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Advancements in Myeloid Leukemia Treatment: A Comprehensive Update 髓性白血病治疗的进展:全面更新
Pub Date : 2023-12-14 DOI: 10.59298/iaajb/2023/2.2.23310
H. Buhari, Salisu, Muhammad, E. Obeagu
This comprehensive update explores the recent advancements in the treatment landscape of myeloid leukemia. Myeloid leukemia, a heterogeneous group of hematological malignancies, poses significant challenges in clinical management. This review highlights the latest therapeutic approaches, including targeted therapies, immunotherapies, and emerging treatment modalities. It discusses the impact of precision medicine, novel drug developments, and the evolving role of immunotherapy in managing myeloid leukemia. Furthermore, the abstract outlines current research trends, challenges, and future prospects, aiming to provide a concise overview for healthcare professionals and researchers involved in leukemia management. Keywords: targeted therapy; immunotherapy; precision medicine; molecular profiling; personalized treatment; bone marrow transplantation; novel therapies
这篇全面的最新文章探讨了髓系白血病治疗领域的最新进展。髓性白血病是一类异质性血液恶性肿瘤,给临床治疗带来了巨大挑战。本综述重点介绍了最新的治疗方法,包括靶向疗法、免疫疗法和新兴治疗模式。它讨论了精准医疗、新型药物开发的影响,以及免疫疗法在治疗髓性白血病中不断演变的作用。此外,摘要还概述了当前的研究趋势、挑战和未来前景,旨在为参与白血病管理的医疗保健专业人员和研究人员提供一个简明的概述。关键词:靶向治疗;免疫疗法;精准医疗;分子谱分析;个性化治疗;骨髓移植;新型疗法
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引用次数: 0
Integrating Medicinal Plant Diversity in Post-COVID Uganda for Holistic Healthcare Management 整合乌干达后 COVID 地区的药用植物多样性,促进整体医疗保健管理
Pub Date : 2023-11-22 DOI: 10.59298/iaajb/2023/1.4.1000
U. Paul-Chima, A. Ugo, O. E. Ifeanyi, Shanthi Subbarayan, Vidya Sankarapandiyan
The exploration of medicinal plant diversity in Uganda and across Africa holds substantial importance in the realms of ethnobotany, traditional medicine, and modern healthcare. This diversity, deeply rooted in indigenous communities, forms the foundation of traditional healing practices. Conservation of Africa's biodiversity hotspots, coupled with sustainable practices, is crucial for preserving these invaluable resources. However, challenges persist in bridging traditional knowledge with scientific validation, addressing ethical collection practices, and ensuring equitable benefit-sharing. Collaborative efforts involving scientists, indigenous communities, and governments are pivotal for systematic study and conservation. Regulation, standardization, and integration of traditional medicine within healthcare systems remain imperative for safe and effective utilization. Keywords: Healing potential, Medicinal Plants, Post-COVID, Disease management and Uganda
对乌干达和整个非洲药用植物多样性的探索在人种植物学、传统医学和现代医疗保健领域具有重要意义。这种多样性深深扎根于土著社区,是传统治疗方法的基础。保护非洲的生物多样性热点地区,同时采取可持续的做法,对于保护这些宝贵的资源至关重要。然而,在传统知识与科学验证之间架起桥梁、解决道德采集实践问题以及确保公平分享惠益方面,挑战依然存在。科学家、土著社区和政府的合作对于系统研究和保护至关重要。为了安全、有效地利用传统医药,在医疗保健系统中对传统医药进行监管、标准化和整合仍然势在必行。关键词治疗潜力、药用植物、COVID 后、疾病管理和乌干达
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引用次数: 0
Determinants Impacting the Use of Family Planning Services in Fort Portal Regional Referral Hospital, Kabarole District, Western Uganda 影响乌干达西部卡巴罗莱区波特尔堡地区转诊医院使用计划生育服务的决定因素
Pub Date : 2023-11-22 DOI: 10.59298/iaajb/2023/1.2.1000
Emmanuel Kirule Ssegawa
