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What a Lower Value of Fasting Plasma Glucose in Smokers 吸烟者的空腹血糖值多低啊
Pub Date : 2023-04-11 DOI: 10.58489/2836-2217/011
Yasemin Kayabasi, B. Bahar, Guner Dede, A. Abyad, Lesley Pocock
Background: There may be a significant relationship between smoking and fasting plasma glucose (FPG) in the human body. Method: Consecutive daily smokers at least for a period of six months and age and sex-matched non-smokers were included into the study. Cases with regular alcohol consumption (one drink a day) and patients with inflammatory, infectious, or devastating disorders including eating disorders, malignancies, acute or chronic renal failure, cirrhosis, chronic obstructive pulmonary disease, hyper- or hypothyroidism, or heart failure were excluded from the study. Results: The study included 150 smokers (99 males) and 162 non-smokers. The mean age of smokers was 45.9 years, and 66.0% of them were male. Although the mean body weight, body mass index, systolic and diastolic blood pressures, and hematocrit values were similar in both groups, FPG value was lower in the smokers (101.9 versus 111.9 mg/dL, p<0.01), significantly. Similarly, high density lipoproteins (HDL) value was lower in the smokers (41.1 versus 44.0 mg/dL, p<0.05), again. On the other hand, triglycerides (163.3 versus 151.8 mg/dL, p<0.05), low density lipoproteins (LDL) (126.1 versus 117.4 mg/dL, p<0.05), erythrocyte sedimentation rate (ESR) (10.8 versus 9.4 mm/h, p<0.05), and C-reactive protein (CRP) (2.5 versus 2.1 mg/L, p<0.05) values were all higher in the smokers, significantly. Conclusion: Smoking causes a low-grade systemic inflammation on vascular endothelium terminating with an accelerated atherosclerosis-induced end-organ insufficiencies all over the body. FPG and HDL may be negative whereas triglycerides, LDL, ESR, and CRP positive acute phase reactants indicating the inflammatory effects of smoking in the human body.
背景:吸烟与人体空腹血糖(FPG)之间可能存在显著关系。方法:连续每天吸烟至少6个月,年龄和性别匹配的非吸烟者被纳入研究。经常饮酒(每天喝一杯)的病例和患有炎性、传染性或破坏性疾病(包括饮食失调、恶性肿瘤、急性或慢性肾功能衰竭、肝硬化、慢性阻塞性肺病、甲状腺功能亢进或功能减退或心力衰竭)的患者被排除在研究之外。结果:该研究包括150名吸烟者(99名男性)和162名不吸烟者。吸烟者平均年龄为45.9岁,男性占66.0%。尽管两组的平均体重、体重指数、收缩压和舒张压以及红细胞压积值相似,但吸烟者的FPG值明显较低(101.9 mg/dL vs 111.9 mg/dL, p<0.01)。同样,吸烟者的高密度脂蛋白(HDL)值也较低(41.1 mg/dL比44.0 mg/dL, p<0.05)。另一方面,吸烟者的甘油三酯(163.3 vs 151.8 mg/dL, p<0.05)、低密度脂蛋白(LDL) (126.1 vs 117.4 mg/dL, p<0.05)、红细胞沉降率(ESR) (10.8 vs 9.4 mm/h, p<0.05)和c反应蛋白(CRP) (2.5 vs 2.1 mg/L, p<0.05)值均显著升高。结论:吸烟引起血管内皮低度全身性炎症,最终导致全身动脉粥样硬化引起的终末器官功能不全加速。FPG和HDL可能呈阴性,而甘油三酯、LDL、ESR和CRP急性期反应物可能呈阳性,这表明吸烟对人体的炎症作用。
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引用次数: 0
EMDR Intervention in the Treatment of Capgras Syndrome Case Report EMDR干预治疗Capgras综合征病例报告
Pub Date : 2023-04-10 DOI: 10.58489/2836-2217/012
Trauma is the emotional and physical harm of people from situations that develop suddenly and that they cannot resist. After the trauma,the person becomesmore prone to many psychological disorders and has tangible consequences such as decreased productivity, loss of job and loss of physical well-being. EMDR is one of the most effective methods used intrauma treatment. EMDR is a therapy method with proven effectiveness in cases of sexual abuse as well as in many types of trauma. However, EMDR applications are not available for Capgras Syndrome. In this study, it was shown that the symptoms of X, who developed Capgras Syndromeafter sexual abuse, were reduced after EMDR treatment in addition to drug treatment. X also had doubts about his sexual orientation and it was determined that these doubts disappeared after the application.
