir-Torre syndrome can be frequently associated with sebaceous epithelioma. Benign sebaceous epithelioma, additionally termed as sebaceoma is indicative of sebaceous neoplasm exceeding >50% basaloid cell component and demonstrates yellow papules, nodules or plaques predominating on sites of enhanced sebaceous glands. Dermoscopy delineates yellow-tinged, granular articulations with fine, curvilinear capillaries and vascular formations. Sebaceoma incorporates an admixture of undifferentiated basaloid cells and differentiated sebaceous cells. Basaloid cells enunciate a cytoplasmic vacuolation and sebaceous cells are clear and lipid rich. Histological variants of sebaceoma include carcinoid- like, sinusoidal, reticulated, cribriform, rippled and sebaceoma with Verocay body-like features. Immune reactivity to adipophilin, epithelial membrane antigen (EMA), cytokeratin 5(CK5), cytokeratin 6(CK6) and p40 are elucidated. Sebaceoma requires a distinction from basal cell carcinoma with sebaceous differentiation and trichoblastoma with sebaceous differentiation. Surgical resection of the neoplasm with a narrow surgical resection margin is the preferred therapeutic option.
皮脂腺上皮瘤是一种由基底样细胞和成熟皮脂细胞组成的良性、特殊、独特的肿瘤。虽然是一种散发的肿瘤,但Muir-Torre综合征经常与皮脂腺上皮瘤相关。良性皮脂腺上皮瘤,也称为皮脂瘤,表明皮脂腺肿瘤的基底细胞成分超过50%,在皮脂腺增强的部位表现为黄色丘疹、结节或斑块。皮肤镜检查显示带有细小、曲线的毛细血管和血管结构的黄色颗粒状关节。皮脂瘤包括未分化的基底样细胞和分化的皮脂腺细胞的混合物。基底细胞呈胞浆空泡状,皮脂腺细胞透明且富含脂质。皮脂瘤的组织学变异包括类癌样、窦状、网状、筛网状、波纹状和具有Verocay体样特征的皮脂瘤。阐明了对亲脂蛋白、上皮膜抗原(EMA)、细胞角蛋白5(CK5)、细胞角蛋白6(CK6)和p40的免疫反应性。皮脂腺瘤需要与皮脂腺分化的基底细胞癌和皮脂腺分化的毛母细胞瘤区分开来。手术切除肿瘤并缩小手术切除范围是首选的治疗选择。
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引用次数: 0
Telemedicine and Human Resources for Health Crisis Management in the North West Region of Cameroon 喀麦隆西北地区卫生危机管理的远程医疗和人力资源
Pub Date : 2019-08-21 DOI: 10.31031/tteh.2019.01.000523
P. Munteh, Wilfred Mbacham, W. Swoboda
Timely access to health care in both urban and rural settings is a worldwide challenge. No nation that is committed to the health of her population can afford to replicate, in every community, all the resources required for comprehensive health care. On the other hand, as the potential for a universal internet access approaches reality, consumer access to health information and portals for health monitoring and health care-related services is assuming increasing importance with telemedicine inclusive. Telemedicine is the ability to provide interactive health care utilizing modern technology and telecommunication. It can be defined also as the use of electronic information and communications technologies to provide and support health care when distance separates the participants [1].
在城市和农村环境中及时获得卫生保健是一项世界性的挑战。任何致力于人民健康的国家都无法在每个社区复制全面保健所需的所有资源。另一方面,随着普遍互联网接入的潜力接近现实,消费者获得健康信息和健康监测和保健相关服务门户的机会越来越重要,其中包括远程医疗。远程医疗是利用现代技术和电信提供互动式卫生保健的能力。它也可以定义为当参与者因距离而分离时,使用电子信息和通信技术提供和支持医疗保健[1]。
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引用次数: 0
Tobacco Harm Reduction 减少烟草危害
Pub Date : 2019-07-26 DOI: 10.31031/tteh.2019.01.000522
S. Bovornkitti, Tanzeelur Rahman, Ghulam Mujtaba Shah, Syeda Tayyaba Bibi, Saqib Zahoor
Tobacco cigarette smoke contains approximately 250 different chemicals known to be harmful to human health. The health impacts associated with smoking and second hand smoke are well documented to include cancer and chronic lung disease among others. Tobacco harm reduction is a concept to minimize the impacts of tobacco on the individual and on society at large. Earlier key component of this strategy was nicotine replacement therapy as a substitute to tobacco cigarettes. This paper elaborates further on available information associated with electronic cigarettes and their usage as alternatives to nicotine replacement therapy in respective to tobacco harm reduction.
