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Analysis of the infectious morbidity in the children's population in the city of Krasnodar 克拉斯诺达尔市儿童人群传染病发病率分析
Pub Date : 2023-05-04 DOI: 10.18137/cardiometry.2023.27.96100
Justina Oluwatoyin Aleksovna Oguntimehin, Aizanat M. Jalalova, Kristina M. Krasnikova, O. V. Alekseenko, Ulyana Y. Senkovich, Sabina R. Zeynalova, Kuban
Aim. Our aim hereof is to assess the status of infectious morbidity in the pediatric population in the territory of the Russian Federation and the City of Krasnodar in the period 2021-2022 by an example of the State Health Institution “Pediatrics Polyclinic No 2”, Department of Health Care of the City of Krasnodar. Material and Methods. Our work has been completed with use of official statistical data of the Federal Service of the state statistics of the Russian Federation, the database of Rospotrebnadzor of the Krasnodar territory, statistical data set collections of FGBI “The Central Research Institute of the Management and Information of Public Health Care” at the Ministry of Health Care of the Russian Federation. A retrospective analysis was performed using data from the State Report “The state of sanitary and epidemiological welfare of the population in the Russian Federation in 2021”. Statistical processing was carried out using GraphPad Prism 5.0 and Word Excel. Results. According to the data on the sanitary and epidemiological well-being of the population, an increase in the number of cases of infectious and parasitic diseases was recorded in the Russian Federation in 2021. The sharp rise in the incidence of infectious diseases is directly related to the spread of the new COVID-19 infection. The incidence of ARVI among children in 2021 was 68,062.49 per 100,000 that is 15.4% higher than in 2020. In Krasnodar, there were 236,332 patients diagnosed with infectious diseases in 2021. According to the data submitted by Branch No. 2 of the Krasnodar City Pediatrics Hospital at the City Health Care Department, the overall morbidity of children in the first year of life in 2022 has decreased. No cases of diphtheria, pertussis, poliomyelitis, measles, and viral hepatitis B were recorded by the outpatient clinical institution during the study period. As a part of preventive measures, children are routinely vaccinated by the Pediatrics Hospital No. 2; at the end of 2022, 98.3% of children in risk groups had been successfully treated and were allowed to be vaccinated. Conclusion. Over the period 2021-2022, there has been a decline in the incidence of diseases in children in the first year of life in the Krasnodar Region. At the same time, the recorded overall occurrence rate of acute upper respiratory tract infections of multiple and unspecified localization remains high that is due to the difficulty of diagnosing them at the early stages of infection, and, as a result, the effectiveness of their treatment is low that may be accompanied by high mortality.
的目标。本文旨在以克拉斯诺达尔市卫生局国家卫生机构"第二儿科综合诊所"为例,评估2021-2022年期间俄罗斯联邦和克拉斯诺达尔市儿童传染病发病率状况。材料和方法。我们的工作是利用俄罗斯联邦国家统计局的官方统计数据、克拉斯诺达尔地区Rospotrebnadzor数据库、俄罗斯联邦卫生部FGBI "公共卫生管理和信息中央研究所"的统计数据集完成的。利用“2021年俄罗斯联邦人口卫生和流行病学福利状况”国家报告中的数据进行了回顾性分析。采用GraphPad Prism 5.0和Word Excel进行统计处理。结果。根据关于人口卫生和流行病学福利的数据,俄罗斯联邦在2021年记录的传染病和寄生虫病病例数有所增加。传染病发病率的急剧上升与新型冠状病毒感染的蔓延有直接关系。2021年儿童ARVI发病率为每10万人中68,062.49例,比2020年高出15.4%。在克拉斯诺达尔,2021年有236 332名患者被诊断患有传染病。根据市保健部克拉斯诺达尔市儿科医院第二分院提交的数据,2022年一岁以下儿童的总体发病率有所下降。在研究期间,门诊临床机构未记录白喉、百日咳、脊髓灰质炎、麻疹和病毒性乙型肝炎病例。作为预防措施的一部分,儿童由第二儿科医院定期接种疫苗;截至2022年底,98.3%的高危人群儿童得到成功治疗并获准接种疫苗。结论。在2021-2022年期间,克拉斯诺达尔州一岁以下儿童的发病率有所下降。同时,由于在感染早期诊断困难,记录的急性上呼吸道多部位和不明部位感染的总体发病率仍然很高,治疗效果低,可能伴有高死亡率。
