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Influence of the combination of mineral water and ciprofloxacin on the interaction form of individual representatives of the upper respiratory tract mucosa microbiota in vitro. 矿泉水与环丙沙星联合使用对体外上呼吸道粘膜微生物群个体代表相互作用形式的影响
IF 1.3 4区 医学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2024-12-22 Epub Date: 2024-10-02 DOI: 10.26444/aaem/193429
Mariia Rusakova, Sergey Gushcha, Lidia Elżbieta Sierpińska, Khrystyna Koieva

Introduction and objective: Elimination irrigation therapy has been proposed as a potential treatment for upper respiratory tract infections, particularly after the COVID-19 pandemic, due to its antiviral properties and mechanical cleansing effects. Additionally, a combination of mineral water with antibiotic therapy has shownto be effective in improving the course clinical infection and positively impact the immune system, potentially enhancing the normal state of microbiota state. The aim of the study is to investigate the influence of elimination-irrigation therapy using a combination of mineral water and ciprofloxacin on the interaction form of individual microbiota species of the upper respiratory tract mucous membrane.

Material and methods: During the study, microbiological methods were used, such as microscopic, bacteriological and biofilm cultivation methods. rovoking antagonistic interactions within these associations, and a general decrease in microbial colonization activity. During the multispecies biofilm formation by L. sporogenes and S. aureus ATCC 25923, as well as L. sporogenes and E. coli ATCC 25922, a mutual antagonistic effect was determined. The forms of microbial interaction in multispecies biofilm was changed in the presence of 0.0313 mg/ml Ciprofloxacin.

Conclusions: The 10-minute mineral water treatment and addition of 0.0313 mg/ml Ciprofloxacin enhanced the antagonistic interaction between L. sporogenes and E. coli ATCC 25922, as well as with S. aureus ATCC 25923.

简介和目的:由于其抗病毒特性和机械清洁作用,消除冲洗疗法已被提出作为上呼吸道感染的潜在治疗方法,特别是在COVID-19大流行之后。此外,矿泉水与抗生素治疗的结合已被证明对改善临床感染过程有效,并对免疫系统产生积极影响,可能提高微生物群的正常状态。本研究旨在探讨矿泉水与环丙沙星联合消灌疗法对上呼吸道粘膜个别菌群相互作用形式的影响。材料和方法:在研究过程中,使用了微生物学方法,如显微镜、细菌学和生物膜培养方法。在这些关联中引起拮抗相互作用,微生物定植活性普遍降低。在产孢乳杆菌与金黄色葡萄球菌ATCC 25923、产孢乳杆菌与大肠杆菌ATCC 25922形成多种生物膜的过程中,发现了相互拮抗的作用。0.0313 mg/ml环丙沙星的存在改变了多物种生物膜中微生物相互作用的形式。结论:矿泉水处理10 min及添加0.0313 mg/ml环丙沙星可增强产孢乳杆菌与大肠杆菌ATCC 25922及金黄色葡萄球菌ATCC 25923的拮抗作用。
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引用次数: 0
Prevalence of Listeria monocytogenes in sprouts and vegetable mixtures and salads sold in retail shops in Lublin, eastern Poland - preliminary study. 波兰东部卢布林零售商店出售的豆芽、蔬菜混合物和沙拉中单核细胞增生李斯特菌的流行程度——初步研究。
IF 1.3 4区 医学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2024-12-22 Epub Date: 2024-12-12 DOI: 10.26444/aaem/197073
Teresa Kłapeć, Jacek Dutkiewicz

Introduction: In 2022-2023, examinations were carried out for the presence of a pathogenic bacterium Listeria monocytogenes in ready-to-eat (RTE) vegetable products (sprouts and vegetable mixtures and salads) sold for immediate consumption in retail shops located in Lublin, eastern Poland. The identification of Listeria strains were performed according to the Polish Standard and accomplished with the Microgen Listeria-ID System.