烟草烟雾含有大约250种已知对人体健康有害的不同化学物质。吸烟和二手烟对健康的影响是有据可查的,包括癌症和慢性肺病等。减少烟草危害是一个尽量减少烟草对个人和整个社会影响的概念。该策略早期的关键组成部分是尼古丁替代疗法,作为香烟的替代品。本文进一步阐述了与电子烟有关的现有信息,以及它们作为尼古丁替代疗法的替代品在减少烟草危害方面的应用。
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引用次数: 0
Asbestos Pollution 石棉污染
Pub Date : 2019-07-23 DOI: 10.31031/tteh.2019.01.000521
S. Bovornkitti
A news article, entitled “Study Finds Asbestos in Nearly Half of Thailand’s Population” by Tim Povtak, was published in CTN News (Chaing Rai News) on July 3, 2019. Unfortunately, it contained some misunderstandings concerning the recent report of Incharoen and her colleagues [1]. For the record, two studies have been conducted in Thailand to search for the presence of asbestos bodies in the lungs of patients who had died of different conditions besides asbestos-related diseases. The first study by Sri umpai et al. [2] was published in 1985. Those researchers reported that, of the 330 cadavers that they had examined, 33 percent were found to contain asbestos bodies [2]. The second study by Incharoen et al. [1] was conducted 30 odd years later; those researchers found an even higher incidence of asbestos bodies, i.e. up to 48.5 percent, in 97 of the 200 cadavers that they had examined [1].
2019年7月3日,泰国《清莱新闻》刊登Tim Povtak题为《研究发现泰国近一半人口体内含有石棉》的文章。不幸的是,它对Incharoen及其同事最近的报告存在一些误解[1]。为了记录在案,在泰国进行了两项研究,以寻找除石棉相关疾病外死于不同疾病的患者肺部中是否存在石棉体。Sri umpai等人[2]的第一项研究发表于1985年。这些研究人员报告说,在他们检查的330具尸体中,发现33%的尸体含有石棉[2]。Incharoen等人[1]的第二项研究是在30多年后进行的;这些研究人员发现,在他们检查的200具尸体中,有97具的石棉尸体发病率更高,高达48.5%[1]。
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引用次数: 0
Clarion and Crystal-Clear Cell Acanthoma Reviewed 号角和水晶透明细胞棘皮瘤综述
Pub Date : 2019-07-17 DOI: 10.31031/TTEH.2019.01.000520
Anu Bajaj
Clear cell acanthoma was portrayed primarily by Degos [1]. Clear cell acanthoma is also referred to as Degos’ acanthoma or pale cell acanthoma and is cogitated as an asymptomatic, benign epidermal tumor devoid of gender predilection. Clear cell acanthoma defines a distinct entity on clinical and histological evaluation. Of obscure etiology, the disorder is possibly engendered by inflammation. Apart from exemplifying a benign epidermal tumor, it can be contemplated as a reactive inflammatory dermatosis. Definitive diagnosis of clear cell acanthoma can be challenging as the lesions simulate several benign and malignant skin conditions. Traumatic or drug induced genesis of the neoplasm lacks approval and the disease is of an essentially unknown pathogenesis [1,2].
