首页 > 最新文献

pzshkhy blyny bn syn最新文献

英文 中文
Evaluation of Visual Signs and Symptoms in Patients with Alzheimer's Disease 阿尔茨海默病患者视觉体征和症状的评估
Q4 Medicine Pub Date : 2022-03-01 DOI: 10.52547/ajcm.28.4.216
N. Bazzazi, Hanieh Salehi, Mohammad Ali Seif Rabiei, M. Mazdeh
Background and Objective: Patients with Alzheimer's disease have impaired visual function even in the early stages of the disease. Therefore, the present study aimed to determine the visual signs and symptoms in patients with Alzheimer's disease and compare them with those in the control group. Materials and Methods: This cross-sectional descriptive study was conducted on 19 Alzheimer patients and 19 cognitively healthy people referring to Farshchian Sina Hospital, Hamadan in 2020-2021. They underwent visual examinations, including visual acuity, slit lamp exam, fundoscopy, contrast sensitivity assessed by CVS-1000 test, color perception test, investigating eye movements, and pupillary light reflex. Moreover, OCT images were taken from all patients and the control group to measure macular thickness and volume. The data were analyzed in SPSS software (version 16) using X2 statistical test. Results: A significant reduction in visual acuity (P=0.006 for the right eye and P=0.003 for left eye), contrast sensitivity (P˂ 0.001), impaired color vision (P=0.016), increased cup to disk ratio (P˂0.001 for both eyes), reduction in temporal vascular diameter of both eyes (P˂0.001), disturbed movement (P=0.001), and sluggish pupillary light reflex (P˂0.001) were observed in patients with Alzheimer disease. Moreover, a significant reduction was detected in macular thickness and volume, especially in the inferior quadrant, in patients with Alzheimer's, as compared to the healthy group (P˂0.001). Nonetheless, there was no significant difference between the two groups in the incidence of age-related macular degeneration, cataracts, and pseudoexfoliation. Conclusion: Patients with Alzheimer's disease have abnormal results on eye examinations.
背景与目的:阿尔茨海默病患者即使在疾病的早期阶段也有视觉功能受损。因此,本研究旨在确定阿尔茨海默病患者的视觉体征和症状,并将其与对照组进行比较。材料与方法:本研究采用横断面描述性研究方法,选取2020-2021年在哈马丹市法尔希安新浪医院就诊的19例阿尔茨海默病患者和19例认知健康人群。他们接受视力检查,包括视力、裂隙灯检查、眼底镜检查、CVS-1000对比敏感度评估、色彩感知测试、眼动调查和瞳孔光反射。此外,对所有患者和对照组进行OCT成像,测量黄斑厚度和体积。数据采用SPSS软件(version 16)进行X2统计检验。结果:阿尔茨海默病患者的视力显著降低(右眼P=0.006,左眼P=0.003)、对比敏感度(P小于0.001)、色觉受损(P=0.016)、杯盘比增加(双眼P小于0.001)、双眼颞叶血管直径减小(P小于0.001)、运动障碍(P=0.001)和瞳孔光反射迟缓(P小于0.001)。此外,与健康组相比,阿尔茨海默病患者的黄斑厚度和体积,特别是下象限的黄斑厚度和体积显著减少(P小于0.001)。尽管如此,两组在年龄相关性黄斑变性、白内障和假角质脱落的发生率方面没有显著差异。结论:阿尔茨海默病患者眼科检查结果异常。
{"title":"Evaluation of Visual Signs and Symptoms in Patients with Alzheimer's Disease","authors":"N. Bazzazi, Hanieh Salehi, Mohammad Ali Seif Rabiei, M. Mazdeh","doi":"10.52547/ajcm.28.4.216","DOIUrl":"https://doi.org/10.52547/ajcm.28.4.216","url":null,"abstract":"Background and Objective: Patients with Alzheimer's disease have impaired visual function even in the early stages of the disease. Therefore, the present study aimed to determine the visual signs and symptoms in patients with Alzheimer's disease and compare them with those in the control group. Materials and Methods: This cross-sectional descriptive study was conducted on 19 Alzheimer patients and 19 cognitively healthy people referring to Farshchian Sina Hospital, Hamadan in 2020-2021. They underwent visual examinations, including visual acuity, slit lamp exam, fundoscopy, contrast sensitivity assessed by CVS-1000 test, color perception test, investigating eye movements, and pupillary light reflex. Moreover, OCT images were taken from all patients and the control group to measure macular thickness and volume. The data were analyzed in SPSS software (version 16) using X2 statistical test. Results: A significant reduction in visual acuity (P=0.006 for the right eye and P=0.003 for left eye), contrast sensitivity (P˂ 0.001), impaired color vision (P=0.016), increased cup to disk ratio (P˂0.001 for both eyes), reduction in temporal vascular diameter of both eyes (P˂0.001), disturbed movement (P=0.001), and sluggish pupillary light reflex (P˂0.001) were observed in patients with Alzheimer disease. Moreover, a significant reduction was detected in macular thickness and volume, especially in the inferior quadrant, in patients with Alzheimer's, as compared to the healthy group (P˂0.001). Nonetheless, there was no significant difference between the two groups in the incidence of age-related macular degeneration, cataracts, and pseudoexfoliation. Conclusion: Patients with Alzheimer's disease have abnormal results on eye examinations.","PeriodicalId":52678,"journal":{"name":"pzshkhy blyny bn syn","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41326793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Investigation of the Prevalence of Enterobius Vermicularis Infection and Risk Factors among Kindergartens in Hamadan, West of Iran, in 2019 2019年伊朗西部哈马丹幼儿园肠道菌感染率及危险因素调查
Q4 Medicine Pub Date : 2022-03-01 DOI: 10.52547/ajcm.28.4.253
M. Fallah, M. Parsaei, E. Soleymani, Ali Jamshidizad, A. Azimi
