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Post-Traumatic Stress Disorder In Children And Non-Pharmacological Therapies Strategies In Iran: A Review Study 伊朗儿童创伤后应激障碍与非药物疗法策略:回顾研究
Pub Date : 2024-03-16 DOI: 10.58806/ijhmr.2024.v3i3n06
Mohammadreza Khodabakhsh, Mahboobeh Afshar
Purpose and Background: Post-traumatic stress disorder (PTSD) is a set of symptoms that appear after a severe traumatic stress. Children and adolescents experience an increase in potentially traumatic experiences. Many children subsequently develop mental health problems. Method: A broad search was conducted in scientific databases and search engines such as Science Direct, PubMed, Cochrane, Medline, SID, Scopus, CINAHL, OVID, Iran Doc, and Magiran with Using the keywords “post-traumatic stress disorder”, “non-pharmacological coping strategies”, “children” alone or in combination with each other and their English equivalent was done. Articles that were published between 2000 and 2023 and were more related to the main focus of the research topic were selected.After a comprehensive review, nine studies that met the purpose of this study were selected. Findings: The most important non-pharmacological treatment strategies in children included relaxation and hypnosis, acupuncture, neurofeedback, saikokeishikankyoto (a herbal preparation) and exercise (yoga). Conclusion: Therefore, the use of non-pharmacological methods as one of the effective methods in the treatment of these children’s disorders can improve the quality of life of the family of these patients and the patient himself, as a result, administrators should encourage the patients’ families by using non-pharmacological methods.
目的和背景:创伤后应激障碍(PTSD)是严重创伤应激后出现的一系列症状。儿童和青少年经历的潜在创伤经历越来越多。许多儿童随后会出现心理健康问题。研究方法在科学数据库和搜索引擎(如 Science Direct、PubMed、Cochrane、Medline、SID、Scopus、CINAHL、OVID、Iran Doc 和 Magiran)中进行了广泛的搜索。经过全面审查,选出了符合本研究目的的九项研究。研究结果在儿童中最重要的非药物治疗策略包括放松和催眠、针灸、神经反馈、saikokeishikankyoto(一种草药制剂)和运动(瑜伽)。结论因此,使用非药物方法作为治疗这些儿童疾病的有效方法之一,可以改善这些患者的家庭和患者本人的生活质量,因此,管理者应鼓励患者家庭使用非药物方法。
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引用次数: 0
Use Of Laser Phototherapy In The Treatment Of Trigeminal Neuralgia 使用激光光疗治疗三叉神经痛
Pub Date : 2024-03-15 DOI: 10.58806/ijhmr.2024.v3i3n05
Guilherme Alves Aguiar, A. L. Barbosa Pinheiro, Maira Cristina Teixeira Cangussu
Responsible for the sensory stimuli of the viscerocranium, the 5th pair of cranial nerves, called the trigeminal nerve due to its 3 branches, is a mixed-function nerve. The diagnosis of Trigeminal Neuralgia is directly related to the symptoms reported by the patient during the anamnesis. The right treatment depends on the correct diagnosis. The exact etiology of TN is still unknown. It affects around 4 to 13 individuals per 100,000 and although it seems to be a neuropathy with a low incidence, it is the most common among facial pain syndromes. A retrospective cross-sectional observational study was carried out. We used data on laser therapy treatment for Trigeminal Neuralgia, received and treated at the Laser Clinic of the Faculty of Dentistry of the Federal University of Bahia, from 2003 to 2022. A total of 119 patients with a diagnosis of Trigeminal Neuralgia were treated, most of them with unilateral pain (89%). After diagnosis, the initial irradiation protocol was determined individually. The laser frequency applied was 808 nm (infrared) due to its greater ability to penetrate and activate chromophores in nerve and bone structures. The amount of energy applied varies from case to case, usually starting with 2 or 3 J per point, which is indicated for cases of regeneration and analgesia. The final status of the treatment is based on the patient’s score according to the visual analog scale, where 10 is the highest pain threshold and 0 is no pain. 65% of the patients related no pain or ate at least under 3 grades before the first degree Laser phototherapy is an effective means of recovery, reducing pain symptoms and improving the quality of life of patients with Trigeminal Neuralgia, and the infrared wave spectrum is the most suitable for this treatment.