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引用次数: 0
Separate approaches to the provision of emergency psychological, psychiatric and psychotherapeutic assistance in emergency situations 在紧急情况下分别提供紧急心理、精神和心理治疗援助
Pub Date : 2023-05-04 DOI: 10.18137/cardiometry.2023.27.134141
Elizaveta S. Shevchenko, Egor A. Pivovarov, E. V. Dmitrieva, Pirogov
The paper considers individual approaches to the provision of emergency psychiatric care in emergency situations. The authors believe that emergency psychological, psychiatric and psychotherapeutic care is an important component of the healthcare system and plays an important role in providing timely assistance to people facing crisis situations, including mental disorders, suicidal thoughts, traumatic events and other problems. The main task of emergency psychological, psychiatric and psychotherapeutic care is to provide quick and effective assistance in an emergency situation when every minute matters and can save a life. In addition, emergency psychological, psychiatric and psychotherapeutic care can also help prevent the development of mental health-related diseases and provide patients with access to the necessary resources and treatment. It is important to note that urgent psychological, psychiatric and psychotherapeutic care should be available to everyone who needs it, regardless of age, gender, social status and other factors. At the same time, it is important to take into account the cultural and ethical characteristics of each patient and provide them with an individual approach and high-quality care.
本文考虑了在紧急情况下提供紧急精神病护理的个别方法。作者认为,紧急心理、精神病和心理治疗护理是医疗保健系统的重要组成部分,在为面临危机情况的人提供及时援助方面发挥着重要作用,包括精神障碍、自杀念头、创伤事件和其他问题。紧急心理、精神病和心理治疗护理的主要任务是在紧急情况下,当每一分钟都很重要,可以挽救生命时,提供快速有效的援助。此外,紧急心理、精神病和心理治疗护理也有助于预防与心理健康相关的疾病的发展,并为患者提供必要的资源和治疗。需要注意的是,无论年龄、性别、社会地位和其他因素如何,每个需要的人都应该得到紧急的心理、精神和心理治疗。同时,重要的是要考虑到每个患者的文化和道德特征,为他们提供个性化的方法和高质量的护理。
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引用次数: 0
Differences in the functioning of the hypothalamic-pituitarygonadal axis of regulation in male rats at one (liver) site and two (liver and lungs) sites of metastasis of sarcoma 45 in the experiment 雄性大鼠45型肉瘤1(肝)、2(肝、肺)转移部位下丘脑-垂体-性腺调节轴功能的差异
Pub Date : 2023-05-04 DOI: 10.18137/cardiometry.2023.27.5462
O. Kit, I. Kaplieva, E. Frantsiyants, L. Trepitaki, V. Bandovkina, Y. Pogorelova, I. Goroshinskaya, E. Surikova, I. Neskubina, G. Zhukova, A. Shikhlyarova, M. Engibaryan, T. V. Ausheva, V. L. Volkova, M. Gusareva, P. Kachesova
Aims: to study the features of the functioning of the hypothalamic-pituitary-gonadal axis (HPGA) regulation in male rats at the stages of liver metastasizing. Materials and methods. Our research work was performed in 30 outbred male rats. Metastases in the liver were produced by implantation of sarcoma 45 (S45) cells into the spleen, which was previously positioned under the skin. The time spans of the study are 5 weeks (the pre-metastatic stage) and 7 weeks (the metastatic stage) after tumor cell transplantation. In the tissues, the content of the following hormones was determined by RIA: luteinizing hormone (LH), follicle-stimulating hormone (FSH), estradiol (E2), total testosterone (Ttot), progesterone (P4); by ELISA we determined the content of the following hormones: gonadotropin-releasing hormone (GnRH), free testosterone (Tfr) and estrone (E1). Results. At all stages of the study, the level of GnRH in the hypothalamus decreased by more than 2.0 times; in the pituitary gland, the hormone levels had multidirectional dynamics: LH decreased by 1.6 times, and FSH increased by more than 6.0 times. Liver metastases were characterized by high levels of E1 and Ttot. In the gonads, a high level of P4 was recorded and concentrations of both forms of testosterone were reduced. The concentrations of E2 (by 1.6 times), Tfr (by 4.8 times) increased in blood, and the level of Ttot decreased (by 1.9 times). The salient features of HPGA in the presence of two metastasis sites (liver and lungs) were as follows: in blood, a 2.0 times lower increase in the LH and Tfr contents, a 1.6 times greater increase in E2, an increase in P4 (2.6 times), 1, 4 times lower level of FSH; in the gonads, there are found lower levels of P4, E1, but higher levels of Tfr and Ttot; in liver metastases, a greater increase in P4 (5.2 times), E1 (2.2 times) and Tfr (2.0 times) is recorded. Conclusion. Metastasizing to the liver was accompanied by activation of HPGA with the maximum accumulation of reactogenic E1 in liver metastases in rats with two metastasis sites that may indicate their more severe malignancy and ability to metastasize to the lungs.
目的:研究肝转移期雄性大鼠下丘脑-垂体-性腺轴(HPGA)调节功能的特点。材料和方法。我们的研究工作是在30只雄性大鼠中进行的。肝脏转移是通过将肉瘤45(S45)细胞植入脾脏而产生的,脾脏先前位于皮肤下。研究的时间跨度为肿瘤细胞移植后5周(转移前阶段)和7周(转移阶段)。RIA法测定组织中下列激素的含量:黄体生成素(LH)、卵泡刺激素(FSH)、雌二醇(E2)、总睾酮(Ttot)、孕酮(P4);用ELISA法测定了促性腺激素释放激素(GnRH)、游离睾酮(Tfr)和雌激素(E1)的含量。后果在研究的所有阶段,下丘脑中的GnRH水平下降了2.0倍以上;垂体激素水平呈多向动态变化:LH下降1.6倍,FSH增加6.0倍以上。肝转移的特点是高水平的E1和Ttot。在性腺中,记录到高水平的P4,并且两种形式的睾酮的浓度都降低了。血液中E2(增加1.6倍)、Tfr(增加4.8倍)的浓度增加,Ttot水平降低1.9倍。在存在两个转移位点(肝和肺)的情况下,HPGA的显著特征如下:在血液中,LH和Tfr含量的增加低2.0倍,E2的增加高1.6倍,P4的增加(2.6倍),FSH水平低1.4倍;在性腺中,P4、E1水平较低,但Tfr和Ttot水平较高;在肝转移中,P4(5.2倍)、E1(2.2倍)和Tfr(2.0倍)的增加更大。结论肝转移伴随着HPGA的激活,在具有两个转移位点的大鼠中,肝转移中反应原性E1的最大积累可能表明其更严重的恶性肿瘤和转移到肺的能力。
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引用次数: 0
Disorders in connections of the hypothalamic-pituitarygonadal axis in rats with Guerin’s carcinoma against the background of induced hypothyroidism 甲状腺功能减退背景下Guerin’s癌大鼠下丘脑-垂体-性腺轴连接紊乱
Pub Date : 2023-05-04 DOI: 10.18137/cardiometry.2023.27.1219
O. Kit, V. Bandovkina, E. Frantsiyants, I. Kaplieva, E. Surikova, I. Neskubina, N. Cheryarina, Y. Pogorelova, L. K. Trepitaki, L. Nemashkalova, T. Moiseenko, A. Arakelova, M. Adamyan, N. Chernikova, Aina M. Salatova, Irina, V. Kaplieva, D. Natalia, Cheryarina, A. Lyudmila, Nemashkalova, L. Meri, Adamyan
Aims: to study the content of regulatory peptides in the hypothalamus and pituitary gland, as well as sex steroids in the gonads in rats of both sexes with Guerin’s carcinoma against the background of hypothyroidism. Materials and methods. Our experiment was performed in white outbred rats of both sexes with induced hypothyroidism, against the background of which Guerin’s carcinoma was transplanted. In 1% homogenates of the pituitary and the hypothalamus and in 10% homogenates of the gonads in the animals from the main and reference groups, the levels of GnRH (Casabio, China) were determined by the