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Management of Allergic disorders in Saudi Arabia: Challenges and future perspectives. 沙特阿拉伯过敏性疾病的管理:挑战和未来展望。
IF 2 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-11-01
Zafar Rasheed
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引用次数: 0
Linking of oxidative stress and mitochondrial DNA damage to the pathophysiology of idiopathic intrauterine growth restriction. 氧化应激和线粒体DNA损伤与特发性宫内生长受限的病理生理学联系。
IF 2 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-11-01
Apurva Singh, Shyam Pyari Jaiswar, Apala Priyadarshini, Sujata Deo

Objective: A common and serious pregnancy issue known as intrauterine growth restriction (IUGR) occurs when the fetus is unable to reach its full growth potential. Mitochondria are crucial to the development of the fetus and the placenta. We aimed to elucidate the role of oxidative stress parameters and markers of DNA damage. The integrity of the mitochondrial DNA (mtDNA) was studied.

Materials and methods: Blood samples were collected from 48 females (cases and controls, respectively). Oxidative stress parameters were analyzed. DNA was extracted followed by high-performance liquid chromatography to study 8-OH-dG and mt DNA by real-time polymerase chain reaction. Western blot analysis was performed for nuclear-encoded mitochondrial proteins and DNA damage markers.

Results: When pregnant women were compared to non-pregnant women in their first, second, and third trimesters, a highly significant progressive drop in circulating mtDNA was found. In addition, mtDNA was considerably higher in mothers carrying IUGR fetuses than in healthy pregnancies. Sirtuin-3 protein expression was considerably suppressed in the IUGR placenta (P = 0.027), whereas Nrf1 expression was not statistically different from the control group in the IUGR. Increased oxidative stress led to greater DNA damage in IUGR. The highest concentrations of 8-OH-dG were found in IUGR with levels significantly higher than those in the non-pregnant group.

Conclusion: Our research sets the path for further investigation into mitochondrial anomalies in IUGR pregnancies and offers evidence for disturbed mitochondrial homeostasis. The mtDNA might offer a fresh perspective on the processes involved in physiological gestation. In addition, the presence of mtDNA may aid in the diagnosis of IUGR during pregnancy.

目的:当胎儿无法达到其全部生长潜能时,就会出现一种常见而严重的妊娠问题,即宫内生长受限(IUGR)。线粒体对胎儿和胎盘的发育至关重要。我们旨在阐明氧化应激参数和DNA损伤标志物的作用。对线粒体DNA(mtDNA)的完整性进行了研究。材料和方法:采集48名女性(分别为病例和对照组)的血液样本。分析氧化应激参数。采用高效液相色谱法提取DNA,实时聚合酶链反应研究8-OH-dG和mtDNA。对细胞核编码的线粒体蛋白和DNA损伤标记物进行蛋白质印迹分析。结果:当孕妇在第一、第二和第三个妊娠期与非孕妇进行比较时,发现循环mtDNA的进行性下降非常显著。此外,携带IUGR胎儿的母亲的mtDNA明显高于健康妊娠。Sirtuin-3蛋白在IUGR胎盘中的表达受到显著抑制(P=0.027),而Nrf1在IUGR中的表达与对照组没有统计学差异。氧化应激的增加导致IUGR中更大的DNA损伤。IUGR中8-OH-dG浓度最高,其水平显著高于非妊娠组。结论:我们的研究为进一步研究IUGR妊娠中的线粒体异常开辟了道路,并为线粒体稳态紊乱提供了证据。mtDNA可能为生理妊娠过程提供一个新的视角。此外,mtDNA的存在可能有助于妊娠期IUGR的诊断。
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引用次数: 0
Isolated benign neutropenia in healthy individuals from Saudi Arabia's central region: A comprehensive study. 沙特阿拉伯中部地区健康个体中孤立的良性中性粒细胞减少症:一项综合研究。
IF 2 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-11-01
Ahmad AlShomar

Objectives: Neutrophils are the most common cell types in circulation and are considered the first line of defense in the immune system against microorganisms. This study was undertaken to investigate the occurrence of isolated benign neutropenia (IBN) among healthy individuals in the central region of Saudi Arabia.

