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NEUROTRANSMITTERS FOR MATH BRAIN: A NEW FINDING 数学大脑的神经递质:一项新发现
IF 0.5 Q3 Health Professions Pub Date : 2022-01-18 DOI: 10.46903/gjms/19.04.954
Taimoor Hassan
Neurotransmitters are the body's chemical transmitters. Their task is to send nerve cell messages to target cells. The target cells might be found in muscles, glands and other nerves. In order to control many of the processes needed for the brain, it needs neurotransmitters including: heart rate, respiration, circadian rhythms, digestion. The nervous system regulates the organs, psychological and physical operations of the individual. The neurotransmitters of nerve cells, also known as neurons, have a substantial function. The cells of the nerves fire impulses. This is done by the release of neurotransmitters, chemical substances that relay signals to other cells. Each neurotransmitter binds to another receptor — for instance, dopamine molecules attach to the receptors of dopamine. This initiates action in the target cells when they are coupled. The body eliminates or recycles them after neurotransmitters send their messages.
神经递质是人体的化学递质。它们的任务是向目标细胞发送神经细胞信息。目标细胞可能存在于肌肉、腺体和其他神经中。为了控制大脑所需的许多过程,它需要神经递质,包括:心率、呼吸、昼夜节律、消化。神经系统调节人的器官、心理和生理活动。神经细胞的神经递质,也被称为神经元,具有重要的功能。神经细胞发出脉冲。这是通过释放神经递质来完成的,神经递质是一种将信号传递给其他细胞的化学物质。每一种神经递质都与另一种受体结合——例如,多巴胺分子与多巴胺受体结合。当它们耦合时,这将在目标细胞中启动动作。在神经递质传递信息后,身体会清除或回收它们。
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引用次数: 0
SERUM LEVELS OF OXIDATIVE STRESS MARKERS IN SUBCLINICAL AND OVERT HYPOTHYROIDISM VERSUS CONTROL GROUP IN POPULATION OF KUTAHYA CITY, TURKEY 土耳其库塔希亚市亚临床和显性甲状腺功能减退患者血清氧化应激标志物水平与对照组比较
IF 0.5 Q3 Health Professions Pub Date : 2022-01-18 DOI: 10.46903/gjms/19.04.935
Mustafa Yontem, Serap Arslan, B. S. Erdogdu, F. E. Kocak
Background: Overproduction of oxygen-related free radicals and inadequate antioxidant defense are critical in hypothyroidism, as they might lead to future life-threatening diseases. The objectives of this study were to compare serum levels of oxidative stress markers; total oxidant status (TOS), total antioxidant status (TAS), oxidative stress index (OSI), paraoxonase-1 (PON-1), and arylesterase (ARYL) in patients with subclinical hypothyroidism (SH) and overt hypothyroidism (OH) versus healthy controls in population of Kutahya city, Turkey.Materials Methods: This cross-sectional study was conducted at Department of Biochemistry, Faculty of Medicine, Kutahya University of Health Sciences, Kutahya, Turkey, from July to December, 2016. Three study groups of 45 each were formed as healthy controls, patients with SH and OH. Serum levels of TOS, TAS, OSI, PON-1, and ARYL were five research variables with ratio scale, but skewed, so described by median and IQR with 95% Cl. Kruskal-Wallis and multiple comparison tests were used for hypotheses testing.Results: Serum levels of TOS and OSI were higher in SH group (p-values 0.032; .0001; respectively) and OH group (p-values .0001; .0001, respectively) than healthy controls, while serum levels of TAS, PON-1 and ARYL were lower in SH group (p-values .0001; .0001; .0001, respectively) and OH group (p-values .0001; .0001; .0001, respectively) than control group.Conclusion: Our study showed that serum levels of TOS and OSI were higher in subclinical and overt hypothyroidism than in healthy controls; while serum levels of TAS, PON-1, and ARYL were lower in subclinical and overt hypothyroidism than in healthy controls.
