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Challenges in Neurosurgery during Armed Conflict in Sudan 苏丹武装冲突期间神经外科面临的挑战
Pub Date : 2024-07-05 DOI: 10.33140/jjms.02.02.01
Introduction: Sudan armed conflict between rapid support force (RSF) and Sudanese army was one of the wicked wars, the conflict has a terrible physical, emotional, and economic costs for Sudanese, this war caused great traumatic injuries among civilians despite the number of affected persons, during the period of this armed conflict, there is no data or reports regarding affected civilians. Material and Methods: This is descriptive experience based and cross sectional study done at Almubarak hospital, kassala town from July 2023 to March 2024. In fact, the study was designed to reflect our neurosurgical experience during the period of armed conflict between rapid supporting force (RSF) and Sudanese army, hence the war is still going on, also, this paper describe the neurosurgical circumstances in Sudan throughout the war compared with other war that occurring in the middle East and worldwide . Modification and replacement in neuro-anesthia was made to cope with this situation (war period). Results: During the period of this study, we made some changes in techniques and treatment strategies for treating patients with neurosurgical problems. Our data revealed, 18 patients were presented with extra-dural haemorrhage (EDH), depressed fracture was detected in 42 of the patients, and hydrocephalus 12, abscess 5, tumor were 8, and sub-dural haemorrhage (SDH) was encountered in 41 patients.
导言:苏丹快速支援部队(RSF)和苏丹军队之间的武装冲突是一场邪恶的战争,这场冲突给苏丹人造成了可怕的身体、精神和经济损失,这场战争给平民造成了巨大的创伤,尽管受影响的人数众多,但在这场武装冲突期间,却没有关于受影响平民的数据或报告。材料和方法:这是一项基于经验的描述性横断面研究,于 2023 年 7 月至 2024 年 3 月在卡萨拉镇的 Almubarak 医院进行。事实上,这项研究旨在反映我们在快速支援部队(RSF)和苏丹军队武装冲突期间的神经外科经验,因此战争仍在继续,本文还描述了苏丹在整个战争期间的神经外科情况,并与中东和全球发生的其他战争进行了比较。为应对这种情况(战争时期),对神经外科进行了修改和替换。结果:在本研究期间,我们对神经外科患者的治疗技术和治疗策略进行了一些调整。数据显示,18 名患者出现硬膜外出血(EDH),42 名患者出现凹陷性骨折,12 名患者出现脑积水,5 名患者出现脓肿,8 名患者出现肿瘤,41 名患者出现硬膜下出血(SDH)。
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引用次数: 0
Cosmic Ionizing Radiation Exposures on Aircraft and Its Impact Depending on Some Definite Selected Paths 宇宙电离辐射对飞机的照射及其影响取决于某些确定的选定路径
Pub Date : 2024-03-01 DOI: 10.33140/jjms.02.01.04
The assessment of the exposure to cosmic radiation onboard aircraft is one of the preoccupations of bodies responsible for radiation protection. Cosmic particle flux is significantly higher onboard aircraft than at ground level and its intensity depends on the solar activity. The dose is usually estimated using codes validated by the experimental data. In this paper, a comparison of the radiation dose on 30 one-way flights between Kuwait and Egypt was organized. A survey meter IMI Inspector Alert model (IA-V2) Geiger Counter, as well as personal dosimeter detectors [(EPD) and (RAD-60S / RADOS)], were used in this work. Good agreement was observed for instruments determining the different components of the radiation field; the mean ambient dose equivalent for the one-way flying was 8.4 μSv and Absorbed Dose rate was 3.6 µSv/hr. The agreement of values obtained for the total dose obtained by measurements and by calculations is very satisfying
评估飞机上的宇宙辐射是负责辐射防护的机构的首要任务之一。飞机上的宇宙粒子通量明显高于地面,其强度取决于太阳活动。剂量通常通过实验数据验证的代码进行估算。本文对科威特和埃及之间 30 次单程飞行的辐射剂量进行了比较。在这项工作中使用了测量仪 IMI Inspector Alert model (IA-V2) Geiger Counter 以及个人剂量计探测器[(EPD)和(RAD-60S / RADOS)]。对辐射场不同组成部分进行测定的仪器的一致性良好;单向飞行的平均环境剂量当量为 8.4 μSv,吸收剂量率为 3.6 µSv/小时。测量和计算得出的总剂量值的一致性非常令人满意
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引用次数: 0
Lectin Microarray Analysis of Antibodies to SARS-CoV-2 Elicited by COVID-19 mRNA Vaccine BNT162b2 COVID-19 mRNA 疫苗 BNT162b2 诱导的 SARS-CoV-2 抗体的凝集素芯片分析
Pub Date : 2024-02-01 DOI: 10.33140/jjms.02.01.02
The outstanding clinical efficacy of mRNA vaccines to the Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) has shown a new direction in vaccine design and development. Accumulation of knowledge on neutralizing antibodies induced by the mRNA vaccines is necessary to ensure the future development of effective and safe mRNA vaccines, not limited to Coronavirus Disease 2019 (COVID-19). Here we performed lectin microarray analysis of vaccine-induced immunoglobulin (Ig) G along with total IgG derived from volunteers who were vaccinated with BNT162b2 (Pfizer/BioNTech) mRNA COVID-19 vaccine. Two types of vaccine-induced IgG to the spike and the receptor binding region (RBD) protein of the SARS-CoV-2 were isolated for comparative analysis with total IgG, revealing that distinct differences in glycan profiles that exceeded the differences among individuals, even from an extremely low amount of Ig such as 30 ng of Ig. In particular, the anti-RBD IgG, which demonstrated a uniform glycosylation pattern as the IgG group, showed an increase in fucose and a decrease in sialic acid compared to the total IgG, indicating similar glycan changes as previously reported. The lectin microarray, which can sensitively detect alternations and characteristics in glycan structures, might be used for large-scale analysis to assess the relationship between vaccine side effects and effector activity in the future.
