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Comparison of depression and anxiety in inflammatory bowel patients treated with anti-TNF or immune modulators 抗肿瘤坏死因子或免疫调节剂治疗炎性肠患者抑郁和焦虑的比较
Q3 Medicine Pub Date : 2023-03-18 DOI: 10.52142/omujecm.40.1.10
Esra Çataltepe, Nergiz Ekmen, M. Cindoruk
The aim of this study was to investigate patients diagnosed with inflammatory bowel disease (IBD), the effects of drug groups used in the treatment of inflammatory bowel disease on depression and anxiety. This study was a single-center prospective study involving 94 patients with inflammatory bowel disease, 51 of whom had ulcerative colitis (UC) and 43 had Crohn's disease (CD). Harvey-Bradshaw activity scores for CD and Mayo Clinic activation scores for UC were calculated. Depression and anxiety data were collected with the Beck Depression Inventory and Beck Anxiety Inventory. The mean age for UC and CD were 40.25 ± 14 and 38.9 ± 13.8 years, respectively. There was a positive correlation between disease activation and depression and anxiety levels in both IBD subgroups (p<0.05). All patients included in the study were compared in terms of depression and anxiety levels before and after treatment, and a statistically significant improvement was found with the remission of both ulcerative colitis and Crohn's disease (p<0.001). There was a significant difference in depression and anxiety levels before and after treatment according to treatment options (p<0.001). There is a positive relationship between the disease activation score and the level of depression and anxiety in IBD. Immunosuppressive and immunomodulatory drugs used in the treatment of IBD may also improve the parameters of depression and anxiety in this disease.
本研究的目的是调查诊断为炎症性肠病(IBD)的患者,用于治疗炎症性肠病的药物组对抑郁和焦虑的影响。本研究是一项单中心前瞻性研究,涉及94例炎症性肠病患者,其中51例患有溃疡性结肠炎(UC), 43例患有克罗恩病(CD)。计算CD的Harvey-Bradshaw活动评分和UC的Mayo Clinic活动评分。使用贝克抑郁量表和贝克焦虑量表收集抑郁和焦虑数据。UC和CD的平均年龄分别为40.25±14岁和38.9±13.8岁。在两个IBD亚组中,疾病激活与抑郁、焦虑水平呈正相关(p<0.05)。将所有纳入研究的患者在治疗前后的抑郁和焦虑水平进行比较,发现溃疡性结肠炎和克罗恩病的缓解均有统计学显著改善(p<0.001)。不同治疗方案治疗前后抑郁、焦虑水平差异有统计学意义(p<0.001)。疾病激活评分与IBD患者抑郁、焦虑水平呈正相关。用于治疗IBD的免疫抑制和免疫调节药物也可能改善这种疾病的抑郁和焦虑参数。
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引用次数: 0
Post arrest bispectral index monitoring 逮捕后双谱指数监测
Q3 Medicine Pub Date : 2023-03-18 DOI: 10.52142/omujecm.40.1.35
S. Özdemir, Oktay Öcal, Hasan Demi̇r, Yasin Metiner, Tuba Ci̇mi̇lli̇, Aysel Hünük, Özge Ecmel Onur
The bispectral index is electroencephalography-based technology is used to monitor sedation. BIS is a processed EEG parameter, that was designed specifically to assess patient responses to sedation and anesthesia. In this case report, we aimed to discuss the bispectral index changes during resuscitation of a patient who presented with cardiopulmonary arrest in the light of the literature.
双谱指数是一种基于脑电图的技术,用于监测镇静。BIS是经过处理的脑电图参数,专门用于评估患者对镇静和麻醉的反应。在本病例报告中,我们旨在根据文献讨论心肺骤停患者复苏期间双谱指数的变化。
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引用次数: 0
Overview of hematopoietic stem cell transplantation 造血干细胞移植综述
Q3 Medicine Pub Date : 2023-03-18 DOI: 10.52142/omujecm.40.1.27
Neslihan Meriç
Hematopoietic stem cell transplantation (HSCT) is the intravenous administration of hematopoietic stem cells (HSC) to restore blood cell production in individuals whose bone marrow or immune system is damaged or dysfunctional. This approach has been utilized to treat a variety of malignant and nonmalignant disorders for the past half-century. HSCT is performed in two ways, autologous and allogeneic. In the clinic, the type of stem cell transplant is decided for the patient according to the patient's diagnosis. Both types of transplantation have advantages as well as disadvantages. Knowing and managing the HSCT process well affects the success of the transplant. Knowing the complications that may occur after transplantation will facilitate the treatment process of the patient. In this short review, the HSCT process has been tried to be explained with general titles.