Methods: This retrospective study analyzed complete blood count tests as part of routine checkups for chronic health conditions from April to September 2022. The 10,442 participants were randomly selected and their medical records were reviewed for neutropenia and mean absolute neutrophil counts (ANCs) were calculated. Descriptive analysis was employed to assess the prevalence of IBN across various demographic factors, such as age, gender, and nationality.

Results: The prevalence of IBN in the central region of Saudi Arabia was found to be 2.82% across the entire cohort of participants. The mean ANC among all participants was 4.55 × 109/L. The prevalence of neutropenia was higher in male participants compared with female. Male neutropenic had a lower mean ANC than female; however, the differences were not statistically different (P > 0.05). The prevalence of neutropenia was lower in Saudi participants compared with non-Saudis. While the mean ANC was lower among Saudis as compared with non-Saudi participants. However, the differences were not statistically different (P > 0.05).

Conclusion: This is the first study from the central region of Saudi Arabia that determined the prevalence of chronic benign neutropenia among healthy individuals. The prevalence of IBN was found to be relatively low. Furthermore, neutropenia was more frequent in males than females. Moreover, male neutropenic individuals have a lower ANC.

目的:中性粒细胞是循环中最常见的细胞类型,被认为是免疫系统对抗微生物的第一道防线。本研究旨在调查沙特阿拉伯中部地区健康人群中孤立性良性中性粒细胞减少症(IBN)的发生情况。方法:本回顾性研究分析了2022年4月至9月作为慢性健康状况常规检查一部分的全血细胞计数测试。10442名参与者被随机选择,他们的医疗记录被审查为中性粒细胞减少症,并计算平均绝对中性粒细胞计数(ANC)。采用描述性分析来评估不同人口因素(如年龄、性别和国籍)的IBN患病率。结果:在整个参与者队列中,沙特阿拉伯中部地区的IBN患病率为2.82%。所有参与者的平均ANC为4.55×109/L。与女性相比,男性参与者中性粒细胞减少症的患病率更高。男性中性粒细胞减少症患者的平均ANC低于女性;但差异无统计学意义(P>0.05)。沙特参与者的中性粒细胞减少症患病率低于非沙特参与者。与非沙特参与者相比,沙特人的平均ANC较低。结论:这是沙特阿拉伯中部地区首次确定健康人群中慢性良性中性粒细胞减少症患病率的研究。IBN的患病率相对较低。此外,中性粒细胞减少症在男性中比女性更常见。此外,男性中性粒细胞减少个体的ANC较低。
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引用次数: 0
Assessment of diastasis recti abdominis: Clinimetric properties of four measuring instruments. 腹直分离的评估:四种测量仪器的临床特性。
IF 2 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-11-01
Ojukwu Chidiebele Petronilla, Ezeigwe Anne Uruchi, Ezeigwe Chukwudi Francis, Ugwuonye Chioma Linda

Objective: The aim of the study was to determine the intra- and inter-rater reliability of palpation technique, digital calipers, and diastometer, as well as their concurrent validity against ultrasound imaging.

Methods: Ninety consenting parous women (20-45 years), recruited from a postnatal clinic in Enugu, Nigeria, participated in this observational study. Two physiotherapists and a sonographer measured their inter rectus distance at the level of the umbilicus, 4.5 cm above and below it, respectively, using each of the four modalities. The intra-rater measurements were taken at a week's interval. Data were analyzed with descriptive and inferential statistics of intraclass correlation coefficient and paired samples T-test, at an alpha level set at P < 0.05.

Results: It showed the palpation technique (r = 0.749-0.967 and 0.658-0.917), digital calipers (r=0.750-0.955 and 0.685-0.904), and diastometer (r=0.762-0.958 and 0.471-0.902) demonstrated good inter- and intra-rater reliability. The concurrent validity of the palpation technique, digital calipers, and diastometer against the USI was poor at all three reference points.

