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Knowledge and Practice of Vector Control against Malaria by Mothers of Children Aged 06 to 59 Months Hospitalized for Severe Malaria in the Pediatric Department of the Reference Health Center of Commune I of Bamako 巴马科第一市镇参考卫生中心儿科因重症疟疾住院的 06 至 59 个月儿童的母亲对疟疾病媒控制的认识和做法
Pub Date : 2024-02-14 DOI: 10.36344/ccijmb.2024.v06i01.006
O. Coulibaly, Daouda Camara, Yacouba Sylla, Fatoumata Diakite, Amadou Landouré, Bakary Keita, C. Keita, Kadiatou Ba, B. Maiga, Oumar Coulibaly, Diakaridia Koné, Nouhoum Traore, Ousmane Diam
Introduction: Severe malaria is a public health problem that causes a real socio-economic burden in developing countries. It is associated with high but avoidable mortality thanks to preventive and curative measures. Methodology: This is a descriptive and cross-sectional study with a prospective survey for the benefit of mothers of children aged 06 to 59 months hospitalized for serious malaria in the pediatric department of the Reference Health Center of Commune I of Bamako from October 2021 to September 2022. Results: In 12 months, 624 children were hospitalized, including 151 children aged 6 to 59 months suffering from severe malaria. The hospital frequency of severe malaria in this age group from 06 to 59 months was 24.2%. The average age of the mothers interviewed was 27.8 years with a range of 15 to 48 years. Mothers were educated in 84.1%, married in 98.7% and working as housewives in 81.5%. The reason for consulting children was fever (91.4%), anorexia (90.1%), prostration (79.5%). Mothers knew about impregnated mosquito nets and smoke coils as means of prevention against malaria at the same frequency of 99.3%, repellent creams 96.7%, and indoor spraying in 92.7%. In practice, they used smoke coils in 64.2%, repellent cream in 44.4% and mosquito nets impregnated with insecticide in 40.4%. Mothers attributed the cause of malaria to mosquito bites in 91.4%; They had readjusted the way sick children were fed by giving more food than usual (29.8%), splitting meals (21.8%) or using active feeding (14.6%). Most children had severe malaria, neurological form or anemic form at the same proportion of 37.1%. The assessment of the nutritional status of children revealed 18.5% acute malnutrition. The children had received conventional and traditional self-medication in 63.58 and 58.94% of cases respectively before admission. In children, a significant relationship was noted between severe anemic malaria and acute malnutrition (Fisher's exact test = 18.41; p = 0.01). ....
导言:重症疟疾是一个公共卫生问题,给发展中国家造成了实际的社会经济负担。由于采取了预防和治疗措施,疟疾造成了很高的死亡率,但这是可以避免的。研究方法这是一项描述性横断面研究,旨在对 2021 年 10 月至 2022 年 9 月期间巴马科第一市镇参考健康中心儿科因严重疟疾住院的 06 至 59 个月儿童的母亲进行前瞻性调查。结果:在12个月中,共有624名儿童住院治疗,其中151名6至59个月大的儿童患有重症疟疾。该年龄段(06 至 59 个月)患重症疟疾的住院率为 24.2%。受访母亲的平均年龄为 27.8 岁,从 15 岁到 48 岁不等。84.1%的母亲受过教育,98.7%的母亲已婚,81.5%的母亲是家庭主妇。儿童就诊的原因是发烧(91.4%)、厌食(90.1%)和乏力(79.5%)。99.3%的母亲知道浸药蚊帐和蚊香是预防疟疾的手段,96.7%的母亲知道驱蚊霜,92.7%的母亲知道室内喷雾。在实际生活中,64.2%的人使用烟圈,44.4%的人使用驱蚊霜,40.4%的人使用浸过杀虫剂的蚊帐。91.4%的母亲将疟疾的原因归咎于蚊虫叮咬;她们调整了患病儿童的喂养方式,比平时多喂食物(29.8%)、分餐喂养(21.8%)或主动喂养(14.6%)。大多数儿童患有严重疟疾、神经系统疾病或贫血,比例相同,均为 37.1%。对儿童营养状况的评估显示,18.5%的儿童患有急性营养不良。63.58%和58.94%的儿童在入院前接受过常规和传统的自我治疗。在儿童中,严重贫血性疟疾与急性营养不良之间存在明显关系(费雪精确检验 = 18.41;P = 0.01)。....
