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Role of Probiotics in Diabetes Mellitus 益生菌在糖尿病中的作用
Pub Date : 1900-01-01 DOI: 10.23880/jidtm-16000154
Yadav Ar
Diabetes mellitus has become a serious concern as it is a major public health issue. Due to the complications like diabetic nephropathy, diabetic cardiovascular complication, diabetic neuropathy, diabetic retinopathy and diabetic heapatopathy it has high despondence and lethality. Depending on the health conditions of diabetic patients the present study shows the effects of probiotic complements. This review summarizes that by restraining intestinal microbiota along with decreasing the inflammatory reactions and oxidative stress probiotics can increase insulin sensitivity and reduces autoimmune reactions. Recent evidences show that probiotics affects the host through restraining intestinal permeability and mucosal immune response, employing eating behaviors by appetite-regulating hormones and controlling endocannabinoid (eCB) system that is correlated with inflammation and diabetes. It is hypothesized experimentally and clinically that restraining the microbiota by probiotics could be impressive in anticipation and execution of diabetes. Literature ascertained that the complementation of probiotics can avert and boost the T1DM, T2DM and gestational DM. In culmination probiotics have a lot of favorable effects in health and disease reducing superficial annoyance, regulating the immune system and improving the body antioxidant defense.
糖尿病已成为一个严重的公共卫生问题。由于糖尿病肾病、糖尿病心血管并发症、糖尿病神经病变、糖尿病视网膜病变和糖尿病肝病变等并发症,它具有很高的沮丧和致死率。根据糖尿病患者的健康状况,本研究显示了益生菌补充剂的效果。本文综述了益生菌通过抑制肠道菌群,减少炎症反应和氧化应激,提高胰岛素敏感性,减少自身免疫反应的作用。最近的证据表明,益生菌通过抑制肠道通透性和粘膜免疫反应,通过调节食欲的激素和控制与炎症和糖尿病相关的内源性大麻素(eCB)系统来影响宿主的饮食行为。实验和临床假设,通过益生菌抑制微生物群可能在糖尿病的预期和执行中令人印象深刻。文献证实补充益生菌可预防和促进T1DM、T2DM和妊娠期DM。综上所述,益生菌对健康和疾病有许多有利作用,减少表面烦恼,调节免疫系统,提高机体抗氧化防御能力。
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引用次数: 0
Neuroprotective (iNOS), fibrinolytic (FDP) Markers Analysis of Biofield Treated Proprietary Test Formulation on Cecal Slurry, LPS and E. coli Induced Systemic Inflammatory Response Syndrome (SIRS) Model in Sprague Dawley Rats 生物场处理专有试验配方对盲肠浆液、脂多糖和大肠杆菌诱导全身炎症反应综合征(SIRS)模型的神经保护(iNOS)、纤溶(FDP)标志物分析
Pub Date : 1900-01-01 DOI: 10.23880/jidtm-16000152
S. J
The aim of this experiment was to evaluate the antioxidants and anti-inflammatory potential of the Biofield Energy Treated/ Blessed Proprietary Test Formulation and Biofield Energy Treatment per se to the animals on Cecal Slurry, LPS, and E. coli - induced systemic inflammatory response syndrome (SIRS) model in Sprague Dawley rats. The parameters like in brain (MMP- 9, FDP, Substance P, iNOS) and in heart (FDP, substance P, iNOS) were analysed using ELISA assay. A test formulation was formulated including minerals (magnesium, zinc, calcium, selenium, and iron), vitamins (ascorbic acid, pyridoxine HCl, vitamin E, cyanocobalamin, and cholecalciferol), cannabidiol (CBD) isolate, Panax ginseng extract, and β-carotene. The constituents of the test formulation were divided into two parts; one section was defined as the untreated test formulation, while the other portion of the test formulation and three group of animals received Biofield Energy Healing Treatment remotely for about 3 minutes by a renowned Biofield Energy Healer, Mr. Mahendra Kumar Trivedi. The level of MMP-9 in brain was significantly ( p ≤0.001) reduced by 48.63%, 36.81%, 40.84%, and 60.03% in the G6 (Cecal Slurry, LPS and E. coli along with Biofield Energy Treatment per se to animals from day -15); G7 (Cecal Slurry, LPS and E. coli along with the Biofield Energy Treated test formulation from day -15); G8 (Cecal Slurry, LPS and E. coli along with Biofield Energy Treatment per se plus the Biofield Energy Treated test formulation from day -15), and G9 (Cecal Slurry, LPS and E. coli along with Biofield Energy Treatment per se animals plus the untreated test formulation) groups, respectively as compared to the untreated test formulation (G4) group. The level of FDP in brain was significantly reduced by 43.10% ( p ≤0.001), 33.40%, 35.46%, and 62.11% ( p ≤0.001) in the G6, G7, G8, and G9 groups, respectively as compared to the G4 group. The level of substance P was significantly decreased in brain by 18.42% ( p ≤0.001), 53.79% ( p ≤0.001), 16.65%, 14.64%, and 28.43% ( p ≤0.001) in the G5, G6, G7, G8, and G9 groups, respectively as compared to the G4 group. The iNOS level in brain was significantly decreased by 35.92% ( p ≤0.001), 32.80%, 47.20% ( p ≤0.001), and 66.43% ( p ≤0.001) in the G6, G7, G8, and G9 groups, respectively than G4 group. Besides, FDP in heart tissue was significantly decreased by 15.66%, 17.41% ( p ≤0.05), 11.85%, and 13.02% in the G5, G6, G8, and G9 groups, respectively as compared to the G4 group. The levels of heart substance P and iNOS were altered. Overall, the Biofield Energy Treated test formulation and Biofield Energy Treatment per se along with preventive maintenance groups showed an antioxidant and anti-inflammatory potentials. Therefore, the results showed the significant slowdown the inflammation- related disease progression and its complications/symptoms in the preventive groups ( viz. G6, G7, G8, and G9) that might be beneficial various types of systemic inf
本实验的目的是评估生物场能量处理/加药专有试验配方和生物场能量处理本身对盲肠浆液、LPS和大肠杆菌诱导的全身炎症反应综合征(SIRS)模型大鼠的抗氧化和抗炎潜力。采用酶联免疫吸附试验(ELISA)分析脑(MMP- 9、FDP、P物质、iNOS)和心脏(FDP、P物质、iNOS)等参数。试验配方包括矿物质(镁、锌、钙、硒和铁)、维生素(抗坏血酸、吡哆醇HCl、维生素E、氰钴胺素和胆钙化醇)、大麻二酚(CBD)分离物、人参提取物和β-胡萝卜素。试验配方的成分分为两部分;一部分被定义为未经处理的测试配方,而测试配方的另一部分和三组动物接受由著名的生物场能量治疗师Mahendra Kumar Trivedi先生远程进行约3分钟的生物场能量治疗。从第15天开始,G6组(盲肠浆液、LPS和大肠杆菌联合生物场能量处理组)脑组织中MMP-9水平分别显著降低了48.63%、36.81%、40.84%和60.03% (p≤0.001);G7(盲肠浆液、LPS和大肠杆菌以及生物场能量处理试验配方,从第15天开始);与未处理的试验配方(G4)组相比,G8组(盲肠浆液、脂多糖和大肠杆菌连同生物场能量处理本身加上第15天的生物场能量处理试验配方)和G9组(盲肠浆液、脂多糖和大肠杆菌连同生物场能量处理本身加上未经处理的试验配方)。与G4组相比,G6、G7、G8、G9组脑内FDP水平分别显著降低43.10% (p≤0.001)、33.40%、35.46%、62.11% (p≤0.001)。与G4组相比,G5、G6、G7、G8和G9组脑内P物质含量分别显著降低18.42% (P≤0.001)、53.79% (P≤0.001)、16.65%、14.64%和28.43% (P≤0.001)。G6组、G7组、G8组和G9组脑内iNOS水平分别较G4组显著降低35.92% (p≤0.001)、32.80%、47.20% (p≤0.001)和66.43% (p≤0.001)。与G4组相比,G5、G6、G8、G9组心脏组织FDP分别显著降低15.66%、17.41% (p≤0.05)、11.85%、13.02%。心肌P物质和iNOS水平发生改变。总体而言,生物场能量处理试验配方和生物场能量处理本身以及预防性维护组显示出抗氧化和抗炎潜力。因此,结果显示,预防组(即G6、G7、G8和G9)显著减缓了炎症相关疾病的进展及其并发症/症状,这可能有利于各种类型的全身性炎症疾病,特别是败血症、创伤、感染性休克或任何类型的损伤。
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引用次数: 0
Immunomodulatory Effects of Bio-Clean II on Some Inflammatory Cytokines in Rats Exposed to Purified Bacterial Lipopolysaccharide Bio-Clean II对纯化细菌脂多糖大鼠炎症因子的免疫调节作用
Pub Date : 1900-01-01 DOI: 10.23880/jidtm-16000162
Enitan Ss
Bacterial inflammatory diseases have continued to be a major threat to public health. The aim of this study is to determine the effects of Bio-Clean II on serum levels of some selected cytokines in rats exposed to purified bacterial lipopolysaccharide (LPS). A total of 36 male Wistar rats weighing 150g±50g (mean±SD) were purchased and randomly assigned to six (6) groups of 6 rats each. Group 1, 2, 3, 5 and 6 were induced with a single dose of 5mg/Kg of purified LPS® (E.coli 0127:B8, Sigma-Aldrich, St. Louis, USA), administered through intraperitoneal route using 1ml sterile needle and syringe, except for group 4 which served as the zero control (given water and feed only throughout the experiment). Group 1 served as the inflammation control. Group 2 which served as the positive control received 50 mg diclofenac/kg [bid] and 500 mg ciprofloxacin/kg [bid] (positive control) in place of the Bio-Clean. Group 3 which served as the negative control received sterile phosphate buffer