背景:与氧相关的自由基产生过多和抗氧化防御不足是甲状腺功能减退症的关键,因为它们可能会导致未来危及生命的疾病。本研究的目的是比较血清氧化应激标志物的水平;土耳其库塔赫亚市亚临床甲状腺功能减退(SH)和显性甲状腺功能减退症(OH)患者与健康对照组的总氧化剂状态(TOS)、总抗氧化状态(TAS)、氧化应激指数(OSI)、对氧合酶-1(PON-1)和芳基酯酶(ARYL)。材料方法:这项横断面研究于2016年7月至12月在土耳其库塔赫亚健康科学大学医学院生物化学系进行。组成三个研究组,每组45人,作为健康对照,即SH和OH患者。TOS、TAS、OSI、PON-1和ARYL的血清水平是五个具有比例量表的研究变量,但存在偏差,因此用中位数和95%Cl的IQR来描述。Kruskal-Wallis和多重比较检验用于假设检验。结果:SH组(p值分别为0.032;.0001)和OH组(p值分别为.0001;.0001。结论:我们的研究表明,亚临床和显性甲状腺功能减退症患者的血清TOS和OSI水平高于健康对照组;而亚临床和显性甲状腺功能减退症患者的血清TAS、PON-1和ARYL水平低于健康对照组。
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引用次数: 0
PREVALENCE OF ASYMPTOMATIC BACTERIURIA AND ITS DISTRIBUTION BY SEX AND AGE GROUPS IN CHILDREN COMING FOR ROUTINE IMMUNIZATION IN DISTRICT PESHAWAR, PAKISTAN 巴基斯坦白沙瓦地区接受常规免疫接种儿童中无症状细菌的患病率及其按性别和年龄组的分布
IF 0.5 Q3 Health Professions Pub Date : 2022-01-18 DOI: 10.46903/gjms/19.04.887
Jahanzeb khan Afridi, R. Karim, Hidayat Gul, Mukhtiar Ahmad Afridi, Muhammad Ibrahim
Background: Asymptomatic bacteriuria (ASB) in not an uncommon disease in children. It may lead to symptomatic infection and later on renal damage. The objectives of this study were to determine the prevalence of ASB and its distribution by sex and age groups in children coming for routine immunization in District Peshawar, Pakistan.Material and methods: This cross-sectional study was conducted in Department of Pediatrics, Khyber Girls Medical College, Peshawar, Pakistan form March 2017 to August 2017. 146 children presenting for routine immunization were selected. Sex, age groups, age in years and presence of ASB were variables. Sex, age groups and presence of ASB were analyzed by count and percentage with 80%CL. Age in years was analyzed by mean, SD and range with 95%CI.Results: Out of 146 children, 65 (44.52%) were males and 81 (55.48%) females, and 51 (34.93%) in age group ≤3 years, 52 (35.62%) in 3.0-6.50 years and 43 (29.45%) in 6.51-10 years. Mean age of sample was 4.82±2.81 (09-9.50, range 8.60) (95%CI 4.36-5.28) years. ASB was found in 16 (10.96%) cases. Prevalence of ASB was higher 4.11% in boys than 6.856% girls. It was highest 6.85% in age group 3.0-6.50 years, followed by 2.74% in 6.51-10 years and 1.37% in age group ≤3.0 years.Conclusion: Asymptomatic Bacteriuria is quite common in our children. It is a significant health risk especially among females, and we suggest more studies to find out the underlying factors and follow up studies on its complications.