This study aimed to explore the factors influencing the utilization of family planning services among women of reproductive age at Fort Portal Regional Referral Hospital in Kabarole, Uganda. Employing a descriptive cross-sectional hospital-based design and a simple random sampling technique, 174 women in the reproductive age group were included in the study. Self-administered questionnaires were utilized for data collection, which was then coded, entered, and analyzed using IBM SPSS version 20. The results were presented in frequency and percentage charts and tables, accompanied by Pvalues, odds ratios, and their respective confidence intervals where relevant. The findings revealed that 44.91% of participants at Fort Portal Regional Referral Hospital in Western Uganda used contraceptives. Among them, 66.7% discussed contraceptives with their partners, while 51.1% opted for a specific contraceptive method during their last sexual encounter prior to the study. Interestingly, 35.1% considered condoms to be the most effective form of contraception, followed by implanon and oral pills at 14.9% and 14.4%, respectively. Safe days/withdrawal and injectable contraceptives were perceived as the least effective at 10.9% each. Accessibility and availability were cited as primary reasons for contraceptive choice by 21.8% of respondents, followed by safety with fewer side effects (16.1%), ease of use (6.3%), and affordability (5.2%). Household size, with the majority having 1-5 members (36.8%), and the number of children under five in the family (45.4% with 1-5 children) were notable demographic factors influencing family planning choices. However, the study highlighted a low level of family planning utilization (44.9%) among women at Fort Portal Regional Referral Hospital, predominantly favoring male condoms (40.7%). This utilization was significantly affected by socio-demographic factors such as marital status, place of residence, occupation, and income levels. Furthermore, the type, duration, frequency, availability, accessibility, affordability, and perceived side effects or effectiveness of contraceptives significantly influenced the likelihood of family planning utilization. Keywords: associated factors, utilisation, family planning, women
本研究旨在探讨影响乌干达卡巴罗莱波特尔堡地区转诊医院育龄妇女利用计划生育服务的因素。研究采用了医院横断面描述性设计和简单随机抽样技术,共纳入了 174 名育龄妇女。研究采用自填式问卷收集数据,然后使用 IBM SPSS 20 版对数据进行编码、输入和分析。研究结果以频率和百分比图表的形式呈现,并附有相关的 P 值、几率比和各自的置信区间。研究结果表明,在乌干达西部的波特尔堡地区转诊医院,44.91% 的参与者使用避孕药具。其中,66.7%的人与伴侣讨论过避孕措施,51.1%的人在研究前的最后一次性接触中选择了特定的避孕方法。有趣的是,35.1% 的人认为避孕套是最有效的避孕方法,其次是安非他酮和口服避孕药,分别占 14.9% 和 14.4%。安全日/体外射精和注射避孕药被认为是最不有效的,各占 10.9%。21.8%的受访者认为可获得性和可用性是选择避孕药具的主要原因,其次是安全且副作用较少(16.1%)、易于使用(6.3%)和经济实惠(5.2%)。家庭规模(1-5 人的家庭占大多数,占 36.8%)和家庭中 5 岁以下儿童的数量(45.4% 的家庭有 1-5 名儿童)是影响计划生育选择的显著人口因素。然而,研究结果表明,波尔图堡地区转诊医院的妇女计划生育使用率较低(44.9%),主要是使用男用避孕套(40.7%)。这种利用率明显受到社会人口因素的影响,如婚姻状况、居住地、职业和收入水平。此外,避孕药具的类型、持续时间、频率、可用性、可获得性、可负担性、副作用或有效性也对计划生育利用的可能性有很大影响。关键词:相关因素、利用率、计划生育、妇女
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引用次数: 0
Incidence and Correlates of Severe Depression and Stigmatization among HIVPositive Patients Seeking Care at Soroti Regional Referral Hospital 在索罗蒂地区转诊医院就医的艾滋病毒抗体阳性患者中严重抑郁和污名化的发生率及相关因素
Pub Date : 2023-11-22 DOI: 10.59298/iaajb/2023/1.3.1000
Stephen Oluka
Depressive disorders are notably more prevalent among people living with HIV/AIDS (PLWHA), occurring at rates three times higher than in the general population. In Uganda, the reported prevalence of depressive disorders among PLWHA ranges between 20% and 40%, with stigma affecting about 34% of this demographic. This study aimed to estimate the prevalence and identify factors associated with major depression and stigma among HIV-positive patients attending the ART clinic at Soroti Regional Referral Hospital (SRRH). Conducted as a descriptive cross-sectional hospital-based study, the research utilized a simple random sampling technique to select 138 participants aged 18 years and older, already diagnosed with HIV and attending the SRRH ART clinic. Critically ill or admitted individuals were excluded from the study. The majority of respondents were female (60.9%), aged between 31 and 45 years (45.7%), and had attained primary school education (54%). The