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Tibiofibular intussusception complicating fracture fixation of distal third both bone leg fracture 胫腓骨肠套叠合并骨折内固定治疗小腿第三骨折
Pub Date : 2023-06-30 DOI: 10.31254/jmr.2023.9301
P. Velmurugan, RV Raghav, Mohan Kumar M
There is no concord about indications for Fibular osteosynthesis in the extra articular fracture of Distal Tibia. A case report demonstrates that the Fibular fracture fixation increases the rotational stability in patient with Distal Tibia Fracture with reduce risk of malunion.
关于胫骨远端关节外骨折的腓骨骨融合术的适应症尚无一致意见。一个病例报告表明,腓骨骨折固定增加了胫骨远端骨折患者的旋转稳定性,降低了畸形愈合的风险。
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引用次数: 0
Induction of Thyroid Hormones Disruption by Exposure of Dioxins and Phthalates: A Comprehensive Review 二恶英和邻苯二甲酸盐暴露诱导甲状腺激素破坏的综述
Pub Date : 2023-06-30 DOI: 10.31254/jmr.2023.9308
A. Qader, Z. Batool, H. Tariq
The main objective of this study is to elaborate the crucial effect of dioxins and phthalates on thyroid hormones such as tetraiodothyronine (T4) and tri-iodothyronine (T3) in body fluids. The literature evidences have been collected from Google Scholar, PubMed and Medline by using different key words. All literature evidences showed a drastic effect of dioxins and phthalates on the status of thyroid hormones. Hexachlorobenzene (HCB) is an environmental pollutant that increases activity of malic enzyme (ME) by increasing ME gene transcription. ME interact with aryl hydrocarbon receptors (AhR) and modulate the expression of genes with specific xenobiotic or DRE in their promoters that respond to dioxin. HCB increases activity of thyroid enzymes whose induction depends on thyroid hormone (TH) levels. Dioxin decreases T4 levels and increases TSH levels in neonatal plasma. Dioxin and HCB also causes various disorders in infants. Phthalates disrupt the thyroid hormones levels especially in pregnant women and infants through various mechanisms. Phthalates mainly decrease T4 levels and further studies are in process to describe exact mechanism.
本研究的主要目的是阐述二恶英和邻苯二甲酸盐对体液中甲状腺激素如四碘甲状腺原氨酸(T4)和三碘甲状腺原氨酸(T3)的重要影响。采用不同的关键词从谷歌Scholar、PubMed和Medline等网站收集文献证据。所有文献证据都表明二恶英和邻苯二甲酸酯对甲状腺激素的状态有显著影响。六氯苯(HCB)是一种通过增加苹果酸酶(ME)基因转录而提高其活性的环境污染物。ME与芳烃受体(AhR)相互作用,并调节对二恶英有反应的启动子中具有特定外源或DRE的基因的表达。HCB增加甲状腺酶的活性,其诱导取决于甲状腺激素(TH)水平。二恶英降低新生儿血浆中T4水平并增加TSH水平。二恶英和六氯环己烷还会导致婴儿出现各种疾病。邻苯二甲酸酯通过各种机制破坏甲状腺激素水平,尤其是孕妇和婴儿。邻苯二甲酸盐主要降低T4水平,其确切机制尚在进一步研究中。
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引用次数: 0
Sporobolomyces salmonicolor Infection in a Type 2 Diabetic Patient with a History of Rhino Orbital Mucormycosis and Stroke: A Rare Case Report from Maharashtra, India 印度马哈拉施特拉邦一例有鼻眼眶毛霉菌病和中风病史的2型糖尿病患者的沙门氏菌感染:罕见病例报告
Pub Date : 2023-06-30 DOI: 10.31254/jmr.2023.9302
Akash K. Dumbhare, Nirmal M. Channe, S. Gajbhiye, S. Zodpey
Fungal infections are a worrisome threat to public health. We report a rare case of a 75-year-old male patient presented to the Ear, Nose, and Throat (ENT) Outpatient Department (OPD) with chief complaints of pus discharge from the left nose. The patient was already diagnosed with rhino orbital mucormycosis in July 2021. The patient had a history of stroke 1 year ago and is a known case of diabetes mellitus type 2 and systemic hypertension and is on medications. This case is extremely rare in Indian healthcare settings and can have an extensive impact on multiple organs.
