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Loss of lateral femoral condyle following sepsis of knee region in infancy: The hypothesis of vascular pathogenesis and clinical course 婴儿膝关节部位败血症导致股骨外侧髁缺损:血管发病机制假说与临床过程
Pub Date : 2024-07-15 DOI: 10.25259/anams-2022-8-10-(714)
Anil Agarwal, Ravi Jethwa
Complete loss of lateral femoral condyle of the femur following sepsis of the knee region in infancy is a well-recognized entity. The etiopathogenesis of the sequelae is poorly understood with synovial plicae and post-septic growth disturbance postulated as possible causes. Two illustrative cases are presented to elucidate the clinical effects of condylar loss in the pediatric age group.There is a typical pattern of unicondylar damage, loss of adjacent metaphysis, and metaphyseal spur in involved cases. Abnormal loading of the knee, ligament laxity, and the presence of a physeal bar contribute additionally to deformity. The deformity progression can be as rapid as 2.8 degrees per month. The lesion is most often treated by balancing the knee mechanics using osteotomies and growth modulations. The lesion progresses downhill due to the absence of lateral support of the knee joint configuration. The anatomical region supplied by the superior lateral genicular vessels closely matches with the lateral unicondylar femoral loss seen post-sepsis. A vascular etiology is therefore hypothesized for the lesion.
婴儿期膝关节部位败血症后股骨外侧髁完全缺失是一种公认的病症。这种后遗症的发病机制尚不清楚,滑膜斑和败血症后生长障碍被认为是可能的原因。本报告列举了两个典型病例,以阐明髁突缺失对儿童的临床影响。膝关节的异常负荷、韧带松弛和骺棒的存在也会导致畸形。畸形发展速度可快至每月 2.8 度。最常见的治疗方法是通过截骨和生长调节来平衡膝关节力学。由于膝关节结构缺乏侧向支撑,病变会向下发展。上外侧膝血管供应的解剖区域与截骨术后出现的股骨单髁外侧缺损非常吻合。因此,我们假设该病变的病因是血管。
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引用次数: 0
The woes and challenges of medical publications in India 印度医学出版物的困境与挑战
Pub Date : 2024-07-15 DOI: 10.25259/anams_64_2024
M. Sunkad, S. Javali
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引用次数: 0
Diminished LC3 Expression with Unchanged Beclin 1 Levels in Right Atrial Appendage Tissue of Diabetic Patients Undergoing Coronary Artery Bypass Graft 接受冠状动脉旁路移植手术的糖尿病患者右心房阑尾组织中 LC3 表达减少而 Beclin 1 水平不变
Pub Date : 2023-12-18 DOI: 10.1055/s-0043-1772578
Raji Sasikala Rajendran, N. Jayakumari, V. Pillai, J. Karunakaran, S. Gopala
Abstract Type 2 diabetes potentiates the risk of heart failure. A vital physiologic process, autophagy, may be impaired in the diabetic heart. The aim of this study was to explore the autophagic status in a human diabetic heart. Techniques like immunohistochemistry and western blotting were employed to examine the expression of some of the important proteins involved in the autophagic machinery. Our brief study reports for the first time evidence of decreased cardiac autophagic levels in diabetic patients.
摘要 2 型糖尿病会增加心力衰竭的风险。糖尿病心脏的一个重要生理过程--自噬可能会受到损害。本研究旨在探讨人类糖尿病心脏的自噬状态。研究采用了免疫组化和 Western 印迹等技术来检测参与自噬机制的一些重要蛋白质的表达。我们的简要研究首次报告了糖尿病患者心脏自噬水平下降的证据。
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引用次数: 0
Current Perspective on Vitamins and SARS-CoV-2 Disease (COVID-19) 维生素与 SARS-CoV-2 疾病的当前视角 (COVID-19)
Pub Date : 2023-10-01 DOI: 10.1055/s-0043-1777316
Himanshi Goyal, Diksha Rana, Renuka Sharma, Dikshit Lamba, J. Kaur
Abstract Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), a highly pathogenic and transmissible coronavirus, has resulted in a pandemic named coronavirus disease 2019 (COVID-19). It has taken over the world in no time causing nearly 5 million deaths and almost 500 million people being affected as of June 2022 causing an extensive burden on healthcare facilities globally. Though the disease onset is via respiratory tract, but it affects almost all organs of the body and due to induction of mutations in the virus, combating with the disease is extremely difficult. The major damage associated with disease is driven through inflammatory pathways in tissues with accompanying cytokine storm mediated mainly by macrophages. Building a strong immune system requires maintenance of a healthy diet along with keeping vitamin and coenzyme deficiencies away. The review focuses on the importance of the vitamins for maintaining a good immune system to reduce the susceptibility to SARS-CoV-2 infection, to fight the infection efficiently, and to reduce the impact of the disease. Vitamins play an essential role in modulating the immune responses to infection via altering the signaling pathways, which can act as potential weapons against the disease. Various water- and fat-soluble vitamins like vitamin B, C, D, and E have crucial roles in mediating primary interferon response, improving innate as well as adaptive functions of immunity and antioxidant properties. The current understanding about the supplementation of various vitamins as an adjunct therapeutic strategy to fight COVID-19 disease has also been discussed.