saline (PBS). While rats in group 5 and group 6 were treated orally with the herbal remedy “Bio-Clean II” for 7 days and 14 days, respectively. After which, the rats were sacrificed and a cardiac blood specimen was taken from each rat by terminal bleeding from the heart. The serum levels of Interleukin-6 (IL-6), Interleukin-10 (IL-10), Interferon-Gamma (IFN-γ), and Tissue Necrosis Factor-Alpha (TNF-α) were determined using ELISA technique. The outcome of this investigation shows that treatment with the Bio-Clean II resulted in a significant decrease (p=0.000*) in the serum level of IL-6, IFN-γ and TNF-α, but a significant (p=0.000*) increase in the serum level of IL-10 (in a duration-dependent manner) in rats exposed to LPS when compared to the inflammation control group. The outcome of this study suggests that Bio-Clean could find some use in the future for the alleviation of bacterial inflammatory diseases through modulations of host inflammatory responses to pathogens.
细菌性炎症疾病仍然是对公众健康的主要威胁。本研究的目的是确定Bio-Clean II对暴露于纯化细菌脂多糖(LPS)的大鼠血清中某些选定细胞因子水平的影响。选取体重为150g±50g (mean±SD)的雄性Wistar大鼠36只,随机分为6组,每组6只。1、2、3、5、6组分别用纯化LPS®(e.c coli 0127:B8, Sigma-Aldrich, St. Louis, USA)单剂量5mg/Kg诱导,使用1ml无菌针头和注射器腹腔注射,4组作为零对照组(整个实验期间只给水和饲料)。第1组作为炎症对照组。2组作为阳性对照,用双氯芬酸50 mg /kg (bid)和环丙沙星500 mg /kg (bid)代替Bio-Clean。第三组作为阴性对照,给予无菌磷酸盐缓冲盐水(PBS)。第5组和第6组大鼠分别口服中药“Bio-Clean II”7 d和14 d。之后,处死大鼠,并从每只大鼠的心脏末端出血中取心脏血液标本。采用ELISA技术检测血清白细胞介素-6 (IL-6)、白细胞介素-10 (IL-10)、干扰素-γ (IFN-γ)、组织坏死因子-α (TNF-α)水平。本研究结果显示,与炎症对照组相比,Bio-Clean II治疗导致LPS暴露大鼠血清IL-6、IFN-γ和TNF-α水平显著降低(p=0.000*),但血清IL-10水平显著(p=0.000*)升高(以持续时间依赖的方式)。这项研究的结果表明,Bio-Clean可以在未来通过调节宿主对病原体的炎症反应来减轻细菌性炎症疾病。
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引用次数: 1
Clinical-Epidemiological Characteristics in Outpatients with Mild to Moderate Covid-19, in the South of Mexico City 墨西哥城南部轻中度Covid-19门诊患者的临床流行病学特征
Pub Date : 1900-01-01 DOI: 10.23880/jidtm-16000156
M. Sandoval
Background: Regional information on the characteristics of patients with mild and moderate intensity SARS-CoV-2 “COVID-19” coronavirus disease is needed to better understand the pandemic Objective: The objective of this study was to report the epidemiological clinical characteristics of outpatients with mild to moderate intensity COVID-19 that was carried out by Telemedicine in a first contact clinic, specializing in infectious diseases, in the South from Mexico City from March 10, 2020 to January 31, 2021. Material and Methods: This is a prospective, cross-sectional, observational, single-center study of a series of patients with clinical data of upper and lower respiratory tract infection and a positive CRP for SARS-CoV-2, who requested telemedicine consultation from a first contact clinic with a specialty in infectious diseases, attended from March 10, 2020 to January 31, 2021, The information was analyzed in a statistical package using SPSS 23.0. Results: 66patients who met the established criteria for diagnosis were attended to. In January 2021, the highest number of patients was treated; they requested medical attention, 6.5 days (range from 1 to 12 days) after having started with the disease. The median age was 48 years (range 10 to 80 ) years), 53% were female, 26% had type 2 diabetes mellitus, 23% with arterial hypertension, 7% previous pulmonary disease, 4% suffered from hypothyroidism, 24% positive smoking, 21% positive alcoholism, 39% had obesity , 17% were allergic. The clinical characteristics, the most prevalent was cough in 76%, followed by headache in 73% and myalgia in 71%. Conclusions: Patients with comorbidities, whether they are men or women in the fifth decade of life, are important for the evolution, especially when they are carriers of immunosenescence in the cases of those older than 60 years, or the immune system is immunocompromised as it is the case of patients with DM2 and even more so when they have more than one comorbidity that persists, they have a pro- inflammatory state and attenuation of the innate immune response.