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引用次数: 0
Effects of the Hydromethanol Leaf Extract of Craterispermum schweinfurthi on Sperm Characteristics and Haematological Indices in Male Wistar Rats 五味子水乙醇叶提取物对雄性 Wistar 大鼠精子特征和血液学指标的影响
Pub Date : 2024-02-06 DOI: 10.36344/ccijmb.2024.v06i01.005
Saronee F, Amadi J, Azosibe P
Sexual and haematological abnormalities are on the increase, hence the need to identify possible ameliorative agents. The present study evaluates the effects of the hydromethanol leaf extract of Craterispermum schweinfurthi on sperm characteristics and haematological indices in male wistar rats. A total of 20 male wistar rats weighing between 100-250g were randomly divided into 4 groups of 5 rats each and treated as follows for 28days: Group A: Negative control: Group B, C and D received 250mg/kgbw, 500mg/kg bw and 750mg/kg bw of extract. On day 29, the rats were placed under chloroform anaesthesia and blood samples collected for the estimation of serum total white blood cell, red blood cell and platelet counts. Also, rats caudal epididymides were isolated for sperm characteristics estimation. Compared to Group A rats, significantly higher values of sperm count, active sperm, and population of normal sperm were observed amongst Groups B-D rats in a dose dependent manner (p<0.05). For sperm volume and viability, significant increases were observed amongst Group D rats only compared to Group A rats (p<0.05): Suggesting a possible greater potency of the extract at 750mg/kg body weight. Population of abnormal sperm, sluggish sperm and dead sperm were significantly decreased amongst Groups B-D rats compared to Group A rats (p<0.05). Similarly, a significant and dose dependent increase in total WBC, RBC and PLT counts following graded extract doses administration were observed amongst rats in B, C and D Groups compared to Group A rats: Demonstrating a possible blood boosting potentials of the extract in male wistar rats. The extract apparently exhibits potential beneficial effects on sperm characteristics and haematopoiesis in male wistar rats.
性功能和血液学异常正在增加,因此有必要确定可能的改善药物。本研究评估了五味子水乙醇叶提取物对雄性wistar大鼠精子特征和血液学指标的影响。将 20 只体重在 100-250 克之间的雄性 Wistar 大鼠随机分为 4 组,每组 5 只,按以下方法处理 28 天:A 组:阴性对照组:B、C 和 D 组分别接受 250 毫克/千克体重、500 毫克/千克体重和 750 毫克/千克体重的提取物。第 29 天,将大鼠置于氯仿麻醉下,采集血样用于估算血清白细胞总数、红细胞和血小板计数。此外,还分离大鼠尾部附睾,以估算精子特征。与 A 组大鼠相比,B-D 组大鼠的精子数量、活跃精子和正常精子数量均明显增加,且与剂量有关(P<0.05)。与 A 组大鼠相比,只有 D 组大鼠的精子数量和活力明显增加(p<0.05):这表明 750 毫克/千克体重的提取物可能具有更强的功效。与 A 组大鼠相比,B-D 组大鼠的畸形精子、呆滞精子和死精子数量明显减少(p<0.05)。同样,与 A 组大鼠相比,B、C 和 D 组大鼠在服用不同剂量的提取物后,白细胞总数、红细胞和血小板计数都有明显增加,且与剂量有关:这表明雄性 Wistar 大鼠体内的提取物可能具有促进血液循环的潜力。该提取物显然对雄性 Wistar 大鼠的精子特征和造血功能具有潜在的有益作用。
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引用次数: 0
Prevalence and Psychosocial Risk Factors Associated with Depression in Older People in A Rural Community 农村社区老年人抑郁症的患病率和相关社会心理风险因素
Pub Date : 2024-02-03 DOI: 10.36344/ccijmb.2024.v06i01.004
Daniel Antonio Muñoz González, María Eugenia López Caamal, M. Figueroa, José Miguel Chin Chan
Depression is a multifactorial disease that globally impacts all ages and sectors of the population. In this sense, it has become a public health problem, since it affects 280 million people in the world, according to information from the World Health Organization. Older adults represent 5.7% of the population that experiences this disease, with the moderate to severe stage being the one that most impacts their health, and, therefore, quality of life. For this reason, the objective of the research is to know the prevalence and psychosocial risk factors associated with depression in older people in the community of Santa Cruz, Hecelchakán, Campeche. The methodology used is with a quantitative approach because information was collected, based on the application of the Yesavage scale of geriatric depression, and the sociodemographic registry of 60 older adults of both sexes, in order to measure the percentage of prevalence through its respective epidemiological formula. Likewise, it is cross-sectional because it collected data in a single time: November 2022 – October 2023. Results: 46.7% experienced mild depression, 41.7% moderate depression and 11.6% severe depression. 