摘要 严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)是一种高致病性、高传播性的冠状病毒,它导致了一场名为 "冠状病毒病 2019"(COVID-19)的大流行。截至 2022 年 6 月,它已迅速席卷全球,造成近 500 万人死亡,近 5 亿人受到影响,给全球医疗机构造成了沉重负担。虽然该病通过呼吸道发病,但几乎会影响人体的所有器官,而且由于病毒会诱发变异,因此抗击该病极为困难。与疾病相关的主要损害是通过组织中的炎症途径驱动的,并伴随着主要由巨噬细胞介导的细胞因子风暴。建立强大的免疫系统需要保持健康的饮食习惯,同时避免维生素和辅酶的缺乏。这篇综述的重点是维生素对保持良好免疫系统的重要性,以降低对 SARS-CoV-2 感染的易感性,有效抵抗感染,并减少疾病的影响。维生素通过改变信号传导途径,在调节免疫系统对感染的反应方面发挥着重要作用,可作为抗击疾病的潜在武器。维生素 B、C、D 和 E 等各种水溶性和脂溶性维生素在调解初级干扰素反应、改善先天性和适应性免疫功能以及抗氧化特性方面发挥着至关重要的作用。此外,还讨论了目前对补充各种维生素作为抗击 COVID-19 疾病的辅助治疗策略的认识。
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引用次数: 0
Measurement of Intact Serum Parathormone and Corrected Serum Calcium after Thyroid Surgery 甲状腺手术后完整血清副激素和校正血清钙的测定
Pub Date : 2023-10-01 DOI: 10.1055/s-0043-1768138
Sweety Kumari, Rahul Khanna, Neeraj K. Agrawal, Ritika Khanna, R. Meena
Abstract Postoperative hypocalcemia is an important complication of thyroid surgery. The present study was undertaken to measure the serum levels of intact parathormone (iPTH) and corrected serum calcium (CSC) in the immediate postoperative period and then sequentially till 1 month after thyroid surgery. A total of 36 patients undergoing total thyroidectomy and 44 undergoing hemithyroidectomy had measurement of the level of iPTH and CSC at 1 hour, 1 day, 1 week, and 1 month after surgery. A mean drop of 9.3% in CSC, 40% in iPTH, and 10% in ionic calcium levels was noted 1 hour after total thyroidectomy. All the patients recovered to near preoperative levels at the 1-month follow-up. Among hemithyroidectomy patients, significant postsurgery drop in levels was not observed. The importance of the study is early recognition of a hypoparathyroid state at 1 hour after surgery and institution of calcium replacement, thereby sparing the patient from unpleasant symptoms of hypocalcemia. Furthermore, patients with a drop in the iPTH levels below the defined hypoparathyroidism levels should have careful evaluation of their thyroidectomy specimen for identification and possible autotransplantation of the parathyroid gland intraoperatively or in the immediate postoperative time frame.