ELISA method using standard kits, and the content of LH, FSH, estradiol (E2), testosterone (T) and progesterone (P4) by the RIA method (Immunotech, Czech Republic). Statistical analysis of the results was performed using the Statistica 10.0 software package. Results. In females of the main group, the level of GnRH in the hypothalamus increased by 1.6 times, but the content of LH and FSH in the pituitary gland decreased, while in males the content of GnRH decreased by 1.4 times and FSH by 1.6 times compared with the intact animals. In the gonads of females of the main group, the content of E2 and T decreased by 1.3 times, but the level of P4 increased by 4.7 times, while in males the T production decreased by 7.1 times. Hypothyroidism, against the background of which Guerin’s carcinoma developed, had a significant effect both on the central links of the HPG axis and the peripheral ones, producing an additional hormonal imbalance in sex steroids
目的:研究甲状腺功能减退背景下Guerin’s癌大鼠下丘脑和垂体调节肽以及性腺性激素的含量。材料和方法。我们的实验是在患有甲状腺功能减退症的雄性和雌性的白色大鼠身上进行的,背景是移植了格林氏癌。在主要组和参考组动物的1%垂体和下丘脑匀浆以及10%性腺匀浆中,使用标准试剂盒通过ELISA法测定GnRH水平(Casabio,中国),并通过RIA法测定LH、FSH、雌二醇(E2)、睾酮(T)和孕酮(P4)含量(Immunotech,捷克共和国)。使用Statistica 10.0软件包对结果进行统计分析。后果主要组雌性下丘脑GnRH水平比正常组增加1.6倍,但垂体LH和FSH含量下降,雄性GnRH含量下降1.4倍,FSH下降1.6倍。在主要群体的雌性性腺中,E2和T的含量下降了1.3倍,但P4的水平上升了4.7倍,而雄性的T产量下降了7.1倍。甲状腺功能减退症是在格林氏癌发生的背景下发生的,它对HPG轴的中心环节和外周环节都有显著影响,从而导致性类固醇激素的额外失衡
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引用次数: 0
FEATURES OF PERIOPERATIVE MANAGEMENT OF PEDIATRIC PATIENTS WITH CONGENITAL HEART DEFECTS 小儿先天性心脏缺损围手术期处理特点
Pub Date : 2023-05-04 DOI: 10.18137/cardiometry.2023.27.118125
Ronay B. Sheker, Ruslan R. Nurgalin, Galina M. Yakovleva, Nataliya A. Zholobova, Frederika N. Nikonova, V. A. Kozhushkov, I. A. Kozhushkov, Nataliia E. Chebotar, Izobella A. Mussova, V. I. Bychkova, -. Natali, ya A. Zholobova
The paper analyzes the features of perioperative management of pediatric patients with congenital heart defects. The authors note that the perioperative period is the period starting from the moment of the beginning of the operation and ending with the moment of transfer of the patient to the ward after the operation. This period is very important for the recovery of children after surgery for a heart defect. In the perioperative period, indicators such as blood pressure, pulse, oxygen saturation, respiratory rate and other indicators are monitored to make sure that the patient is in a stable condition and there are no complications. In the perioperative period, measures are taken to prevent complications such as infections, bleeding, thrombosis, etc. Doctors also monitor the balanced administration of fluids and electrolytes to maintain the stability of the patient, and try to minimize the time of surgery to reduce stress for the patient and reduce the risk of complications. During the period under review, procedures are also carried out to support the postoperative period, such as the administration of medications and infusion solutions, maintaining body temperature and other procedures. In general, the perioperative period is of critical importance for the recovery of children after surgery for a heart defect. Proper monitoring of health indicators, prevention of complications, proper anesthesia and other procedures help children recover faster after surgery and reduce the risk of complications.