真菌感染对公众健康是一个令人担忧的威胁。我们报告了一例罕见的病例,一名75岁的男性患者出现在耳鼻咽喉(ENT)门诊部(OPD),主要主诉为左鼻流脓。该患者已于2021年7月被诊断为鼻眼眶毛霉菌病。该患者1年前有中风史,是已知的2型糖尿病和系统性高血压病例,目前正在接受药物治疗。这种病例在印度医疗机构极为罕见,可能对多个器官产生广泛影响。
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引用次数: 0
A prognostic and immune infiltration analysis of ZEB2 in pan-cancer ZEB2在泛癌组织中的预后及免疫浸润分析
Pub Date : 2023-06-30 DOI: 10.6913/mrhk.050202
Yihuang Zhan, Hui Ren, Chen Wang, Miao Yan, Zhiwei Yu, Mingzhe Li
[Objective] ZEB2 is known to be participated in several cancers, yet there is no comprehensive analysis about its function in pan-cancer. This study aimed to investigate the role ZEB2 plays in pan-cancer. [Methods] The data was downloaded from the University of California Santa Cruz (UCSC) Xena and the Cancer Genome Atlas (TCGA). The mRNA expression status of ZEB2 was studied in the TCGA_GTEx samples, TCGA samples and paired samples in TCGA, respectively, and protein expression status was obtained from the University of Alabama at Birmingham Cancer data analysis Portal (UALCAN). Kaplan-Meier analysis was applied to 33 kinds of tumors in TCGA, then among the cancers that ZEB2 can affect prognosis, clinical correlation analysis and univariate and multivariate Cox regression analysis were performed. Furthermore, to confirm the prognostic value of ZEB2 in cancers, nomogram models were constructed on lung adenocarcinoma (LUAD) and stomach adenocarcinoma (STAD). The relationship between ZEB2 mRNA expression and immune cell infiltrates was determined by tumor immune estimation resource (TIMER2.0). Protein-protein interaction (PPI) networks were constructed by the STRING. Functional enrichment analysis was also performed using the “ClusterProfiler” package. [Results] ZEB2 was expressed in most tumors, either upregulated or downregulated, and correlated with clinical characteristics in a part of tumors. The expression level of ZEB2 was also found to impact the prognosis of tumors. Additionally, ZEB2 expression was significantly related to immune cells infiltration level in tumor microenvironment. [Conclusion] we propose that ZEB2 has the potential to be a prognostic biomarker and a promising target for cancer immunotherapy.
【目的】已知ZEB2参与多种癌症,但其在泛癌症中的功能尚未得到全面分析。本研究旨在探讨ZEB2在泛癌中的作用。[方法]从加州大学圣克鲁斯分校(UCSC) Xena和癌症基因组图谱(TCGA)下载数据。分别在TCGA_GTEx样本、TCGA样本和TCGA配对样本中研究ZEB2的mRNA表达状态,并从阿拉巴马大学伯明翰分校癌症数据分析门户网站(UALCAN)获得蛋白表达状态。对33种TCGA肿瘤进行Kaplan-Meier分析,对ZEB2可影响预后的肿瘤进行临床相关性分析及单因素和多因素Cox回归分析。此外,为了证实ZEB2在癌症中的预后价值,我们建立了肺腺癌(LUAD)和胃腺癌(STAD)的nomogram模型。采用肿瘤免疫估计资源(TIMER2.0)检测ZEB2 mRNA表达与免疫细胞浸润的关系。利用STRING构建蛋白-蛋白相互作用(PPI)网络。还使用“ClusterProfiler”包执行功能富集分析。【结果】ZEB2在大部分肿瘤中均有表达,或上调或下调,且在部分肿瘤中与临床特征相关。ZEB2的表达水平也影响肿瘤的预后。此外,ZEB2的表达与肿瘤微环境中免疫细胞的浸润水平有显著相关性。[结论]我们认为ZEB2有潜力成为一种预后生物标志物和癌症免疫治疗的有希望的靶点。
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引用次数: 0
Epidemio-clinical profile of patients who underwent myomectomy in two first-level hospitals in the city of Douala, Cameroon 喀麦隆杜阿拉市两家一级医院子宫肌瘤切除术患者的流行病学-临床概况
Pub Date : 2023-06-30 DOI: 10.31254/jmr.2023.9303
Ekono Michel Roger Guy, NgahaYaneu Junie, Elong Adolphe Félix, AminatouYababba Moussa Gambo, T. Charlotte