55% of those interviewed were male and 45% female. The actual prevalence of depression is 100%. Likewise, the psychosocial risk factors identified were: the absence of recreational activities and social support networks, the economy, health services and family disintegration. Finally, it is necessary to design and implement socio-health intervention projects in the locality and with a socio-cultural perspective that impacts this age group, the family and from an intergenerational perspective, with the promotion of mental health being a priority goal in their execution.
抑郁症是一种多因素疾病,在全球范围内影响着各个年龄段和各个阶层的人群。从这个意义上说,它已成为一个公共卫生问题,因为根据世界卫生组织的资料,它影响着全球 2.8 亿人。老年人占这一疾病患病人口的 5.7%,中重度阶段对他们的健康影响最大,因此也影响到他们的生活质量。因此,本研究的目的是了解坎佩切省赫塞尔查坎市圣克鲁斯社区老年人抑郁症的患病率和相关社会心理风险因素。所使用的方法是定量方法,因为收集信息的依据是老年抑郁症耶萨维奇量表的应用,以及 60 名男女老年人的社会人口登记,以便通过各自的流行病学公式测量患病率的百分比。同样,它也是横断面的,因为它是在一个时间段内收集数据的:2022 年 11 月至 2023 年 10 月。结果显示46.7%的人患有轻度抑郁症,41.7%的人患有中度抑郁症,11.6%的人患有重度抑郁症。55%的受访者为男性,45%为女性。抑郁症的实际患病率为 100%。同样,确定的社会心理风险因素包括:缺乏娱乐活动和社会支持网络、经济、医疗服务和家庭解体。最后,有必要从社会文化角度出发,在当地设计和实施社会健康干预项目,从代际角度对这一年龄组、家庭产生影响,并将促进心理健康作为实施项目的优先目标。
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引用次数: 0
Severe Bacterial Balanitis in Circumcised Adult Males 包皮环切术后成年男性的严重细菌性包皮龟头炎
Pub Date : 2024-01-24 DOI: 10.36344/ccijmb.2024.v06i01.003
José Mazuecos-Blanca, José Rafael Mazuecos-Gutiérrez, Ana Jiménez-Gil
Balanitis is the inflammation of the glans penis while balanoposthitis involves both the glans penis and prepuce and occurs only in uncircumcised males. Balanitis is more common in uncircumcised males due to the occlusive effect of the foreskin, which facilitates smegma retention and bacterial and fungal overgrowth. Therefore, balanitis is rare after circumcision and severe balanitis is even rarer. In patients with recurrent balanoposthitis, circumcision is indicated, and the presence of diabetes should be ruled out. Diabetes mellitus is a frequent predisposing factor for Candida balanoposthitis and has been associated with male genital lichen sclerosus, which in progressive stages leads to phimosis. Circumcision is also indicated in the treatment of lichen sclerosus associated with phimosis. Candida albicans stands as the primary culprit in cases of acute infectious balanoposthitis, with aerobic bacteria constituting the second most common etiological factor. Among these bacteria, streptococci particularly groups B and D and staphylococci, notably S. aureus, are prevalent. Mixed infections may also occur. The typical clinical manifestations involve erythema and oedema accompanied by itching and/or pain. In instances of painful, erosive streptococcal balanoposthitis, severe balanopreputial oedema with purulent exudate can be observed. Staphylococcus haemolyticus, a prominent member of the coagulase-negative staphylococci of the skin microbiota, causes infections in the male urogenital tract, such as urinary tract infections, chronic prostatitis and epididymo-orchitis. However, it had not been associated with balanitis. Enterococcus faecalis is part of the normal gastrointestinal microflora and is also a frequent cause of urinary tract infections and of chronic prostatitis. Enterococcus has been associated with mild balanoposthitis in adults and E. faecalis has been described to cause balanoposthitis in young children, but its association with severe balanitis .....