Conclusion: Palpation technique, digital calipers, and diastometer are reliable tools but not valid substitutes to ultrasound imaging for the clinical measurement of diastasis rectus abdominis.

目的:本研究的目的是确定触诊技术、数字卡尺和舒张仪的评分者内和评分者间的可靠性,以及它们对超声成像的同时有效性。方法:从尼日利亚埃努古的一家产后诊所招募的90名同意分娩的女性(20-45岁)参加了这项观察性研究。两名理疗师和一名声谱师分别使用四种模式中的每一种测量了他们在脐上方和下方4.5厘米处的直肌间距离。评分者内部测量每隔一周进行一次。用组内相关系数的描述性和推断统计学以及配对样本T检验对数据进行分析,α水平设置为P<0.05。结果:触诊技术(r=0.749-0.967和0.658-0.917)、数字卡尺(r=0.750-0.955和0.685-0.904)和舒张计(r=0.762-0.958和0.471-0.902)显示出良好的评分者间和评分者内可靠性。触诊技术、数字卡尺和舒张仪对USI的同时有效性在所有三个参考点都很差。结论:在腹直肌分离的临床测量中,触诊技术、数字卡尺和舒张仪是可靠的工具,但不是超声成像的有效替代品。
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引用次数: 0
Prebiotic potential of gum Arabic for gut health. 阿拉伯树胶对肠道健康的益生元潜力。
IF 2 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-11-01
Ahmed A M Elnour, Nour Hamid Abdurahman, Khalid Hamid Musa, Zafar Rasheed
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引用次数: 0
Caffeine, lactic acid, or nothing: What effect does expectation have on men's performance and perceived exertion during an upper body muscular endurance task? 咖啡因、乳酸,或者什么都没有:在上半身肌肉耐力任务中,期望对男性的表现和感知力有什么影响?
IF 2 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-11-01
Dara Campelo, Alexander J Koch, Marco Machado

Objective: We tested the impact of subjects' belief in an ingested substance's ergogenic or ergolytic properties on muscular endurance performance and perceived exertion.

Methods: Trained men (n = 15, age = 41 ± 4 y; body mass = 82.1 ± 15.8 kg; height = 173 ± 8 cm; experience = 7.4 ± 2.3 y) completed one set to failure at 80% repetition maximum of the bench press under three conditions. In all conditions, subjects ingested capsules of an identical, inert substance (300 mg cellulose), but, in a randomized order, subjects were told that they were either ingesting caffeine (Placebo), lactic acid (Nocebo), or cellulose (Control) and received information on the respective alleged ergogenic/ergolytic/neutral effects of each. Repetitions completed and rating of perceived exertion (RPE) were recorded. The data were analyzed among conditions using a Friedman test with post hoc analyses accomplished through Durbin-Conover tests. Spearman correlations were used to compare repetitions performed and RPE between Nocebo and Placebo conditions. Statistical significance was set at P ≤ 0.05.

Results: Subjects lifted more (P < 0.001) repetitions in the Placebo condition (14.1 ± 3.0) versus Control (10.3 ± 2.9) or Nocebo (7.5 ± 2.6), while Control and Nocebo performances were similar (P = 0.192). Lower RPE was noted in Placebo versus Control (P = 0.003) and Nocebo (P < 0.001) and lower in Control versus Nocebo (P = 0.025). Subjects who performed more repetitions with Placebo tended to perform fewer repetitions under the Nocebo condition (Spearman's Rho =-0.578).

Conclusion: This study believes that the ergogenic or ergolytic properties of a substance can measurably impact upper-body muscular endurance performance and RPE in trained men.