负责视觉刺激的第 5 对颅神经因其 3 条分支而被称为三叉神经,是一种混合功能神经。三叉神经痛的诊断与患者在病史中报告的症状直接相关。正确的治疗取决于正确的诊断。三叉神经痛的确切病因尚不清楚。每十万人中约有 4 至 13 人患有此病,虽然它似乎是一种发病率较低的神经病,但却是面部疼痛综合征中最常见的一种。我们开展了一项回顾性横断面观察研究。我们使用了巴伊亚联邦大学牙科学院激光诊所从 2003 年至 2022 年接受和治疗三叉神经痛的激光疗法数据。共有 119 名确诊为三叉神经痛的患者接受了治疗,其中大部分患者(89%)为单侧疼痛。确诊后,最初的照射方案由个人决定。使用的激光频率为 808 nm(红外线),因为它更能穿透并激活神经和骨骼结构中的发色团。应用的能量因病例而异,通常从每个点 2 或 3 J 开始,适用于再生和镇痛病例。治疗的最终效果取决于患者根据视觉模拟量表进行的评分,其中 10 为最高疼痛阈值,0 为无痛。65% 的患者在第一级之前没有疼痛或至少吃了 3 级以下的食物 激光光疗是三叉神经痛患者康复、减轻疼痛症状和提高生活质量的有效手段,而红外波谱最适合这种治疗。
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引用次数: 0
The Role Of Interleukin-17 In The Development And Severity Of Psoriasis 白细胞介素-17 在银屑病的发展和严重程度中的作用
Pub Date : 2024-03-11 DOI: 10.58806/ijhmr.2024.v3i3n03
Noor Kadhim Abed, Baida Rihan Ali, Maha Chasib Munshid, Ali Al-Fahham
IL-17 is a member of the innate immune system, it is preferentially expressed by Th2 cells, and is highly recognized in psoriasis skin lesions. The current study aims investigate the role of Interleukin-17 (IL-17) in development and severity of psoriasis (PsO). Eighty persons from both genders are included in the study, 40 of them were patients and the same number were as control. Blood samples were taken from both groups and ELISA ready kit was used to estimate the sera levels of IL-17. The current findings pointed to a significant increase (p<0.05) in the of serum IL-17 in the patients’ group in comparison with the control group (20.97 ± 12.93 vs 20.97 ± 12.93 respectively). The results also showed that there is a highly significant increase in mean levels of IL-17 (20.3 pg/ml) in patients with moderate PsO and (20.8 pg/ml) for patients with severe PsO, compared to those with mild PSO. Conclusion: It was concluded that the high levels of IL-17 in psoriasis, and it seem that this interleukin may contribute to the severity of the disease. No gender differences were seen regarding the level of IL-17.
IL-17 是先天性免疫系统的成员之一,Th2 细胞优先表达,在银屑病皮损中被高度识别。本研究旨在探讨白细胞介素-17(IL-17)在银屑病(PsO)的发病和严重程度中的作用。研究对象包括 80 名男女,其中 40 人为患者,相同数量的人为对照组。研究人员从这两组人中抽取了血液样本,并使用 ELISA 检测试剂盒估算了血清中 IL-17 的水平。目前的研究结果表明,与对照组相比,患者组的血清 IL-17 含量明显增加(P<0.05)(分别为 20.97 ± 12.93 vs 20.97 ± 12.93)。结果还显示,与轻度 PSO 患者相比,中度 PsO 患者的 IL-17 平均水平(20.3 pg/ml)和重度 PsO 患者的 IL-17 平均水平(20.8 pg/ml)均有非常显著的增加。结论结论是银屑病患者体内的 IL-17 含量较高,而且这种白细胞介素似乎可能导致银屑病的严重程度。IL-17水平没有性别差异。
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引用次数: 0
Evaluation Of Primary Stability In Mono- And Bicortical Anchored Implants. A Finite Element Analysis 评估单皮质和双皮质锚定植入体的初级稳定性。有限元分析
Pub Date : 2024-03-11 DOI: 10.58806/ijhmr.2024.v3i3n04
Matías Guelfi, David Fuks, María Constanza Ibáñez, Juan Carlos Ibáñez
Objective: To analyze by means of a 3D finite element model the effect of anchoring dental implants in one or two cortical. Materials and Methods: An in vitro experimental investigation was performed using Finite Elements Analysis. Six conical implants of three different designs and different lengths were designed and placed in a 3D model of the anterior maxilla with type III bone, anchoring a first group of implants only in the occlusal cortical of the bone, while in a second group the apex of the implants was anchored in the cortex of the nasal passages too, so they become monocortical or bicortical anchored. Micromovements of the implants in the bone were generated by simulating a 60-degree inclined force applied at the abutment level with 170 Ncm and 700 Ncm. Amount of micromovements were measured. Results: Micromovements obtained when the implants were monocortical