Results: A high prevalence of L. monocytogenes infections was found in the unprocessed sprouts of plants belonging to the cabbage (Brassicaceae) family - kale (30.8%), broccoli (18.8%) and radish (7.1%). The mean prevalence of infections in this family (18.6%) was significantly higher compared to the sprouts of plants belonging to other families, none of which were infected (P<0.05). In the minimally processed RTE mixtures and salads, L. monocytogenes was detected in 6.1% of samples. The presence of following non-pathogenic species of the Listeria genus was also found In the examined RTE products: L. innocua, L. grayi, and L. seeligeri, which occurred both in sprouts and vegetable mixtures and salads in the prevalence of 13.8% and 10.2%, respectively.

Conclusions: The obtained results demonstrate a high prevalence of L. monocytogenes in sprouts, especially those of the cabbage family, which was markedly greater compared to vegetable mixtures. The results suggest a need for continuation of research on the occurrence of L. monocytogenes in the sprouts of plants belonging to the cabbage family. If the results of this study are subsequently confirmed, the application of suitable prevention measures are to be highly recommended.

在2022-2023年期间,对波兰东部卢布林零售商店出售的即食蔬菜产品(豆芽、蔬菜混合物和沙拉)中是否存在致病菌李斯特菌进行了检查。采用Microgen李斯特菌id系统,按照波兰标准进行菌株鉴定。结果:在甘蓝(30.8%)、西兰花(18.8%)和萝卜(7.1%)等甘蓝科植物的未加工芽中,单核细胞增生乳杆菌感染率较高。该科植物的平均感染率(18.6%)明显高于其他科植物的芽,其他科植物的芽均未感染(PL.单核细胞增生在6.1%的样本中检测到)。在检查的RTE产品中还发现了以下非致病性李斯特菌属:无毒李斯特菌(L. innocua)、灰色李斯特菌(L. grayi)和seeligeri李斯特菌(L. seeligeri),它们出现在豆芽和蔬菜混合物以及沙拉中,患病率分别为13.8%和10.2%。结论:所获得的结果表明,芽菜中单核增生乳杆菌的流行率很高,特别是卷心菜家族的芽菜,与蔬菜混合物相比明显更高。结果表明,需要继续研究单核增生乳杆菌在白菜科植物芽中的发生情况。如果这项研究的结果随后得到证实,我们强烈建议采取适当的预防措施。
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引用次数: 0
Quality of life in seniors living in home environment in Poland and Slovakia. 波兰和斯洛伐克老年人家庭生活环境的生活质量。
IF 1.3 4区 医学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2024-12-22 Epub Date: 2024-09-18 DOI: 10.26444/aaem/191690
Bożena Kowalczyk, Bogumiła Lubińska-Żądło, Lucia Demjanovič Kendrová, Wioletta Mikuľáková, Miloslav Gajdoš

Introduction and objective: Poor motor skills can increase the burden of disease and negatively affect the overall quality of life. The aim of the study was to investigate how people aged 60 and over assess their overall quality of life, overall health status and other domains of life in relation to socio-demographic factors.

Material and methods: The study was conducted among 1,534 people aged 60 and over and living in a home environment - 831 people living in Małopolskie Province in Poland, and 703 people from Prešov Province in Slovakia. Polish and Slovak versions of the standardized WHOQOL-Bref questionnaire were used to assess quality of life. For all tests, a significance level of 0.05 was adopted.

Results: Mean perceived level of quality of life (p=0.000), mean level of satisfaction with one's health status (p=0.001), and results of physical function assessment (p=0.00) were significantly higher among the Polish seniors than among the seniors from Slovakia. In contrast, psychological function (p=0.000) and scores in the environmental domain (p=0.029) were significantly higher in seniors from Slovakia than in those from Poland. Only place of residence of the subjects was not found to be a determinant of their quality of life.

Conclusions: The level of overall quality of life in people over 60 in Poland and Slovakia was good. Age, education, living arrangements and marital status were the socio-demographic factors that were found to determine the level of the quality of life in people aged 60 and over in Poland and Slovakia.