透明细胞棘瘤最早由Degos描述[1]。透明细胞棘球瘤也被称为Degos棘球瘤或苍白细胞棘球瘤,被认为是一种无症状、无性别倾向的良性表皮肿瘤。透明细胞棘瘤在临床和组织学评价上定义了一个独特的实体。病因不明,该病可能由炎症引起。除了举例说明良性表皮肿瘤外,它还可以考虑作为反应性炎症性皮肤病。透明细胞棘瘤的明确诊断可能具有挑战性,因为病变模拟了几种良性和恶性皮肤状况。创伤性或药物性肿瘤的发生尚不明确,其发病机制也基本未知[1,2]。
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引用次数: 0
Toxic Algae and Their Environmental Consequences 有毒藻类及其环境后果
Pub Date : 2019-06-28 DOI: 10.31031/TTEH.2019.01.000519
Syed Hasnain Shah, Tanzeelur Rahman, G. M. Shah, Syeda Tayyaba Bibi, Saqib Zahoor
Algae are the class of autotrophic aquatic organisms which grow effectively in nutrient rich condictiones [1]. Algal blooming and water toxicities is a serious environmental problem in all 50 states of US blue-green algae Red tides, and cyanobacteria are examples of toxic algae that can result multiple serious impacts on fresh water ecosystems, human health and the economy [2]. Some forms of algae produce toxic chemicals the accumulation of this toxic algae is called a harmful eutrophication. These can be found in marine and freshwater environments. The toxins resulting from the spread of algae in the marine environment can affect shellfish and the human body that seaweed extracts from the affected or algae polluted water Under these conditions, algal blooms can be formed on the water surface. The colors vary from dark green to yellow brown or red but cannot be seen immediately. The harmful health effects of the algae depend on the type of algae present and the type of exposure [3]. Direct skin contact with algal toxins may cause skin problems and eye irritation. Inhalation of toxic algae droplets in may have a minor effect on the respiratory tract and may cause hay fever-like symptoms. This usually happens when you come in contact with recreational areas where toxic algae may flourish, such as swimming pools, water skiing and boating areas. Drinking water contaminated with algae and food (such as fish and shellfish) can cause gastroenteritis, which can cause vomiting, diarrhea, fever and headache. This toxin also affects the nervous system or may affect liver.
藻类是一类能在营养丰富的条件下有效生长的自养水生生物。在美国所有50个州的蓝藻赤潮中,藻华和水毒性是一个严重的环境问题,蓝藻是有毒藻类的例子,可以对淡水生态系统、人类健康和经济发展造成多重严重影响。某些形式的藻类产生有毒的化学物质,这种有毒藻类的积累被称为有害的富营养化。它们可以在海洋和淡水环境中找到。海藻在海洋环境中扩散所产生的毒素会对贝类和人体产生影响,海藻从受影响或被海藻污染的水中提取毒素,在这种情况下,水面会形成藻华。颜色从深绿色到黄褐色或红色不等,但不能立即看到。藻类对健康的有害影响取决于存在的藻类类型和暴露的类型。皮肤直接接触藻类毒素可能会导致皮肤问题和眼睛刺激。吸入有毒藻类飞沫可能对呼吸道有轻微影响,并可能引起类似花粉热的症状。当你接触到可能滋生有毒藻类的娱乐场所时,通常会发生这种情况,比如游泳池、滑水和划船区。饮用被藻类和食物(如鱼类和贝类)污染的水可引起肠胃炎,从而引起呕吐、腹泻、发烧和头痛。这种毒素也会影响神经系统或肝脏。
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引用次数: 1
Telemedicine Application in Toxicology 远程医疗在毒理学中的应用
Pub Date : 2019-06-24 DOI: 10.31031/TTEH.2019.01.000517
Sadrieh Hajesmaeel Gohari
Poisoning is an abnormality in the body that is caused by the entry of foreign substances such as toxins and drugs into the body. The entry of poison into the body occurs in several ways, such as breathing gases and toxic vapors, eating and drinking toxic substances, skin contact, and blood transfusions [1]. Poisoning is of different kinds based on the type of toxic substance, which includes food, heavy metals, pesticides, radioactive substances, and drugs. Poisoning is the third cause of death and unintentional injuries in the world [2]. According to the WHO statistics in 2012, approximately 193200 people died from unintentional poisoning and one million people from suicide with toxic substances yearly [3].