背景:需要掌握轻、中强度SARS-CoV-2“COVID-19”冠状病毒病患者的区域特征信息,以便更好地了解疫情。本研究的目的是报告2020年3月10日至2021年1月31日在墨西哥城南部一家专门从事传染病的第一接触诊所通过远程医疗进行的轻中度强度COVID-19门诊患者的流行病学临床特征。材料与方法:本研究是一项前瞻性、横断面、观察性、单中心研究,研究对象为2020年3月10日至2021年1月31日在某传染病专科第一接触门诊就诊的一系列临床资料为上呼吸道和下呼吸道感染且CRP阳性的SARS-CoV-2患者,这些患者要求远程医疗会诊。结果:66例患者均符合既定诊断标准。2021年1月,治疗人数最多;他们在发病后6.5天(1至12天)要求就医。年龄中位数为48岁(10 ~ 80岁),女性占53%,2型糖尿病患者占26%,高血压患者占23%,既往肺部疾病患者占7%,甲状腺功能减退患者占4%,吸烟患者占24%,酗酒患者占21%,肥胖患者占39%,过敏患者占17%。临床表现以咳嗽最为常见(76%),其次为头痛(73%)和肌痛(71%)。结论:并发症的患者,无论他们是男人还是女人在第五个十年的生活中,进化是重要的,特别是当它们的载体免疫衰老在60岁以上的情况下,免疫系统或免疫系统受损是DM2患者的情况,甚至当他们有多个疾病仍然存在,他们有一个pro -炎症状态和衰减的先天免疫反应。
{"title":"Clinical-Epidemiological Characteristics in Outpatients with Mild to Moderate Covid-19, in the South of Mexico City","authors":"M. Sandoval","doi":"10.23880/jidtm-16000156","DOIUrl":"https://doi.org/10.23880/jidtm-16000156","url":null,"abstract":"Background: Regional information on the characteristics of patients with mild and moderate intensity SARS-CoV-2 “COVID-19” coronavirus disease is needed to better understand the pandemic Objective: The objective of this study was to report the epidemiological clinical characteristics of outpatients with mild to moderate intensity COVID-19 that was carried out by Telemedicine in a first contact clinic, specializing in infectious diseases, in the South from Mexico City from March 10, 2020 to January 31, 2021. Material and Methods: This is a prospective, cross-sectional, observational, single-center study of a series of patients with clinical data of upper and lower respiratory tract infection and a positive CRP for SARS-CoV-2, who requested telemedicine consultation from a first contact clinic with a specialty in infectious diseases, attended from March 10, 2020 to January 31, 2021, The information was analyzed in a statistical package using SPSS 23.0. Results: 66patients who met the established criteria for diagnosis were attended to. In January 2021, the highest number of patients was treated; they requested medical attention, 6.5 days (range from 1 to 12 days) after having started with the disease. The median age was 48 years (range 10 to 80 ) years), 53% were female, 26% had type 2 diabetes mellitus, 23% with arterial hypertension, 7% previous pulmonary disease, 4% suffered from hypothyroidism, 24% positive smoking, 21% positive alcoholism, 39% had obesity , 17% were allergic. The clinical characteristics, the most prevalent was cough in 76%, followed by headache in 73% and myalgia in 71%. Conclusions: Patients with comorbidities, whether they are men or women in the fifth decade of life, are important for the evolution, especially when they are carriers of immunosenescence in the cases of those older than 60 years, or the immune system is immunocompromised as it is the case of patients with DM2 and even more so when they have more than one comorbidity that persists, they have a pro- inflammatory state and attenuation of the innate immune response.","PeriodicalId":402204,"journal":{"name":"Journal of Infectious Diseases & Travel Medicine","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125521674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fenitrothion Bio-Efficacy on Different Intradomicile Surface Types Against Anopheles (Nyssorhynchus) Albimanus in the Main Malaria Endemic Regions of Panama 巴拿马主要疟疾流行区不同菌间表面灭蟑生物药效分析
Pub Date : 1900-01-01 DOI: 10.23880/jidtm-16000153
Cáceres Cl