造血干细胞移植(HSCT)是通过静脉注射造血干细胞(HSC)来恢复骨髓或免疫系统受损或功能失调的个体的血细胞生成。在过去的半个世纪里,这种方法被用于治疗各种恶性和非恶性疾病。移植有两种方式,自体移植和异体移植。在临床上,干细胞移植的类型是根据患者的诊断来决定的。两种类型的移植都有优点和缺点。了解和管理好造血干细胞移植过程影响移植的成功。了解移植后可能出现的并发症将有助于患者的治疗过程。在这篇简短的综述中,HSCT过程已经试图用一般的标题来解释。
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引用次数: 0
Brain imaging findings of methanol poisoning and detection of chronic stage nervous system damage: A case report 甲醇中毒的脑影像学表现及慢性神经系统损伤的检测1例
Q3 Medicine Pub Date : 2023-03-18 DOI: 10.52142/omujecm.40.1.33
Fatma Yılmaz Can, M. F. Öztekin
In this article, we presented the chronic neurological findings of an acute case of methanol intoxication due to the use of homemade alcohol. In the neurological examination performed 6 months after intoxication, bilateral vision loss, tremor, dysarthria, dysphagia, loss of taste sensation, and decrease in the Cognitive State Test score were detected. Peripheral polyneuropathy consistent with axonopathy was detected in the peripheral nerve conduction study, and optical neuropathy was detected in the examination of the pattern visual evoked potential. Brain magnetic resonance imaging revealed findings compatible with bilateral putaminal necrosis.
在这篇文章中,我们提出了慢性神经病学的发现急性甲醇中毒的情况下,由于使用自制酒精。中毒6个月后进行神经学检查,发现双侧视力丧失、震颤、构音障碍、吞咽困难、味觉丧失、认知状态测试分数下降。外周神经传导检查发现与轴索病一致的周围多神经病变,模式视觉诱发电位检查发现视神经病变。脑磁共振显示双侧皮膜坏死。
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引用次数: 0
Efficacy of kinesio taping versus extracorporeal shock wave therapy in the short term for the calcaneal spur 运动贴贴与体外冲击波治疗跟骨刺的短期疗效比较
Q3 Medicine Pub Date : 2023-03-18 DOI: 10.52142/omujecm.40.1.12
Nurten NAS KIRDAR, Tuba Kanyılmaz
The calcaneal spur is a common cause of heel pain, and there are various approaches to its treatment. Our aim in this study is to investigate the effectiveness of kinesio taping against Extracorporeal Shock Wave Therapy (ESWT) in the treatment of calcaneal spur. This study was designed as a randomized controlled, prospective and single-center clinical trial. A total of 93 patients with calcaneal spur (18 men, 75 women) were included. Patients were divided into two groups (based on gender, age, BMI, and pain duration) by stratified randomization (kinesio tape group=46, ESWT group=47 patients). 3 sessions of ESWT were applied to the heels of the patients in the 1st group with an interval of 1 week. Kinesio taping was applied to the 2nd group. It was applied once a week, for 3 weeks. Visual Analogue Scale (VAS) and Foot Function Index (FFI) scores of the patients in both groups before the treatment and 1 week after the end of the treatment were recorded. When we evaluated the pre-treatment and post-treatment parameters, we found a significant decrease in VAS, FFI-pain, FFI-disability and FFI-activity restriction scores in both groups (p=0.0001). We also found that kinesio taping was more effective than ESWT in reducing FFI-pain (for after treatment FFI-pain inter group p=0.005, for FFI-pain difference inter group p=0.002) and FFI-disability (for after treatment FFI-disability inter group p=0.023, for FFI-disability difference inter group p=0.0001) scores. To conclude, although both kinesio taping and ESWT treatments reduced patients' pain, disability and activity limitation, kinesio taping was found to be more effective in reducing pain and disability. Studies with longer follow-up are needed to clarify our results.