Introduction: The aim of this study was to describe the epidemiological-clinical profile of patients who underwent myomectomy by laparotomy in two first-level hospitals in the city of Douala, Cameroon. Methods: This was a retrospective descriptive study including the records of patients who underwent myomectomy by laparotomy from January 1, 2012 to December 31, 2020 at the General Hospital and the Gyneco-Obstetrics and Pediatric Hospital of Douala. Epidemiological, clinical and paraclinical data were collected. The results were analyzed using SPSS version 25 and Microsoft Excel 2016 software. Results: A total of 204 patients were enrolled. The mean age was 37.02±4.9 years. The nulliparous and the infertile respectively represented 68.1 and 66.7% of the participants. Abnormal bleeding (68.2%) was the most common reason for consultation. Anemia affected 72.1% of patients. Overweight and obesity were found respectively in 34.8 and 31.9% of patients. More than 7 out of 10 patients had a uterus larger than 16 weeks of amenorrhea. 4.40 cm. Interstitial and submucosal myomas involved respectively 82 and 53% of patients. Endometrial polyps were associated in 28.6% of explored cases. Conclusion: Myomectomy is performed in relatively elderly patients, consulting for abnormal bleeding, and associating infertility, overweight, and anemia. They present a large uterus, comprising voluminous myomas, mainly interstitial, but also submucosal, which can coexist with polyps, hence the interest of hysterosonography.
引言:本研究的目的是描述在喀麦隆杜阿拉市的两家一级医院接受剖腹子宫肌瘤切除术的患者的流行病学临床特征。方法:这是一项回顾性描述性研究,包括2012年1月1日至2020年12月31日在杜阿拉综合医院和Gyneco妇产科和儿科医院接受剖腹子宫肌瘤切除术的患者的记录。收集流行病学、临床和副临床数据。使用SPSS 25版和Microsoft Excel 2016软件对结果进行分析。结果:共有204名患者入选。平均年龄37.02±4.9岁。未产妇和不孕者分别占参与者的68.1%和66.7%。异常出血(68.2%)是最常见的会诊原因。贫血影响了72.1%的患者。超重和肥胖分别占34.8%和31.9%。每10名患者中就有7名患者的闭经子宫大于16周。4.40cm。间质和粘膜下肌瘤分别占82%和53%。子宫内膜息肉在28.6%的探查病例中有关联。结论:对年龄相对较大的患者进行子宫切除术,咨询异常出血,并伴有不孕、超重和贫血。它们表现为大子宫,包括大量的肌瘤,主要是间质的,但也有粘膜下的,可以与息肉共存,因此子宫造影术很有兴趣。
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引用次数: 0
The analysis of pathological features of gastritis and Helicobacter pylori infection 胃炎与幽门螺杆菌感染的病理特点分析
Pub Date : 2023-06-30 DOI: 10.6913/mrhk.050201
Jianxian Huang, Chao‐Zhao Liang, Tianzhi Zhang
[Objective] To explore the correlation between helicobacter pylori infection and several pathological features of gastritis, and provide evidence for pathological features analysis and diagnosis in helicobacter pylori associated gastritis. [Methods] We collected 180 patients with gastritis admitted to the Seventh Affiliated Hospital of Sun Yat-sen University from 2021 to 2022, and make a retrospective analysis of their status of H. pylori with PCR technology. Then we further detected the resistant results of clarithromycin and fluoroquinolone in H. pylori positive group. Chi-Squared Test were used to analyzed the relationship between helicobacter pylori status and pathological features of gastritis. [Results] Erosion or ulcers in the H. pylori-positive group were significantly higher than those in the H. pylori-negative group (P<0.05). Meanwhile, H. pylori-positive group were tended to have more severe activity or inflammation in the biopsy specimen. However, there was no significant difference in resistance to clarithromycin or fluoroquinolone in H. pylori-positive group with erosion, ulcers, or active inflammation. [Conclusion] Helicobacter pylori infection is correlated with gastritis pathological features such as erosion, ulcers, inflammation or activity, but the pathological features of H. pylori-positive patients could not predict the antibiotic resistance. The experiment of screening drug resistance still has important clinical significance.