创伤是指突然发生且无法抵抗的情况对人造成的情感和身体伤害。在经历了创伤之后,这个人变得更容易出现许多心理障碍,并产生切实的后果,比如生产力下降、失业和身体健康受损。EMDR是创伤治疗中最有效的方法之一。EMDR是一种治疗方法,已被证明对性虐待以及许多类型的创伤有效。然而,EMDR应用不能用于Capgras综合征。本研究表明,X在性侵后出现Capgras综合征,除药物治疗外,EMDR治疗后症状有所减轻。X对自己的性取向也有怀疑,经确认,这些怀疑在申请后消失。
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引用次数: 0
Intra Oral Plasma Cell Neoplasm: A Case Report 口腔内浆细胞肿瘤1例报告
Pub Date : 2023-04-07 DOI: 10.58489/2836-2217/010
Sidra Ghayas, N. Zaib, F. Meraj
Plasmacytomas are rare solitary soft tissue tumors that arise from proliferations of malignant transformed monoclonal plasma cells and can be diagnosed through biopsy and histopathologic examination. These lesions are closely associated with multiple myelomas, which should be ruled out in all these cases by necessary laboratory and radiographic examinations. A 41yrs old female came to surgery department with a complaint of slow-growing painless mass of 1.0 x0.5 x0.5cm at angle of the mandible. A diagnosis of solitary plasmacytoma was made on the basis of clinical, radiographic, and histopathological findings. Early diagnosis of plasmacytomas is of great importance. Radiotherapy is the common modality of treatment with or without adjuvant chemotherapy. Progression to plasma cell lesion is possible; thus, close follow-up of the patient is essential after the completion of the therapeutic procedure.
浆细胞瘤是一种罕见的孤立性软组织肿瘤,由恶性转化的单克隆浆细胞增生引起,可通过活检和组织病理学检查诊断。这些病变与多发性骨髓瘤密切相关,在所有这些病例中应通过必要的实验室和放射检查排除多发性骨髓瘤。女,41岁,主诉下颌骨角处1.0 x0.5 x0.5cm无痛性肿块,生长缓慢。孤立性浆细胞瘤的诊断是基于临床,影像学和组织病理学的发现。浆细胞瘤的早期诊断非常重要。放疗是常用的治疗方式,伴或不伴辅助化疗。进展为浆细胞病变是可能的;因此,在完成治疗程序后,对患者进行密切随访是必不可少的。
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引用次数: 0
Hyperhomocysteinemia and pregnancy: about a case and literature review 高同型半胱氨酸血症与妊娠:1例及文献复习
Pub Date : 2023-04-06 DOI: 10.58489/2836-2217/009
Mamadou Alpha Balde, A. Babahabib, M. Elhassani, J. Kouach
Homocysteine ​​(Hct) is a substance produced in the metabolism of methionine that can be found in our daily diet. Mutation of the methylenetetrahydrofolate reductase (MTHFR) gene, especially in women with low folate intake. Hyperhomocysteinemia (HHct) can be caused by several factors, such as lack of folic acid, vitamin B6 and B12 deficiency, hypothyroidism, medications, genetic abnormalities, aging and kidney dysfunction. Increased homocysteine ​​in peripheral blood can lead to vascular disease, coronary artery dysfunction, atherosclerotic changes, and embolic disease. Thus, upstream of the trophoblastic plugs, any increase in the thrombogenic power of pregnant women will lead to the formation of a clot and the termination of pregnancy. Recent studies have reported that hyperhomocysteinemia is associated with numerous pregnancy complications, including abortion disease, preeclampsia, preterm birth, hematoma placentae, fetal growth restriction, and gestational diabetes. To avoid thrombosis, the treatment will therefore be based on anticoagulants, sometimes combined with low-dose aspirin because of the anti-aggregating action of the latter. In this article, we report the case of a patient with a history of abortive disease on hyperhomocysteinemia who carried a pregnancy to term, while recalling the metabolism of homocysteine, its impact on pregnancy, and the interest of supplementation folic acid to prevent complications due to hyperhomocysteinemia.