目的:我们测试了受试者对摄入物质的麦角或溶麦角特性的信念对肌肉耐力表现和感知用力的影响。方法:经过训练的男性(n=15,年龄=41±4 y;体重=82.1±15.8 kg;身高=173±8 cm;经验=7.4±2.3 y)在三种条件下完成了一组失败,最大重复次数为80%。在所有条件下,受试者都摄入了相同惰性物质(300mg纤维素)的胶囊,但按照随机顺序,被试者被告知他们摄入了咖啡因(安慰剂)、乳酸(诺西博)或纤维素(对照),并收到了关于每种物质各自声称的麦角/麦角/中性作用的信息。记录完成的重复次数和感觉用力(RPE)评分。使用Friedman检验在不同条件下分析数据,并通过Durbin-Conover检验进行事后分析。Spearman相关性用于比较诺西博和安慰剂条件下的重复次数和RPE。统计学显著性设定为P≤0.05。结果:受试者在安慰剂条件下(14.1±3.0)比对照组(10.3±2.9)或诺西博(7.5±2.6)重复次数更多(P<0.001),而对照组和诺西博的表现相似(P=0.192)。安慰剂组的RPE低于对照组(P=0.003)和诺西博组(P<0.001),对照组低于诺西博组(P=0.025)。在诺西博条件下,安慰剂重复次数较多的受试者往往重复次数较少(Spearman Rho=-0.578)。结论:本研究认为一种物质的性质可以显著影响受过训练的男性的上半身肌肉耐力表现和RPE。
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引用次数: 0
Differential expression of cancer stem cell markers and pro-inflammatory cytokine IL-1β in the oral squamous cell carcinoma and oral submucosal fibrosis. 癌症干细胞标志物和促炎细胞因子IL-1β在口腔鳞状细胞癌和口腔黏膜下纤维化中的差异表达。
IF 2 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-11-01
Shriddha Awasthi, Sharique Ahmad, Rahul Gupta, Mohammed Shariq Iqbal, Ausaf Ahmad

Objectives: The poor prognosis of oral squamous cell carcinoma (OSCC) is vastly due to late diagnosis. The oral submucosal fibrosis (OSMF) is often unnoticed pathology linked with high risk of malignancy. Recently, we demonstrated that the clinicopathological alterations in OSMF and OSCC patients were correlated with cancer stem cell (CSCs) markers (CD133 and CD44). However, the parallel alterations of interleukin-1 beta (IL-1β) with CSCs expression are largely unexplored. Thus, we aimed to investigate the relationship between IL-1β alterations and CSC marker expression in both OSMF and OSCC situations.

Materials and methods: A total of 135 people have signed up for the study. There were sixty each in OSMF and OSCC groups, as well as 15 healthy controls. Levels of serum IL-1β were examined by ELISA. Immunohistochemistry (IHC) was used to examine the expression of CD133 and CD44. For evaluating differential CSCs expression, IHC scoring (0-4) was utilized.

Results: The IHC results showed maximum subjects in the OSMF and OSCC displaying CD44 and CD133 positivity, although the extent of expression in terms of IHC scoring found variable. CD133 and CD44-positive subjects showed increased levels of IL-1β in the OSMF and OSCC group. Nevertheless, the enhancement of IL-1β is more pronounced in the OSCC cases. Further, we observed a direct link of IL-1β levels with IHC scoring. Multivariate regression analysis demonstrated a significant role for CD44 and CD133 positivity in the increase of IL-1β levels.

Conclusion: We concluded that concurrent simultaneous changes in CSC biomarkers and IL-1β may help with early detection of OSMF and OSCC conditions.