背景:无症状细菌尿症(ASB)在儿童中并不少见。它可能导致症状性感染,并在后来导致肾脏损害。本研究的目的是确定巴基斯坦白沙瓦地区接受常规免疫接种的儿童中ASB的患病率及其按性别和年龄组的分布。材料和方法:本横断面研究于2017年3月至2017年8月在巴基斯坦白沙瓦开伯尔女子医学院儿科进行。选择146名儿童进行常规免疫接种。性别、年龄组、年龄和是否存在ASB是变量。以计数和百分率(80%CL)分析性别、年龄组和是否存在ASB。年龄以年计算,采用均值、标准差和极差进行分析,ci为95%。结果146例患儿中,男65例(44.52%),女81例(55.48%),年龄≤3岁51例(34.93%),3.0 ~ 6.50岁52例(35.62%),6.51 ~ 10岁43例(29.45%)。样本平均年龄为4.82±2.81(09 ~ 9.50,范围8.60)岁(95%CI 4.36 ~ 5.28)。ASB 16例(10.96%)。男孩ASB患病率为4.11%,女孩为6.856%。以3.0 ~ 6.50岁年龄组最高,为6.85%,其次为6.51 ~ 10岁,为2.74%,≤3.0岁为1.37%。结论:无症状菌尿症在我国儿童中较为常见。这是一个重大的健康风险,特别是在女性中,我们建议更多的研究,以找出潜在的因素,并对其并发症进行随访研究。
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引用次数: 0
DISTRIBUTION OF ACTIVE HEPATITIS C INFECTED POPULATION BY SEX AND AGE GROUPS IN DISTRICT D.I.KHAN, PAKISTAN 巴基斯坦迪伊汗地区活动性丙型肝炎感染人群的性别和年龄分布
IF 0.5 Q3 Health Professions Pub Date : 2021-12-24 DOI: 10.46903/gjms/19.03.1018
Imran Ullah, Nisar Khan, Z. Khan, Fahimullah Khan, A. Khan, Shafaat Ur Rehman
Background: Untreated hepatitis C virus infection is major cause of cirrhosis and hepatocellular carcinoma causing significant morbidity and mortality. Our objectives were to determine distribution of active hepatitis C infected population by sex and age groups in District D.I.Khan, Pakistan.Materials Methods: This cross-sectional study was conducted at District Health Office, D.I.Khan, Pakistan from 25 April 2021 to 12 May 2021. Data was collected for period from 11 February 2017 to 22 April 2021. 1062 active hepatitis C infected cases were selected from population at risk consecutively. Sex (nominal) and age groups (ordinal) were variables. Distribution was analyzed by count, percentage and confidence intervals for proportion for population. Hypotheses for distribution were substantiated by chi-square goodness-of-fit test.Results: Out of 1062 active hepatitis C infected population, 569 (53.58%) were men 493 (46.42%) women, and 51 (4.80%) in age group 0-20 years, 433 (40.77%) in 21-40, 476 (44.82%) in 41-60 102 (9.61%) in 60 years. Our distribution by sex (p.00001) and age groups (p.00001) was different than expected.Conclusion: In our study, active hepatitis C infection was more common in men than women and most common in age group 41-60 years, followed by 21-40, 60 0-20 years. Our observed prevalence of active hepatitis C infection in men was lower than expected in women it was higher than expected. Our observed prevalence of active hepatitis C infection in the four age groups was not similar to expected.