study found a 16.7% prevalence of current major depressive episodes among PLWHA, with 56.5% experiencing recurrent major depressive episodes. Regarding stigma, the prevalence of minimal, mild, and moderate stigma was 65.2%, 29%, and 5.8%, respectively. Factors such as male gender, being divorced or widowed, and being unemployed or engaged in peasant work were statistically associated with any form of major depressive episode. Additionally, recent initiation of ART was linked to stigma among this population. The findings underscored the frequent occurrence of major depression and stigma among PLWHA, which were influenced by factors such as changes in marital status, recent ART initiation, and limited employment opportunities. The study recommended institutionalized and personalized counseling, the formation of social or peer support groups, community education initiatives regarding major depression and stigma among PLWHA, and regular patient follow-ups to mitigate the incidence and prevalence of major depression and stigma in this vulnerable segment of the population. Keywords: prevalence, depression, stigma, HIV
抑郁症在艾滋病毒/艾滋病感染者(PLWHA)中的发病率明显更高,是普通人群的三倍。据报道,在乌干达,艾滋病病毒感染者和艾滋病患者中抑郁障碍的发病率介于 20% 和 40% 之间,其中约 34% 的人受到污名化的影响。本研究旨在估算在索罗蒂地区转诊医院(Soroti Regional Referral Hospital,SRRH)抗逆转录病毒疗法门诊就诊的 HIV 阳性患者中重度抑郁症和污名化的患病率,并确定与之相关的因素。该研究是一项以医院为基础的横断面描述性研究,采用简单随机抽样技术,选取了 138 名年龄在 18 岁及以上、已确诊感染艾滋病毒并在索罗蒂地区转诊医院抗逆转录病毒疗法门诊就诊的患者。危重病人或住院病人被排除在研究之外。大多数受访者为女性(60.9%),年龄在 31 岁至 45 岁之间(45.7%),受过小学教育(54%)。研究发现,重度抑郁发作在 PLWHA 中的流行率为 16.7%,56.5% 的 PLWHA 复发性重度抑郁发作。在耻辱感方面,轻微、轻度和中度耻辱感的发生率分别为 65.2%、29% 和 5.8%。据统计,男性、离婚或丧偶、失业或从事农民工作等因素与任何形式的重度抑郁发作都有关联。此外,最近开始接受抗逆转录病毒疗法与该人群的耻辱感有关。研究结果表明,重度抑郁和污名化在 PLWHA 患者中频繁发生,这受到婚姻状况变化、最近开始接受抗逆转录病毒疗法以及就业机会有限等因素的影响。研究建议提供制度化和个性化的咨询、成立社会或同伴支持小组、开展有关 PLWHA 重度抑郁和污名化的社区教育活动,并定期对患者进行随访,以降低重度抑郁和污名化在这一弱势群体中的发生率和流行率。关键词:流行、抑郁、污名化、艾滋病毒
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引用次数: 0
Prevalence of Depression and Associated Factors among Adult Patients with Diabetes Mellitus Attending Diabetic Clinic at Kampala International University Teaching Hospital 在坎帕拉国际大学教学医院糖尿病门诊就诊的成年糖尿病患者中的抑郁症患病率及相关因素
Pub Date : 2023-11-22 DOI: 10.59298/iaajb/2023/1.5.1000
Emmanuel Gutaka l, Martin Odoki, Isaac Edyedu, Rogers Muland, E. I. Obeagu
Diabetes and depression regularly co-occur, but only about two-thirds of patients with both diseases receive recognition and treatment for it. The purpose of this study was to determine the prevalence of depression and associated factors among adult patients with diabetes attending diabetic clinic at Kampala International University Teaching Hospital. The prevalence of depression among diabetes mellitus patients attending diabetic clinic at Kampala International University Teaching Hospital. was found to be 26.6%. Gender, age bracket, area of Residence, level of education and marital status were statistically significantly associated with depression among diabetes mellitus patients attending diabetic Clinic at Kampala International University Teaching Hospital. in the model at 5% level. Females were 3times more likely to develop depression compared to the males (OR=3.29: 95%CI, 0.84–6.58: P=0.052). Patients in the age bracket 31-39 years were 5times more likely to develop depression compared to those in age bracket 18-30 years (OR=5.73: 95%CI, 2.31- 28.4: P=<0.001). Patients who lived in urban areas were 5times more likely to develop depression compared to those who lived in rural areas (OR=2.61: 95%CI, 0.77–8.85: P=0.04). Patients who were widows were 5times more likely to develop depression compared to those who were single (OR=5.09: 95%CI, 0.87–12.30: P=<0.001). Patients with primary levels of education were 6times more likely to develop depression compared to those who attained secondary level of education (OR=6.98: 95%CI, 2.01–14.37: P=0.001). The prevalence of depressive illness in patients with DM is high and is associated with low education level, period with diabetes, Sugar levels well controlled, chronic illness other than diabetes, number of chronic illness and mode of medication for diabetes history of being in the intensive phase of DM treatment and family history of depressive illness. Keywords: Prevalence, depression, associated factors, diabetes mellitus