Background: The use of intradomicile residual insecticide on a large scale is a proven and efficacious intervention against malaria mosquito vectors. The objective of the study was determined the bio-efficacy and resistance of fenitrothion insecticide against the mosquito An. (Nyssorhynchus.) albimanus Wiedemann . Methods: This study included seven communities located in different endemic regions where fenitrothion is used to control An. (Nys.) albimanus populations. The test of bio-efficacy and susceptibility were conducted following the WHO standard bioassay methodology. Results: The average percent mortality of An. (Nys.) albimanus exposed to fenitrothion in the seven communities tested were 96% and 92% for the first two months. This bio-efficacy was maintained until the fifth month with 81% mortality in communities with high IRS coverage. Anopheles (Nys.) albimanus was susceptible to the organophosphate insecticides fenitrothion and malathion, as well as to carbamate propoxur but resistant to pirimiphos-methyl and chlorpyrifos. Conclusion: This study demonstrates that fenitrothion maintains an elevated insecticide residuality and toxic effect on different types of surfaces until the fifth month post-application. Furthermore, An. (Nys.) albimanus remains highly susceptible to this insecticide, providing a high degree of protection against mosquito bites inside households, and interrupting malaria transmission in places with high IRS coverage and where the mosquito is still susceptible to fenitrothion application.
背景:大规模使用室内残留杀虫剂是一种有效的防治疟蚊媒介的方法。目的是测定杀虫磷杀虫剂对安蚊的生物药效和耐药性。白化病,白化病方法:选取不同流行地区的7个社区为研究对象,采用杀虫硫磷防治安虫病。(纽约)白化病人群。生物功效和药敏试验按照世界卫生组织标准生物测定方法进行。结果:安。(纽约州)七个社区暴露于杀虫剂杀虫剂的白化病在前两个月分别为96%和92%。这种生物功效一直保持到第5个月,在高IRS覆盖率的社区中死亡率为81%。白斑按蚊对有机磷杀虫剂杀虫磷和马拉硫磷敏感,对氨基甲酸酯残杀威敏感,对吡虫磷和毒死蜱耐药。结论:本研究表明,在施用后5个月,杀虫硫磷对不同类型的表面保持较高的残留和毒性作用。此外,一个。(纽约州)白蛉对这种杀虫剂仍然高度敏感,在家庭内提供高度保护,防止蚊虫叮咬,并在室内滞留剂覆盖率高的地方和蚊子仍然容易施用杀虫剂的地方阻断疟疾传播。
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引用次数: 0
Coronavirus Disease 2019 (COVID-19) During Pregnancy among African Women: Characteristics of Pregnant Woman at the Start of Pandemic in Ouagadougou, Burkina Faso 非洲妇女怀孕期间2019冠状病毒病(COVID-19):布基纳法索瓦加杜古大流行开始时孕妇的特征
Pub Date : 1900-01-01 DOI: 10.23880/jidtm-16000158
Sondo K Apolin
Introduction: Little work has been done on coronavirus disease 2019(COVID-19) in pregnant women particularly among African women. Further knowledge is needed to address this gap. During this COVID-19 epidemic, we found and report five (5) confirmed cases of COVID-19 in pregnancy in Burkina Faso. The objective of this study is to describe the clinical characteristics and evolution of COVID-19 among pregnant women that were admitted and treated in hospitals in Ouagadougou. Methodology: This is a case study carried out on COVID-19 care sites in the city of Ouagadougou. All pregnant women admitted between March 9th and June 30th with a positive reverse transcriptase polymerase reaction (RT-PCR) test for SARS- Cov-2 were included in our study population. Results: Five cases of COVID-19 in pregnancy were identified and the mean age of the patients was 27.2 years ± 4.9. The mean gestational age was 20 weeks amenorrhea (WA). Clinically, three (3) patients developed fever, two (2) patients had myalgia, dysphonia, one (1) patient cough, anorexia, asthenia, anosmia and ageusia. Three patients were treated with hydroxychloroquine in combination with azithromycin. The materno-fetal prognosis was good with three virological cures. In one case, there was a persistence of virology and in another case the patient refused the follow-up. Conclusion: The maternofoetal prognosis of women with COVID-19 is good apart from the occurrence of respiratory signs. While there is no reliable evidence to support the possibility of vertical transmission of COVID-19 infection from mother to baby, the infection and inflammation that occurred in response to the viral infection could affect the development of the fetus hence an interest in monitoring the growth of babies.