前言和目的:运动技能差会增加疾病负担,并对整体生活质量产生负面影响。这项研究的目的是调查60岁及以上的人如何评估他们的总体生活质量、总体健康状况和与社会人口因素有关的其他生活领域。材料和方法:研究对象为1534名60岁及以上、生活在家庭环境中的老年人,其中831人生活在波兰Małopolskie省,703人生活在斯洛伐克Prešov省。使用波兰语和斯洛伐克语版本的标准whoqol - brief问卷来评估生活质量。所有检验均采用0.05的显著性水平。结果:波兰老年人的生活质量平均感知水平(p=0.000)、健康状况平均满意度(p=0.001)和身体功能评估结果(p=0.00)显著高于斯洛伐克老年人。相比之下,斯洛伐克老年人的心理功能(p=0.000)和环境领域得分(p=0.029)显著高于波兰老年人。只有居住地点并没有被发现是其生活质量的决定因素。结论:波兰和斯洛伐克60岁以上老年人的总体生活质量水平较好。年龄、教育、生活安排和婚姻状况是决定波兰和斯洛伐克60岁及以上人口生活质量水平的社会人口因素。
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引用次数: 0
Rehabilitation - definition for research purposes. 康复-用于研究目的的定义。
IF 1.3 4区 医学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2024-12-22 Epub Date: 2024-09-27 DOI: 10.26444/aaem/192615
Piotr Tederko, Mariusz Górnicz, Karolina Babij, Dawid Feder, Barbara Hall, Dariusz Jastrzębski, Magdalena Kozłowska, Aleksandra Kulis, Małgorzata Łukowicz, Maciej Michalski, Sławomir Paśko, Piotr Pyrcz, Natalia Salata, Beata Tarnacka, Krzysztof Wesołowski, Olga Wolińska, Rafał Sapuła, Tomasz Saran, Jolanta Kujawa

Introduction and objective: The Rehabilitation Definition for Research Purposes (RDRP), published in 2022 by Cochrane Rehabilitation, addresses discrepancies resulting from the multiplicity and heterogeneity of rehabilitation definitions hitherto used in the contexts of science, health, and social/legal aspects. The RDRP, based on the paradigm of the International Classification of Functioning, Disability, and Health, provides clear-cut criteria for what rehabilitation includes and excludes. The final version of the RDRP achieved brad agreement among global stakeholders.

Material and methods: The translation methodology satisfied recommendations established by the Physical and Rehabilitation Medicine Section and Board of the European Union of Medical Specialists. The translating group was composed of representatives of all professions constituting the rehabilitation team reflecting the specifics of the practice of rehabilitation, persons with disability, and linguist professionals.

Results: The article presents the Polish version of the RDRP, established through consensus among a broad representation of professions involved in rehabilitation and end users of rehabilitation.

Conclusions: RDRP may aid 1) researchers carrying original research and compiling original reports, by helping them to correctly define rehabilitation interventions; 2) authors of review papers, by providing clear-cut criteria for papers being considered for inclusion as concerned with rehabilitation; 3) those responsible for developing rehabilitation programmes in health care; 4) clinicians, in making decisions related to prevention, diagnosis and treatment.

前言和目的:《研究目的康复定义》(RDRP)于2022年由Cochrane Rehabilitation出版,解决了迄今为止在科学、健康和社会/法律方面使用的康复定义的多样性和异质性所导致的差异。《残疾人康复计划》以《国际功能、残疾和健康分类》的范例为基础,为康复包括和不包括的内容提供了明确的标准。RDRP的最终版本在全球利益攸关方之间达成了广泛共识。材料和方法:翻译方法符合物理和康复医学科和欧洲医学专家联盟理事会制定的建议。翻译小组由构成康复小组的所有专业的代表组成,这些代表反映了康复实践的具体情况、残疾人和语言学专业人员。结果:文章介绍了波兰版本的RDRP,通过广泛代表参与康复的专业和最终康复用户之间的共识建立。结论:RDRP可以帮助研究者进行原创性研究并编写原创性报告,帮助他们正确定义康复干预措施;2)综述论文的作者,为考虑纳入康复相关的论文提供明确的标准;负责制定保健康复方案的机构;4)临床医生,在制定有关预防、诊断和治疗的决策时。
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引用次数: 0
Determining the hierarchy of risk factors for low-energy fractures in patients of an Osteoporosis Treatment Clinic. 确定骨质疏松症治疗诊所患者低能量骨折风险因素的等级。
IF 1.3 4区 医学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2024-09-25 Epub Date: 2024-03-07 DOI: 10.26444/aaem/184164
Dorota Lis-Studniarska, Marcin Studniarski, Aleksandra Zakrzewska, Robert Irzmański