【目的】探讨幽门螺杆菌感染与胃炎若干病理特征的相关性,为幽门螺杆菌相关性胃炎的病理特征分析及诊断提供依据。【方法】收集中山大学附属第七医院2021 - 2022年收治的180例胃炎患者,采用PCR技术回顾性分析其幽门螺杆菌感染状况。然后进一步检测幽门螺旋杆菌阳性组克拉霉素和氟喹诺酮类药物的耐药结果。采用卡方检验分析幽门螺杆菌状态与胃炎病理特征的关系。[结果]幽门螺杆菌阳性组糜烂或溃疡发生率显著高于幽门螺杆菌阴性组(P<0.05)。同时,幽门螺杆菌阳性组在活检标本中往往有更严重的活动或炎症。然而,在糜烂、溃疡或活动性炎症的幽门螺杆菌阳性组中,对克拉霉素或氟喹诺酮类药物的耐药性无显著差异。【结论】幽门螺杆菌感染与胃炎的病理特征如糜烂、溃疡、炎症或活性相关,但幽门螺杆菌阳性患者的病理特征并不能预测其抗生素耐药性。筛选耐药实验仍具有重要的临床意义。
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引用次数: 0
Monleypox virus a rising concern in current age: A Mini Review on Epedmilogy, Clinical menifestations and Therapeutic interventions 猴痘病毒在当今时代日益受到关注:流行病学、临床表现和治疗干预措施综述
Pub Date : 2023-06-30 DOI: 10.31254/jmr.2023.9306
Irsa Shabbir, A. Qader, Z. Ahmad, H. Tariq, M. Davis, Sadia Rafique, Ali Zia
The aim of our study is to enhance the awareness about monkeypox virus among people so that its drastic effects can be overcome easily. An orthopox virus of the poxviridae family called the monkeypox virus (MPV) is currently causing worry on a global scale. It has two recognized viral clades and is indigenous to central and western Africa. The natural reservoirs are probably a variety of African rodents and primates. Direct contact with diseased animals, such as bites, scratches, and butchering, results in zoonotic transmission. Human to human transmission happens when two people come into close touch (for example, through skin-to-skin contact, sexual contact, or respiratory droplets). Human MPV illness often starts with a fever prodrome and lymphadenopathy,and then progresses to a diffuse maculopapular to vesiculopustular skin/mucosal lesion eruption. The febrile prodrome may be lacking in the current 2022 outbreak, which is mostly affecting males who have sex with men (MSM), and skin/mucosal lesions. The data in this study was collected from different data basis like google scholar, pubmed and medline etc by using various key words. However, the existing data is clearly indicating the drastic impact of MPV on human health and necessay steps must be taken to overcome it.
本研究的目的是提高人们对猴痘病毒的认识,以便容易地克服猴痘病毒的严重影响。猴痘病毒(MPV)是痘病毒科的一种正痘病毒,目前正在全球范围内引起担忧。它有两个公认的病毒分支,原产于中非和西非。自然宿主可能是各种非洲啮齿动物和灵长类动物。与患病动物的直接接触,如咬伤、抓伤和屠宰,可导致人畜共患疾病传播。人与人之间的传播发生在两个人密切接触时(例如,通过皮肤接触、性接触或呼吸道飞沫)。人类MPV疾病通常以发热前驱症状和淋巴结病变开始,然后发展为弥漫性丘疹或水泡样皮肤/粘膜病变。目前的2022年暴发可能缺乏发热前驱症状,这主要影响男男性行为者(MSM)和皮肤/粘膜病变。本研究的数据来源于谷歌scholar、pubmed、medline等不同的数据库,使用不同的关键词。然而,现有数据清楚地表明MPV对人类健康的严重影响,必须采取必要的步骤来克服它。
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引用次数: 0
Sonographic assessment of Prostate and Post void Residual Urine Volumes in patients with benign prostatic hypertrophy in Makurdi, North-central Nigeria 尼日利亚中北部马库尔迪良性前列腺肥大患者前列腺和排尿后残余尿量的超声评估
Pub Date : 2023-06-30 DOI: 10.31254/jmr.2023.9305
D. M. Chia, Mohammad Hameed, A. A. Ugande, I. Obekpa
