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Secure and Reliable ML-based Disease Detection for a Medical Wireless Body Sensor Networks 安全可靠的基于ml的医疗无线身体传感器网络疾病检测
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2022-02-28 DOI: 10.46300/91011.2022.16.26
M. Mohamed, A. Meddeb-Makhlouf, A. Fakhfakh, O. Kanoun
The recent development of the Internet of Things (IoT) has enabled a significant technology that aids quick healthcare solutions through the use of smart wearables sensors. Indeed, undesirable events and network threats can appear in any physiological recording in Wireless Body Sensor Networks (WBSN), leading to a misdiagnosis. These events and threats are recognizable by experienced medical staff, thereby it is necessary to identify them before making any diagnosis. In this paper, a secure and energy efficient approach is proposed. For disease detection, our research provide insight into several physiological signals, including the ElectroCardioGram (ECG), ElectroMyoGram (EMG), and Blood Pressure (BP), where the security is achieved by the application of the Advanced Encryption Symmetric (AES) and the Secure Hash Algorithm (SHA). Similarly, to obtain a reasonable range of reliability, a classification procedure based on supervised Machine Learning (ML) techniques is used. The simulation results proved the accuracy and sensitivity of the system by 97% and 92%, respectively by enhancing a high level of security. Moreover, a suitable prototype is developed for medical staff to ensure the applicability of our proposal.
物联网(IoT)的最新发展使一项重要技术得以实现,该技术通过使用智能可穿戴设备传感器来帮助快速解决医疗保健问题。事实上,在无线身体传感器网络(WBSN)中,不良事件和网络威胁可能出现在任何生理记录中,从而导致误诊。经验丰富的医务人员可以识别这些事件和威胁,因此有必要在做出任何诊断之前进行识别。本文提出了一种安全、节能的方法。对于疾病检测,我们的研究提供了对几种生理信号的见解,包括心电图(ECG),肌电图(EMG)和血压(BP),其中安全性是通过应用高级对称加密(AES)和安全哈希算法(SHA)实现的。同样,为了获得合理的可靠性范围,使用了基于监督机器学习(ML)技术的分类过程。仿真结果表明,该系统的准确率和灵敏度分别提高了97%和92%,提高了较高的安全性。此外,为医护人员开发了合适的原型,以确保我们的建议的适用性。
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引用次数: 2
Human-Crocodile Conflicts in Sarawak, Malaysian Borneo: An analysis of crocodile attacks from 2000 until 2020 马来西亚婆罗洲沙捞越人与鳄鱼的冲突:从2000年到2020年鳄鱼袭击的分析
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2022-01-27 DOI: 10.46300/91011.2022.16.25
M. A. Gani, R. Hassan, O. B. Tisen, Rambli Ahmad
Crocodiles have caused a relatively high number of fatalities towards local people in Sarawak, a Malaysian state in Borneo. However, they have important cultural values and are well respected by the riverine communities in the state. The objective of this study is to determine the patterns of human-crocodile conflict in Sarawak which could help in managing the problems between crocodile and human. Information on crocodile attacks were collected from multiple sources including records kept by local authority, media or CrocBITE database. Over a 21 years period (year 2000-2020), the record attacks (n=164) showed a balance between fatal and non-fatal cases. Most common victims in Sarawak were male (86.6%) and adults from the age of 31 to 40 years old (20.7%). The attacks occurred more during the daylight (59.4%), with the peak time for crocodile attacks was approximately between 1800 to 2359 hours (33.3%). Crocodile attacks occur slightly more during the wet season, from October to March (54.0%), with the highest one recorded in March (16.8%). Fishing (26.2%) and bathing (22.0%) in the rivers possess the highest risk of crocodile attack, suggesting that crocodiles are more likely to attack when the victim is in the water. The findings imply that crocodiles' attack pattern in Sarawak is associated with the people’s activities pattern. There is a need to update the database on crocodile attacks in Sarawak on -real time basis as this will facilitate the relevant agencies in formulating the strategies to reduce the number of crocodile attacks and ensuring the safety of the riverine communities.