背景:未经治疗的丙型肝炎病毒感染是肝硬化和肝细胞癌的主要原因,导致显著的发病率和死亡率。我们的目标是确定巴基斯坦D.I.Khan地区活动性丙型肝炎感染人群的性别和年龄组分布。材料方法:这项横断面研究于2021年4月25日至2021年5月12日在巴基斯坦D.I.汗地区卫生办公室进行。数据收集时间为2017年2月11日至2021年4月22日。从高危人群中连续选择1062例活动性丙型肝炎感染者。性别(名义)和年龄组(顺序)是变量。根据人口比例的计数、百分比和置信区间对分布进行分析。分布假设通过卡方拟合优度检验得到证实。结果:在1062名活动性丙型肝炎感染人群中,569人(53.58%)为男性493人(46.42%)为女性,0-20岁年龄组51人(4.80%),21-40岁年龄组433人(40.77%),41-60岁年龄组476人(44.82%),60岁年龄段102人(9.61%)。我们的性别分布(第00001页)和年龄组分布(第000001页)与预期不同。结论:在我们的研究中,活动性丙型肝炎感染在男性中比女性更常见,在41-60岁年龄组最常见,其次是21-40岁、60-20岁年龄组。我们观察到男性活动性丙型肝炎感染的患病率低于女性,高于预期。我们观察到的四个年龄组的活动性丙型肝炎感染率与预期不相似。
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引用次数: 1
POST-OPERATIVE ORAL ANTIBIOTICS IN REDUCING FREQUENCY OF SURGICAL SITE INFECTION FOLLOWING NON-PERFORATED APPENDECTOMY IN POPULATION OF SOUTH WAZIRISTAN AGENCY, PAKISTAN 巴基斯坦南瓦济里斯坦机构人群术后口服抗生素减少无穿孔阑尾切除术后手术部位感染的频率
IF 0.5 Q3 Health Professions Pub Date : 2021-12-24 DOI: 10.46903/gjms/19.02.936
Aftab Alam, A. Rehman, Dastageer Waheed, Muhammad Hamayun Khan, Waseem Ahmad, Irum Bashir
Background: Acute appendicitis is most frequent cause of acute abdomen in younger population, and surgical site infection (SSI) is commonest complication of appendectomy. The objective of this trial was to compare the efficacy of post-operative oral antibiotics versus placebo in reducing the frequency of surgical site infection (SSI) following appendectomy for non-perforated appendicitis in population of South Waziristan Agency, Pakistan.Materials Methods: The randomized placebo trial was conducted at Agency Headquarter Hospital, Wana, South Waziristan, Pakistan from October 1, 2016 to November 18, 2018. One hundred fifty (150) patients were randomly allocated into two groups, 75 in experimental group, to whom antibiotics were given and 75 in placebo group, to whom antibiotics were not given. Age groups and presence of SSI were two variables, being on nominal scale, were described by count and percentage with CI at 80%CL. McNemar chi-square test was applied to test the hypothesis to see the significance of difference between the experimental and placebo groups in terms of frequency of SSI at alpha .05.Results: SSI was present in nine (12%, 80%CI 7.19-16.80%) out of 75 cases in experimental group and in 12 (16%, 80%CI 10.57-21.42%) out of 75 cases in placebo group. McNemar chi-square test showed no significant difference between the experimental and placebo groups in terms of frequency of SSI (p=.2482).Conclusion: The results are comparable for post-operative oral antibiotics versus placebo in reducing the frequency of surgical site infection (SSI) following appendectomy for non-perforated appendicitis in population of South Waziristan Agency, Pakistan.
背景:急性阑尾炎是年轻人群中最常见的急腹症病因,而手术部位感染(SSI)是阑尾切除术最常见的并发症。本试验的目的是比较巴基斯坦南瓦济里斯坦地区非穿孔阑尾炎阑尾切除术后口服抗生素与安慰剂在降低手术部位感染(SSI)频率方面的疗效,巴基斯坦,2016年10月1日至2018年11月18日。一百五十(150)名患者被随机分为两组,实验组75人服用抗生素,安慰剂组75人不服用抗生素。年龄组和SSI的存在是两个变量,在名义量表上,通过计数和百分比描述,CI为80%CL。应用McNemar卡方检验来检验假设,以观察实验组和安慰剂组之间在α05时SSI频率方面的差异的显著性。结果:实验组75例病例中有9例(12%,80%CI 7.19-16.80%)存在SSI,安慰剂组75例中有12例(16%,80%CI 10.57-21.42%)存在SSI。McNemar卡方检验显示,在SSI发生率方面,实验组和安慰剂组之间没有显著差异(p=.2482)。结论:在巴基斯坦南瓦济里斯坦地区人群中,术后口服抗生素与安慰剂在降低非穿孔阑尾炎阑尾切除术后手术部位感染(SSI)发生率方面具有可比性。