摘要 术后低钙血症是甲状腺手术的一个重要并发症。本研究旨在测量甲状腺手术后1个月内的血清完整副甲状腺激素(iPTH)和校正血清钙(CSC)水平。共有 36 名接受全甲状腺切除术的患者和 44 名接受半甲状腺切除术的患者分别在术后 1 小时、1 天、1 周和 1 个月测量了 iPTH 和 CSC 水平。甲状腺全切除术后1小时,CSC平均下降9.3%,iPTH平均下降40%,离子钙平均下降10%。所有患者在术后1个月的随访中都恢复到了接近术前的水平。在半甲状腺切除术患者中,没有观察到术后水平的显著下降。这项研究的重要意义在于,术后1小时就能及早发现甲状旁腺功能减退状态,并进行钙替代治疗,从而使患者免于低钙血症的不适症状。此外,iPTH水平下降到甲状旁腺功能减退症定义水平以下的患者应仔细评估其甲状腺切除术标本,以便在术中或术后立即进行甲状旁腺的鉴定和自体移植。
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引用次数: 0
Effectiveness of Video-Based Educational Intervention on Knowledge, Attitude, and Practice (KAP) of COVID-19 Health Care Workers: Lesson for Future Pandemic Preparedness 基于视频的教育干预对 COVID-19 医护人员的知识、态度和实践 (KAP) 的影响:对未来大流行病防备工作的启示
Pub Date : 2023-10-01 DOI: 10.1055/s-0043-1772218
Surbhi Gupta, Binita Goswami, S. V. Madhu, Ann Natl, Acad Med, Anand Vihar
Abstract Introduction  As we have seen from the previous health emergencies, most recently the COVID-19 pandemic, public health education is often the first line of defense in any disease prevention. Through a short educational video intervention, this study aims to improve the awareness regarding COVID-19 infection control practices to be followed in a clinical laboratory. Methods  An online pre- and posttest survey was conducted. After pretest, an educational video was shared among the study participants followed by post test survey. This questionnaire contains items on three domains: knowledge, safe laboratory practices, and attitude. Results  Significant improvement occurred in all three domains in study participants post educational intervention. Conclusion  Simple educational video intervention can substantially improve the readiness of frontline workers to deal with any kind of pandemic situation.
摘要 引言 正如我们从以往的卫生突发事件(最近的一次是 COVID-19 大流行)中所看到的,公共卫生教育往往是任何疾病预防的第一道防线。本研究旨在通过视频短片干预,提高临床实验室对 COVID-19 感染控制措施的认识。方法 进行在线前测和后测调查。前测结束后,向研究参与者分发教育视频,然后进行后测调查。该问卷包含三个方面的项目:知识、实验室安全操作和态度。结果 教育干预后,研究参与者在所有三个领域都有显著改善。结论 简单的教育视频干预就能大大提高一线工作人员应对各种大流行病的准备程度。
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引用次数: 0
Recurrent Hypokalemic Paresis—A Possibility of Liddle-Gitelman Overlap 复发性低钾性贫血--利德尔-吉特曼重叠的可能性
Pub Date : 2023-10-01 DOI: 10.1055/s-0043-1777317
Nauman Amin Siddiqui, Vrinda Goel, Shiva Narang, Amitesh Aggarwal
Abstract Hypokalemia can occur due to various causes that have diverse manifestations varying from mild asthenias to acute onset paraparesis to life-threatening cardiac arrhythmias. A proper algorithmic evaluation for hypokalemia can help us identify various correctable causes and can be life-saving. Here, we discuss a case of 35-year-old hypertensive female who had presented as a case of acute onset flaccid paraparesis. We have further discussed our approach in reaching her diagnosis and stressed upon importance of algorithmic approach in the evaluation of patients presenting with recurrent hypokalemia. It may help in unmasking a rarer cause.
摘要 低钾血症可由各种原因引起,表现多种多样,从轻度哮喘到急性截瘫,再到危及生命的心律失常。对低钾血症进行正确的算法评估可以帮助我们识别各种可纠正的病因,从而挽救生命。在此,我们讨论了一例 35 岁女性高血压患者的病例,该患者表现为急性起病的弛缓性截瘫。我们进一步讨论了我们的诊断方法,并强调了算法在评估反复出现低钾血症的患者时的重要性。这可能有助于揭开罕见病因的面纱。
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引用次数: 0
Molecular Docking Insights of Newly Synthesized Schiff Base Monomers and Evaluating the Anticancer Activity of Their Polymers 新合成的希夫碱单体的分子对接洞察力及其聚合物的抗癌活性评估
Pub Date : 2023-10-01 DOI: 10.1055/s-0043-1777313
A. M. Ibrahim, T. K. Shabeer, Ann Natl, Acad Med, PhD PG Mohammed Ibrahim
Abstract Introduction  The molecular docking technique has shown efficacy with small molecules but faces challenges when applied to macromolecules. To overcome this limitation, a focused approach targeting the active repeat units (monomers) of macromolecules was adopted. This study synthesized ten new dihydroxy Schiff base monomers (SBM1-SBM10) featuring azo moieties and alkoxy side groups. These were attached to human 3-alpha-hydroxysteroid dehydrogenase type 3 (4XO6), a protein linked to breast cancer, using molecular docking via the AutoDock tool. Materials and Methods  The synthesis of dihydroxy Schiff base monomers SBM1-SBM10 with azo moieties and alkoxy side groups was carried out. These synthesized monomers were then docked with human 3-alpha-hydroxysteroid dehydrogenase type 3 (4XO6) utilizing AutoDock. Among these, the most promisingly docked monomer, SBM8, was selected for further experimentation. SBM8 was polymerized with terephthaloyl chloride to produce a novel polyester termed PolySyringaldehydeDiaminodiphenylSulfone (PSDS). The anticancer activity of PSDS was assessed using the MCF7 human breast cancer cell line. Concurrently, its cytotoxicity was evaluated via the MTT assay employing a normal VERO cell line. Results  The molecular docking analysis revealed the best-docked monomer, SBM8, which was subsequently used for the synthesis of PSDS. The newly formed polyester, PSDS, demonstrated significant anticancer properties against the MCF7 human breast cancer cell line. Simultaneously, the cytotoxicity evaluation on the normal VERO cell line indicated a favorable safety profile for PSDS. Conclusion  The study's findings highlight the successful synthesis and docking of dihydroxy Schiff base monomers with 4XO6, resulting in the creation of PSDS. This newly synthesized polyester, PSDS, exhibited promising anticancer activity against the MCF7 cell line while demonstrating minimal cytotoxicity towards normal VERO cells. These results suggest the potential of PSDS as a targeted therapeutic agent against breast cancer, warranting further investigation and development.