目的:口腔鳞状细胞癌(OSCC)的预后不良在很大程度上是由于诊断较晚。口腔黏膜下纤维化(OSMF)通常是与恶性肿瘤高风险相关的未被注意的病理学。最近,我们证实OSMF和OSCC患者的临床病理改变与癌症干细胞(CSCs)标志物(CD133和CD44)相关。然而,白细胞介素-1β(IL-1β)与CSCs表达的平行变化在很大程度上尚未被探索。因此,我们旨在研究OSMF和OSCC情况下IL-1β改变与CSC标记物表达之间的关系。材料和方法:共有135人报名参加了这项研究。OSMF和OSCC组各60例,健康对照组15例。ELISA法检测血清IL-1β水平。免疫组织化学(IHC)检测CD133和CD44的表达。为了评估CSCs的差异表达,采用IHC评分(0-4)。结果:IHC结果显示,OSMF和OSCC中CD44和CD133阳性的受试者最多,尽管IHC评分的表达程度各不相同。CD133和CD44阳性受试者在OSMF和OSCC组中显示IL-1β水平升高。然而,IL-1β的增强在OSCC病例中更为明显。此外,我们观察到IL-1β水平与IHC评分直接相关。多元回归分析显示CD44和CD133阳性在IL-1β水平升高中起着重要作用。结论:我们得出结论,CSC生物标志物和IL-1β同时发生变化可能有助于早期检测OSMF和OSCC情况。
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引用次数: 0
Application of contrast-enhanced ultrasound to evaluate skeletal muscle perfusion in lower extremity arteriosclerotic obliterans of type 2 diabetes mellitus 应用超声造影评价2型糖尿病下肢动脉硬化闭塞症骨骼肌灌注
Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-10-30 DOI: 10.53730/ijhs.v7n3.14501
Weili Lin, Penghui Wang, Fulai Cai, Runming Zhong
To evaluate the value of contrast-enhanced ultrasound in evaluating skeletal muscle perfusion in Type 2 diabetic patients with lower extremity arteriosclerosis occlusion. 80 patients with type 2 diabetes were prospectively studied and divided into two groups: 40 patients with lower extremity arteriosclerosis obliterans(observation group)and 40 diabetic volunteers with normal lower extremity arteries(control group).All subjects were subjected to the same contrast-enhanced ultrasound(CEUS) technique before and after exercise to observe the changes of skeletal muscle blood perfusion in the calf, and the time to peak(TTP)of skeletal muscle blood perfusion parameters in the two groups were compared. The time-intensity curve established by mathematical model showed that TTP in the observation group was significantly longer than TTP in the control group in the resting state and after exercise, with statistical significance(P<0.05). TTP had no significant correlation with age, hypertension and other factors(P>0.05). TTP was correlated with ankle-brachial index (ABI)(P<0.05). In conclusion, CEUS can objectively reflect the changes of skeletal muscle perfusion in patients with lower extremity arteriosclerosis obliteration before and after exercise, and it is a new diagnostic method and evaluation index to observe the changes of skeletal muscle perfusion in patients with type 2 diabetes.
目的探讨超声造影评价2型糖尿病合并下肢动脉硬化闭塞患者骨骼肌灌注的价值。前瞻性研究80例2型糖尿病患者,分为两组:40例下肢动脉硬化闭塞患者(观察组)和40例下肢动脉正常的糖尿病志愿者(对照组)。所有受试者在运动前后均采用相同的超声造影(CEUS)技术,观察小腿骨骼肌血流灌注的变化,比较两组骨骼肌血流灌注参数的峰值时间(TTP)。数学模型建立的时间-强度曲线显示,观察组在静息状态和运动后的TTP均明显长于对照组,差异有统计学意义(P<0.05)。TTP与年龄、高血压等因素无显著相关性(P>0.05)。TTP与踝肱指数(ankle-brachial index, ABI)相关(P<0.05)。综上所述,超声造影能客观反映下肢动脉硬化闭塞患者运动前后骨骼肌灌注的变化,观察2型糖尿病患者骨骼肌灌注的变化是一种新的诊断方法和评价指标。
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引用次数: 0
Influence of Stakeholder Dynamics on Performance of Free Maternal Healthcare Project in Kenya, a Case of Homabay County 利益相关者动态对肯尼亚免费孕产妇保健项目绩效的影响——以霍马拜县为例
Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-10-24 DOI: 10.47941/ijhs.1481
Alice Christine Awuor, Jared Deya