跟骨刺是脚后跟疼痛的常见原因,有多种治疗方法。我们在这项研究的目的是探讨运动贴贴对抗体外冲击波疗法(ESWT)治疗跟骨刺的有效性。本研究设计为随机对照、前瞻性、单中心临床试验。共纳入93例跟骨刺患者(男性18例,女性75例)。采用分层随机化方法将患者分为两组(基于性别、年龄、BMI和疼痛持续时间)(肌内建磁带组=46例,ESWT组=47例)。第一组患者进行3次ESWT治疗,每次间隔1周。第二组采用肌内效贴敷。每周使用一次,持续3周。记录两组患者治疗前和治疗结束后1周的视觉模拟评分(VAS)和足功能指数(FFI)评分。当我们评估治疗前和治疗后参数时,我们发现两组患者的VAS、ffi -疼痛、ffi -残疾和ffi活动限制评分均显著降低(p=0.0001)。我们还发现,在降低ffi -疼痛(治疗后ffi -疼痛组间p=0.005, ffi -疼痛组间差异p=0.002)和ffi -残疾(治疗后ffi -残疾组间p=0.023, ffi -残疾组间差异p=0.0001)评分方面,肌内运动贴贴比ESWT更有效。综上所述,尽管肌内效贴敷和ESWT治疗都能减轻患者的疼痛、残疾和活动限制,但肌内效贴敷在减轻疼痛和残疾方面更有效。需要更长的随访研究来澄清我们的结果。
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引用次数: 0
Comparison of anxiety, depression, and quality of life of husbands of women with and without breast cancer 乳腺癌患者和非乳腺癌患者丈夫焦虑、抑郁和生活质量的比较
Q3 Medicine Pub Date : 2023-03-18 DOI: 10.52142/omujecm.40.1.4
F. Vizeshfar, F. Dehghanrad, M. Magharei
The aim of this study was to compare the anxiety, depression, and quality of life of husbands of women with breast cancer referred to the chemotherapy clinic with husbands of non-affected wives. This was a case-control study, with purposive-convenience sampling method. 190 husbands of patients with or without breast cancer participate in this study. Data collection tools included a four-part questionnaire, consisted of demographic characteristics, shortened form of quality of life questionnaire, Beck depression inventory, and Beck anxiety inventory. In the areas of social relations and living environment (QolD3, QolD4), a statistically significant difference was found between the two groups in quality of life (p-value < 0.001). Pearson correlation coefficient showed a statistically significant difference in the case group between the history of chemotherapy and mean anxiety score (p-value < 0.001), and quality of life with number of children (p-value < 0.002). The findings of this study showed that in addition to giving attention to the patients, attention to health needs and quality of life of their spouses is also a priority.
本研究的目的是比较乳腺癌患者的丈夫在化疗诊所与未受影响妻子的丈夫的焦虑、抑郁和生活质量。本研究为病例对照研究,采用目的方便抽样方法。190名患有或不患有乳腺癌患者的丈夫参与了这项研究。数据收集工具包括四部分调查问卷,包括人口统计学特征、生活质量简化问卷、贝克抑郁量表和贝克焦虑量表。在社会关系和生活环境方面(QolD3, QolD4),两组生活质量差异有统计学意义(p值< 0.001)。Pearson相关系数显示,病例组化疗史与平均焦虑评分(p值< 0.001)、生活质量与子女数(p值< 0.002)差异有统计学意义。这项研究的结果表明,除了关注患者之外,关注其配偶的健康需求和生活质量也是一项优先事项。
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引用次数: 0
Change of complete blood count parameters according to blood type and smoking 全血细胞计数参数根据血型和吸烟的变化
Q3 Medicine Pub Date : 2023-03-18 DOI: 10.52142/omujecm.40.1.8
H. İnci
In this study, it was aimed to investigate the change in the parameters of complete blood count depending on blood type and smoking status. The individuals were grouped according to their blood group type and status of cigarette use, and the statistical differences in their levels of Neutrophil/Lymphocyte ratio (NLR), Platelet/Lymphocyte ratio (PLR), and Mean Platelet Volume/Lymphocyte ratio (MPVLR) were evaluated.3119 individuals participated in the study. 26.67% of them were smokers. According to the ABO blood group system, 44.47% of the participants had type A, 32.48% had type O, 16.09% had type B, and 6.96% had type AB. 88.81% of the participants were Rh(+) and 11.19% of them were Rh(-). The NLR, PLR, and MPVLR of the smokers were higher than those of the non-smokers. The participants’ NLR, PLR, and MPVLR levels showed statistically significant differences depending on ABO and Rh blood groups. This difference was seen to arise from ARh (+) individuals. The NLR, PLR, and MPVLR levels were the highest in ARh (+) individuals and the lowest in the ABRh (-) individuals. The NLR, PLR, and MPVLR values were the highest in the ARh (+) smokers and the lowest in ABRh (-) non-smokers. It was found that there were significant differences in the participants’ blood count parameters depending on blood type and smoking status. This may imply that ARh (+) individuals who smoke have higher parameters than those who have other blood groups and do not smoke, which may be beneficial in predicting the risk of chronic inflammation-related diseases.