Background and Objective: Enterobius vermicularis (pinworm) is one of the most common intestinal nematodes in the world and is found in all developed and developing communities. Children are the most vulnerable group in this regard. This study aimed to determine the prevalence of E. vermicularis infection amongst kindergartens in Hamadan, Iran, in 2019. Materials and Methods: This descriptive cross-sectional study was conducted on 98 active kindergartens in Hamadan, Iran. A total of 18 kindergartens were selected, followed by the random selection of a number of children from each kindergarten. The adhesive cello-tape is a standard method for examining this disease, and mothers were trained to use this method. Subsequently, the sampling was conducted by this method. Results: Out of 451 children from 18 kindergartens, the overall prevalence of E. vermicularis infection was obtained at 0.4% (n=2). The mean age of the children in this study was 5.45±0.93 years. Since the prevalence of the disease was not significant, the results were not analyzed. Conclusion: The results of this study show that the prevalence of this disease has decreased over a decade in Hamadan, Iran; however, this infection still exists. Therefore, specific measures should be taken to control the transmission cycle of E. vermicularis.
背景与目的:蛔虫是世界上最常见的肠道线虫之一,分布在所有发达和发展中的群落中。在这方面,儿童是最脆弱的群体。这项研究旨在确定2019年伊朗哈马丹幼儿园中蛔虫感染的流行率。材料和方法:本研究对伊朗哈马丹市98所幼儿园进行了描述性横断面研究。共选择了18所幼儿园,然后从每个幼儿园随机抽取一些孩子。粘合纤维胶带是检查这种疾病的标准方法,母亲们接受了使用这种方法的培训。随后,采用这种方法进行取样。结果:在18所幼儿园的451名儿童中,蛔虫感染的总患病率为0.4%(n=2)。本研究中儿童的平均年龄为5.45±0.93岁。由于该疾病的患病率并不显著,因此没有对结果进行分析。结论:本研究结果表明,在伊朗哈马丹,该疾病的患病率在过去十年中有所下降;然而,这种感染仍然存在。因此,应采取具体措施控制蛔虫的传播周期。
{"title":"Investigation of the Prevalence of Enterobius Vermicularis Infection and Risk Factors among Kindergartens in Hamadan, West of Iran, in 2019","authors":"M. Fallah, M. Parsaei, E. Soleymani, Ali Jamshidizad, A. Azimi","doi":"10.52547/ajcm.28.4.253","DOIUrl":"https://doi.org/10.52547/ajcm.28.4.253","url":null,"abstract":"Background and Objective: Enterobius vermicularis (pinworm) is one of the most common intestinal nematodes in the world and is found in all developed and developing communities. Children are the most vulnerable group in this regard. This study aimed to determine the prevalence of E. vermicularis infection amongst kindergartens in Hamadan, Iran, in 2019. Materials and Methods: This descriptive cross-sectional study was conducted on 98 active kindergartens in Hamadan, Iran. A total of 18 kindergartens were selected, followed by the random selection of a number of children from each kindergarten. The adhesive cello-tape is a standard method for examining this disease, and mothers were trained to use this method. Subsequently, the sampling was conducted by this method. Results: Out of 451 children from 18 kindergartens, the overall prevalence of E. vermicularis infection was obtained at 0.4% (n=2). The mean age of the children in this study was 5.45±0.93 years. Since the prevalence of the disease was not significant, the results were not analyzed. Conclusion: The results of this study show that the prevalence of this disease has decreased over a decade in Hamadan, Iran; however, this infection still exists. Therefore, specific measures should be taken to control the transmission cycle of E. vermicularis.","PeriodicalId":52678,"journal":{"name":"pzshkhy blyny bn syn","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44113363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Health Literacy and its Related Factors in Patients with a History of Open Heart Surgery 有心脏直视手术史患者的健康素养及其相关因素
Q4 Medicine Pub Date : 2022-03-01 DOI: 10.52547/ajcm.28.4.231
S. Khazaei, Hadi Soori, M. Bakhshaei, Seyed Ahmad Raza Salim Bahrami
Background and Objective: Cardiovascular diseases are a common disorder, and some patients undergo open heart surgery due to the severity of the disease and lack of response to drug treatment. Following surgery, these patients require adequate health literacy to make informed decisions and perform self-care behaviors. This study aimed to determine the health literacy and its related factors in patients with a history of open heart surgery in Farshchian Cardiology Hospital in Hamadan, Iran, during 2020. Materials and Methods: This cross-sectional study selected 278 patients by available sampling method from those who were referred to a Cardiology Hospital in Hamadan and underwent open heart surgery. The patients were evaluated in terms of health literacy using a standard questionnaire, which assessed patients' health literacy in 5 areas of access, reading skills, comprehension, evaluation/decision-making, and the use of health information. Data were analyzed in SPSS software at a 95% confidence level. Results: The mean age of the patients was 48.62±14.04 years, and the majority of them were female (52.90%). Furthermore, 64.39% of the participants had poor or moderate health literacy. The Internet (49.60%) and health workers (32.40%) were the most important sources of receiving health information. Health literacy showed a significant relationship with patients' gender and education level (P<0.05). Conclusion: Patients with a history of open heart surgery do not have good health literacy, and it is necessary to plan for the promotion of health literacy in them. In this regard, health workers have an important role in increasing the level of health literacy; moreover, they should spend more time educating patients appropriate to their age and education level.