Purpose: The study examined the influence of sponsor, client, project team and regulatory dynamics, on project performance of free maternity in Homabay County, Kenya.The research focused on factors other than healthcare costs to ensure adequate infrastructure and health personnel in order to offer quality care for the growing number of clients. Besides it added to the existing body of knowledge pertaining to the delivery of free maternity services thereby reducing and eliminating maternal and perinatal deaths. It was conducted in eight sub-county hospitals in the county. Methodology: A total of 167 respondents were selected to participate in the study. The data were entered and analyzed by SPSS version 16. The coefficient of determination showed that sponsor dynamics had a major contribution to the project performance. Findings: There was a significant positive relationship between sponsor dynamics and project performance of free maternal healthcare in Homabay County, Kenya. Unique contribution to theory, practice and policy: The study therefore recommended that Donors and other implementing agencies ought to make their procedures flexible in order to accommodate input from other project stakeholders.
目的:研究主办者、客户、项目团队和监管动态对肯尼亚霍马拜县免费分娩项目绩效的影响。研究的重点是保健费用以外的因素,以确保有足够的基础设施和保健人员,以便为越来越多的客户提供高质量的护理。此外,它补充了有关提供免费产妇服务的现有知识体系,从而减少和消除产妇和围产期死亡。在该县8个县二级医院开展。 方法:共选取167名受访者参与本研究。采用SPSS 16进行数据录入和分析。决定系数表明,资助者动态对项目绩效有重大贡献。 结果:肯尼亚霍马贝县孕产妇免费保健项目的赞助动态与项目绩效之间存在显著的正相关关系。 对理论、实践和政策的独特贡献:因此,该研究建议捐助者和其他执行机构应使其程序灵活,以便适应其他项目利益攸关方的投入。
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引用次数: 0
Frequency of alterations in qSOFA, SIRS, MEWS and NEWS scores during the emergency department stay in infectious patients 感染性患者在急诊科住院期间qSOFA、SIRS、MEWS和NEWS评分改变的频率
Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-10-21 DOI: 10.53730/ijhs.v7ns1.14606
Rami Mahmoud Ibrahim, Mahmood Mohammed Ghanaim
Background: Sepsis has received ongoing attention over the past 10 years as common illness that accounts for Ten percent of ICU admissions & is linked to ten–twenty percent in-hospital mortality rate. For those investigated patients with suspected infections, clinical rules based on vital signs are typically calculated as soon as researched person enters emergency department. Clinical rule scores that are normal or abnormal provide information on the diagnosis & outlook. Due to the cyclical nature of vital signs, clinical rule scores may fluctuate. Aim: In this research, we looked at how frequently results of four commonly applied clinical rules changed during which cases with assumed infections were being treated in emergency department. Summary: Future studies, in our opinion, must concentrate on viability, use, & predictive value of repeated or continuous vital sign monitoring across acute care chain. respiratory rates have to get special attention as it has been consistently demonstrated to be significant predictor of clinical worsening, despite being evaluated infrequently & insufficiently.
背景:脓毒症作为一种常见病在过去的10年里受到了持续的关注,占ICU入院人数的10%。与10%到20%的住院死亡率有关对于疑似感染的被调查患者,通常在被调查人员进入急诊科时就计算出基于生命体征的临床规则。正常或异常的临床规则评分提供了诊断信息。前景。由于生命体征的周期性,临床规则评分可能会波动。目的:在这项研究中,我们观察了四种常用临床规则的结果在假定感染的病例在急诊室治疗期间的变化频率。总结:在我们看来,未来的研究必须集中在可行性,使用,&急性护理链中重复或连续生命体征监测的预测价值。呼吸频率必须得到特别的关注,因为它一直被证明是临床恶化的重要预测指标,尽管很少被评估。不够。
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引用次数: 0
期刊
International Journal of Health Sciences-IJHS
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