本研究旨在探讨全血细胞计数参数随血型和吸烟状况的变化。根据不同血型和吸烟状况对受试者进行分组,评价其中性粒细胞/淋巴细胞比(NLR)、血小板/淋巴细胞比(PLR)和平均血小板体积/淋巴细胞比(MPVLR)水平的统计学差异。3119人参与了这项研究。吸烟者占26.67%。根据ABO血型系统,A型占44.47%,O型占32.48%,B型占16.09%,AB型占6.96%。Rh(+)型占88.81%,Rh(-)型占11.19%。吸烟者的NLR、PLR和MPVLR均高于非吸烟者。不同ABO血型和Rh血型的受试者NLR、PLR和MPVLR水平差异有统计学意义。这种差异是由ARh(+)个体引起的。NLR、PLR和MPVLR水平在ARh(+)个体中最高,在ABRh(-)个体中最低。NLR、PLR和MPVLR值在ARh(+)吸烟者中最高,在ABRh(-)非吸烟者中最低。结果发现,根据血型和吸烟状况,参与者的血细胞计数参数存在显著差异。这可能意味着吸烟的ARh(+)个体比其他血型不吸烟的个体具有更高的参数,这可能有助于预测慢性炎症相关疾病的风险。
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引用次数: 0
Evaluation of patients admitted to the emergency department after Coronavac (Sinovac) vaccination? 冠状病毒(Sinovac)疫苗接种后急诊患者的评价?
Q3 Medicine Pub Date : 2023-03-18 DOI: 10.52142/omujecm.40.1.17
B. Taşlıdere, Ertan Sönmez, S. Özdemir
To evaluate the symptoms and laboratory parameters of patients admitted to the emergency department after CoronaVac (Sinovac) vaccination. Complaints, demographic characteristics, laboratory tests, interventions, and outcomes of patients admitted to the emergency department within seven days of receiving the CoronaVac (Sinovac) were all evaluated. Pain at the injection site, swelling, redness, and pain in the injected arm were expected side effects of the vaccination. In this study, a total of six people had syncope following the vaccination, one of whom developed an allergic reaction. The most common adverse events in non-geriatrics were fatigue, headache, fever, and abdominal pain, while in geriatric patients’ fatigue, headache, chest pain, and dyspnea were most common, with fever falling in the last place. Rare symptoms following vaccination included syncope and urticaria. It is necessary to be prepared for the side effects that may occur during mass vaccination against COVID-19. In this study, the body’s response to the vaccine in geriatric patients was atypical in vital signs and laboratory values.
目的:评价冠状病毒(Sinovac)疫苗接种后急诊入院患者的症状和实验室参数。对接受科罗诺瓦(Sinovac)后7天内入住急诊科的患者的投诉、人口统计学特征、实验室检查、干预措施和结果进行评估。注射部位的疼痛、肿胀、发红和注射臂的疼痛是疫苗接种的预期副作用。在这项研究中,共有6人在接种疫苗后出现晕厥,其中一人出现过敏反应。非老年患者最常见的不良事件是疲劳、头痛、发热和腹痛,而老年患者最常见的不良事件是疲劳、头痛、胸痛和呼吸困难,发烧排在最后。接种疫苗后的罕见症状包括晕厥和荨麻疹。有必要为大规模接种COVID-19疫苗期间可能出现的副作用做好准备。在这项研究中,老年患者对疫苗的反应在生命体征和实验室值上是非典型的。
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引用次数: 0
The investigation of concomitant dermal and oral lichen planus in patients referred to Zahedan University centres 扎黑丹大学中心对患者并发皮肤和口腔扁平苔藓的调查
Q3 Medicine Pub Date : 2023-03-18 DOI: 10.52142/omujecm.40.1.11
T. Nosratzehi, A. Payandeh, Atefeh Nosratzehi
Lichen planus (LP) is a common chronic immunologic inflammatory epidermal and mucocutaneous disorder involving skin, oral mucosa and both sometimes, the main cause of which is still unknown. Due to the importance and its prevalence, this study was carried out in order to assess the association of oral and dermal lesions in patients referring to Dermatology Clinic and Department of Oral and Maxillofacial Diseases, Zahedan Dental School. In this descriptive study, a total of 99 patients with individual involvement of LP in skin or mucosa were selected among 6510 patients referring to Dermatology Clinic and Department of Oral and Maxillofacial Diseases, Zahedan Dental School. The selected cases were subjected to further and exact clinical examination along with interview, while in suspected lesions, the conducted histopatologic tests obtained by biopsy were used for the evaluation. A questionnaire was completed for each patient after taking history and physical examination, including history of systemic diseases, interacting medication, smoking habits, presence of oral and dermal lesions, the onset of mucosal and skin lesions and the treatment period, oral lesions signs and the patients complaint, involvement location, form, manner of distribution, oral lesion history as well as existence of amalgam restorations alongside the lesion chi-square used to assess differences for variables. The study revealed 38 percent association of oral and dermal lesions in the study population, while individual oral lesion was observed in 60.6 percent of patients and individual dermal lesions in 39.3 percent. The most reported symptom of oral lichen planus in the study population was the Oral ulcer, while the buccal mucosa was the most common site of involvement and erosive form was the high prevalent. The most reported symptom of dermal lichen planus in the study population was the Itching, while the Simultaneous hand and foot conflict was the most common site of involvement and Papular form was the high prevalent. High incidence of dermal and oral lichen planus association revealed throughout the study calls the attention for complete systemic examinations of the patients. As this study was carried out in the dermatology clinic, it seems that other studies in dental schools as well as throughout the public will be of necessity and importance to verify the results. According to this study, there was not a significant statistical relationship between LP and other variables.