背景与目的:心血管疾病是一种常见的疾病,一些患者由于病情严重和药物治疗缺乏反应而接受了心脏直视手术。手术后,这些患者需要足够的健康知识来做出明智的决定并进行自我护理行为。本研究旨在确定2020年伊朗哈马丹Farshchian心脏病医院有心脏直视手术史患者的健康素养及其相关因素。材料和方法:本横断面研究采用可用的抽样方法从哈马丹一家心脏病医院转诊并接受心内直视手术的278例患者中选择。采用标准问卷对患者进行健康素养评估,该问卷评估患者在获取、阅读技能、理解、评价/决策和卫生信息使用5个方面的健康素养。数据采用SPSS软件分析,置信水平为95%。结果:患者平均年龄为48.62±14.04岁,以女性居多(52.90%)。此外,64.39%的参与者健康素养较差或中等。互联网(49.60%)和卫生工作者(32.40%)是接受卫生信息的最重要来源。健康素养与患者性别、文化程度有显著相关(P<0.05)。结论:有心脏直视手术史的患者健康素养不高,有必要对其进行健康素养提升。在这方面,卫生工作者在提高卫生知识普及水平方面发挥着重要作用;此外,他们应该花更多的时间教育患者适合他们的年龄和教育水平。
{"title":"Health Literacy and its Related Factors in Patients with a History of Open Heart Surgery","authors":"S. Khazaei, Hadi Soori, M. Bakhshaei, Seyed Ahmad Raza Salim Bahrami","doi":"10.52547/ajcm.28.4.231","DOIUrl":"https://doi.org/10.52547/ajcm.28.4.231","url":null,"abstract":"Background and Objective: Cardiovascular diseases are a common disorder, and some patients undergo open heart surgery due to the severity of the disease and lack of response to drug treatment. Following surgery, these patients require adequate health literacy to make informed decisions and perform self-care behaviors. This study aimed to determine the health literacy and its related factors in patients with a history of open heart surgery in Farshchian Cardiology Hospital in Hamadan, Iran, during 2020. Materials and Methods: This cross-sectional study selected 278 patients by available sampling method from those who were referred to a Cardiology Hospital in Hamadan and underwent open heart surgery. The patients were evaluated in terms of health literacy using a standard questionnaire, which assessed patients' health literacy in 5 areas of access, reading skills, comprehension, evaluation/decision-making, and the use of health information. Data were analyzed in SPSS software at a 95% confidence level. Results: The mean age of the patients was 48.62±14.04 years, and the majority of them were female (52.90%). Furthermore, 64.39% of the participants had poor or moderate health literacy. The Internet (49.60%) and health workers (32.40%) were the most important sources of receiving health information. Health literacy showed a significant relationship with patients' gender and education level (P<0.05). Conclusion: Patients with a history of open heart surgery do not have good health literacy, and it is necessary to plan for the promotion of health literacy in them. In this regard, health workers have an important role in increasing the level of health literacy; moreover, they should spend more time educating patients appropriate to their age and education level.","PeriodicalId":52678,"journal":{"name":"pzshkhy blyny bn syn","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44238285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of Ossicular Reconstruction on Tinnitus 听骨重建术对耳鸣的影响
Q4 Medicine Pub Date : 2022-03-01 DOI: 10.52547/ajcm.28.4.203
Mahmoud Sharahi, Elnaz Shariatpanahi, Farank Emami, J. Jahanshahi, F. farahani, Mohammad Ali Seif Rabiei
Background and Objective: Tinnitus is hearing a sound without an external source, which occurs anywhere in the head and one or both ears. It is one of the most common symptoms associated with hearing loss due to chronic otitis media. This study aimed to determine the effect of autologous primary ossicular reconstruction on the recovery of tinnitus due to chronic otitis media. Materials and Methods: This study was conducted based on a before-and-after design and included 25 patients aged 18-70 years with tinnitus and chronic otitis media. The participants had undergone initial reconstruction of the bone chain using an autologous graft in the Department of Ear, Nose, and Throat of the Hamadan Besat Hospital, Hamedan, Iran, in 2019. The Tinnitus Matching Test and the Tinnitus Handicap Inventory were used to assess patients' tinnitus. Results: A total of 25 patients participated in this study, including 13 (52%) men and 12 (48%) women. The mean scores of the age of the subjects, duration of tinnitus, frequency of tinnitus were obtained at 45.76±12.76 years, 53.25±37.25 months, and 5,000 Hz, respectively. The difference between the mean values of tinnitus loudness was significant before (8 dB) and after the surgery (4 dB) (P<0.001). Moreover, a significant difference (P<0.001) was observed between the scores of the Tinnitus Handicap Inventory before (39.48) and after the surgery (17.84). Conclusion: Primary reconstruction of the middle ear bone chain using autologous graft improved tinnitus and its resulting disability in patients with chronic otitis media.