严重急性呼吸系统综合征冠状病毒-2(SARS-CoV-2)mRNA疫苗的出色临床疗效为疫苗设计和开发指明了新方向。积累有关 mRNA 疫苗诱导的中和抗体的知识对于确保未来开发有效、安全的 mRNA 疫苗(不仅限于冠状病毒病 2019 (COVID-19))非常必要。在此,我们对接种了 BNT162b2(辉瑞/BioNTech)mRNA COVID-19 疫苗的志愿者的疫苗诱导免疫球蛋白 (Ig) G 和总 IgG 进行了凝集素芯片分析。我们分离了两种疫苗诱导的针对 SARS-CoV-2 尖峰蛋白和受体结合区(RBD)蛋白的 IgG,并与总 IgG 进行了比较分析,结果发现,即使是极低量的 Ig(如 30 纳克 Ig),其糖类图谱的差异也超过了个体之间的差异。尤其是抗 RBD IgG,与 IgG 组一样表现出均匀的糖基化模式,但与总 IgG 相比,岩藻糖增加,而硅酸减少,这表明与之前报道的糖变化相似。凝集素芯片能灵敏地检测糖基结构的变化和特征,可用于大规模分析,以评估疫苗副作用和效应活性之间的关系。
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引用次数: 0
Lectin Microarray Analysis of Antibodies to SARS-CoV-2 Elicited by COVID-19 mRNA Vaccine BNT162b2 COVID-19 mRNA 疫苗 BNT162b2 诱导的 SARS-CoV-2 抗体的凝集素芯片分析
Pub Date : 2024-02-01 DOI: 10.33140/jjms.02.01.02
The outstanding clinical efficacy of mRNA vaccines to the Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) has shown a new direction in vaccine design and development. Accumulation of knowledge on neutralizing antibodies induced by the mRNA vaccines is necessary to ensure the future development of effective and safe mRNA vaccines, not limited to Coronavirus Disease 2019 (COVID-19). Here we performed lectin microarray analysis of vaccine-induced immunoglobulin (Ig) G along with total IgG derived from volunteers who were vaccinated with BNT162b2 (Pfizer/BioNTech) mRNA COVID-19 vaccine. Two types of vaccine-induced IgG to the spike and the receptor binding region (RBD) protein of the SARS-CoV-2 were isolated for comparative analysis with total IgG, revealing that distinct differences in glycan profiles that exceeded the differences among individuals, even from an extremely low amount of Ig such as 30 ng of Ig. In particular, the anti-RBD IgG, which demonstrated a uniform glycosylation pattern as the IgG group, showed an increase in fucose and a decrease in sialic acid compared to the total IgG, indicating similar glycan changes as previously reported. The lectin microarray, which can sensitively detect alternations and characteristics in glycan structures, might be used for large-scale analysis to assess the relationship between vaccine side effects and effector activity in the future.
严重急性呼吸系统综合征冠状病毒-2(SARS-CoV-2)mRNA疫苗的出色临床疗效为疫苗设计和开发指明了新方向。积累有关 mRNA 疫苗诱导的中和抗体的知识对于确保未来开发有效、安全的 mRNA 疫苗(不仅限于冠状病毒病 2019 (COVID-19))非常必要。在此,我们对接种了 BNT162b2(辉瑞/BioNTech)mRNA COVID-19 疫苗的志愿者的疫苗诱导免疫球蛋白 (Ig) G 和总 IgG 进行了凝集素芯片分析。我们分离了两种疫苗诱导的针对 SARS-CoV-2 尖峰蛋白和受体结合区(RBD)蛋白的 IgG,并与总 IgG 进行了比较分析,结果发现,即使是极低量的 Ig(如 30 纳克 Ig),其糖类图谱的差异也超过了个体之间的差异。尤其是抗 RBD IgG,与 IgG 组一样表现出均匀的糖基化模式,但与总 IgG 相比,岩藻糖增加,而硅酸减少,这表明与之前报道的糖变化相似。凝集素芯片能灵敏地检测糖基结构的变化和特征,可用于大规模分析,以评估疫苗副作用和效应活性之间的关系。
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引用次数: 0
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Japanese Journal of Medical Science
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