导言:关于孕妇,特别是非洲妇女中2019冠状病毒病(COVID-19)的研究很少。需要更多的知识来解决这一差距。在本次COVID-19流行期间,我们在布基纳法索发现并报告了5例COVID-19妊娠确诊病例。本研究的目的是描述在瓦加杜古医院住院和治疗的孕妇中COVID-19的临床特征和演变。方法:这是一项在瓦加杜古市COVID-19护理点开展的案例研究。所有在3月9日至6月30日期间入院的SARS- Cov-2逆转录酶聚合酶反应(RT-PCR)检测阳性的孕妇都被纳入我们的研究人群。结果:共发现妊娠期新冠肺炎5例,平均年龄27.2岁±4.9岁。平均胎龄为20周闭经(WA)。临床3例患者出现发热,2例患者出现肌痛、发音困难,1例患者出现咳嗽、厌食、乏力、嗅觉缺失和老年。3例患者采用羟氯喹联合阿奇霉素治疗。经三次病毒学治疗,母胎预后良好。在一个病例中,存在持续的病毒学,在另一个病例中,患者拒绝随访。结论:新型冠状病毒感染妇女除出现呼吸体征外,母胎预后良好。虽然没有可靠的证据支持COVID-19感染从母亲向婴儿垂直传播的可能性,但因病毒感染而发生的感染和炎症可能影响胎儿的发育,因此有必要监测婴儿的生长情况。
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引用次数: 0
Epidemiological Overview HIV-AIDS in the Microregion of Varginha (MG) Varginha微区HIV-AIDS流行病学概况
Pub Date : 1900-01-01 DOI: 10.23880/jidtm-16000164
Larissa Fs
Since the emergence of the Human Immunodeficiency Virus (HIV), with the consequent development of the Acquired Immunodeficiency Syndrome (AIDS) in the 1980s, the identification of the infection has been a milestone for science and is considered a public health problem. Currently, about 38 million people live with HIV/AIDS in the world, of which 920,000 of these people are in Brazil, in the micro-region of Varginha (Varginha, Três Corações, Três Pontas, Campos Gerais, Boa Esperança, Elói Mendes , Campanha, Guapé, Ilicínea, Carmo da Cachoeira, Campo do Meio, Coqueiral, Monsenhor Paulo, Santana da Vargem, São Thomé das Letras and São Bento Abade), with an estimated population of 478 thousand inhabitants, between 2010 and 2020, 510 people were diagnosed with HIV and 533 people living with AIDS. In this way, the present article aimed to carry out a survey of epidemiological data on HIV/AIDS in the last 10 years, on platforms made available by the Government, and to relate it to the variables of sex and age, where it was possible to observe a masculinization of cases, with higher prevalence in the age group of 30 to 39 years in the general population. The importance of understanding the infection at its beginning is essential for diagnosis, since it allows alternative therapeutic decisions to be made, avoiding exacerbated viral replication, mitigating the AIDS pathology picture and its subsequent systemic damage to the body, which promotes greater expenses for the patient's public agencies. Therefore, the epidemiological study of HIV/AIDS is of great importance, as it can assist in the development of effective programs to control the infection by governments, in addition to contributing to the control and awareness of vulnerable populations, bringing benefits to public health in the region.