同型半胱氨酸(Hct)是蛋氨酸代谢过程中产生的一种物质,可以在我们的日常饮食中找到。亚甲基四氢叶酸还原酶(MTHFR)基因突变,尤其是叶酸摄入量低的女性。高同型半胱氨酸血症(HHct)可由多种因素引起,如缺乏叶酸、维生素B6和B12缺乏、甲状腺功能减退、药物、遗传异常、衰老和肾功能障碍。外周血同型半胱氨酸升高可导致血管疾病、冠状动脉功能障碍、动脉粥样硬化改变和栓塞性疾病。因此,在滋养层栓的上游,孕妇的血栓形成能力的任何增加都会导致血栓的形成和妊娠的终止。最近的研究报道,高同型半胱氨酸血症与许多妊娠并发症有关,包括流产病、先兆子痫、早产、胎盘血肿、胎儿生长受限和妊娠糖尿病。因此,为了避免血栓形成,治疗将以抗凝剂为基础,有时由于后者的抗聚集作用而与低剂量阿司匹林联合使用。在这篇文章中,我们报告了一例因高同型半胱氨酸血症而流产的患者,同时回顾了同型半胱氨酸的代谢,其对妊娠的影响,以及补充叶酸预防高同型半胱氨酸血症并发症的兴趣。
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引用次数: 0
Complications Emerge in Breast Surgery by using dye methylene blue 亚甲基蓝染色在乳房手术中的并发症
Pub Date : 2023-04-05 DOI: 10.58489/2836-2217/008
Introduction: Methylene blue color has been utilized around the world effectively with few complications in breast surgery. We display two diverse complications including methylene blue: 1) skin and parenchymal rot when color was infused in a subdermal mold and 2) Mycoplasma infection caused by sullied methylene blue in breast lessening surgery. Methods: We show two cases seen at the College of Arizona amid 2008 and alluded to a breast specialist for administration. We assessed and overseen complications of methylene blue color infused by 2 referring surgeons for different indications. A review of the literature was performed. Results: The primary case could be a 67-year ancient female analyzed with invading ductal carcinoma of the left breast for which she was treated by her beginning specialist with cleared out segmental mastectomy and sentinel hub biopsy. The working specialist infused methylene blue in a subareolar subdermal design (removed from the essential tumor); tragically the understanding endured skin and breast corruption requiring multiple surgical debridements and at last accomplishing delayed primary closure. The moment case may be a 45-year ancient female with invading lobular carcinoma with a history of Mycoplasma disease auxiliary to methylene blue infused for breast lessening surgery. She required numerous debridements and had granulomas disguising as cancer on MRI that perplexed her degree of malady. Conclusion: The utilize of methylene blue color in breast surgery isn't without hazard. In both cases methylene blue was mindful for complications requiring surgical debridement for local wound issues. In each case extreme corruption and disease were show. Methylene blue may cause not as it were noteworthy dismalness, but may moreover deliver cosmetically unsatisfactory results.
简介:亚甲基蓝在世界范围内已被有效地应用于乳房手术,并发症少。我们展示了两种不同的并发症,包括亚甲基蓝:1)皮肤和实质腐烂时,颜色注入皮下模具和2)支原体感染引起的污染亚甲基蓝乳房缩小手术。方法:我们展示了2008年在亚利桑那大学看到的两个病例,并暗示乳房专家进行管理。我们对2名转诊外科医生因不同适应症输注亚甲蓝的并发症进行了评估和监督。对文献进行了回顾。结果:原发病例是一位67岁的女性左乳浸润导管癌,由她的初级专科医生进行了清除节段性乳房切除术和前哨中心活检。工作专家在乳晕下皮下设计中注入亚甲蓝(从基本肿瘤中移除);不幸的是,这种理解忍受了皮肤和乳房的腐败,需要多次手术清创,最后完成了延迟的初级闭合。该病例可能是一位45岁的老年女性,患有侵袭性小叶癌,并有支原体病史,辅助注射亚甲蓝进行缩乳手术。她需要多次清创,MRI显示肉芽肿伪装成癌症,这使她的疾病程度难以确定。结论:亚甲基蓝在乳房手术中的应用并非没有危害。在这两种情况下,亚甲蓝都注意到并发症需要手术清创局部伤口问题。每个案例都显示出极端的腐败和疾病。亚甲基蓝可能不会引起人们注意到的沮丧,但也可能带来不令人满意的美容效果。
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引用次数: 0
Recovery of parathyroid function after total thyroidectomy 甲状腺全切除术后甲状旁腺功能的恢复
Pub Date : 2022-12-30 DOI: 10.58489/2836-2217/006
E. Vázquez Quintana
A case is reported with a prolonged recovery of parathyroid function after a total thyroidectomy.