摘要 引言 分子对接技术已在小分子方面显示出功效,但在应用于大分子时却面临挑战。为了克服这一局限性,我们采用了一种针对大分子活性重复单元(单体)的聚焦方法。本研究合成了十种新的二羟基席夫碱单体(SBM1-SBM10),它们具有偶氮基团和烷氧基侧基。通过 AutoDock 工具进行分子对接,将这些单体与人 3-α- 羟基类固醇脱氢酶 3 型(4XO6)(一种与乳腺癌相关的蛋白质)相连。材料与方法 合成了带有偶氮分子和烷氧基侧基的二羟基席夫碱单体 SBM1-SBM10。然后利用 AutoDock 将这些合成的单体与人 3-α- 羟基类固醇脱氢酶 3 型(4XO6)对接。其中,最有希望对接的单体 SBM8 被选中进行进一步实验。将 SBM8 与对苯二甲酰氯聚合,生成了一种名为聚丁香醛二氨基二苯砜(PSDS)的新型聚酯。使用 MCF7 人类乳腺癌细胞系评估了 PSDS 的抗癌活性。同时,利用正常 VERO 细胞系通过 MTT 试验评估了其细胞毒性。结果 分子对接分析发现了最佳对接单体 SBM8,随后将其用于合成 PSDS。新生成的聚酯 PSDS 对 MCF7 人类乳腺癌细胞系具有显著的抗癌特性。同时,对正常 VERO 细胞系进行的细胞毒性评估表明,PSDS 具有良好的安全性。结论 本研究的结果突出表明,二羟基席夫碱单体与 4XO6 的成功合成和对接造就了 PSDS。这种新合成的聚酯 PSDS 对 MCF7 细胞系具有良好的抗癌活性,同时对正常 VERO 细胞的细胞毒性极小。这些结果表明 PSDS 具有作为乳腺癌靶向治疗剂的潜力,值得进一步研究和开发。
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引用次数: 0
A Comprehensive Review on Applicability and Bioactivity of Rogan-I-Kunjad (Sesamum indicum L-Oil): Unani Prospective 关于 Rogan-I-Kunjad (Sesamum indicum L-Oil)的适用性和生物活性的全面综述:乌纳尼前瞻
Pub Date : 2023-10-01 DOI: 10.1055/s-0043-1775599
Saima Naseem, Asif Ahmad Khan, Qamar Uddin, A. Jabeen, Kamal Ahmad, Mohd Asad
Abstract Sesame oil has a long history of usage as a food and medicine. It is the most used oil as a medicine or as a base oil for preparations of many compound drugs in the Unani system of medicine. It has a wide range of biological activities as mentioned in Unani classical text; this review highlights its pharmacological activities and their possible mode of action. Searched many Unani classical literature online and offline and simultaneously did parallel search on databases like PubMed, and Science Direct, and extraction of data related to sesame oil, sesame seeds with its pharmacological activities, mode of action, then interpretation and summarization of all related data. Sesame oil possesses many biological activities like anti-inflammatory, antihyperlipidemic, antiatherosclerotic, hepatoprotective, antiasthmatic, analgesic, emollient, antipruritic, and wound healing effects, which were scientifically demonstrated as mentioned in Unani literature. Sesame oil has a hopeful effect on modulating diseases with no significant toxic effect; so, there is a need to identify its safety and efficacy on human subjects to develop a new potential drug.