包茎是指阴茎龟头发炎,而包皮龟头炎涉及阴茎龟头和包皮,只发生在未割包皮的男性身上。包皮龟头炎在未实施包皮环切术的男性中更为常见,这是因为包皮的闭锁效应有利于污垢滞留以及细菌和真菌的过度生长。因此,包皮环切术后很少发生包皮龟头炎,而严重的包皮龟头炎则更为罕见。对于反复发作的包茎患者,应进行包皮环切术,并排除糖尿病的可能。糖尿病是念珠菌性包茎的常见诱发因素,也与男性生殖器硬皮病有关,硬皮病在进展期会导致包皮龟头炎。包皮环切术也适用于治疗伴有包皮龟头炎的硬皮苔癣。白色念珠菌是急性感染性包皮龟头炎的罪魁祸首,需氧细菌是第二常见的致病因素。在这些细菌中,链球菌(尤其是 B 组和 D 组)和葡萄球菌(尤其是金黄色葡萄球菌)最为常见。混合感染也可能发生。典型的临床表现为红斑和水肿,伴有瘙痒和/或疼痛。在发生疼痛性、侵蚀性链球菌包皮龟头炎时,可观察到严重的包皮龟头水肿和脓性渗出物。溶血性葡萄球菌是皮肤微生物群中凝固酶阴性葡萄球菌的重要成员,可引起男性泌尿生殖道感染,如尿路感染、慢性前列腺炎和附睾睾丸炎。然而,它与包皮龟头炎并无关联。粪肠球菌是正常胃肠道微生物区系的一部分,也是尿路感染和慢性前列腺炎的常见病因。肠球菌与成人的轻度包皮龟头炎有关,据描述,粪肠球菌可引起幼儿包皮龟头炎,但它与严重包皮龟头炎的关系 .....。
{"title":"Severe Bacterial Balanitis in Circumcised Adult Males","authors":"José Mazuecos-Blanca, José Rafael Mazuecos-Gutiérrez, Ana Jiménez-Gil","doi":"10.36344/ccijmb.2024.v06i01.003","DOIUrl":"https://doi.org/10.36344/ccijmb.2024.v06i01.003","url":null,"abstract":"Balanitis is the inflammation of the glans penis while balanoposthitis involves both the glans penis and prepuce and occurs only in uncircumcised males. Balanitis is more common in uncircumcised males due to the occlusive effect of the foreskin, which facilitates smegma retention and bacterial and fungal overgrowth. Therefore, balanitis is rare after circumcision and severe balanitis is even rarer. In patients with recurrent balanoposthitis, circumcision is indicated, and the presence of diabetes should be ruled out. Diabetes mellitus is a frequent predisposing factor for Candida balanoposthitis and has been associated with male genital lichen sclerosus, which in progressive stages leads to phimosis. Circumcision is also indicated in the treatment of lichen sclerosus associated with phimosis. Candida albicans stands as the primary culprit in cases of acute infectious balanoposthitis, with aerobic bacteria constituting the second most common etiological factor. Among these bacteria, streptococci particularly groups B and D and staphylococci, notably S. aureus, are prevalent. Mixed infections may also occur. The typical clinical manifestations involve erythema and oedema accompanied by itching and/or pain. In instances of painful, erosive streptococcal balanoposthitis, severe balanopreputial oedema with purulent exudate can be observed. Staphylococcus haemolyticus, a prominent member of the coagulase-negative staphylococci of the skin microbiota, causes infections in the male urogenital tract, such as urinary tract infections, chronic prostatitis and epididymo-orchitis. However, it had not been associated with balanitis. Enterococcus faecalis is part of the normal gastrointestinal microflora and is also a frequent cause of urinary tract infections and of chronic prostatitis. Enterococcus has been associated with mild balanoposthitis in adults and E. faecalis has been described to cause balanoposthitis in young children, but its association with severe balanitis .....","PeriodicalId":496559,"journal":{"name":"Cross current international journal of medical and biosciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140497069","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
Relationship between Intra Ocular Pressure and Body Mass Index of Diabetics Attending a Diabetic Care Centre in Port-Harcourt 哈科特港糖尿病护理中心就诊糖尿病患者的眼压与体重指数之间的关系
Pub Date : 2024-01-16 DOI: 10.36344/ccijmb.2024.v06i01.002
Ademola, M. I. N, Ilochi, O. N, Obia, O, Opurum, H. C