中毒是由于毒素和药物等外来物质进入人体而引起的身体异常。毒物进入人体有几种途径,如呼吸有毒气体和有毒蒸气,吃和喝有毒物质,皮肤接触和输血。中毒根据有毒物质的种类不同,包括食物、重金属、杀虫剂、放射性物质和药物。中毒是世界上导致死亡和意外伤害的第三大原因。根据世界卫生组织2012年的统计数据,每年约有193200人死于意外中毒,100万人死于使用有毒物质自杀。
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引用次数: 0
Telemedicine: A New Perspective in the Treatment of Internet Gaming Disorder Among Adolescents 远程医疗:青少年网络游戏障碍治疗的新视角
Pub Date : 2019-06-24 DOI: 10.31031/TTEH.2019.01.000518
Georgekutty Kuriala Kochuchakkalackal
The internet era brings an enormous opportunity to contribute in the universal goal of providing quality clinical and health care especially addressing emerging issues that significantly affect the mental health of adolescents brought about by modern technology. What used to be unimaginable is made possible by the integration of advancement in information technology, electronic communications technology, telecommunications, computers and mobile technology with the field of medicine giving rise to the inception of the field of telemedicine as early as the 1960s using radio and telephone [1]. Presently, with the emergence of new health conditions needing immediate diagnosis and treatment, the internet facility plays an important role in communication and in providing these services to patients real time. The World Health Organization (WHO) has recently recognized gaming disorder as a mental health condition as it continues to affect adolescents in increasing number of countries.
互联网时代为实现提供优质临床和保健服务的普遍目标,特别是解决现代技术带来的严重影响青少年心理健康的新问题,提供了巨大的机会。信息技术、电子通信技术、电信、计算机和移动技术的进步与医学领域的融合,使过去难以想象的事情成为可能,早在20世纪60年代,利用无线电和电话就出现了远程医疗领域[1]。目前,随着需要立即诊断和治疗的新健康状况的出现,互联网设施在沟通和向患者实时提供这些服务方面发挥了重要作用。世界卫生组织(世卫组织)最近承认游戏障碍是一种精神健康状况,因为它继续影响越来越多国家的青少年。
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引用次数: 0
Whooping Cough Causing Lower Motor Neuron Facial Palsy 百日咳引起下运动神经元面瘫
Pub Date : 2019-04-10 DOI: 10.31031/tteh.2019.01.000516
S. Shah
Whooping cough is caused by gram negative bacteria Bordetella pertussis. Whooping cough is a vaccine preventable disease initially well controlled with whole cell vaccine but due to serious complications with this vaccine, it has now been replaced with acellular vaccine. Pertussis is a public health problem worldwide and despite effective vaccinations strategies it’s still endemic in many parts of the world with frequent outbreaks occurring in many countries [1]. Some have blamed the new vaccines to be less effective than the older ones and other says that new sophisticated techniques for diagnosis are responsible for rise in the disease incidence [2].
百日咳是由革兰氏阴性细菌百日咳博德泰拉引起的。百日咳是一种疫苗可预防的疾病,最初用全细胞疫苗很好地控制,但由于这种疫苗的严重并发症,现在已被非细胞疫苗所取代。百日咳是一个全球性的公共卫生问题,尽管采取了有效的疫苗接种策略,但百日咳仍在世界许多地区流行,在许多国家频繁爆发[1]。一些人指责新疫苗不如旧疫苗有效,另一些人说,新的复杂诊断技术是导致疾病发病率上升的原因[2]。
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引用次数: 0
E-Healthy at the Front Edge in Medicine Science 电子健康在医学科学的前沿
Pub Date : 2019-04-10 DOI: 10.31031/TTEH.2019.01.000515
Yan Wang
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引用次数: 0
期刊
Trends in Telemedicine & E-health
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