anchorage and subjected to forces of 170 Ncm, were similar for all the implants (average 27.4um). Whereas with forces of 700 Ncm, the micro-movements increased in all cases. (average 113.49 µm.) Micromovements decreased in all implants when bicortical anchorage was used, both when applying 170Ncm forces (average 8.58 µm) or applying 700Ncm forces (average 34.71µm). In relation to length, short implants showed less micromotion. Conclusion: According to the results obtained, bicortical anchoring reduces the micromotion of conical implants especially when they are subjected to parafunctional forces and in implants of greater length, ensuring levels of micromotion more compatible with osseointegration, at least in a three-dimensional simulation through FEA.
目的通过三维有限元模型分析将种植体固定在一个或两个皮质中的效果。材料和方法:使用有限元分析进行体外实验研究。第一组种植体仅锚定在咬合面的骨皮质中,而第二组种植体的顶点也锚定在鼻腔的皮质中,因此它们成为单皮质或双皮质锚定。通过模拟在基台水平施加 170 牛顿/厘米和 700 牛顿/厘米的 60 度倾斜力,使种植体在骨中产生微动。测量微动量。结果:当种植体为单冠锚定并承受 170 牛顿厘米的力时,所有种植体的微动量相似(平均 27.4 微米)。而在承受 700 牛顿/厘米的力时,所有情况下的微动都有所增加。(平均 113.49 微米)。当使用双皮质锚固时,所有种植体的微动都会减少,无论是施加 170 牛顿/厘米的力时(平均 8.58 微米)还是施加 700 牛顿/厘米的力时(平均 34.71 微米)。就长度而言,短种植体的微动较小。结论根据所获得的结果,双皮质锚定可以减少锥形种植体的微动,尤其是在承受副功能力和种植体长度较大的情况下,至少在通过有限元分析进行的三维模拟中,双皮质锚定可以确保微动水平更符合骨结合的要求。
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引用次数: 0
Correlation Of Placental Changes With Fetal And Maternal Outcome In Mothers With Hypertensive Disorders Of Pregnancy 妊娠期高血压疾病母亲的胎盘变化与胎儿和母体结局的相关性
Pub Date : 2024-03-07 DOI: 10.58806/ijhmr.2024.v3i3n02
Shilpa Vijayakumar, Simmi Salim
Hypertension represents one of the most prevalent complications encountered during pregnancy, significantly contributing to both maternal and perinatal morbidity and mortality. The placenta, acting as a crucial feto-maternal organ, plays a pivotal role in sustaining pregnancy and fostering the healthy development of the fetus. Notably, the weight of the placenta holds functional importance, as it correlates with the villous surface area and fetal metabolism. Motivated by this context, the present study endeavors to examine the morphological and histological alterations in the placenta associated with hypertensive disorders of pregnancy and to assess their correlation with maternal and fetal outcomes. Methods: A prospective investigation encompassing 120 cases was conducted, comprising 60 normotensive mothers (Group A) and 60 mothers with hypertensive disorders of pregnancy (Group B). Placental specimens obtained from these participants were subjected to morphological and histological analyses, with subsequent correlation with maternal and fetal outcomes. Results: Our findings revealed a notable reduction in placental weight and dimensions within Group B compared to Group A. Histopathological examination unveiled a significant increase in the incidence of syncytial knots, fibrinoid necrosis, hyalinization, and calcification in placentas from the hypertensive group, directly correlating with neonatal complications. Furthermore, the mean neonatal birth weight was significantly higher in Group A compared to Group B. Conclusion: Hypertensive disorders of pregnancy exert a substantial impact on placental morphology, leading to diminished weight and dimensions, indicative of placental insufficiency attributable to compromised utero-placental blood flow. These alterations ultimately influence neonatal weight and overall neonatal outcomes. Our study underscores the presence of distinct morphological changes in the placenta that detrimentally affect fetal growth.