Background: Benign prostatic hypertrophy (BPH) is a major global public health problem and the most common benign prostatic disease in elderly men. Although rarely life-threatening, the increased morbidity significantly lowers men's quality of life, necessitating significant financial commitment to their annual health budgetary expenditure. We aim at determining the sonographic volumes of the prostate and post void residual urine in adult Nigerian men with BPH in Makurdi and to document any relevant relationship between the two values. Materials and methods: This was a 10-month prospective cross-sectional study conducted from June 2021 to April 2022. Transabdominal ultrasound (TAUS) was used to measure the prostate and post-void residual urine volumes of 78 men aged 40years and older, with normal levels of prostatic-specific antigen (PSA), who were referred to the ultrasound unit of radiology department of Benue State University Teaching Hospital (BSUTH), Makurdi. Collected data were analyzed using SPSS and Microsoft excel with P<0.05. Results: Postvoid residual urine volume (PVR) was observed to increase alongside the prostate volume (PV) from the 5th to the 6th decade of life; however, PVR began fluctuating from the 7th to the 8th decade, even though PV continued to increase steadily to its peak value at the 70-79 years of age, or the 8th decade. Overall, the mean prostate and post void residual urine volumes were 64.07±37.00ml and 76.44±110.34ml, respectively. A statistically significant (P=0.017) relationship existed between age and prostate volume but not between PV and PVR (P=0.128), where there was instead a weak, positive correlation. Although the bladder wall thickness (BWT) was greater than 5mm in more than half of the respondents 43(55.10%), there was no statistically significant (P=0.130) relationship between age and BWT. Conclusion: We established 64.07±37.00ml and 76.44±110.34ml respectively, as the overall mean sonographic volumes of the prostate and post void residual urine in adult Nigerian men with BPH in Makurdi. Despite the weak correlation between the two volumes, they can be used as a baseline for monitoring the progression of prostatic hyperplasia, bladder outlet obstruction and deciding on the best treatment option.
背景:良性前列腺增生(BPH)是全球主要的公共卫生问题,也是老年男性最常见的良性前列腺疾病。尽管很少危及生命,但发病率的增加大大降低了男性的生活质量,因此需要对其年度卫生预算支出做出重大财政承诺。我们的目的是确定Makurdi患有BPH的尼日利亚成年男性前列腺和排尿后残余尿液的超声体积,并记录这两个值之间的任何相关关系。材料和方法:这是一项为期10个月的前瞻性横断面研究,从2021年6月至2022年4月进行。使用经腹部超声(TAUS)测量了78名40岁及以上前列腺特异性抗原(PSA)水平正常的男性的前列腺和排尿后残余尿量,这些男性被转诊到位于马库尔迪的贝努埃州立大学教学医院(BSUTH)放射科超声室。收集的数据用SPSS和Microsoft excel进行分析,差异有统计学意义(P<0.05)。结果:从生命的第5个十年到第6个十年,观察到排尿后残余尿量(PVR)随着前列腺体积(PV)的增加而增加;然而,PVR从第7个十年到第8个十年开始波动,尽管PV继续稳步增加,在70-79岁或第8个10年达到峰值。总的来说,前列腺和排尿后的平均残余尿量分别为64.07±37.00ml和76.44±110.34ml。年龄和前列腺体积之间存在统计学上显著的关系(P=0.017),但PV和PVR之间没有关系(P=0.028),相反,存在微弱的正相关性。尽管超过一半的受访者43(55.10%)的膀胱壁厚度(BWT)大于5mm,但年龄和BWT之间没有统计学意义(P=0.130)的关系。结论:我们分别确定了64.07±37.00ml和76.44±110.34ml作为Makurdi成年尼日利亚男性前列腺增生症患者前列腺和排尿后残余尿液的总体平均超声体积。尽管这两个体积之间的相关性很弱,但它们可以作为监测前列腺增生、膀胱出口梗阻进展和决定最佳治疗方案的基线。
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引用次数: 0
Dengue and Malaria Coinfection in An Overweight Child 超重儿童的登革热和疟疾合并感染
Pub Date : 2023-04-30 DOI: 10.31254/jmr.2023.9204
Ninny Meutia Pelupessy, Lory Iswanto Latief, Ratna Dewi Artati, Destya Maulani