Introduction and objective: The medical records were examined of 222 patients of the Osteoporosis Treatment Clinic at the Central Clinical Hospital of the Medical University of Łódź, Poland. The influence was analyzed of 27 clinical risk factors on the occurrence of low-energetic fractures in this population. The aim of the research was to find possible dependencies between different risk factors, and the actual fractures that were recorded in the database.

Material and methods: For each risk factor and for each category (e.g., patients with diabetes and patients without diabetes), the percentage was computed of patients who had incidents osteoporotic fractures, and the percentage of those without fractures. Student's t-test and Pearson's chi-squared test were used to find statistically significant risk factors.

Results: Statistically significant risk factors were found: age, chronic kidney disease, T-scores of the femoral neck and T-score of the lumbar spine, serum phosphate levels, FRAX-BMD, FRAX-BMI, and the type of diet.

Conclusions: Some observations concerning the influence of individual risk factors on the occurrence of fractures are consistent with those presented in the literature. However, it was also noticed that the patients with hyperthyroidism, rheumatic diseases, diabetes, cancer or gastrointestinal diseases, had a smaller percentage of fractures than the patients who did not have these diseases. This may be explained by the small number of those having these diseases, or by the fact that they had already received appropriate treatment.

简介和目的:研究人员查阅了波兰罗兹医科大学中央临床医院骨质疏松症治疗诊所 222 名患者的病历。研究分析了 27 个临床风险因素对该人群发生低能量骨折的影响。研究的目的是发现不同风险因素与数据库中记录的实际骨折之间可能存在的依赖关系:针对每个风险因素和每个类别(如糖尿病患者和非糖尿病患者),计算发生骨质疏松性骨折的患者比例和未发生骨折的患者比例。采用学生 t 检验和皮尔逊卡方检验来寻找具有统计学意义的风险因素:结果:发现了具有统计学意义的风险因素:年龄、慢性肾病、股骨颈 T 值和腰椎 T 值、血清磷酸盐水平、FRAX-BMD、FRAX-BMI 和饮食类型:关于个体风险因素对骨折发生的影响的一些观察结果与文献中的观点一致。然而,我们也注意到,患有甲状腺功能亢进症、风湿病、糖尿病、癌症或胃肠道疾病的患者发生骨折的比例低于未患这些疾病的患者。这可能是因为患有这些疾病的患者人数较少,也可能是因为他们已经接受了适当的治疗。
{"title":"Determining the hierarchy of risk factors for low-energy fractures in patients of an Osteoporosis Treatment Clinic.","authors":"Dorota Lis-Studniarska, Marcin Studniarski, Aleksandra Zakrzewska, Robert Irzmański","doi":"10.26444/aaem/184164","DOIUrl":"https://doi.org/10.26444/aaem/184164","url":null,"abstract":"<p><strong>Introduction and objective: </strong>The medical records were examined of 222 patients of the Osteoporosis Treatment Clinic at the Central Clinical Hospital of the Medical University of Łódź, Poland. The influence was analyzed of 27 clinical risk factors on the occurrence of low-energetic fractures in this population. The aim of the research was to find possible dependencies between different risk factors, and the actual fractures that were recorded in the database.</p><p><strong>Material and methods: </strong>For each risk factor and for each category (e.g., patients with diabetes and patients without diabetes), the percentage was computed of patients who had incidents osteoporotic fractures, and the percentage of those without fractures. Student's t-test and Pearson's chi-squared test were used to find statistically significant risk factors.</p><p><strong>Results: </strong>Statistically significant risk factors were found: age, chronic kidney disease, T-scores of the femoral neck and T-score of the lumbar spine, serum phosphate levels, FRAX-BMD, FRAX-BMI, and the type of diet.</p><p><strong>Conclusions: </strong>Some observations concerning the influence of individual risk factors on the occurrence of fractures are consistent with those presented in the literature. However, it was also noticed that the patients with hyperthyroidism, rheumatic diseases, diabetes, cancer or gastrointestinal diseases, had a smaller percentage of fractures than the patients who did not have these diseases. This may be explained by the small number of those having these diseases, or by the fact that they had already received appropriate treatment.</p>","PeriodicalId":50970,"journal":{"name":"Annals of Agricultural and Environmental Medicine","volume":"31 3","pages":"401-409"},"PeriodicalIF":1.3,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Job burnout in a sample of Polish paramedics - role of work experience, age and health behaviours. 波兰医护人员工作倦怠的样本--工作经验、年龄和健康行为的作用。
IF 1.3 4区 医学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2024-09-25 Epub Date: 2024-08-02 DOI: 10.26444/aaem/191526
Jarosław Chmielewski, Mariola Wojciechowska, Francesco Chirico, Pietro Crescenzo, Amelia Rizzo, Roman Starz, Murat Yıldırım, Zeynep Feride Olcay, Łukasz Szarpak, Agnieszka Strzelecka, Piotr Lutomski, Agnieszka Szarpak, Monika Tomaszewska, Tomasz Wójcik