背景与目的:耳鸣是一种没有外部来源的声音,发生在头部和单耳或双耳的任何地方。这是慢性中耳炎引起的听力损失最常见的症状之一。本研究旨在探讨自体原发性听骨重建术对慢性中耳炎所致耳鸣恢复的影响。材料和方法:本研究采用前后对照设计,纳入25例年龄18-70岁的耳鸣和慢性中耳炎患者。参与者于2019年在伊朗哈马丹市哈马丹Besat医院耳鼻喉部使用自体移植物进行了骨链的初步重建。使用耳鸣匹配测试和耳鸣障碍量表评估患者的耳鸣。结果:共25例患者参与本研究,其中男性13例(52%),女性12例(48%)。年龄、耳鸣持续时间、耳鸣频次的平均得分分别为45.76±12.76岁、53.25±37.25个月和5000 Hz。术前耳鸣响度平均值(8 dB)与术后耳鸣响度平均值(4 dB)差异有统计学意义(P<0.001)。耳鸣障碍量表评分术前(39.48分)与术后(17.84分)差异有统计学意义(P<0.001)。结论:自体骨链初次重建中耳骨链可改善慢性中耳炎患者的耳鸣及耳鸣所致的残疾。
{"title":"Effect of Ossicular Reconstruction on Tinnitus","authors":"Mahmoud Sharahi, Elnaz Shariatpanahi, Farank Emami, J. Jahanshahi, F. farahani, Mohammad Ali Seif Rabiei","doi":"10.52547/ajcm.28.4.203","DOIUrl":"https://doi.org/10.52547/ajcm.28.4.203","url":null,"abstract":"Background and Objective: Tinnitus is hearing a sound without an external source, which occurs anywhere in the head and one or both ears. It is one of the most common symptoms associated with hearing loss due to chronic otitis media. This study aimed to determine the effect of autologous primary ossicular reconstruction on the recovery of tinnitus due to chronic otitis media. Materials and Methods: This study was conducted based on a before-and-after design and included 25 patients aged 18-70 years with tinnitus and chronic otitis media. The participants had undergone initial reconstruction of the bone chain using an autologous graft in the Department of Ear, Nose, and Throat of the Hamadan Besat Hospital, Hamedan, Iran, in 2019. The Tinnitus Matching Test and the Tinnitus Handicap Inventory were used to assess patients' tinnitus. Results: A total of 25 patients participated in this study, including 13 (52%) men and 12 (48%) women. The mean scores of the age of the subjects, duration of tinnitus, frequency of tinnitus were obtained at 45.76±12.76 years, 53.25±37.25 months, and 5,000 Hz, respectively. The difference between the mean values of tinnitus loudness was significant before (8 dB) and after the surgery (4 dB) (P<0.001). Moreover, a significant difference (P<0.001) was observed between the scores of the Tinnitus Handicap Inventory before (39.48) and after the surgery (17.84). Conclusion: Primary reconstruction of the middle ear bone chain using autologous graft improved tinnitus and its resulting disability in patients with chronic otitis media.","PeriodicalId":52678,"journal":{"name":"pzshkhy blyny bn syn","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47152015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Deep Vein Thrombosis, Pulmonary Embolism and Related Factors in Patients with Traumatic Brain Injury 颅脑损伤患者深静脉血栓形成、肺栓塞及相关因素
Q4 Medicine Pub Date : 2022-03-01 DOI: 10.52547/ajcm.28.4.210
Fahimeh Esmaeili, Mshhood Aghajanloo, A. Shams, Sajjad Abdolmalaki
Background and Objective: Deep vein thrombosis and pulmonary embolism are fatal problems following brain trauma that, if left untreated, can dramatically increase mortality. Therefore, the present study aimed to evaluate deep vein thrombosis, pulmonary embolism and related factors in patients with traumatic brain injury. Materials and Methods: This cross-sectional study was performed on 38 patients with isolated brain trauma in the intensive care unit. The study tool was a checklist that was completed as a file reading. The information required for the study was also collected through Doppler ultrasound and computed tomography angiography reports. The obtained data were analyzed in SPSS software using Chi-square and Fisher tests. The significance level of the tests was considered 0.05. Results: The mean age of study participants was 51.5± 18.3 years. In this study, 5.3% and 2.6% of participants had deep vein thrombosis and pulmonary embolism, respectively. There was a significant difference between the group with deep vein thrombosis and without deep vein thrombosis in the length of hospital stay, the mean length of stay in the ICU and the mean time of complete bed rest (CBR). Conclusion: According to the effective variables in the development of thrombosis in this study, the development of related interventions to reduce the incidence of deep vein thrombosis and pulmonary embolism can minimize disability and mortality due to these diseases.