糖尿病和抑郁症经常并发,但只有约三分之二的这两种疾病的患者得到承认和治疗。本研究旨在确定在坎帕拉国际大学教学医院糖尿病门诊就诊的成年糖尿病患者中抑郁症的患病率及相关因素。在坎帕拉国际大学教学医院糖尿病门诊就诊的糖尿病患者中,抑郁症的患病率为 26.6%。在坎帕拉国际大学教学医院糖尿病诊所就诊的糖尿病患者中,性别、年龄段、居住地区、受教育程度和婚姻状况与抑郁症在统计学上有显著相关。女性患抑郁症的几率是男性的三倍(OR=3.29:95%CI,0.84-6.58:P=0.052)。与 18-30 岁年龄段的患者相比,31-39 岁年龄段的患者患抑郁症的几率要高出 5 倍(OR=5.73:95%CI,2.31- 28.4:P=<0.001)。与居住在农村地区的患者相比,居住在城市地区的患者患抑郁症的几率要高 5 倍(OR=2.61:95%CI,0.77-8.85:P=0.04)。与单身患者相比,丧偶患者患抑郁症的几率要高 5 倍(OR=5.09:95%CI,0.87-12.30:P=<0.001)。与受过中等教育的患者相比,受过初等教育的患者患抑郁症的几率要高出 6 倍(OR=6.98:95%CI,2.01-14.37:P=0.001)。抑郁症在糖尿病患者中的发病率较高,且与低教育水平、糖尿病患病时间、血糖水平控制良好、糖尿病以外的慢性疾病、慢性疾病数量、糖尿病药物治疗方式、糖尿病强化治疗史和抑郁症家族史有关。关键词患病率、抑郁症、相关因素、糖尿病
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引用次数: 0
Incidence and Correlates of Preterm Birth at Hoima Regional Referral Hospital 霍伊马地区转诊医院早产的发生率和相关因素
Pub Date : 2023-09-18 DOI: 10.59298/iaajb/2023/1.1.1000
Ssali Ronald
Born before completing 37 weeks of gestation or 259 days from the first day of a woman's last menstrual period, preterm birth, as per WHO, is the leading cause of infant mortality globally. In 2013, it accounted for 1 million out of 6.3 million deaths among children under 5. While predominantly affecting developing nations, its impact extends worldwide, influencing maternal health and the survival challenges faced by premature infants. An investigation aimed to discern the prevalence of preterm birth and its associated factors at HRRH was conducted. This cross-sectional, institution-based study assessed mothers delivering newborns at HRRH from March 1st to 31st, 2021. A sample of 60 mothers was selected using simple sampling techniques. Face-to-face interviews with structured questionnaires gathered data, which was coded, organized manually, and analyzed using SPSS for descriptive parameters. The study revealed a 33% prevalence rate of preterm birth. Risk factors identified included a history of preterm labor (P=1.00), premature rupture of membranes (P=<0.001), urinary tract infection during pregnancy (P=0.01), hypertension during pregnancy (P=0.836), history of malaria during pregnancy (P=0.003), and infant gender (P=0.144). Recognizing pregnant women at risk of preterm delivery and enhancing healthcare quality, community health education, and awareness campaigns are crucial steps to mitigate the incidence and consequences of preterm birth. Moreover, further research with larger sample sizes is warranted to explore additional associations leading to preterm birth. Keywords: prevalence, risk factors, preterm birth
根据世卫组织的数据,早产是全球婴儿死亡的主要原因。2013 年,5 岁以下儿童死亡人数为 630 万,其中早产儿就占了 100 万。虽然早产主要影响发展中国家,但其影响遍及全球,影响着孕产妇的健康和早产儿面临的生存挑战。一项调查旨在了解哈医大一院早产的发生率及其相关因素。这项以机构为基础的横断面研究对 2021 年 3 月 1 日至 31 日期间在华润医院分娩新生儿的母亲进行了评估。研究采用简单抽样技术抽取了 60 位母亲作为样本。通过面对面访谈和结构化问卷收集数据,并对数据进行编码、手工整理和使用 SPSS 对描述性参数进行分析。研究显示,早产率为 33%。发现的风险因素包括早产史(P=1.00)、胎膜早破(P=<0.001)、孕期尿路感染(P=0.01)、孕期高血压(P=0.836)、孕期疟疾史(P=0.003)和婴儿性别(P=0.144)。认识到早产风险的孕妇并提高医疗质量、社区健康教育和宣传活动是降低早产发生率和后果的关键步骤。此外,还需要进一步开展样本量更大的研究,以探讨导致早产的其他关联。关键词:发病率、风险因素、早产
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引用次数: 0
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IAA Journal of Biological Sciences
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