Introduction and objective: Job burnout is a phenomenon that results from unmanaged chronic workplace stress, which is directly related to the stressful nature or workplace, as well as experiencing chronic emotional strain and is characterized by high emotional exhaustion and depersonalization and low professional efficacy. Emergency Medical Teams are just such a workplace. Paramedics functioning in a state of prolonged, permanent stress begin to lose motivation to continue their work with their previous commitment. The purpose of this study is to answer the question of whether the paramedics surveyed feel professionally burned out, and how stress affects the performance of professional activities and health behaviour.

Material and methods: The study was conducted from May 2019 to September 2019 among 238 (223 males and 15 females) paramedics of the outgoing Emergency Medical Service from the Mazovian province. The study used standardized tools in the form of questionnaires: Link Burnout Questionnaire - LBQ and Health Behavior Inventory Questionnaire - IZZ.

Results: The study showed high levels of psychophysical exhaustion in our sample of paramedics.

Conclusions: The problem of professional burnout among paramedics requires wider recognition as well as the development of preventive measures to minimize its negative effects. It is necessary to consider the education of paramedics on the subject in question, as well as extending increased psychological support to this professional group.

导言和目的:工作倦怠是一种因工作场所长期压力得不到管理而产生的现象,它与工作场所的压力性质或工作场所的压力直接相关,也与经历长期的情绪紧张有关,其特点是情绪高度衰竭和人格解体以及职业效能低下。急救医疗队就是这样一种工作场所。医务辅助人员在长期、永久的压力状态下工作,会开始失去继续投入工作的动力。本研究的目的是回答这样一个问题:接受调查的辅助医务人员是否感到职业倦怠,以及压力如何影响职业活动的表现和健康行为:研究于 2019 年 5 月至 2019 年 9 月在马佐夫省即将离任的紧急医疗服务部门的 238 名(男性 223 名,女性 15 名)辅助医务人员中进行。研究使用了问卷形式的标准化工具:链接倦怠问卷(LBQ)和健康行为调查问卷(IZZ):研究结果表明,在我们的护理人员样本中,心理生理疲惫程度较高:医务辅助人员的职业倦怠问题需要得到更广泛的认识,并制定预防措施,以尽量减少其负面影响。有必要考虑对辅助医务人员进行相关教育,并为这一职业群体提供更多的心理支持。
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引用次数: 0
Detection and prevalence of Anaplasma phagocytophilum in Ixodes ricinus ticks in eastern Poland. 波兰东部蓖麻蜱中噬细胞嗜血杆菌的检测和流行情况。
IF 1.3 4区 医学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2024-09-25 Epub Date: 2024-09-18 DOI: 10.26444/aaem/192238
Anna Sawczyn-Domańska, Angelina Wójcik-Fatla