背景和目的:深静脉血栓形成和肺栓塞是脑外伤后的致命问题,如果不及时治疗,会显著增加死亡率。因此,本研究旨在评估创伤性脑损伤患者的深静脉血栓形成、肺栓塞及其相关因素。材料和方法:这项横断面研究是对38名在重症监护室的孤立性脑损伤患者进行的。研究工具是一份检查表,作为文件阅读完成。研究所需的信息也通过多普勒超声和计算机断层扫描血管造影术报告收集。所得数据在SPSS软件中使用卡方检验和Fisher检验进行分析。试验的显著性水平被认为是0.05。结果:研究参与者的平均年龄为51.5±18.3岁。在这项研究中,5.3%和2.6%的参与者分别患有深静脉血栓形成和肺栓塞。有深静脉血栓形成组与无深静脉血栓组在住院时间、ICU平均住院时间和完全卧床时间(CBR)方面存在显著差异。结论:根据本研究中血栓形成过程中的有效变量,制定相关干预措施以降低深静脉血栓形成和肺栓塞的发生率,可以最大限度地降低这些疾病造成的残疾和死亡率。
{"title":"Deep Vein Thrombosis, Pulmonary Embolism and Related Factors in Patients with Traumatic Brain Injury","authors":"Fahimeh Esmaeili, Mshhood Aghajanloo, A. Shams, Sajjad Abdolmalaki","doi":"10.52547/ajcm.28.4.210","DOIUrl":"https://doi.org/10.52547/ajcm.28.4.210","url":null,"abstract":"Background and Objective: Deep vein thrombosis and pulmonary embolism are fatal problems following brain trauma that, if left untreated, can dramatically increase mortality. Therefore, the present study aimed to evaluate deep vein thrombosis, pulmonary embolism and related factors in patients with traumatic brain injury. Materials and Methods: This cross-sectional study was performed on 38 patients with isolated brain trauma in the intensive care unit. The study tool was a checklist that was completed as a file reading. The information required for the study was also collected through Doppler ultrasound and computed tomography angiography reports. The obtained data were analyzed in SPSS software using Chi-square and Fisher tests. The significance level of the tests was considered 0.05. Results: The mean age of study participants was 51.5± 18.3 years. In this study, 5.3% and 2.6% of participants had deep vein thrombosis and pulmonary embolism, respectively. There was a significant difference between the group with deep vein thrombosis and without deep vein thrombosis in the length of hospital stay, the mean length of stay in the ICU and the mean time of complete bed rest (CBR). Conclusion: According to the effective variables in the development of thrombosis in this study, the development of related interventions to reduce the incidence of deep vein thrombosis and pulmonary embolism can minimize disability and mortality due to these diseases.","PeriodicalId":52678,"journal":{"name":"pzshkhy blyny bn syn","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42087028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diagnostic Accuracy of Gated-SPECT Myocardial Perfusion Imaging and Exercise Stress Test for Diagnosis of Coronary Artery Disease 门控SPECT心肌灌注成像和运动应激试验诊断冠心病的准确性
Q4 Medicine Pub Date : 2022-03-01 DOI: 10.52547/ajcm.28.4.223
M. Alvandi, Z. Shaghaghi, Kasra Nazari, Tayeb Mohammadi
Background and Objective: Accurate diagnosis of CAD using noninvasive procedures is of great importance. The aim of the study is to assess diagnostic accuracy of myocardial perfusion imaging and compare it with exercise stress test in order to decipher a more accurate and cost-effective method for CAD detection. Materials and Methods: Of 430 consecutive patients suspected with CAD, 104 performed both MPI (with the method of exercise stress) and ICA (Invasive Coronary Angiography). Luminal stenosis > 70% read by ICA was defined as significant CAD. Considering ICA as the gold standard, we calculated sensitivity, specificity, NPV and PPV for both tests. Besides, the relationship between CAD risk factors and findings of the procedures was also computed, using chi-square and student t-tests. Results: Sensitivity, specificity, PPV and NPV of MPI and exercise test for detection of CAD were: 90.74%, 92%, 92.45%, 90.19%, and 57%, 82%, 77.5%, 63.1%, respectively. A significant relationship between diabetes and hyperlipidemia with abnormal perfusion MPI and positive exercise test was found (P<0.05).Relatively poor agreement was observed between results of MPI and exercise test (kappa statistic = 0.445). Conclusion: Not only dose MPI benefits from higher diagnostic value for diagnosis of CAD, but it also can be used in patient risk stratification and applying more appropriate therapeutic strategies.