本文分析了小儿先天性心脏缺损围手术期处理的特点。作者注意到围手术期是指从手术开始到手术后患者转移到病房结束的时期。这一时期对儿童心脏缺陷手术后的康复非常重要。围手术期监测血压、脉搏、血氧饱和度、呼吸频率等指标,确保患者病情稳定,无并发症发生。围手术期采取措施预防感染、出血、血栓形成等并发症。医生还监测液体和电解质的平衡管理,以保持病人的稳定,并尽量减少手术时间,以减轻病人的压力,减少并发症的风险。在本报告所述期间,还进行了支持术后期间的程序,例如给药和输液,保持体温和其他程序。一般来说,围手术期对儿童心脏缺损手术后的康复至关重要。适当监测健康指标、预防并发症、适当麻醉和其他程序有助于儿童在手术后更快恢复并减少并发症的风险。
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引用次数: 0
Influence by hypothyroidism on the level of sex hormones in blood and their intracrine content in the tumor in rats with Guerin’s carcinoma 甲状腺功能减退对结肠癌大鼠血液性激素水平及肿瘤内激素含量的影响
Pub Date : 2023-05-04 DOI: 10.18137/cardiometry.2023.27.2025
O. Kit, V. Bandovkina, E. Frantsiyants, I. Kaplieva, A. Shikhlyarova, E. Surikova, I. Neskubina, N. Cheryarina, Y. Pogorelova, L. K. Trepitaki, A. Arakelova, N. Maksimova, Yury A. Poryvaev, M. Ilchenko, V. Irina, Kaplieva, Irina V. Nesku, Lidia K. Trepit
The aim of our research work was to study the level of sex steroids in blood, the tumor and the perifocal zone in rats of both sexes with Guerin’s carcinoma against the background of hypothyroidism. Materials and methods. The experiment was performed in 110 outbred rats of both sexes. Hypothyroidism was induced in animals for 30 days with Mercazolil medication, and then Guerin’s carcinoma was transplanted (the main group). The reference groups included animals with an independent growth of Guerin’s carcinoma and with independent hypothyroidism, as well as intact animals (the norm). On the 18th day of the tumor growth, the animals were sacrificed, and, using standard RIA kits, in the serum, the tumor homogenates and the perifocal zone, the levels of estradiol (E2), testosterone (T) and progesterone (P4) were determined. Results. In comparison with intact animals, hypothyroidism caused an increase in the blood content of E2 in animals of both sexes by 2.2-2.4 times and T by 1.4-16 times, and P4 by 1.7 times only in females, but recorded was a decrease therein in males by 2.4 times. The growth of Guerin’s carcinoma resulted in a 2.5-5.5-fold decrease in E2 in blood of the animals of both sexes, an increase in T by 2.1 times and P4 by 3 times in the females, but a decrease in T by 2.6 times without changing P4 in the males. In the main group, in the animals of both sexes, similarly to the processes in hypothyroidism, the level of E2 and P4 increased by 1.4-1.6 times, and in females also T by 4.4 times, compared with the intact animals. Conclusion. Hypothyroidism and the growth of Guerin’s carcinoma changed E2 in different directions in animals of both sexes the level of sex hormones in blood and shifted the steroid balance in the tumor and its perifocal zone. In the females of the main group, the saturation of the tumor with estrogens, androgens and progesterone decreased, while in the males, on the contrary, the concentration of steroids increased.