摘要 芝麻油作为食品和药物的使用历史悠久。在乌纳尼医学体系中,芝麻油是最常用的药物油,也是制备多种复方药物的基础油。尤那尼经典文献中提到它具有广泛的生物活性;本综述重点介绍其药理活性及其可能的作用模式。在网上和网下搜索了许多乌纳尼经典文献,同时还在 PubMed 和 Science Direct 等数据库中进行了平行搜索,提取了与芝麻油、芝麻及其药理活性、作用模式有关的数据,然后对所有相关数据进行了解释和总结。芝麻油具有多种生物活性,如抗炎、抗高血脂、抗动脉粥样硬化、保肝、抗哮喘、镇痛、润肤、止痒和伤口愈合作用,这些在乌纳尼文献中都有科学证明。芝麻油对疾病的调节作用令人充满希望,而且没有明显的毒副作用;因此,有必要确定其对人体的安全性和有效性,以开发一种新的潜在药物。
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引用次数: 0
A Scientometric Analysis of the most Highly Cited Publications on Fracture Research from India: 1989–2022 印度断裂研究领域高被引论文的科学计量分析:1989-2022
Pub Date : 2023-10-01 DOI: 10.1055/s-0043-1775600
Raju Vaishya, Brij Mohan Gupta, Mallikarjun Kappi, A. Vaish
Abstract Background  India bears a huge burden of accidents and fractures. This study aimed to study the bibliometric characteristics of India's fracture research output during last three decades. The most highly cited publications (HCPs; with 20 or more citations) on orthopaedic fracture research from India were analyzed on various parameters. Methodology  The Scopus database was used to identify publications on fractures that originated from India, between 1989 to 2022. The top HCPs were retrieved. A bibliometric and network analysis was used to identify the key players, such as organizations, authors and journals, and important keywords besides identifying their collaborative interactions and visual co-occurrences of significant keywords using VOSviewer and Biblioshiny software. Results  Of the total 1,048 Indian publications, 126 (10.02%) were HCPs (cited 4,695 times). External funding was received in 1.59%, and international collaboration in 15.08%. The most productive organizations were All India Institute of Medical Sciences (AIIMS), New Delhi, followed by Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, and Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences (PGIMS), Rohtak. The most impactful organizations were Maulana Azad Medical College (MAMC), Delhi, followed by the Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER), Pondicherry, and Sancheti Institute of Orthopaedic Research & Rehabilitation, Pune. The most productive authors were R. Malhotra, M.S. Dhillon, and N.K. Magu, and the most impactful authors were U.K. Meena, A.P. Singh, and P. Sancheti. Delhi was the epic of research, followed by Karnataka, Tamil Nadu, and Chandigarh. Conclusion  This study provides an insight into the research trends, the most influential contributions, and the performance of Indian organizations and authors. It gives some ideas about the past, present, and future hotspots in research.
摘要 背景 印度承受着巨大的事故和骨折负担。本研究旨在研究过去三十年中印度骨折研究成果的文献计量学特征。研究人员对印度骨科骨折研究中被引用次数最多的出版物(HCPs;被引用次数达到或超过 20 次)的各种参数进行了分析。方法 使用 Scopus 数据库查找 1989 年至 2022 年间源自印度的有关骨折的出版物。检索了排名靠前的高级保健医生。使用 VOSviewer 和 Biblioshiny 软件进行文献计量学和网络分析,以确定关键参与者,如组织、作者和期刊,以及重要的关键词,此外还确定了他们之间的合作互动和重要关键词的可视共现。结果 在总共 1,048 篇印度论文中,有 126 篇(10.02%)是人类保健论文(被引用 4,695 次)。1.59%的论文获得了外部资助,15.08%的论文获得了国际合作。成果最多的机构是新德里的全印度医学科学院(AIIMS),其次是昌迪加尔的医学教育与研究研究生院(PGIMER)和罗塔克的潘迪特-巴格瓦特-达亚尔-夏尔马医学研究生院(PGIMS)。最有影响力的机构是德里的毛拉纳-阿扎德医学院(MAMC),其次是朋迪切里的贾瓦哈拉尔医学研究生教育与研究院(JIPMER)和浦那的桑切蒂矫形研究与康复研究院。成果最多的作者是 R. Malhotra、M.S. Dhillon 和 N.K. Magu,影响最大的作者是 U.K. Meena、A.P. Singh 和 P. Sancheti。德里是研究的中心,其次是卡纳塔克邦、泰米尔纳德邦和昌迪加尔。结论 本研究深入探讨了研究趋势、最有影响力的贡献以及印度组织和作者的业绩。它为过去、现在和未来的研究热点提供了一些思路。
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引用次数: 0
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Annals of the National Academy of Medical Sciences (India)
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