背景与目的:应用无创手术对CAD进行准确诊断具有重要意义。本研究的目的是评估心肌灌注成像的诊断准确性,并将其与运动应激测试进行比较,以解读一种更准确、更具成本效益的CAD检测方法。材料和方法:在430例连续的疑似CAD患者中,104例同时进行了MPI(运动应激法)和ICA(有创冠状动脉造影)。ICA显示管腔狭窄>70%被定义为显著的CAD。考虑到ICA作为金标准,我们计算了两种测试的灵敏度、特异性、NPV和PPV。此外,还使用卡方和学生t检验计算了CAD风险因素与手术结果之间的关系。结果:MPI和运动试验检测冠心病的敏感性、特异性、PPV和NPV分别为90.74%、92%、92.45%、90.19%和57%、82%、77.5%、63.1%。MPI灌注异常和运动试验阳性与糖尿病和高脂血症之间存在显著关系(P<0.05)。MPI结果与运动试验的一致性较差(kappa统计量=0.445),但它也可以用于患者风险分层和应用更合适的治疗策略。
{"title":"Diagnostic Accuracy of Gated-SPECT Myocardial Perfusion Imaging and Exercise Stress Test for Diagnosis of Coronary Artery Disease","authors":"M. Alvandi, Z. Shaghaghi, Kasra Nazari, Tayeb Mohammadi","doi":"10.52547/ajcm.28.4.223","DOIUrl":"https://doi.org/10.52547/ajcm.28.4.223","url":null,"abstract":"Background and Objective: Accurate diagnosis of CAD using noninvasive procedures is of great importance. The aim of the study is to assess diagnostic accuracy of myocardial perfusion imaging and compare it with exercise stress test in order to decipher a more accurate and cost-effective method for CAD detection. Materials and Methods: Of 430 consecutive patients suspected with CAD, 104 performed both MPI (with the method of exercise stress) and ICA (Invasive Coronary Angiography). Luminal stenosis > 70% read by ICA was defined as significant CAD. Considering ICA as the gold standard, we calculated sensitivity, specificity, NPV and PPV for both tests. Besides, the relationship between CAD risk factors and findings of the procedures was also computed, using chi-square and student t-tests. Results: Sensitivity, specificity, PPV and NPV of MPI and exercise test for detection of CAD were: 90.74%, 92%, 92.45%, 90.19%, and 57%, 82%, 77.5%, 63.1%, respectively. A significant relationship between diabetes and hyperlipidemia with abnormal perfusion MPI and positive exercise test was found (P<0.05).Relatively poor agreement was observed between results of MPI and exercise test (kappa statistic = 0.445). Conclusion: Not only dose MPI benefits from higher diagnostic value for diagnosis of CAD, but it also can be used in patient risk stratification and applying more appropriate therapeutic strategies.","PeriodicalId":52678,"journal":{"name":"pzshkhy blyny bn syn","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45760775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of a Single Dose of Beetroot Juice on Functional and Cardiovascular Changes Following Acute Resistance Training in Men with Hypertension 单剂量甜菜根汁对男性高血压患者急性阻力训练后功能和心血管变化的影响
Q4 Medicine Pub Date : 2021-12-01 DOI: 10.52547/ajcm.28.3.176
T. Afsharnezhad, Ahmad Fazeli Sani
Background and Objective: Elevated blood pressure may develop in hypertensive patients after performing resistance training. The present study aimed to investigate the effect of beetroot juice on cardiovascular and functional changes during and after a session of acute resistance training in men with hypertension. Materials and Methods: In the present single-blind quasi-experimental study, 20 men with hypertension were randomly divided into two groups of Beetroot Juice (BJ) and Placebo (PLA). Upper and lower body muscular strength, Perceived Exertion (RPE), Systolic and Diastolic blood pressure (SBP, DBP), and resting and continuous Heart Rate (HR) were measured after resistance training in the pre-test. In the post-test, BJ and PLA groups consumed beetroot juice and non-caloric cherry flavor Beverage (4.5 mg/Kg Bodyweight), respectively, 150 minutes before repeating the measurements. Data were analyzed using three-way ANOVA, student’s t-test, and Mann– Whitney U test at a significance level of 0.05. Results: Beetroot juice significantly reduced SBP, DBP, and HR at rest and after resistance training compared to PLA. Furthermore, BJ significantly increased lower body muscular strength and decreased RPE during resistance training. Conclusion: Beetroot juice is a useful beverage that easily and harmlessly controls blood pressure in hypertensive patients. This drink prevents the risk of high blood pressure in addition to improving performance during resistance training.