我们研究工作的目的是在甲状腺功能减退的背景下,研究患有格林氏癌的两性大鼠的血液、肿瘤和病灶周围区域中性类固醇的水平。材料和方法。实验在110只雄性和雌性大鼠中进行。甲唑醇药物诱导动物甲状腺功能减退30天,然后移植Guerin’s癌(主要组)。参考组包括独立生长的格林氏癌和独立甲状腺功能减退的动物,以及完整的动物(正常)。在肿瘤生长的第18天,处死动物,并使用标准RIA试剂盒,在血清、肿瘤匀浆和病灶周围区中测定雌二醇(E2)、睾酮(T)和孕酮(P4)的水平。后果与完整的动物相比,甲状腺功能减退症导致两性动物的E2血液含量增加了2.2-2.4倍,T血液含量增加1.4-16倍,P4血液含量仅在雌性动物中增加了1.7倍,但雄性动物的血液含量减少了2.4倍。Guerin’s癌的生长导致两性动物血液中E2减少2.5-5.5倍,雌性动物T增加2.1倍,P4增加3倍,但雄性动物T减少2.6倍,而P4没有改变。在主要组中,在两性动物中,与甲状腺功能减退症的过程类似,与完整动物相比,E2和P4水平增加了1.4-1.6倍,雌性动物的T水平也增加了4.4倍。结论甲状腺功能减退和格林氏癌的生长使两性动物的E2向不同方向变化,血液中性激素水平改变,并改变了肿瘤及其局灶周围区域的类固醇平衡。在主要组的女性中,雌激素、雄激素和孕酮的肿瘤饱和度降低,而在男性中,相反,类固醇的浓度增加。
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引用次数: 0
Features of changes in the content of hormones of the hypothalamic-pituitary tract depending on the independent or combined variant of B16/F10 melanoma growth in mice of both sexes 在两性小鼠中,依赖于B16/F10黑色素瘤生长的独立或联合变异的下丘脑-垂体道激素含量变化的特征
Pub Date : 2023-05-04 DOI: 10.18137/cardiometry.2023.27.3339
O. Kit, E. Frantsiyants, V. Bandovkina, I. Kaplieva, A. Shikhlyarova, E. Surikova, I. Neskubina, N. Cheryarina, Y. Pogorelova, L. K. Trepitaki, I. Kotieva, L. Vaschenko, Yulia Y. Kozel, A. S. Egorova, Irina, V. Kaplieva, V. Irina, Neskubina, K. Lidia, Trepitaki
The aim of our research work was to study changes in the level of hormones of the hypothalamus and pituitary gland in mice of both sexes in different variants of the B16/F10 melanoma growth. BALB/c Nude mice (n=84) of both sexes were divided into groups as follows: intact males and females (n=14); a reference group of mice of both sexes with standard subcutaneous B16/F10 melanoma inoculation (n=14); the main group of mice (n=14) where B16/F10 melanoma and Lewis carcinoma were inoculated into the mice sequentially subcutaneously on two sides: one on the left side, the other on the right side. At the terminal stage of the tumor growth, with ELISA using standard kits in 1% hypothalamic tissue homogenates we determined contents of releasing hormones as follows: corticotropic hormone (CRH), thyrotropic hormone (TRH), gonadotropic hormone (GnRH), somatotropic hormone (STH-R); in the pituitary with RIA determined were TSH, LH, FSH and ACTH (Immunotech, Czech Republic). Results. In males and females of both groups, the level of TRH in the hypothalamus decreased by 9-3.7 times, and only in females of the main group, the level of TSH in the pituitary gland increased by 2.8 times. Other releasing peptides in the hypothalamus of females increased by 1.9-6 times, while in males they decreased by 1.4-7 times. In the pituitary gland in males of both groups, the level of LH increased by 1.3-1.4 times and ACTH by 2.5-4 times, but FSH decreased by 7.8-13.6 times. In females, the level of FSH and ACTH in the pituitary gland decreased by 1.5 times – 1.8 times (р˂0.05), only in the main group the content of TSH increased by 2.8 times and only in the reference group LH by 1.6 times (р˂0.05). Conclusion. With the development of B16/F10 melanoma, there was a sex-dependent dysfunction of the hypothalamic-pituitary tract. Changes in the concentrations of GnRH, CRH, and STH-R in the hypothalamus in different directions in males and females indicate different mechanisms of hormonal imbalance in response to the growth of a malignant tumor.