Background: Dengue and malaria are infectious diseases transmitted by mosquitos mainly in tropical countries, including Indonesia, but there are only a few cases where both diseases are endemic in the same region. Malaria is difficult to diagnose in a dengue-endemic area due to the similar clinical symptoms. As a result, it can be misdiagnosed and affect treatment, resulting in a negative outcome. Case Presentation: This study presented a case of dengue and malaria coinfection in a 14-year-old overweight boy who was admitted to the hospital with fever, shivers, and a severe headache. Microscopic examination showed several form of Plasmodium falciparum’s trophozoite ring (Fig 1). Laboratories test showed a low thrombocyte level, 79.000/µL, hematocrit of 43.8%, serologic anti-dengue IgM was negative, and anti-dengue IgG was positive. Dengue therapy was administered in accordance with the World Health Organization's Dengue Diagnosis Guidelines, as well as the antimalarial drugs dihydroartemisinin-piperaquine and primaquine. There was no bleeding or shock during the five days of treatment, and no severe malaria complications were discovered. The patient was discharged with an improved general condition and normal hematological results. Conclusion: This paper aimed to emphasize the significance of early detection and appropriate management of dengue and malaria co-infection in dengue endemic areas in order to achieve a positive outcome and prevent complications.
背景:登革热和疟疾是主要在包括印度尼西亚在内的热带国家由蚊子传播的传染病,但只有少数两种疾病在同一地区流行。在登革热流行地区,由于类似的临床症状,疟疾很难诊断。因此,它可能被误诊并影响治疗,从而导致负面结果。病例介绍:本研究报告了一例登革热和疟疾合并感染的病例,该病例发生在一名14岁超重男孩身上,他因发烧、颤抖和严重头痛入院。显微镜检查显示恶性疟原虫的滋养细胞环有几种形式(图1)。实验室检测显示血小板水平较低,为79.000/µL,红细胞比容为43.8%,血清学抗登革热IgM为阴性,抗登革热IgG为阳性。登革热治疗是根据世界卫生组织的登革热诊断指南以及抗疟药物双氢青蒿素哌喹和伯氨喹进行的。在五天的治疗中没有出血或休克,也没有发现严重的疟疾并发症。患者出院后,总体情况有所改善,血液学检查结果正常。结论:本文旨在强调在登革热流行区早期发现和适当管理登革热和疟疾合并感染的重要性,以获得积极的结果并预防并发症。
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引用次数: 0
The level of awareness of medical students of the internship course of Shahid Sadoughi Hospital of Yazd about AIDS 亚兹德Shahid Sadoughi医院实习课程医学生对艾滋病的认知水平
Pub Date : 2023-04-30 DOI: 10.31254/jmr.2023.9206
S. Mousavi, Faezeh Heidari, Shahin Eghbali, Tahereh Fallah, Mahdie Hamidfar, S. Shahcheraghi
AIDS is an immune system deficiency disease. Still, the best way to control AIDS is prevention and awareness about this disease. The aim of the present study was to measure the level of knowledge of medical interns about AIDS. The present study was a cross-sectional study. A questionnaire was used in this research. The studied community included medical interns in 2019 and 2020. Finally, SPSS was used for analyzing. This study was conducted on 211 medical students. There was no significant difference in the knowledge level of the interns in terms of gender. The score of the questionnaire of the students who passed the infectious part was higher. In the current study was proved that the sex and marriage of the students was not effective on the awareness about AIDS.
艾滋病是一种免疫系统缺乏症。尽管如此,控制艾滋病的最好方法是预防和提高对这种疾病的认识。本研究的目的是测量医学实习生对艾滋病的知识水平。本研究为横断面研究。本研究采用问卷调查法。研究对象包括2019年和2020年的医学实习生。最后用SPSS软件进行分析。这项研究是对211名医科学生进行的。实习生的知识水平在性别方面没有显著差异。通过感染部分的学生的问卷得分较高。在目前的研究中证明,学生的性别和婚姻对艾滋病的认识是无效的。
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引用次数: 0
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Journal of Medical Research
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