背景与目的:高血压患者在进行阻力训练后可能出现血压升高。本研究旨在研究甜菜根汁对高血压男性急性阻力训练期间和之后心血管和功能变化的影响。材料与方法:本研究采用单盲准实验方法,将20例高血压患者随机分为甜菜汁(BJ)和安慰剂(PLA)两组。在测试前的阻力训练后,测量上下半身肌肉力量、感觉用力(RPE)、收缩压和舒张压(SBP,DBP)以及静息和持续心率(HR)。在后测试中,BJ和PLA组在重复测量前150分钟分别饮用甜菜根汁和无热量樱桃味饮料(4.5 mg/Kg体重)。使用三元方差分析、学生t检验和Mann-Whitney U检验对数据进行分析,显著性水平为0.05。结果:与PLA相比,甜菜根汁显著降低了静息和阻力训练后的收缩压、舒张压和心率。此外,BJ在阻力训练中显著增加了下半身肌肉力量,降低了RPE。结论:甜菜根汁是一种对高血压患者血压具有良好控制作用的饮料。这种饮料除了能提高阻力训练的表现外,还能预防高血压的风险。
{"title":"Effects of a Single Dose of Beetroot Juice on Functional and Cardiovascular Changes Following Acute Resistance Training in Men with Hypertension","authors":"T. Afsharnezhad, Ahmad Fazeli Sani","doi":"10.52547/ajcm.28.3.176","DOIUrl":"https://doi.org/10.52547/ajcm.28.3.176","url":null,"abstract":"Background and Objective: Elevated blood pressure may develop in hypertensive patients after performing resistance training. The present study aimed to investigate the effect of beetroot juice on cardiovascular and functional changes during and after a session of acute resistance training in men with hypertension. Materials and Methods: In the present single-blind quasi-experimental study, 20 men with hypertension were randomly divided into two groups of Beetroot Juice (BJ) and Placebo (PLA). Upper and lower body muscular strength, Perceived Exertion (RPE), Systolic and Diastolic blood pressure (SBP, DBP), and resting and continuous Heart Rate (HR) were measured after resistance training in the pre-test. In the post-test, BJ and PLA groups consumed beetroot juice and non-caloric cherry flavor Beverage (4.5 mg/Kg Bodyweight), respectively, 150 minutes before repeating the measurements. Data were analyzed using three-way ANOVA, student’s t-test, and Mann– Whitney U test at a significance level of 0.05. Results: Beetroot juice significantly reduced SBP, DBP, and HR at rest and after resistance training compared to PLA. Furthermore, BJ significantly increased lower body muscular strength and decreased RPE during resistance training. Conclusion: Beetroot juice is a useful beverage that easily and harmlessly controls blood pressure in hypertensive patients. This drink prevents the risk of high blood pressure in addition to improving performance during resistance training.","PeriodicalId":52678,"journal":{"name":"pzshkhy blyny bn syn","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45230668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison of Choroidal Thickness in Psoriasis and Control Groups Using Optical Coherence Tomography 光学相干断层扫描对银屑病患者与对照组脉络膜厚度的比较
Q4 Medicine Pub Date : 2021-12-01 DOI: 10.52547/ajcm.28.3.145
S. Akbarzadeh, N. Bazzazi, M. Sobhan
Background and Objective: One of the most common extracutaneous complications in psoriasis patients is ocular complications, which is controversial concerning its effect on choroidal thickness. This study aimed to compare the psoriasis patients with healthy individuals in terms of the thickness of the choroidal layer using the optical coherence tomography
背景与目的:眼部并发症是银屑病患者最常见的皮外并发症之一,其对脉络膜厚度的影响一直存在争议。本研究旨在比较银屑病患者与健康人在脉络膜层厚度方面的光学相干断层扫描
{"title":"Comparison of Choroidal Thickness in Psoriasis and Control Groups Using Optical Coherence Tomography","authors":"S. Akbarzadeh, N. Bazzazi, M. Sobhan","doi":"10.52547/ajcm.28.3.145","DOIUrl":"https://doi.org/10.52547/ajcm.28.3.145","url":null,"abstract":"Background and Objective: One of the most common extracutaneous complications in psoriasis patients is ocular complications, which is controversial concerning its effect on choroidal thickness. This study aimed to compare the psoriasis patients with healthy individuals in terms of the thickness of the choroidal layer using the optical coherence tomography","PeriodicalId":52678,"journal":{"name":"pzshkhy blyny bn syn","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44712403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Development of a Model and Review of Clinical Methods of Balance Function in the Elderly Using Structural Equation Modeling 应用结构方程模型建立老年人平衡功能模型及临床方法综述
Q4 Medicine Pub Date : 2021-12-01 DOI: 10.52547/ajcm.28.3.194
E. Talebi Ghane, Leila Ghanbari, Saeid Shamloo Kazemi, Rashid Heidari moghadam, H. Naderifar
Background and Objective: Balance disorder is one of the most common problems in the elderly, leading to falls and serious injuries. One of the most important issues in the health of the elderly is balance and its related components. Therefore, the present study aimed to assess balance function tests, the relationship between age and anthropometric index, and perform equilibrium tests using structural equation modeling. Materials and Methods: A total of 136 elderly men and women living in a retirement home in Hamadan were included in this cross-sectional study. Balance function tests included finger-to-nose test, maintaining balance on one foot, standing up and walking tests, and heel-toe walking tests. Data were analyzed using an independent t-test, Pearson correlation coefficient, and structural equation model with 95% confidence using SPSS (version 23) and EQS (version 6.1) software. Results: The mean (standard deviation) age of the participants in this study was 66.05±2.83 and out of 136 patients, 77 (56.62%) cases were female. There was a significant difference between the mean scores of men and women in balance performance tests. In the Finger-to-nose test, women with the dominant and non-dominant hand performed the test in less time, and in other tests, the men performed faster. The intra-class correlation (ICC) coefficient obtained in all tests showed high repeatability of these tests. The coefficients obtained from the structural equation model showed that for every one year increase in age, the motor index and the anthropometric index increased and decreased significantly by 0.68 and 0.60 units, respectively. There was a decrease of 0.06 units in the mean of equilibrium performance tests. The model of fitted structural equations was confirmed based on the fitted goodness index (χ2 was not significant total, (0.095-0.077) 0.089: RMSEA, 0.918CFI: and GFI: 0.908). Conclusion: Age and gender were effective on balance function tests and anthropometric indices. The mean motor index and anthropometric index increased and decreased significantly for every one year increase in age. Furthermore, among the balance performance tests, the most difficult test was related to standing on one leg.