{"title":"POST-OPERATIVE ORAL ANTIBIOTICS IN REDUCING FREQUENCY OF SURGICAL SITE INFECTION FOLLOWING NON-PERFORATED APPENDECTOMY IN POPULATION OF SOUTH WAZIRISTAN AGENCY, PAKISTAN","authors":"Aftab Alam, A. Rehman, Dastageer Waheed, Muhammad Hamayun Khan, Waseem Ahmad, Irum Bashir","doi":"10.46903/gjms/19.02.936","DOIUrl":"https://doi.org/10.46903/gjms/19.02.936","url":null,"abstract":"Background: Acute appendicitis is most frequent cause of acute abdomen in younger population, and surgical site infection (SSI) is commonest complication of appendectomy. The objective of this trial was to compare the efficacy of post-operative oral antibiotics versus placebo in reducing the frequency of surgical site infection (SSI) following appendectomy for non-perforated appendicitis in population of South Waziristan Agency, Pakistan.Materials Methods: The randomized placebo trial was conducted at Agency Headquarter Hospital, Wana, South Waziristan, Pakistan from October 1, 2016 to November 18, 2018. One hundred fifty (150) patients were randomly allocated into two groups, 75 in experimental group, to whom antibiotics were given and 75 in placebo group, to whom antibiotics were not given. Age groups and presence of SSI were two variables, being on nominal scale, were described by count and percentage with CI at 80%CL. McNemar chi-square test was applied to test the hypothesis to see the significance of difference between the experimental and placebo groups in terms of frequency of SSI at alpha .05.Results: SSI was present in nine (12%, 80%CI 7.19-16.80%) out of 75 cases in experimental group and in 12 (16%, 80%CI 10.57-21.42%) out of 75 cases in placebo group. McNemar chi-square test showed no significant difference between the experimental and placebo groups in terms of frequency of SSI (p=.2482).Conclusion: The results are comparable for post-operative oral antibiotics versus placebo in reducing the frequency of surgical site infection (SSI) following appendectomy for non-perforated appendicitis in population of South Waziristan Agency, Pakistan.","PeriodicalId":44174,"journal":{"name":"Gomal Journal of Medical Sciences","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2021-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42308819","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: 2
HOW STEM CELLS ARE SHAPING OUR DRUG DISCOVERY TECHNIQUES? 干细胞是如何塑造我们的药物发现技术的?
IF 0.5 Q3 Health Professions Pub Date : 2021-12-24 DOI: 10.46903/gjms/19.03.1010
Taimoor Hassan
Stem cell biology is a fast-developing field of research that has made significant contributions to a wide range of scientific specialties, from developmental biology to regenerative medicine. One of the most promising implications of stem cell biology in recent years has been drug development. Stem cells are rapidly being employed in novel ways to enhance the drug development processes with applications ranging from academia to biotech start-ups to big pharmaceutical businesses.