Introduction: Anaplasma phagocytophilum are tick-borne bacteria affecting both human and animal health. The aim of the study was to examine the prevalence of A. phagocytophilum in questing I. ricinus ticks collected in Lublin Province, eastern Poland.

Material and methods: Ticks were collected by the flagging method. Total DNA from ticks was extracted by boiling in ammonium hydroxide. Detection of A. phagocytophilum was performed by amplifying a fragment of the 16S rDNA gene.

Results: Overall, 626 I. ricinus ticks were tested for the presence of A. phagocytophilum DNA. The prevalence of the pathogenic bacteria was 1.28%. The occurrence of A. phagocytophilum among adults was 1.8%, whereas none of the collected I. ricinus nymphs were infected.

Conclusions: The study revealed the presence of A. phagocytophilum in I. ricinus in eastern Poland, which constitutes a potential health risk for residents, tourists, forestry, and agricultural workers.

导言:噬细胞阿纳疟原虫是一种蜱媒细菌,会影响人类和动物的健康。本研究的目的是检测在波兰东部卢布林省采集的蓖麻蜱中噬菌体的流行情况:材料和方法:蜱虫采用旗标法采集。用氢氧化铵煮沸提取蜱虫的总 DNA。通过扩增 16S rDNA 基因片段来检测噬细胞甲虫:结果:共检测了 626 只 I. ricinus 蜱虫体内是否含有噬细胞噬菌体 DNA。病原菌的感染率为 1.28%。成虫中噬菌体的感染率为 1.8%,而采集到的蓖麻若虫中没有一只受到感染:这项研究揭示了波兰东部的蓖麻若虫中存在噬菌体,这对居民、游客、林业和农业工人的健康构成了潜在风险。
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引用次数: 0
Precision public health - hopes and threats. 精准公共卫生--希望与威胁。
IF 1.3 4区 医学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2024-09-25 Epub Date: 2024-09-18 DOI: 10.26444/aaem/192792
Maria Nowacka

Introduction and objective: The article formulates the following theses and conclusion: (1) the development processes of precision medicine and precision public health (PPH) are correlated; (2) the development of public health genomics depends not only on an increasingly complete exploration of the principles of the human genome, but also on a fundamentally better investigation of how broad environmental factors can alter gene expression or structure; (3) a necessary condition for the development of both precision medicine and precision public health is the collection of increasingly broader and more complete information about pro- and anti-health factors; (4) the above necessary condition is only possible in a situation of strong authoritarianism with regard to taking health-promoting measures. It is likely that in the near future public health will be shaped by health-promoting authoritarianism.

Brief description of the state of knowledge: There are two main problems in the development of precise public health (PPH). The first, is maintaining the right proportions between actions based on the genomic data, and actions determined by better understanding of the effect of environmental factors. The second, is the necessity to subject individuals and populations to increasingly closer pro-health surveillance, which must be increasingly more effective, forcing specific health-promoting behaviours on individual and social scales.

Summary: PPH in full can only exist in conditions of complete information concerning health determinants of an individual, and each distinguished group of individuals, as well as fully pro-health organization of individual and social life, i.e. in conditions of full individual and social medicalization. However, such a full medicalization cannot be achieved in any way other than authoritarian.