背景与目的:平衡障碍是老年人最常见的问题之一,可导致跌倒和严重损伤。老年人健康中最重要的问题之一是平衡及其相关组成部分。因此,本研究旨在评估平衡功能测试、年龄与人体测量指数之间的关系,并使用结构方程模型进行平衡测试。材料和方法:共有136名居住在哈马丹养老院的老年男女参与了这项横断面研究。平衡功能测试包括手指到鼻子测试、单脚保持平衡、站立和行走测试以及足跟行走测试。使用SPSS(版本23)和EQS(版本6.1)软件,使用独立t检验、Pearson相关系数和95%置信度的结构方程模型对数据进行分析。结果:本研究参与者的平均(标准差)年龄为66.05±2.83,136例患者中,77例(56.62%)为女性。在平衡表现测试中,男性和女性的平均得分之间存在显著差异。在手指到鼻子的测试中,拥有优势手和非优势手的女性进行测试的时间更短,而在其他测试中,男性表现更快。在所有测试中获得的类内相关性(ICC)系数显示出这些测试的高重复性。从结构方程模型中获得的系数表明,年龄每增加一年,运动指数和人体测量指数分别显著增加和减少0.68和0.60个单位。平衡性能测试的平均值减少了0.06个单位。基于拟合优度指数(χ2不显著,(0.095-0.077)0.089:RMSEA,0.918CFI:和GFI:0.908),证实了拟合结构方程的模型。年龄每增加一年,平均运动指数和人体测量指数就显著增加和减少。此外,在平衡性能测试中,最困难的测试与单腿站立有关。
{"title":"Development of a Model and Review of Clinical Methods of Balance Function in the Elderly Using Structural Equation Modeling","authors":"E. Talebi Ghane, Leila Ghanbari, Saeid Shamloo Kazemi, Rashid Heidari moghadam, H. Naderifar","doi":"10.52547/ajcm.28.3.194","DOIUrl":"https://doi.org/10.52547/ajcm.28.3.194","url":null,"abstract":"Background and Objective: Balance disorder is one of the most common problems in the elderly, leading to falls and serious injuries. One of the most important issues in the health of the elderly is balance and its related components. Therefore, the present study aimed to assess balance function tests, the relationship between age and anthropometric index, and perform equilibrium tests using structural equation modeling. Materials and Methods: A total of 136 elderly men and women living in a retirement home in Hamadan were included in this cross-sectional study. Balance function tests included finger-to-nose test, maintaining balance on one foot, standing up and walking tests, and heel-toe walking tests. Data were analyzed using an independent t-test, Pearson correlation coefficient, and structural equation model with 95% confidence using SPSS (version 23) and EQS (version 6.1) software. Results: The mean (standard deviation) age of the participants in this study was 66.05±2.83 and out of 136 patients, 77 (56.62%) cases were female. There was a significant difference between the mean scores of men and women in balance performance tests. In the Finger-to-nose test, women with the dominant and non-dominant hand performed the test in less time, and in other tests, the men performed faster. The intra-class correlation (ICC) coefficient obtained in all tests showed high repeatability of these tests. The coefficients obtained from the structural equation model showed that for every one year increase in age, the motor index and the anthropometric index increased and decreased significantly by 0.68 and 0.60 units, respectively. There was a decrease of 0.06 units in the mean of equilibrium performance tests. The model of fitted structural equations was confirmed based on the fitted goodness index (χ2 was not significant total, (0.095-0.077) 0.089: RMSEA, 0.918CFI: and GFI: 0.908). Conclusion: Age and gender were effective on balance function tests and anthropometric indices. The mean motor index and anthropometric index increased and decreased significantly for every one year increase in age. Furthermore, among the balance performance tests, the most difficult test was related to standing on one leg.","PeriodicalId":52678,"journal":{"name":"pzshkhy blyny bn syn","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46523672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevalence of Trichomoniasis and Determination of in Vitro Susceptibility of Isolated Parasites to Metronidazole in Women Referred to Health Centers in Arak, Iran, in 2020 2020年伊朗阿拉克地区转诊妇女滴虫病流行及分离寄生虫对甲硝唑的体外敏感性测定
Q4 Medicine Pub Date : 2021-12-01 DOI: 10.52547/ajcm.28.3.186
M. Fallah, M. Mosayebi, M. Matini, F. Darabi
{"title":"Prevalence of Trichomoniasis and Determination of in Vitro Susceptibility of Isolated Parasites to Metronidazole in Women Referred to Health Centers in Arak, Iran, in 2020","authors":"M. Fallah, M. Mosayebi, M. Matini, F. Darabi","doi":"10.52547/ajcm.28.3.186","DOIUrl":"https://doi.org/10.52547/ajcm.28.3.186","url":null,"abstract":"","PeriodicalId":52678,"journal":{"name":"pzshkhy blyny bn syn","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48110087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
pzshkhy blyny bn syn
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1