干细胞生物学是一个快速发展的研究领域,对从发育生物学到再生医学的广泛科学专业做出了重大贡献。近年来,干细胞生物学最有希望的应用之一是药物开发。干细胞正迅速以新颖的方式被应用于药物开发过程,应用范围从学术界到生物技术初创企业再到大型制药企业。
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引用次数: 0
PREVALENCE OF MORTALITY AND ITS DISTRIBUTION BY SEX AND AGE GROUPS IN INDOOR COVID-19 PATIENTS IN D.I.KHAN DIVISION, PAKISTAN 巴基斯坦D.I.KHAN地区室内新冠肺炎患者的死亡率及其性别和年龄分布
IF 0.5 Q3 Health Professions Pub Date : 2021-12-24 DOI: 10.46903/gjms/19.03.1029
M. Aamir, Waleed Ahmad, B. Ahmad, A. R. Khan, Muhammad Fawad, Muhammad Abdullah
Background: COVID-19 has become one of the leading causes of morbidity and mortality. The objectives of this study were to determine the prevalence of mortality and its distribution by sex and age groups in indoor COVID-19 patients in D.I.Khan Division, Pakistan.Materials Methods: This cross-sectional study was conducted in the Department of Medicine, Gomal Medical College, D.I.Khan, Pakistan. A sample of 438 patients with positive SARS-CoV-2 RT-PCR was selected. Sex age-groups were two demographic and presence of mortality was a research variable. The data type for all variables was nominal, except ordinal age groups. Prevalence distribution were described by count and percentage with 95%CI. The hypotheses were tested by chi-square goodness of fit test.Results: Out of 438 COVID-19 patients, mortality was 43 (9.82%), including 34 (7.76%) men and nine (2.06%) women. The mortality was 0% for 0-19 years, four (0.92%) for 20-39 years, 12 (2.74%) for 40-59 years and 27 (6.16%) ≥60 years. Our mortality 9.82% was lower than expected 20.95% (p=.001). It was higher in men than women (p=.001). It was highest in age group ≥60 years, while 0% in 0-19 years. It was similar to expected by sex (p=.070) and age group (p=.207).Conclusion: Our study showed 9.82% mortality in indoor COVID-19 patients. The mortality was lower than expected. The mortality was higher in men than women. It was highest in elderly, while zero in children and adolescents. It was similar to expected by sex and age group.
背景:新冠肺炎已成为发病率和死亡率的主要原因之一。本研究的目的是确定巴基斯坦D.I.Khan地区室内新冠肺炎患者的死亡率及其按性别和年龄组的分布。材料方法:本横断面研究在巴基斯坦D.I.汗Gomal医学院医学系进行。选取438名严重急性呼吸系统综合征冠状病毒2型RT-PCR阳性患者的样本。性别年龄组是两个人口统计学变量,死亡率是一个研究变量。除有序年龄组外,所有变量的数据类型都是标称的。患病率分布以计数和百分比描述,95%可信区间。通过卡方拟合优度检验对这些假设进行了检验。结果:在438名新冠肺炎患者中,死亡率为43人(9.82%),其中男性34人(7.76%),女性9人(2.06%)。0-19年死亡率为0%,20-39年死亡率为4(0.92%),40-59年死亡率为12(2.74%),≥60年死亡率为27(6.16%)。我们的死亡率9.82%低于预期的20.95%(p=0.001)。男性的死亡率高于女性(p=0.01)。≥60岁的年龄组死亡率最高,而0-19岁的死亡率为0%。这与预期的性别(p=070)和年龄组(p=.207)相似。结论:我们的研究显示,室内新冠肺炎患者的死亡率为9.82%。死亡率低于预期。男性的死亡率高于女性。老年人的发病率最高,而儿童和青少年的发病率为零。这与性别和年龄组的预期相似。
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引用次数: 0
ADDRESSING MYTHS OF OUR MEDICAL COMMUNITY REGARDING RESEARCH 解决我们医学界对研究的误解
IF 0.5 Q3 Health Professions Pub Date : 2021-12-24 DOI: 10.46903/gjms/19.02.955
I. Ahmad
Writing the first research article is always considered a difficult task. With experience, the difficulty level decreases but still it’s not less than a nightmare for most of our medical community. Faculty, consultants and students are generally found struggling with their research projects. They are engaged in research, including basic science research, public health/ social science research, medical education research or clinical research. Research is conducted for one or more of the three reasons including identifying magnitude of the problem, cause of the problem or actual solution of the problem.