我们研究工作的目的是研究B16/F10黑色素瘤生长的不同变体中,两性小鼠下丘脑和垂体激素水平的变化。将两种性别的BALB/c裸鼠(n=84)分为以下组:完整的雄性和雌性(n=14);具有标准皮下B16/F10黑色素瘤接种的两性小鼠的参考组(n=14);将B16/F10黑色素瘤和Lewis癌的主要小鼠组(n=14)依次在两侧皮下接种到小鼠中:一个在左侧,另一个在右侧。在肿瘤生长的晚期,用ELISA法在1%的下丘脑组织匀浆中使用标准试剂盒,测定了释放激素的含量:促肾上腺皮质激素(CRH)、促甲状腺激素(TRH)、性腺激素(GnRH)、促生长激素(STH-R);RIA测定垂体中TSH、LH、FSH和ACTH(Immunotech,捷克共和国)。后果在两组的男性和女性中,下丘脑中的TRH水平降低了9-3.7倍,只有在主要组的女性中,垂体中的TSH水平增加了2.8倍。雌性下丘脑中的其他释放肽增加了1.9-6倍,而雄性则减少了1.4-7倍。两组男性垂体LH水平分别升高1.3-1.4倍和2.5-4倍,FSH水平分别降低7.8-13.6倍。女性垂体中FSH和ACTH水平下降了1.5倍-1.8倍(р0.05),TSH含量仅在主要组增加了2.8倍,而LH仅在参考组增加了1.6倍。随着B16/F10黑色素瘤的发展,下丘脑-垂体束出现了性别依赖性功能障碍。雄性和雌性下丘脑中GnRH、CRH和STH-R的浓度在不同方向上的变化表明了对恶性肿瘤生长的激素失衡的不同机制。
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引用次数: 0
Problematic aspects of the use of artificial intelligence capabilities in modern medical diag-nostics 在现代医学诊断中使用人工智能能力的问题
Pub Date : 2023-05-04 DOI: 10.18137/cardiometry.2023.27.101110
I.S. Shipilov, A. Bakaev, A.Sh. Bobokhodzhiev, D.B. Kyagova, Robert Chotchaev, A. Muzafarova, I.U. Golubev, S.A. Pergunov
Modern medical diagnostics makes it possible to establish the presence of signs of a particular disease and enable specialists to prescribe a complex of therapeutic and medicinal measures to patients in a timely manner in accordance with the established diagnosis. However, in some cases, it is not always possible to diagnose a particular disease at an early stage due to the imperfection of diagnostic tools. In the recent period, the possibilities of artificial intelligence have been used in medical diagnostics, which significantly expands the capabilities of specialists in the field of establishing early key symptoms of the disease. However, the use of artificial intelligence capabilities in medical diagnostics is associated with a number of problems, the presence of which does not allow to realize the possibilities of digital technologies in full. The solution of these problems, according to the authors of the article, is highly relevant, since it can give a significant impetus to the development of diagnostic medical technologies, which will allow timely provision of high-quality medical care to patients.