导言和目标:文章提出以下论点和结论:(1) 精准医学和精准公共卫生(PPH)的发展过程是相互关联的;(2) 公共卫生基因组学的发展不仅取决于对人类基因组原理日益完整的探索,而且取决于从根本上更好地研究广泛的环境因素如何改变基因的表达或结构;(3) 发展精准医学和精准公共卫生的一个必要条件是收集更广泛、更完整的关于有利和 不利于健康的因素的信息;(4) 上述必要条件只有在采取促进健康的措施方面具有很强的专制 性的情况下才有可能实现。在不久的将来,公共卫生很可能会被促进健康的专制主义所左右:精准公共卫生(PPH)的发展主要存在两个问题。第一个问题是在基于基因组数据的行动和通过更好地了解环境因素的影响而确定的行动之间保持适当的比例。第二,必须对个人和人群进行越来越密切的有利于健康的监督,这种监督必须越来越有效,迫使个人和社会采取具体的促进健康的行为。小结:只有在个人和每个不同群体的健康决定因素信息齐全,以及个人和社会生活组织完全有利于健康的条件下,即在个人和社会完全医疗化的条件下,才能全面实现公共卫生。然而,这种全面医疗化只能通过专制的方式来实现。
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引用次数: 0
Cardiovascular Magnetic Resonance Imaging in Physically Fit Young Patients Sans Comorbidities Who Recently Recovered from Coronavirus Disease 2019 (COVID-19). 2019年冠状病毒病(COVID-19)新近康复的无并发症、身体健康的年轻患者的心血管磁共振成像。
IF 1.3 4区 医学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2024-09-25 Epub Date: 2024-06-17 DOI: 10.26444/aaem/183591
Agnieszka Pawlak, Mariusz Furmanek, Piotr Szymański, Piotr Ciechanowicz, Irena Walecka, Jerzy Walecki, Andrzej Fal, Artur Zaczyński, Zbigniew Król, Waldemar Wierzba, Katarzyna Gil, Robert Gil

Introduction and objective: Multiple studies showed that patients with a severe course of COVID-19 may develop cardiovascular complications. Assessment of the incidence of myocardial injury in young, physically fit male patients with no comorbidities, and asymptomatic/mild course of the disease who recovered from COVID-19.

Material and methods: A prospective, single-center, observational cohort study of 75 young (median[IQR] age 22 years) physically fit male patients, without comorbidities and smoking who recently recovered from COVID-19. Results were compared with a control group of age-matched, physically fit men with no comorbidities who tested negative for SARS-CoV-2.

Results: 19(25%) patients had possible COVID-19 related myocardial injury[PCRMI] on cardiovascular magnetic resonance [CMR] including definitive myocarditis (n=1;1.3%) and possible myocarditis (n=3;4%). Other abnormalities: mildly decreased (<50%) left ventricular(LV) ejection fraction (n=4;5%), increased LV end-diastolic volume index (n=8;11%) and LV mass index (n=9;12%). Patients with PCRMI had higher NT-pro-BNP level (29 vs 20pg/mL respectively, P=0.02) and lower LV ejection fraction (55% vs 59% respectively, P=0.03). PCRMI was demonstrated in 3(27%) volunteers from the control group based on the presence of LGE (2/18%) and decreased LV ejection fraction (1/9%). No volunteer from the control group was diagnosed with definitive or possible myocarditis.

Conclusions: PCRMI was a frequent finding in young, asymptomatic, physically-fit patients sans comorbidities relatively late after recovery from COVID-19. Whereas no definitive or possible myocarditis was found in the control group, LGE was relatively frequent suggesting that our findings might not be COVID-19 specific. This warrants a need for further investigation into the long-term cardiovascular consequences of COVID-19.