本文报告一例甲状腺全切除术后甲状旁腺功能恢复时间较长。
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引用次数: 0
A Few Words about Kidney Cancer 关于肾癌的几句话
Pub Date : 2022-12-15 DOI: 10.58489/2836-2217/001
Siniša Franjić
Kidney cancer is a malignant disease that affects a large number of adults around the world. The kidneys are paired organs, extremely important for the normal functioning of the body. Each person has two kidneys, left and right, located along the spine and below the ribs. The kidneys are the main filters in the human body and perform multiple functions. They are responsible for fluid control, excretion of toxins, mineral salts, production of the hormone erythropoietin which stimulates the production of red blood cells. Each kidney works independently and a person can live with one kidney. When the kidneys are severely damaged, this leads to the need for dialysis. Kidney tumor refers to abnormal tissue growth within the kidney, and can be benign or malignant. This disease affects men more often than women aged 55 to 75 years. The disease develops within one or both kidneys, while in an advanced stage it spreads to the lymph nodes and bloodstream. It is important to know that early diagnosis and effective methods can help treat this type of cancer.
肾癌是一种影响全球大量成年人的恶性疾病。肾脏是一对成对的器官,对身体的正常运作极其重要。每个人都有两个肾脏,左肾和右肾,位于脊柱和肋骨下方。肾脏是人体的主要过滤器,具有多种功能。它们负责体液的控制,毒素的排泄,矿物盐的分泌,刺激红细胞生成的促红细胞生成素的分泌。每个肾脏都独立工作,一个人可以靠一个肾脏生活。当肾脏严重受损时,就需要透析。肾肿瘤是指肾脏内的异常组织生长,可分为良性或恶性。55至75岁的男性比女性更易患此病。这种疾病在一个或两个肾脏内发展,而在晚期,它会扩散到淋巴结和血液。重要的是要知道早期诊断和有效的方法可以帮助治疗这种类型的癌症。
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引用次数: 1
Correlation of Bovine Dairy Igf-1 And the Neoplasia Development 奶牛乳中Igf-1与肿瘤发生的关系
Pub Date : 2022-12-15 DOI: 10.58489/2836-2217/004
D. A. C
Cow's milk and its derivatives are among the most consumed foods in the world being part of the daily diet of several people. However, its consumption is linked to factors that were associated with neoplastic development, such as IGF-1. IGF-1 acts by stimulating growth effects on most cells of the body via the IGF1R receptor. In this context, this work aimed to investigate studies that correlate these variables: IGF-1, cow's milk, and neoplasias. The results showed that IGF-1 in cow's milk may increase serum IGF-1 levels in humans from milk consumption. Also, we have shown it that some supplements such as choline and casein do not alter the amount of IGF-1, but when the cow undergoes recombinant bovine somatotropin treatment, there is a significant increase in circulating IGF-1. However, further studies are needed to explain the cause-and-effect relationship noted in this study.
牛奶及其衍生物是世界上消费量最大的食物之一,是许多人日常饮食的一部分。然而,它的消耗与肿瘤发展相关的因素有关,比如IGF-1。IGF-1通过IGF1R受体刺激身体大多数细胞的生长作用。在此背景下,本研究旨在研究IGF-1、牛奶和肿瘤之间的相关性。结果表明,牛奶中的IGF-1可能会增加牛奶消费中人类血清IGF-1水平。此外,我们已经证明,一些补充剂,如胆碱和酪蛋白不会改变IGF-1的量,但当奶牛接受重组牛生长激素治疗时,循环中的IGF-1显著增加。然而,需要进一步的研究来解释本研究中发现的因果关系。
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引用次数: 0
Cognitive Deficits in Patients Who Recovered from Critical Covid-19: Unexpected Results of Follow-Up Patients Running title: Cognitive deficits and COVID-19 重症Covid-19康复患者的认知缺陷:随访患者的意外结果
Pub Date : 2022-12-15 DOI: 10.58489/2836-2217/003
C. R. Furquim de Andrade
Purpose: To identify the presence of cognitive sequelae in patients who underwent prolonged orotracheal intubation and who received a speech therapy assessment and rehabilitation during hospitalization due to COVID19. Methods: Participants of the study were 50 individuals, 24 females (43.55%) and 26 males (56.45%), with a mean age of 57.8 years (±14.35), who received treatment at Hospital das Clínicas of the School of Medicine of the University of São Paulo, Brazil (HCFMUSP) due to critical COVID-19. Demographic and clinical data were collected using Addenbrooke's Cognitive Examination - Revised Version (ACE-R) [1]. Results: Results indicated the presence of cognitive deficits in 75% of the participants for all of the tested skills. Conclusion: The results of the present study indicated the presence of cognitive deficits in all of the tested parameters. Future studies should include new analyzes correlating patient severity at hospital admission, demographic data and cognitive abilities.