现代医学诊断可以确定特定疾病迹象的存在,并使专家能够根据既定诊断及时为患者开出复杂的治疗和药物措施。然而,在某些情况下,由于诊断工具的不完善,并不总是能够在早期诊断出特定的疾病。最近一段时间,人工智能的可能性已被用于医学诊断,这大大扩展了专家在确定疾病早期关键症状方面的能力。然而,在医学诊断中使用人工智能功能与许多问题有关,这些问题的存在不允许充分实现数字技术的可能性。文章作者认为,这些问题的解决方案具有高度相关性,因为它可以极大地推动诊断医疗技术的发展,从而为患者及时提供高质量的医疗服务。
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引用次数: 0
The impact of preoperative stress on individuals' experience of postoperative complications after undergoing cardiac surgery 术前应激对个体心脏手术后并发症体验的影响
Pub Date : 2023-03-01 DOI: 10.18137/cardiometry.2023.26.857863
P. Prahlad, N. Vyas, N. Singh
Objective: This study aimed to measure preoperative stress in all patients undergoing cardiac surgery and to examine the relationship between preoperative stress and postoperative complications. Material and methods: The prospective study placed from Mar 2018-Dec 2019 at a single academic medical center. One hundred adults aged 18 to 65 who had undergone cardiac surgery consecutively were included in the analysis. The State Anxiety Inventory was used to quantify preoperative stress and assess its relationship to both postoperative pain and morphine usage. Result: The patient population is 67% men and 33% women, with an average age of 57 and 10 years. Before surgery, 66% of patients said they felt only a little bit of anxiety, while 34% said they were extremely anxious. Patients reporting moderate to severe anxiety (SA) before surgery had significantly higher mean pain ratings than patients reporting mild anxiety (MA). Patients who had moderate SA used much more morphine both during the procedure and thereafter than patients who did not experience stress. Conclusion: After cardiac surgery, patients that had moderate to severe stress before the procedure reported considerably greater levels of discomfort compared to that who had MA. Patients need greater analgesia postoperatively in addition to during surgery.
目的:本研究旨在测量所有心脏手术患者的术前压力,并探讨术前压力与术后并发症的关系。材料和方法:前瞻性研究于2018年3月至2019年12月在一个学术医疗中心进行。100名年龄在18至65岁之间连续接受过心脏手术的成年人被纳入分析。状态焦虑量表用于量化术前压力,并评估其与术后疼痛和吗啡使用的关系。结果:患者群体为67%的男性和33%的女性,平均年龄分别为57岁和10岁。手术前,66%的患者表示他们只感到一点点焦虑,34%的患者表示非常焦虑。术前报告中度至重度焦虑(SA)的患者的平均疼痛评分明显高于报告轻度焦虑(MA)的患者。中度SA患者在手术期间和手术后使用的吗啡比没有压力的患者多得多。结论:心脏手术后,与MA患者相比,术前有中度至重度压力的患者报告的不适程度要高得多。患者除了在手术期间需要更大的术后镇痛。
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引用次数: 0
Effectiveness of health education on behaviour on diabetic care among rural adult diabetic patients -- a pilot analysis 健康教育对农村成年糖尿病患者糖尿病护理行为的影响——一项试点分析
Pub Date : 2023-03-01 DOI: 10.18137/cardiometry.2023.26.653657
C. Jegatha, V. Hemavathy
Diabetes claims the lives of about one million Indians each year. According to the Indian Heart Association, the number of people diagnosed with diabetes in India would rise the most by 2030. The increasing frequency is linked to a combination of genetic vulnerability and the growing middle class in India's adoption of a high-calorie, low-activity lifestyle. Pretest, patients had 7.88behaviour score and in posttest they had 12.00behaviour score, like a result, the average score difference is4.12, difference is huge and it is statistically significant behaviour gain score, The student's paired 't'test was used to determine statistical significance. The relationship between post-test behaviour and patient demographic characteristics. Above primary level educated patients and>10 years duration of illness patients are having more favorable behavior score than others. It was confirmed using chi square test and Yates corrected chi square test. This study concludes by proving the effectiveness of health education on behaviour on diabetic care among diabetic patients
糖尿病每年夺走约100万印度人的生命。根据印度心脏协会的数据,到2030年,印度被诊断患有糖尿病的人数将增长最多。这种频率的增加与遗传脆弱性和印度日益壮大的中产阶级采用高热量、低活动的生活方式有关。在测试前,患者的行为得分为7.88分,在测试后,他们的行为得分是12.00分,因此,平均得分差异为4.12分,差异很大,是具有统计学意义的行为增益得分。学生的配对“t”测试用于确定统计学意义。测试后行为与患者人口统计学特征之间的关系。受过小学教育的患者和患病时间>10年的患者的行为得分比其他患者更有利。用卡方检验和耶茨校正卡方检验证实了这一点。这项研究的结论是,在糖尿病患者中,证明了健康教育对糖尿病护理行为的有效性
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引用次数: 0
期刊
Cardiometry
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