高血压是妊娠期最常见的并发症之一,是导致孕产妇和围产期发病率和死亡率的重要原因。胎盘是胎儿和母体的重要器官,在维持妊娠和促进胎儿健康发育方面起着关键作用。值得注意的是,胎盘的重量与绒毛表面积和胎儿的新陈代谢有关,因此具有重要的功能意义。在此背景下,本研究试图探讨与妊娠高血压疾病相关的胎盘形态学和组织学改变,并评估其与母体和胎儿结局的相关性。研究方法这项前瞻性研究涵盖 120 个病例,其中包括 60 名血压正常的母亲(A 组)和 60 名患有妊娠高血压疾病的母亲(B 组)。对这些参与者的胎盘标本进行了形态学和组织学分析,并将其与母体和胎儿的结局进行了关联分析。结果组织病理学检查显示,高血压组胎盘的合胞结、纤维素性坏死、透明化和钙化的发生率显著增加,这与新生儿并发症直接相关。此外,A 组新生儿的平均出生体重明显高于 B 组:妊娠期高血压疾病对胎盘形态有很大影响,导致胎盘重量和尺寸减小,这表明胎盘功能不全可归因于子宫-胎盘血流受损。这些改变最终会影响新生儿的体重和新生儿的整体预后。我们的研究强调,胎盘存在明显的形态学变化,会对胎儿的生长产生不利影响。
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引用次数: 0
The Treatment Of Miller’s Class I Gingival Recession Implementing The Modified Coronally Advanced Tunnel Technique (MCAT) And Acellular Dermal Matrix (ADM) 采用改良冠状先进隧道技术(MCAT)和细胞真皮基质(ADM)治疗米勒 I 类牙龈退缩
Pub Date : 2024-03-06 DOI: 10.58806/ijhmr.2024.v3i3n01
Michelle Suhartono, C. Prahasanti, Novia Wiyono
Background: Gingival recession can lead to root hypersensitivity, root caries, and impaired aesthetic concerns. Modified coronally advanced tunnel (MCAT) technique, which possesses various benefits that can be used to support the success in the treatment of gingival recession. Acellular dermal matrix (ADM) is used in the procedure, frequently documented indicating encouraging results in the treatment of gingival recession. The following case report is to indicate an evaluation on the treatment utilizing MCAT with ADM. Case presentation: A male of 27 year-old arrived with main complaints of aesthetic concerns and dental hypersensitivity on the upper right teeth posterior caused by Miller’s class I gingival recession. The aforementioned technique is chosen in treatment considering the rate of success to treat the defects as the impact of gingival recession. Case management: The MCAT with ADM commenced with the fabrication of composite stops at the contact points. Later local anaesthesia (lidocaine HCl 2% with epinephrine 1:100,000) was given. Intrasulcular incision was then made and the mucoperiosteal flap was raised with tunneling knives. The tunnel was then extended over the mucogingival junction. ADM was pulled into the tunnel by means of mattress sutures. Finally the tunnel was positioned coronally to the CEJ by means of suspended sutures placed around the contact points. Conclusion: The use of MCAT technique with ADM (Mucoderm) is able to show satisfying outcome with the improvement of root coverage in the case of Miller’s class I gingival recession.