自20世纪80年代人类免疫缺陷病毒(HIV)出现并随之发展为获得性免疫缺陷综合症(AIDS)以来,对这种感染的识别一直是科学的一个里程碑,并被认为是一个公共卫生问题。目前,世界上约有3800万人感染艾滋病毒/艾滋病,其中92万人在巴西,在Varginha微型地区(Varginha, Três Corações, Três Pontas, Campos Gerais, Boa esperana, Elói Mendes, Campanha, guap, Ilicínea, Carmo da Cachoeira, Campo do Meio, Coqueiral, Monsenhor Paulo, Santana da Vargem, s o thom das Letras和s o Bento Abade), 2010年至2020年期间估计有47.8万居民。510人被诊断患有艾滋病毒,533人患有艾滋病。这样,本文的目的是在政府提供的平台上对过去10年关于艾滋病毒/艾滋病的流行病学数据进行调查,并将其与性别和年龄的变量联系起来,在这些变量中有可能观察到病例的男性化,在一般人口中,30至39岁年龄组的患病率较高。在一开始就了解感染的重要性对诊断至关重要,因为它可以做出替代治疗决定,避免加剧病毒复制,减轻艾滋病病理情况及其随后对身体的系统性损害,从而增加患者公共机构的费用。因此,艾滋病毒/艾滋病的流行病学研究是非常重要的,因为它可以帮助政府制定有效的方案来控制感染,除了有助于控制和认识弱势群体,为该地区的公共卫生带来好处。
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引用次数: 0
Monkeypox - Unravelling the On-going Stigma-A Mini Review 猴痘-解开正在进行的柱头-迷你回顾
Pub Date : 1900-01-01 DOI: 10.23880/jidtm-16000165
Tadi Lj
Introduction: The ongoing public health crises of monkeypox and poliomyelitis amidst the COVID-19 pandemic, have been straining both, the international as well as national health systems significantly. Despite having been first discovered in captive monkeys, thus the name, the information at hand points to the African rodents as the natural reservoir. Rats, mice, monkeys, prairie dogs, squirrels, and humans have all contracted infections [2]. Review: John P Thornhill et al. have reported 528 infections diagnosed between April 27 and June 24, 2022, at 43 sites in 16 countries. It has been reported that WHO officials are working on a new name for the virus and disease commonly known as monkeypox to reduce racism and stigma [1,8]. Owing to the fact of a very low CFR in this type, experts are of the view that the prevailing social stigma is that the monkeypox disease is transmitted sexually, especially through male-to-male sex, which dissuades people from reporting, despite developing symptoms [3,5,6]. Due to gay couples being a societal taboo, there are many unreported cases, hindering the testing process which may further lead to an unchecked spread in the country [6]. Researchers use the term, ‘HMPXV’ which stands for the human version of the monkeypox virus, referring to the virus driving the current outbreaks in Europe and North America, distinguishing it from those more commonly found in animals in Africa. According to the WHO, ‘names should be given with the aim to minimise the unnecessary negative impact on trade, travel, tourism, or animal welfare, and avoid causing offence to any cultural, social, national, regional, professional, or ethnic groups,’ as reported in the British Medical Journal (BMJ). Conclusion: Although monkeys are not the primary route of transmission, the disease is known as monkeypox because it was first observed in monkeys, by Danish scientists. Monkeypox is not known to be particularly contagious, and transmission often involves some level of close contact. Therefore, Monkeypox is not always transmitted sexually, though it is a form of intimate contact.