Diabetes mellitus is characterized by sustained elevation of blood sugar, which is the main body energy source derived from the food we eat. In Nigeria, diabetic management revolves around blood glucose control and less attention is given to eye care. The aim of the present study was to establish the relationship between Intra Ocular Pressure and Body Mass Index of Diabetics attending a Diabetes Care Centre in Port Harcourt. The Intra Ocular Pressure of the subjects was determined. Body Mass Index, was also determined. Fasting blood glucose was measured. Uncontrolled blood sugar for males were 30(53.6%), females, 23(52.3%). The relationship between fasting blood glucose and gender was not statistically significant (P<0.00). Most subjects were in over weight category (46%), normal (26%), obese (28%) and underweight (1%). 87% of the subjects had normal intra ocular pressure, 9% elevated intra ocular pressure and 4% had pathological condition. No association existed between Intra Ocular Pressure and Body Mass Index. This occurred because; most of the subjects had their blood sugar level under control. More diabetic care centres should be established and equipped by the government to care, educate and manage diabetic patients, thereby preventing them from developing visual impairment and blindness.
糖尿病的特点是血糖持续升高,而血糖是人体能量的主要来源,来自于我们所吃的食物。在尼日利亚,糖尿病管理主要围绕血糖控制,对眼部护理关注较少。本研究旨在确定在哈科特港一家糖尿病护理中心就诊的糖尿病患者的眼压与体重指数之间的关系。研究测定了受试者的眼压。同时还测定了身体质量指数。测量空腹血糖。男性未控制的血糖为 30(53.6%),女性为 23(52.3%)。空腹血糖与性别之间的关系无统计学意义(P<0.00)。大多数受试者属于超重(46%)、正常(26%)、肥胖(28%)和体重不足(1%)。87%的受试者眼压正常,9%的受试者眼压升高,4%的受试者有病变。眼压与体重指数之间不存在关联。这是因为大多数受试者的血糖水平都得到了控制。政府应建立更多的糖尿病护理中心,并为其配备设备,以护理、教育和管理糖尿病患者,从而防止他们出现视力损伤和失明。
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引用次数: 1
Joint Mobilization and its Resultant Effects 联合动员及其产生的影响
Pub Date : 2023-10-03 DOI: 10.36344/ccijmb.2023.v05i03.004
Chinonso Vincent Nweke, Nweke Chidera Augustine, Madume Madume, Anelechi Kenneth, John Nwolim Paul, Chioma Akunnaya Ohanenye
Joint mobilization also called joint manipulation technique commonly used in a clinical setting to improve the range of movement of a joint in order to prevent stiffness and pain. Any joint which presents with pain or stiffness can be treated with mobilization except in rare instances such as where there is malignancy, bone infection, spinal cord compression or unhealed fracture. There are different grades of mobilization used to treat various conditions. Where there is significant local pain and inflammation, gentle mobilization is used (Grade 1 or 2) to help with pain relief and reduce inflammation by promoting movement. In conditions where there is not much pain but rather the main problem is joint stiffness, then a more vigorous mobilizing technique (Grade 3 or 4) can be used to help restore full range of movement. The manipulation can be considered as an advanced way of joint mobilization, because it shares the same biomechanical principles. So, in OMT, the manipulation consists on a linear translatoric movement (traction or gliding) performed in the joint’s resting position, through a high velocity, low amplitude and low force thrust. These linear translatoric thrust techniques are technically more difficult to perform, but equally effective and much safer than the rotatory thrusts that have been traditionally performed. The manipulations are performed with the aim of obtaining joint surface separation and restoring the gliding component in joints that, even if they show an appropriate end-feel, they are hypomobile when examining them. It is a very effective technique if it is performed correctly and if it is indicated, but in the opposite cases it also carries serious injury risk. Because of the risk it can carry, and because of the expertise grade it requires for its execution, the manipulation training, mainly in the spine, for those physical therapists who have demonstrated their experience in the joint mobilization. However, basic low risk and equally ...