背景:牙龈退缩可导致牙根过敏、牙根龋和美观受损。改良冠状前进隧道(MCAT)技术具有多种优点,可用于成功治疗牙龈退缩。手术中使用的细胞外基质(ADM)在治疗牙龈退缩方面取得了令人鼓舞的效果。下面的病例报告将对使用 MCAT 和 ADM 进行治疗的效果进行评估。病例介绍:患者是一名 27 岁的男性,主诉是因米勒 I 级牙龈退缩导致的右上牙后牙美观问题和牙齿过敏。考虑到治疗牙龈退缩造成的缺损的成功率,我们选择了上述技术进行治疗。病例管理:使用 ADM 的 MCAT 首先要在接触点制作复合材料止挡。然后进行局部麻醉(盐酸利多卡因 2%,肾上腺素 1:100,000)。然后,做了一个眼内切口,用隧道刀将粘骨膜瓣掀起。然后将隧道延伸至粘龈交界处。通过褥式缝合将 ADM 拉入隧道。最后,通过在接触点周围进行悬吊缝合,将隧道定位在 CEJ 的冠状面上。结论在米勒Ⅰ度牙龈退缩的病例中,使用 MCAT 技术和 ADM(Mucoderm)可以改善牙根覆盖,效果令人满意。
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引用次数: 0
Improving The Quality Of Baby Sleep By Giving Massage To Babies 通过按摩提高宝宝睡眠质量
Pub Date : 2024-02-29 DOI: 10.58806/ijhmr.2024.v3i2n06
Ria angelina Marbun, F. Firdawati, Lidya Natalia
Background: The need for sleep is important for every individual. However, infants who experience sleep disturbances result in decreased sleep quality and affect their growth and development. One that can improve the quality of infant sleep by giving non-pharmacological therapy is baby massage. This study aims to analyze the effect of baby massage on infant sleep quality in Gandasari Village Area, Katapang District, Bandung Regency. Methods: This type of research is a pre experimental design using a one group pretest-posttest design approach. The sample of this study amounted to 30 infants who were taken by the total sampling method. This research instrument used standar procedure operational and questionnaire and paired sample T test statistical test. Results: The results showed that more than half of the respondents (63.3%) had poor sleep quality before baby massage, and more than half of the respondents (56.6%) had adequate sleep quality after baby massage. The paired sample T test statistical test shows that the significant value of p value = 0.000 < α (0.05), so Ha is accepted where there is an effect of baby massage on infant sleep quality in Gandasari Village Area, Katapang District. Conclusion: There is a significant influence between giving baby massage on infant sleep quality with p-value 0.000 < 0.05.
背景介绍睡眠需求对每个人都很重要。然而,婴儿睡眠障碍会导致睡眠质量下降,影响其生长发育。婴儿按摩是一种可以通过非药物疗法改善婴儿睡眠质量的方法。本研究旨在分析婴儿按摩对万隆县加达邦区甘达萨里村地区婴儿睡眠质量的影响。研究方法本研究采用实验前设计,使用一组前测-后测设计方法。本研究采用总体抽样法,抽取了 30 名婴儿作为样本。研究工具采用了标准的操作程序和调查问卷,并进行了配对样本 T 检验统计测试。结果显示结果显示,半数以上(63.3%)的受访者在婴儿按摩前的睡眠质量较差,半数以上(56.6%)的受访者在婴儿按摩后的睡眠质量较好。配对样本 T 检验的统计检验结果表明,P 值 = 0.000 < α (0.05)具有显著性,因此接受 Ha,即婴儿按摩对加达邦区甘达萨里村地区的婴儿睡眠质量有影响。结论婴儿按摩对婴儿睡眠质量有明显影响,P 值为 0.000 < 0.05。
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引用次数: 0
Conservative And Surgical Treatment Of Lumbar Disc Herniation 腰椎间盘突出症的保守治疗和手术治疗
Pub Date : 2024-02-28 DOI: 10.58806/ijhmr.2024.v3i2n05
Guilherme I. Santos, Thalita P. M. Alineri, Délio T. M. Malaquias, J. Paschoal, sabeli G. Oliveira, Brenda M. M.R. Oliveira, E. F. Prezotto, Isadora O. Soler, Bruna D. Araujo, Caroline P. Golin, Maria Gabriela S Guzzi, Igor F. Forechi, Guilherme G. Martins, Ana Clara F. Parreira, Samantha R.G. Sanches, Adriana F. Viana Delgado, Diego P. Mariz, Karina F. Dias, A. A. Faria, Júlio E. Calheiros, Talita R. Q. Lopes, Elysa F. Camargo, Cristiana N. O. Beloto, Maria Clara G. Costa, Ana Clara P. R De Souza, Leonardo Da Silva, Giovana R. Victorello, Isabela F.Krebs, Hiromi M. K. Fujishima, Thiago G. Trigueiro, Hamilton R. M. De O. Carriço, Ana Carolina R. Do Vale, Raquel S. R. Borges, Camila C. Lopes, Thiago A. R. Bezerra, Leonardo Mendes Faria
Introduction: A herniated disc occurs when the disc that acts as a cushion between the vertebrae of the spine shifts and presses on nearby nerves. The L4-L5 region refers to the lumbar vertebrae located in the lower back. A herniated disc in this region can cause pain, tingling, muscle weakness and even the inability to perform daily tasks. Evidence comparing the effectiveness of surgical and conservative treatment for symptomatic lumbar disc herniation is controversial. Objectives: The aim of this study is to discuss, through a literature review, the pros and cons of conservative and surgical treatment for herniated discs, as well as their risks and benefits according to current medical advances. Results and Discussion: Compared to conservative therapy, surgical treatment provided faster relief of low back pain symptoms in patients with lumbar disc herniation, but showed no benefits over conservative treatment in medium and long-term follow-up. Final considerations: Surgical treatment may therefore be attractive for patients with debilitating pain symptoms who are looking for rapid relief or who have not achieved satisfactory improvement with conservative treatment.