导言和目的:多项研究表明,COVID-19严重病程患者可能会出现心血管并发症。评估无合并症、无症状/病程较轻且从 COVID-19 中康复的年轻男性患者心肌损伤的发生率:这是一项前瞻性、单中心、观察性队列研究,研究对象是 75 名年轻(中位数[IQR]年龄 22 岁)、体格健壮、无合并症和吸烟的男性 COVID-19 康复者。研究结果与对照组进行了比较,对照组为年龄匹配、身体健康、无合并症、SARS-CoV-2 检测阴性的男性患者:结果:19 名(25%)患者在心血管磁共振[CMR]检查中发现可能与 COVID-19 相关的心肌损伤[PCRMI],包括明确的心肌炎(n=1;1.3%)和可能的心肌炎(n=3;4%)。其他异常:轻度降低(结论:PCRMI是COVID-19康复后相对较晚的年轻、无症状、身体健康且无合并症患者的常见检查结果。对照组中未发现明确或可能的心肌炎,而 LGE 则相对频繁,这表明我们的发现可能并非 COVID-19 的特异性。因此有必要进一步研究 COVID-19 对心血管的长期影响。
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引用次数: 0
Antifungal activity of Myrrh gum resin against pathogenic Candida spp. 没药树胶对致病性念珠菌的抗真菌活性
IF 1.3 4区 医学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2024-09-25 Epub Date: 2024-09-06 DOI: 10.26444/aaem/192095
Amira H Alabdalall

Introduction and objective: Medicinal plants have a long and significant history of being used for their healing properties. One famous example is Commiphora, which is mostly found in the southern part of Arabia. The objective of this study was to evaluate the effectiveness of a water-based extract obtained from two different varieties of myrrh in suppressing the proliferation of Candida spp. at different concentrations.

Material and methods: The inhibitory activity of the aqueous extract of two different varieties of myrrh, commonly used in traditional medicine, was assessed against five pathogenic yeasts using the diffusion technique. Mass spectrum was used to analyze myrrh's chemical composition for antimicrobial effects.

Results: The aqueous extract of both tested species of myrrh (Commiphora myrrha and Commiphora molmol) showed inhibitory effects on all tested isolates. During the chemical examination of myrrh, it was noted that the material included 12 components known for their antimicrobial properties. The essential oil derived from two varieties of myrrh showed the most significant effects on Candida tropicalis (ATCC 66029), Candida guilliermondii (ATCC 6260), Candida laurentii (ATCC 18803), Candida neoformans (ATCC 66031), and Candida albicans (ATCC 14053). Analysis of chemical composition of the myrrh revealed 19 known components, of which 12 compounds have been proven by research to suppress the growth of microorganisms.

Conclusions: C. myrrha and C. molmol aqueous extracts exhibit a promising antifungal effect against common Candida infections. The aqueous extracts present a variety of antimicrobial compounds; however, further research is necessary to elucidate the specific mechanisms of action of these compounds, and to evaluate their efficacy, toxicity and safety before considering their clinical application.

引言和目的:药用植物的疗效由来已久。阿拉伯南部的没药就是一个有名的例子。本研究的目的是评估从两种不同品种的没药中提取的水基提取物在不同浓度下抑制念珠菌属增殖的有效性:采用扩散技术评估了两种不同品种的没药水提取物对五种病原性酵母菌的抑制活性。质谱用于分析没药抗菌作用的化学成分:结果:两种受测没药(Commiphora myrrha 和 Commiphora molmol)的水提取物对所有受测分离菌都有抑制作用。在对没药进行化学检查时发现,没药中含有 12 种具有抗菌特性的成分。从两个品种的没药中提取的精油对热带念珠菌(ATCC 66029)、吉利蒙地念珠菌(ATCC 6260)、月桂念珠菌(ATCC 18803)、新变形念珠菌(ATCC 66031)和白念珠菌(ATCC 14053)有最显著的抑制作用。对没药化学成分的分析显示出 19 种已知成分,其中 12 种化合物已被研究证实能抑制微生物的生长:结论:C. myrha 和 C. molmol 水提取物对常见的念珠菌感染有很好的抗真菌效果。水提取物中含有多种抗菌化合物;不过,在考虑将其应用于临床之前,有必要开展进一步研究,以阐明这些化合物的具体作用机制,并评估其功效、毒性和安全性。
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Annals of Agricultural and Environmental Medicine
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