关节活动也称为关节操作技术,通常用于临床设置,以提高关节的活动范围,以防止僵硬和疼痛。除恶性肿瘤、骨感染、脊髓受压或未愈合骨折等罕见情况外,任何表现为疼痛或僵硬的关节均可通过活动治疗。有不同等级的活动用于治疗不同的情况。如果有明显的局部疼痛和炎症,使用温和的活动(1级或2级),通过促进运动来帮助缓解疼痛和减少炎症。如果没有太大的疼痛,但主要问题是关节僵硬,那么可以使用更有力的活动技术(3级或4级)来帮助恢复全范围的活动。这种操作可以被认为是一种先进的关节活动方式,因为它具有相同的生物力学原理。因此,在OMT中,操作包括在关节静止位置通过高速,低振幅和低力推力进行线性平移运动(牵引或滑动)。这些线性平动推力技术在技术上更难执行,但同样有效,比传统的旋转推力更安全。这些操作的目的是获得关节表面分离和恢复关节中的滑动成分,即使它们显示出适当的末端感觉,在检查它们时它们也是低移动的。如果操作正确且有指示,这是一种非常有效的技术,但在相反的情况下,它也有严重的伤害风险。因为它可能会带来风险,也因为它的执行需要专业水平,操作训练,主要是在脊柱方面,对于那些在关节活动方面有经验的物理治疗师来说。然而,基本的低风险,同样…
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引用次数: 0
Effect of Socioeconomic Status on Haematological Indices in Port Harcourt 哈科特港社会经济地位对血液学指标的影响
Pub Date : 2023-09-25 DOI: 10.36344/ccijmb.2023.v05i03.003
Abiye Tamuno-Opubo, Rosemary Oluchi Stanley, Zosa Ugbana Deinye, Siyeofori Belema Dede, Joy Tonye Wihioka, Jerry Dumley Nwiyor, Clementina Barida Aggrey
Background: The World Health Organization is saddled with the responsibilities of regulating health care services across the globe and had over the years provided reference values to various medical parameters for clinicians and medical research. However, due to socio-economic variations amidst different populations in various parts of the world, the standard reference values had significantly differed among different races, tribes, gender and socio-economic backgrounds. Consequently, several regions of the world now had their respective local medical references. Back home in Nigeria and Port Harcourt in particular, over-reliance on this WHO references still prevail as a result of the absence of our local reference data. To this end, this study therefore investigates the Effect of Socioeconomic Status on Haematological Indices in Port Harcourt Nigeria. Materials and Methods: A total of 112 participants across 3 different socio-economic classes (Upper, Middle and Lower Classes) were recruited into the study using well-structured questionnaires based on purposive non-probability sampling techniques. Blood samples were also aspirated and analysed for haematological parameters (Hb, PCV, RBC, WBC, Platelets) against their socio-economic variables (gender, level education, income level and nutritional intakes). Results and Discussions: Result from the study showed that both male and female haematological parameters were significantly (ρ≤0.05) different from the WHO reference. Significant difference in low and high level education was also noted among the educational group whereas the middle class education was not. The income level among the 3 economic classes and their nutritional groups were also significant (ρ≤0.05) whereas those on balanced diets were not. Conclusion: The study therefore concluded that gender, income, education and nutrition of the people of Port Harcourt significantly (ρ≤0.05) affected their haematological parameters as compared with the global .....