导言:在2019冠状病毒病大流行期间,猴痘和脊髓灰质炎的公共卫生危机持续不断,给国际和国家卫生系统带来了巨大压力。尽管最初是在圈养的猴子身上发现的,因此得名,但手头的信息表明非洲啮齿动物是天然的储存库。大鼠、小鼠、猴子、草原土拨鼠、松鼠和人类都感染过这种疾病。回顾:John P Thornhill等人报告了2022年4月27日至6月24日期间在16个国家的43个地点诊断出的528例感染。据报道,世卫组织官员正在为通常称为猴痘的病毒和疾病制定一个新名称,以减少种族主义和污名[1,8]。由于这种类型猴痘的病死率非常低,专家们认为,普遍存在的社会污名是猴痘病是性传播,特别是通过男性与男性之间的性行为传播,这劝阻人们尽管出现症状也不报告[3,5,6]。由于同性恋是一个社会禁忌,有许多未报告的病例,阻碍了检测过程,这可能进一步导致该国不受控制的传播。研究人员使用的术语“HMPXV”代表猴痘病毒的人类版本,指的是导致目前在欧洲和北美爆发的病毒,将其与非洲动物中更常见的病毒区分开来。根据世界卫生组织的说法,“命名的目的应该是尽量减少对贸易、旅行、旅游或动物福利的不必要的负面影响,并避免对任何文化、社会、国家、地区、专业或种族群体造成冒犯,”《英国医学杂志》(BMJ)报道。结论:虽然猴子不是主要的传播途径,但这种疾病被称为猴痘,因为丹麦科学家首先在猴子身上观察到这种疾病。猴痘并不具有特别的传染性,传播通常涉及某种程度的密切接触。因此,猴痘并不总是通过性传播,尽管它是一种亲密接触的形式。
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引用次数: 0
Covid-19 and Health Care Workers in Burkina Faso: Characteristics and Perceptions of their Management 布基纳法索的Covid-19和卫生保健工作者:其管理的特点和看法
Pub Date : 1900-01-01 DOI: 10.23880/jidtm-16000159
Sondo K Apolin
Background: Health workers, engaged in the front line of the response to this pandemic, have inevitably been exposed to great risks of infection. Thus, in Burkina Faso, as in most countries, health workers have been infected. Objective: To study the characteristics and perceptions of their care management Methods: It was a descriptive cross-sectional study of health workers with COVID-19 from March to August 2020. All health workers with PCR-confirmed COVID-19 who consented to participate in the study were included. Results: Of the 62 health workers identified, the sex ratio was 0.82. The median age was 40.5 years with interquartile ranges of 36 and 52. Doctors (54.8%) and nurses (25.8%) were the most represented and 60% worked in university hospitals. Fifty- one health workers (82.3%) recalled having been infected, 41 (80.4%) of them in the course of their work. Thirty-three agents (53.2%) were hospitalised. Almost all health workers were symptomatic, frequently stigmatised in 61.3% of cases by their neighbors (60.5%) and their colleagues on duty (47.3%). The evolution was favorable for all health workers and psychosocial care was necessary for 22% of them. Conclusion: As health emergencies are becoming more and more frequent, health workers are vulnerable and it is crucial to put in place, all the necessary conditions to enable them to provide care without risk.
背景:在应对这一流行病的第一线工作的卫生工作者不可避免地面临着巨大的感染风险。因此,在布基纳法索,如同在大多数国家一样,卫生工作者受到感染。目的:通过对2020年3月至8月新型冠状病毒感染卫生工作者的描述性横断面研究,了解其护理管理方法的特点及认知。所有同意参与本研究的经pcr确诊的COVID-19卫生工作者均被纳入研究。结果:在确定的62名卫生工作者中,性别比例为0.82。年龄中位数为40.5岁,四分位数间距为36 ~ 52岁。医生(54.8%)和护士(25.8%)是最具代表性的,60%在大学医院工作。51名卫生工作者(82.3%)回忆曾被感染,其中41名(80.4%)是在工作过程中被感染的。33名代理人(53.2%)住院。几乎所有卫生工作者都有症状,61.3%的病例经常被邻居(60.5%)和值班同事(47.3%)污名化。这一演变对所有卫生工作者都是有利的,其中22%的卫生工作者需要社会心理护理。结论:随着突发卫生事件变得越来越频繁,卫生工作者是脆弱的,至关重要的是要创造一切必要条件,使他们能够无风险地提供护理。
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引用次数: 0
Neurosyphilis Presenting as Failure to Thrive 神经梅毒表现为无法茁壮成长
Pub Date : 1900-01-01 DOI: 10.23880/jidtm-16000150
Hazari A
Neurosyphilis occurs when the nervous system is affected by the Treponema Pallidum bacterial species. Medical literature describes two clinical stages: early and late. Early can be asymptomatic or show signs of meningitis and meningoencephalitis. Conversely, late presents as parenchymal, vascular abnormalities, tabes dorsalis or syphilitic gumma. Although neurosyphilis is now uncommon, knowledge of key physical exam findings is crucial to its consideration and subsequent diagnosis and management.
当神经系统受到梅毒螺旋体细菌的影响时,就会发生神经梅毒。医学文献描述了两个临床阶段:早期和晚期。早期可无症状或表现出脑膜炎和脑膜脑炎的迹象。相反,晚期表现为实质、血管异常、背片状或梅毒性牙龈。虽然神经梅毒现在不常见,但了解关键的体检结果对其考虑和随后的诊断和管理至关重要。
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引用次数: 0
期刊
Journal of Infectious Diseases & Travel Medicine
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