导言:椎间盘突出症是指在脊椎骨之间起缓冲作用的椎间盘发生移位并压迫到附近的神经。L4-L5 区域指的是位于下背部的腰椎。该区域的椎间盘突出会导致疼痛、刺痛、肌肉无力,甚至无法完成日常工作。对于有症状的腰椎间盘突出症,手术治疗和保守治疗的效果比较尚存在争议。研究目的本研究的目的是通过文献综述,讨论腰椎间盘突出症保守治疗和手术治疗的利弊,以及根据当前医学发展的风险和益处。结果与讨论:与保守治疗相比,手术治疗能更快地缓解腰椎间盘突出症患者的腰痛症状,但在中长期随访中,手术治疗并没有显示出比保守治疗更好的效果。最后的考虑因素:因此,手术治疗可能对那些希望快速缓解疼痛症状或保守治疗效果不理想的衰弱性疼痛患者有吸引力。
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引用次数: 0
Zoonotic Spillover: Global Diversity Of Mammals And Distribution Of Hantaviral Strains In Synathropic Animals And The Perspective For Public Health 人畜共患病的蔓延:全球哺乳动物的多样性和汉坦病毒株在同类动物中的分布以及公共卫生的前景
Pub Date : 2024-02-23 DOI: 10.58806/ijhmr.2024.v3i2n04
D. P. Leite Júnior, Elaine Cristina De Oliveira, Klaucia Rodrigues Vasconcelos, Cláudia Pedroso De Oliveira Nazário, Viviane Karolina Vivi Oliveira, Bianca Ayne Terrabuio, Andrezza Gabriela Araújo De Arruda, Margareth Léa Da Silva Maia, C. C. de Paula
Introduction: Viral hemorrhagic fevers (VHF) refer to a group of diseases caused by different viral families. Rodents represent 42% of the world’s mammalian biodiversity and are reservoir hosts for a wide range of disease agents. Hantaviruses are harbored in numerous mammalian reservoirs, including rodents. To prevent and mitigate possible outbreaks of zoonotic diseases, it is necessary to know the geographic distribution, intra-specific relationships, diversity and identity of the incriminated species. Objectives: To describe the ecology, epidemiology, epizootiology and natural history of hemorrhagic infections caused by hantavirus serotypes and their respective reservoirs. Methodology: Bibliographical consultations and online articles were carried out in the databases relating the highlighted subjects. Results: Rodents from the subfamilies Murinae, Arvicolinae, Neotominae and Sigmodontinae are the main reservoirs of hantavirus disease. Orthohantaviruses are the most studied group, highlighting the Hantaan, Seoul, Puumala and Dobrava serotypes. Rodents of the genus Oligoryzomys, include several species and have parasite-host relationships reported for the genus Hantavirus. Other species of mammals, such as bats, squirrels and opossums, have already been described as possible reservoirs. Conclusion: Hantavirus infections occur as a result of close interactions between humans and animals. One Health approaches highlight concerns through interdisciplinary collaboration and development of public health interventions when animals become vectors of infections, with the aim of achieving global results by recognizing the interconnection between wildlife, humans and the environment.