背景:世界卫生组织肩负着规范全球卫生保健服务的责任,多年来为临床医生和医学研究提供了各种医学参数的参考价值。然而,由于世界各地不同人口的社会经济差异,标准参考值在不同种族、部落、性别和社会经济背景之间有很大差异。因此,世界上几个区域现在有了各自的当地医疗参考资料。在尼日利亚国内,特别是在哈科特港,由于缺乏我们当地的参考数据,过度依赖世卫组织的参考资料仍然普遍存在。为此,本研究因此调查了社会经济地位对尼日利亚哈科特港血液学指数的影响。材料和方法:采用有目的的非概率抽样技术,采用结构合理的问卷调查,共招募了来自3个不同社会经济阶层(上层、中层和下层)的112名参与者。还抽取血样,并根据其社会经济变量(性别、教育水平、收入水平和营养摄入量)分析血液学参数(Hb、PCV、RBC、WBC、血小板)。结果与讨论:研究结果显示,男性和女性的血液学参数与WHO参考值差异显著(ρ≤0.05)。受教育阶层的受教育程度高低也存在显著差异,而中产阶层的受教育程度则不存在显著差异。3个经济阶层及其营养组的收入水平也显著(ρ≤0.05),而均衡饮食组的收入水平差异不显著(ρ≤0.05)。结论:与全球.....相比,哈科特港人群的性别、收入、教育程度和营养状况对其血液学参数有显著影响(ρ≤0.05)
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引用次数: 0
D-Dimer as a Predictive Biomarker of Severity and Mortality in COVID-19 Patients d -二聚体作为COVID-19患者严重程度和死亡率的预测性生物标志物
Pub Date : 2023-09-22 DOI: 10.36344/ccijmb.2023.v05i03.002
Firas Hussein
Background: Since December 2019, Coronavirus has been spreading widely becoming a fatal global pandemic. We need to understand the pathophysiological mechanisms of the disease in order to determine early and effective predictive biomarkers for severity and mortality, therefore finding better treatment approaches. Object: We aim to investigate the predictive value of d-dimer in COVID-19 in order to determine the severity, mortality and the risk of developing thrombotic events. Methods: We enrolled patients with confirmed COVID-19 who referred to the COVID department at Tishreen University Hospital (Latakia, Syria) from May 2020 to March 2021. We retrospectively documented demographic characteristics, clinical data, laboratory parameters and chest computed tomography staging. We followed up the patients' clinical progress during hospitalization, as well as their need for supportive oxygen (invasive and non-invasive mechanical ventilation) and the occurrence of thrombotic complications during hospitalization. Finally, we listed the cases of recovery and death. Results: We included 284 patients (68.3% males and 31.7% females). The mean age was 65 years, ranging from 27 to 92. D-dimer was only obtained for 193 patients, which included 28 mild to moderate, 115 severe and 50 critically ill patients. D-dimer was elevated (≥ 500 ng/mL) in 110 patients. On admission, D-dimer level was associated with an increased clinical severity. It was higher in critically ill compared to moderate cases ([3397.5±3296.7]ng/mL vs [1066.1± 1963.2] ng/ml, P = 0.0001) as well as for radiographic severity ([626.5±1047.1] ng/mL vs [2262.6± 2751.2] ng/ml, P= 0.007), respectively. All of those who did not survive had increased D-dimer level upon admission. When compared between patients who survived and who died during hospitalization, a significantly higher D-dimer level was detected in non-survivors versus survivors ([3099.9±2808.2] ng/mL vs [1308.9± 2249.3] ng/ml, P= 0.0001). ...........