扁平苔藓(Lichen planus, LP)是一种常见的慢性免疫性炎症性表皮和粘膜疾病,有时累及皮肤、口腔黏膜和两者,其主要原因尚不清楚。鉴于其重要性和普遍性,本研究旨在评估就诊于扎黑丹牙科学校皮肤科门诊和口腔颌面病科的患者口腔和皮肤病变的相关性。本描述性研究从扎黑丹牙科学校皮肤科门诊及口腔颌面科就诊的6510例患者中,选取个体LP累及皮肤或粘膜的患者99例。选定的病例接受进一步和精确的临床检查以及访谈,而在可疑病变中,通过活检获得的组织病理学检查用于评估。每位患者在进行病史和体格检查后填写问卷,内容包括全身性疾病史、相互作用药物、吸烟习惯、口腔和皮肤病变的存在、粘膜和皮肤病变的发病及治疗时间、口腔病变的体征及患者主诉、受累部位、形式、分布方式、口腔病变史以及汞合金修复体的存在以及病变卡方用于评估变量的差异。该研究显示,在研究人群中,口腔和皮肤病变有38%的相关性,而在60.6%的患者中观察到个体口腔病变,在39.3%的患者中观察到个体皮肤病变。口腔扁平苔藓在研究人群中最常见的症状是口腔溃疡,而口腔粘膜是最常见的受累部位,糜烂形式的发病率很高。研究人群中,皮肤扁平苔藓最常见的症状是瘙痒,而同时手足冲突是最常见的受累部位,丘疹形式是高发的。研究显示,皮肤和口腔扁平苔藓的高发病率引起了对患者进行全面系统检查的注意。由于这项研究是在皮肤科诊所进行的,因此似乎在牙科学校以及整个公众中进行的其他研究将是必要和重要的,以验证结果。根据本研究,LP与其他变量之间没有显著的统计学关系。
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引用次数: 0
CRISPR/Cas9 system in hematopoietic stem cells: Basic research and clinical applications CRISPR/Cas9系统在造血干细胞中的基础研究与临床应用
Q3 Medicine Pub Date : 2023-03-18 DOI: 10.52142/omujecm.40.1.31
Esra Albayrak
Clustered regularly interspaced short palindromic repeats (CRISPR) approach adapted from the prokaryotic adaptive immune system against to pathogen attack is so valuable and promising tool for treatment of human malignant and non-malignant hematological disease and disorders through genome editing in hematopoietic stem cells (HSCs). Moreover, CRISPR/Cas9 approach is not only useful for therapeutic purposes; it is considerably preferred for the generation of in vitro and in vivo animal disease models. CRISPR/Cas9 approach has been developed for highly efficient on-target cleavage, and low off-target effect via delivery systems and manipulation of CRISPR components including single guide RNA (sgRNA) and Cas enzymes. In this review, we focused on the CRISPR/Cas9 system applications on hematopoietic stem cells in basic research and clinical area with basic research and clinical perspectives.
集群规则间隔短回文重复序列(CRISPR)方法适应于原核适应性免疫系统对抗病原体攻击,是通过对造血干细胞(hsc)进行基因组编辑治疗人类恶性和非恶性血液病和疾病的宝贵和有前途的工具。此外,CRISPR/Cas9方法不仅用于治疗目的;对于体外和体内动物疾病模型的生成是相当优选的。CRISPR/Cas9方法通过递送系统和操作CRISPR成分,包括单导RNA (sgRNA)和Cas酶,开发了高效的靶上切割和低脱靶效应。本文从基础研究和临床两方面综述了CRISPR/Cas9系统在造血干细胞基础研究和临床领域的应用。
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引用次数: 0
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Tokai Journal of Experimental and Clinical Medicine
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