撰写第一篇研究文章一直被认为是一项艰巨的任务。随着经验的积累,难度会降低,但对大多数医学界来说,这仍然是一场噩梦。教师、顾问和学生通常都在努力完成他们的研究项目。他们从事研究,包括基础科学研究、公共卫生/社会科学研究、医学教育研究或临床研究。研究是为了三个原因中的一个或多个进行的,包括确定问题的严重性,问题的原因或问题的实际解决方案。
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引用次数: 0
COMPLICATIONS IN ABO-INCOMPATIBLE HEMATOPOIETIC STEM CELL TRANSPLANT IN PAKISTAN 巴基斯坦ABO相容性造血干细胞移植的并发症
IF 0.5 Q3 Health Professions Pub Date : 2021-12-24 DOI: 10.46903/gjms/19.03.974
Mussawair Hussain, Imran Ullah, Nighat Shahbaz, Q. Chaudhry, M. Khan, T. Khattak
Background: Hematopoietic stem cell transplantation (HSCT) is therapeutic option for many blood diseases. It has increased risk of complications with incompatible pair. The objective of this study was to determine the frequency of complications in ABO-incompatible HSCT in Pakistan.Materials Methods: This cross-sectional study was conducted at Armed Forces Bone Marrow Transplant Centre , Rawalpindi, Pakistan from 11th August 2018 till 15th March 2021. A sample of 73 ABO-incompatible HSCT patients was selected. Variables were sex, age groups, acute delayed hemolysis, pure red cell aplasia and acute GvHD. All variables being categorical were described by count and percentage with 80%CI. Complications in sample vs. population were compared through chi-square goodness of fit test.RESULTS: Seventy three patients with ABO-incompatible HSCT included 52 (71.23%) men 21 (28.77%) women, and 49 (67.12%) in age group ≤14 years 24 (32.88%) in ≥15 years. Out of 73 patients, eight (10.96%) had acute hemolysis, 26 (35.62%) had delayed hemolysis, four (5.84%) had pure red cell aplasia and 34 (46.58%) had acute GvHD. The observed prevalence in sample was similar to population for acute (p=.46893) and delayed hemolysis (p=.30759) and acute GvHD (p=.55841), while it was different for pure red cell aplasia (p=.00006).CONCLUSION: Most common complication in our study was acute GvHD, followed by delayed hemolysis, acute hemolysis pure red cell aplasia. The observed prevalence in sample was similar to population for acute delayed hemolysis and acute GvHD, while it was different for pure red cell aplasia.
背景:造血干细胞移植(HSCT)是许多血液疾病的治疗选择。它增加了不相容配对并发症的风险。本研究的目的是确定巴基斯坦ABO血型不合HSCT并发症的发生率。材料方法:这项横断面研究于2018年8月11日至2021年3月15日在巴基斯坦拉瓦尔品第武装部队骨髓移植中心进行。选取73名ABO血型不合的HSCT患者作为样本。变量包括性别、年龄组、急性延迟性溶血、纯红细胞再生障碍和急性GvHD。所有分类变量均按计数和百分比进行描述,CI为80%。通过卡方拟合优度检验比较样本与人群的并发症。结果:73例ABO血型不合的HSCT患者,其中男性52例(71.23%),女性21例(28.77%),≤14岁年龄组49例(67.12%),≥15岁年龄组24例(32.88%)。在73名患者中,8名(10.96%)患有急性溶血,26名(35.62%)患有延迟性溶血,4名(5.84%)患有纯红细胞再生障碍,34名(46.58%)患有急性GvHD。在样本中观察到的急性(p=.46893)、延迟性溶血(p=.307559)和急性GvHD(p=.55841)的患病率与人群相似,而纯红细胞再生障碍的患病率不同(p=.00006)。在样本中观察到的急性延迟溶血和急性GvHD的患病率与人群相似,而纯红细胞再生障碍的患病率不同。
{"title":"COMPLICATIONS IN ABO-INCOMPATIBLE HEMATOPOIETIC STEM CELL TRANSPLANT IN PAKISTAN","authors":"Mussawair Hussain, Imran Ullah, Nighat Shahbaz, Q. Chaudhry, M. Khan, T. Khattak","doi":"10.46903/gjms/19.03.974","DOIUrl":"https://doi.org/10.46903/gjms/19.03.974","url":null,"abstract":"Background: Hematopoietic stem cell transplantation (HSCT) is therapeutic option for many blood diseases. It has increased risk of complications with incompatible pair. The objective of this study was to determine the frequency of complications in ABO-incompatible HSCT in Pakistan.Materials