背景:自2019年12月以来,冠状病毒广泛传播,成为一种致命的全球大流行。我们需要了解疾病的病理生理机制,以便确定早期和有效的严重程度和死亡率的预测性生物标志物,从而找到更好的治疗方法。目的:探讨d-二聚体在COVID-19中的预测价值,以确定患者的严重程度、死亡率和发生血栓事件的风险。方法:我们招募了2020年5月至2021年3月在叙利亚拉塔基亚Tishreen大学医院COVID科转诊的确诊COVID-19患者。我们回顾性地记录了人口学特征、临床资料、实验室参数和胸部计算机断层扫描分期。随访患者住院期间的临床进展情况,支持氧需求(有创和无创机械通气)及住院期间血栓性并发症的发生情况。最后,我们列出了康复和死亡的案例。结果:284例患者(男性68.3%,女性31.7%)。平均年龄为65岁,年龄从27岁到92岁不等。仅193例患者获得d -二聚体,其中轻中度患者28例,重症患者115例,危重症患者50例。110例患者d -二聚体升高(≥500 ng/mL)。入院时,d -二聚体水平与临床严重程度增加相关。危重患者比中度患者([3397.5±3296.7]ng/mL vs[1066.1±1963.2]ng/mL, P= 0.0001)和严重患者([626.5±1047.1]ng/mL vs[2262.6±2751.2]ng/mL, P= 0.007)分别更高。所有未存活的患者入院时d -二聚体水平均升高。在住院期间存活和死亡患者之间进行比较,非存活患者的d -二聚体水平明显高于存活患者([3099.9±2808.2]ng/mL vs[1308.9±2249.3]ng/mL, P= 0.0001). ...........
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引用次数: 0
Incidence of Obesity in Kalabari Kingdom 卡拉巴里王国肥胖症发病率
Pub Date : 2023-09-08 DOI: 10.36344/ccijmb.2023.v05i03.001
Confidence Waribo Ihua, John Nwolim Paul, Gospel Chimenma Dimkpa, Idawarifa Frank Cookey-Gam, Stanley Samuel Mboi, Amaka Azubuike Ogba, Joyce Chisa Obia, Kingsley Moses Amadi, Gloria Stanley Acra Jone
Background: Information on the incidence of Obesity in western countries has been documented, whereas there is paucity of information in the incidence of obesity in Africa and in Nigeria in particular. This study was done to examine the rate of obesity among men and women in Kalabari between the ages of 12 to 65 with different communities taken as case study. Materials and Methods: The Body Mass Index (BMI) which is a ratio of weight per height square of a total of three hundred and four (304) subjects was studied. One hundred and eighty-seven (187) subjects were females while one hundred and seventeen (117) subjects were males. Obesity was measured by body mass index (BMI) with relative weight and height. BMI less than 18.5 was considered as underweight. BMI between 18.5 and 24.9 was considered as normal weight. BMI greater than or equal to 30 was considered as obese. Results and Discussion: Obesity increased in all sex and age groups from 12 to 65 years. Of the 104 subjects studied, 149 were considered to be obese. Relating with age group, increase in obesity was generally seen to be more in females than in males. The rate of obesity is highest in women between the ages of 31-40 with a percentage of 18.79, while the rate of obesity is highest in men between the ages of 51-65 with a percentage of 12.75. Conclusion: Body mass index, occupational background, eating habit and cultural practice (fattening room practice) have significant impact on increase of obesity.
背景:关于西方国家肥胖发病率的信息已被记录在案,而关于非洲特别是尼日利亚肥胖发病率的信息却很缺乏。本研究以不同社区为例,调查了卡拉巴里市12岁至65岁男性和女性的肥胖率。材料与方法:研究了304名受试者的身体质量指数(BMI),即体重与身高的平方之比。187名受试者为女性,117名受试者为男性。肥胖是通过相对体重和身高的身体质量指数(BMI)来衡量的。BMI小于18.5被认为体重过轻。BMI在18.5到24.9之间被认为是正常体重。BMI大于或等于30被认为是肥胖。结果和讨论:肥胖在12岁至65岁的所有性别和年龄组中都有所增加。在104名研究对象中,有149人被认为肥胖。与年龄组相关,肥胖的增加通常在女性中比在男性中更多。31-40岁年龄段的女性肥胖率最高,为18.79%,而51-65岁年龄段的男性肥胖率最高,为12.75%。结论:体质指数、职业背景、饮食习惯和文化习俗(育肥室做法)对肥胖增加有显著影响。
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Cross current international journal of medical and biosciences
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