导言病毒性出血热(VHF)是指由不同病毒科引起的一组疾病。啮齿动物占全球哺乳动物生物多样性的 42%,是多种疾病病原体的宿主。包括啮齿动物在内的许多哺乳动物体内都寄生着汉坦病毒。为了预防和减轻可能爆发的人畜共患病,有必要了解犯罪物种的地理分布、种内关系、多样性和身份。目标:描述汉坦病毒血清型引起的出血性感染的生态学、流行病学、动物流行病学和自然史及其各自的贮藏库。研究方法:在与重点主题相关的数据库中查阅文献和在线文章。结果:啮齿动物亚科(Murinae、Arvicolinae、Neotominae和Sigmodontinae)中的啮齿动物是汉坦病毒疾病的主要宿主。研究最多的是正汉坦病毒,主要有汉坦病毒、首尔病毒、普马拉病毒和多布拉瓦病毒血清型。啮齿类动物中的 Oligoryzomys 属包括多个物种,据报道它们与汉坦病毒属存在寄生-宿主关系。其他哺乳动物物种,如蝙蝠、松鼠和负鼠,已被描述为可能的病毒库。结论汉坦病毒感染是人类与动物密切接触的结果。当动物成为传染媒介时,"同一健康 "方法通过跨学科合作和制定公共卫生干预措施来强调关注,目的是通过认识到野生动物、人类和环境之间的相互联系来取得全球性成果。
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引用次数: 0
Detection Of Hotspots Of Tuberculosis Cases In Vietnam 越南结核病病例热点地区的检测
Pub Date : 2024-01-29 DOI: 10.58806/ijhmr.2024.v3i1n05
Thi-Tuyet-Mai Nguyen, Thi-Bich-Thuy Luong
Background: Tuberculosis (TB) is regarded as one of the leading causes of death globally. It remains a significant cause of morbidity and mortality in Vietnam. This study aims to identify hotspots of TB using boxplot and Getis-Ord’s G_i^* statistic-based hotspot analysis. Data used and Methods: A total of 101,438 TB cases in 2020 collected from 63 provinces/cities in Vietnam was used in study. Boxplot is first used to study distribution of TB cases. Getis-Ord’s G_i^* statistic was then employed to identify hotspots of TB cases. Finally, results and main findings will be discussed and concluded. Results: It was found that a total of 05 hotspots and 04 coldspots of TB cases were detected throughout Vietnam. Five hotspots were detected in 05 provinces in the northeastern region including Ha Nam, Nam Dinh, Hai Phong, Hai Duong, and Hung Yen. Whereas, four coldspots were mainly concentrated in 03 provinces in the northwest region (Cao Bang, Tuyen Quang and Son La), and Dak Lak in the central south region. Conclusion: It can be concluded that the combination of boxplot and Getis-Ord’s G_i^* statistic can help to effectively detect hotspots of TB cases. Findings in this study provide an insight into how to used spatial statistics and spatial analysis in the study of TB distribution.
背景:结核病(TB)被认为是全球死亡的主要原因之一。在越南,结核病仍然是发病和死亡的重要原因。本研究旨在利用方框图和基于热点分析的 Getis-Ord's G_i^* 统计法确定结核病的热点。使用的数据和方法:本研究使用了从越南 63 个省/市收集的 2020 年共计 101,438 例肺结核病例。首先使用方框图研究肺结核病例的分布情况。然后使用 Getis-Ord's G_i^* 统计法确定结核病例的热点地区。最后,将对结果和主要发现进行讨论和总结。结果:结果发现,越南全国共发现了 05 个结核病例热点和 04 个结核病例冷点。在东北部地区的 05 个省(包括河南省、南定省、海防省、海阳省和洪燕省)发现了 5 个热点地区。而四个热点地区主要集中在西北地区的 03 个省(高平省、杜延光省和山罗省)和中南地区的达乐省。结论方框图和 Getis-Ord 的 G_i^* 统计量相结合有助于有效发现结核病例的热点地区。本研究的结果为如何在结核病分布研究中使用空间统计和空间分析提供了启示。
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International Journal Of Health &amp; Medical Research
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