Methods: This cross-sectional study was conducted at Armed Forces Bone Marrow Transplant Centre , Rawalpindi, Pakistan from 11th August 2018 till 15th March 2021. A sample of 73 ABO-incompatible HSCT patients was selected. Variables were sex, age groups, acute delayed hemolysis, pure red cell aplasia and acute GvHD. All variables being categorical were described by count and percentage with 80%CI. Complications in sample vs. population were compared through chi-square goodness of fit test.RESULTS: Seventy three patients with ABO-incompatible HSCT included 52 (71.23%) men 21 (28.77%) women, and 49 (67.12%) in age group ≤14 years 24 (32.88%) in ≥15 years. Out of 73 patients, eight (10.96%) had acute hemolysis, 26 (35.62%) had delayed hemolysis, four (5.84%) had pure red cell aplasia and 34 (46.58%) had acute GvHD. The observed prevalence in sample was similar to population for acute (p=.46893) and delayed hemolysis (p=.30759) and acute GvHD (p=.55841), while it was different for pure red cell aplasia (p=.00006).CONCLUSION: Most common complication in our study was acute GvHD, followed by delayed hemolysis, acute hemolysis pure red cell aplasia. The observed prevalence in sample was similar to population for acute delayed hemolysis and acute GvHD, while it was different for pure red cell aplasia.","PeriodicalId":44174,"journal":{"name":"Gomal Journal of Medical Sciences","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2021-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42922809","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
ARE ENZYME REPLACEMENT THERAPIES EFFECTIVE AGAINST LYSOSOMAL STORAGE DISORDERS? 酶替代疗法对溶酶体储存障碍有效吗?
IF 0.5 Q3 Health Professions Pub Date : 2021-12-24 DOI: 10.46903/gjms/19.02.999
Taimoor Hassan, Xu Huadong
Lysosomal storage disorders are an agglomeration of genetic disorders such as Fabry disease, Gaucher disease, Pompe disease, Krabbe’s disease and mucopolysaccharidosis that typically impairs the prime orangs of humans, including brain, heart, musculoskeletal system, spleen, eye, and lungs. Patients with lysosomal storage disorders face mild to severe complications and even death. In order to address these health concerns, scientists are working by dint off, various therapies are introduced such as gene therapy, typical oral medicines, organ/ cell transplantation etc. However, hematopoietic stem cell transplantation and enzyme replacement therapy came out as best stakeholders to treat aforementioned disorders. Nonetheless, according to suggested data, it is concluded that presently enzyme replacement therapies are somehow ineffective for many lysosomal storage disorders till today. But we believe that in near future, as more and more research will be progressed, the ultimate therapy to these disorders will be developed.
溶酶体贮积障碍是一种遗传性疾病的集合,如法布里病、戈谢病、庞贝病、克拉伯病和粘多糖病,通常损害人类的主要器官,包括大脑、心脏、肌肉骨骼系统、脾脏、眼睛和肺部。溶酶体贮积障碍患者面临轻至严重的并发症,甚至死亡。为了解决这些健康问题,科学家们正在努力,引入了各种疗法,如基因疗法、典型的口服药物、器官/细胞移植等。然而,造血干细胞移植和酶替代疗法是治疗上述疾病的最佳利益相关者。然而,根据建议的数据,目前的酶替代疗法在某种程度上对许多溶酶体贮积症无效。但我们相信,在不久的将来,随着越来越多的研究进展,这些疾病的最终治疗方法将被开发出来。
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引用次数: 1
期刊
Gomal Journal of Medical Sciences
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