目的:了解新型冠状病毒肺炎住院期间接受长时间口气管插管并接受语言治疗评估和康复的患者是否存在认知后遗症。方法:研究对象50例,女性24例(43.55%),男性26例(56.45%),平均年龄57.8岁(±14.35岁),因COVID-19危重症在巴西圣保罗大学医学院das医院Clínicas (HCFMUSP)就诊。人口统计学和临床数据采用阿登布鲁克认知检查-修订版(ACE-R)收集[1]。结果:结果表明75%的参与者在所有测试技能中都存在认知缺陷。结论:本研究结果表明,在所有测试参数中存在认知缺陷。未来的研究应包括对入院患者严重程度、人口统计数据和认知能力进行新的分析。
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引用次数: 0
Efficacy Of Trichilia Monadelpha Stem Bark Extracts on The Growth Performance of Growing Rabbits 毛毛菌茎皮提取物对生长兔生长性能的影响
Pub Date : 2022-12-15 DOI: 10.58489/2836-2217/005
A. J.O
The use of medicinal plants has been gaining increasing attention due to antibiotic resistance and the need to promote a healthy environment as well as food safety. Secondary metabolites in Trichilia monadelpha stem bark extract (TMSBE) was analyzed using gas chromatography mass spectrometry (GC/MS) system while proximate analysis of experimental diet was carried out using Near Infra-red Spectrophotometer kit (NIR). 40 growing New Zealand white × Chinchilla crossbred rabbits of 6-7 weeks age (472.6 ± 6.2 g) were used for the experiment. Rabbits were randomly assigned to 4 groups; each treatment was further divided into 5 replicates consisting of 2 rabbits each. Group 1 (G1): Basal diet with no TMSBE, G2: Basal diet plus 3 mL TMSBE per rabbit/day, G3: Basal diet plus 6 mL TMSBE per rabbit/day and G4: Basal diet plus 9 mL TMSBE per rabbit/day. Experimental diet was formulated to meet the nutrient requirement standards for growing rabbits according to Nutritional Research Council standards (1977). GC/MS analysis of TMSBE revealed that it is abundant in coapene (25.40 %) followed by azulene (18.29 %), δ-cadinene (15.39 %), α-cubebene (10.61 %) and α-longipinene (10.11 %) respectively other compounds were less than 5 %. Average weekly weight gain (AWWG), average weekly feed intake (AWFI) and feed conversion ratio (FCR) were significantly (P˂0.05) different among the treatments. AWWG and AWFI follow similar trend and were highest in G3 and G4, intermediate in G2, lowest in G1 (P˂0.05). Better FCR were recorded among rabbits in G4 compared to the other groups (P˂0.05). It was concluded that feeding TMSBE at 9 mL/day improved feed intake and enhance performance in rabbits.
由于抗生素耐药性以及促进健康环境和食品安全的需要,药用植物的使用日益受到关注。采用气相色谱-质谱联用技术(GC/MS)分析毛毛菌茎皮提取物(TMSBE)的次生代谢物,采用近红外分光光度计(NIR)对试验饲料进行近似分析。试验选用6 ~ 7周龄(472.6±6.2 g)的新西兰白×栗杂交兔40只。将家兔随机分为4组;每个处理再分为5个重复,每个重复2只兔。1组(G1):基础饲粮不加TMSBE, G2:基础饲粮加3 mL TMSBE每只兔/天,G3:基础饲粮加6 mL TMSBE每只兔/天,G4:基础饲粮加9 mL TMSBE每只兔/天。试验饲粮按照1977年营养研究委员会标准配制,满足生长兔的营养需求标准。TMSBE的GC/MS分析结果显示,其主要成分为铜红烯(25.40%),其次为叠氮烯(18.29%)、δ-癸二烯(15.39%)、α-三苯(10.61%)和α-长烯(10.11%),其余化合物含量均低于5%。各组平均周增重(AWWG)、平均周采食量(AWFI)和饲料系数(FCR)差异显著(P小于0.05)。AWWG和AWFI的变化趋势相似,G3和G4最高,G2居中,G1最低(P小于0.05)。G4组的FCR优于其他各组(P小于0.05)。由此可见,饲粮添加9 mL/d TMSBE可改善家兔采食量,提高生产性能。
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引用次数: 2
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Clinical Case Reports and Trails
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