在马来西亚婆罗洲的砂拉越州,鳄鱼对当地人造成的死亡人数相对较高。然而,它们具有重要的文化价值,受到该州河流社区的尊重。本研究的目的是确定砂拉越人与鳄鱼冲突的模式,这有助于解决鳄鱼与人之间的问题。关于鳄鱼袭击的信息是从多个来源收集的,包括地方当局、媒体或CrocBITE数据库保存的记录。在21年的时间里(2000-2020年),创纪录的袭击事件(n=164)显示出致命和非致命病例之间的平衡。砂拉越最常见的受害者是男性(86.6%)和31至40岁的成年人(20.7%)。袭击发生在白天(59.4%),鳄鱼袭击的高峰时间约为1800至2359小时(33.3%)。鳄鱼袭击发生在雨季,即10月至3月(54.0%),3月份的最高记录(16.8%)。在河里钓鱼(26.2%)和洗澡(22.0%)的鳄鱼袭击风险最高,这表明受害者在水中时鳄鱼更有可能袭击。研究结果表明,砂拉越鳄鱼的攻击模式与人们的活动模式有关。有必要实时更新砂拉越鳄鱼袭击事件的数据库,因为这将有助于相关机构制定减少鳄鱼袭击次数和确保河流社区安全的战略。
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引用次数: 1
The Effect of Salt and Acid on Physicochemical, Microbiological and Organoleptic Properties of Salted Fermented Mackerel (Rastrelliger Brachysoma) 盐和酸对盐渍发酵鲐鱼理化、微生物学和感官特性的影响
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2022-01-24 DOI: 10.46300/91011.2022.16.24
S. Subiyanto, E. Liviawaty, E. Rochima, A. Sawitri, Siti Ainun Nisah, Eddy Afrianto
This paper aims to find the best composition for adding salt to the manufacture of fermented mackerel (Restrelliger Branchysoma). The addition of salt in sufficient quantities can kill microbes or pathogenic bacteria but produce a taste that is too salty. This is one of the causes of the lack of public interest in consuming salted fish. The addition of acid solution and the addition of starter bacteria is an effort to reduce the salt content used, besides that it can grow a lot of fermented microbes. In this paper, the addition of salt and acid solution is carried out. The results obtained in this paper, making fermented mackerel using vinegar with a fermentation time of 14 days is the most effective treatment in producing fermented mackerel products. This fermented mackerel has an aroma that is liked and accepted by panelists and produces a distinctive, savory and not so salty taste.
本文旨在寻找在发酵鲭鱼(Restrellier Branchysoma)生产中添加盐的最佳配方。添加足量的盐可以杀死微生物或致病菌,但会产生过咸的味道。这也是公众对食用咸鱼缺乏兴趣的原因之一。添加酸性溶液和发酵菌是为了减少所用的盐含量,此外它还可以生长大量发酵微生物。在本文中,进行了盐和酸溶液的添加。本文的研究结果表明,用发酵时间为14天的醋制作发酵马鱼是生产发酵马鱼产品最有效的处理方法。这种发酵的鲭鱼有一种被小组成员喜欢和接受的香气,并产生一种独特的、可口的、不那么咸的味道。
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引用次数: 0
Monitoring the Effectiveness of Personalized Metabolic Correction in Athletes Using Biocrystallomics Techniques 利用生物晶体组学技术监测运动员个性化代谢纠正的有效性
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2022-01-21 DOI: 10.46300/91011.2022.16.23
A. Martusevich, K. Karuzin, I. Bocharin, A. Surovegina
The aim of this study was to estimate the effect of personalized metabolic support on the character of dehydration structuring of blood serum of qualified athletes. The study included 55 athletes with the category of cyclical sports. The random number test subjects were divided into 2 groups: the main group (n=23), where individualized metabolic correction was performed, and the comparison group (n=22), whose received placebo. Blood samples were obtained from athletes of both groups before the course and immediately after its completion. Then micro-preparations were prepared using the technology of classical crystalloscopy. Crystalloscopic facias were estimated with own system of visuamitric parameters. The study allowed us to establish that in qualified athletes, the course of taking biologically active agents, individualized on the basis of a multiparametric assessment of the state of oxidative metabolism of blood, contributed to the optimization of the crystallogenic properties of blood serum. This was manifested in the transformation of the structure of the main elements of the picture in the direction of reducing their size with a proportional increase in density, as well as in reducing the degree of destruction of crystals and expanding the marginal zone of the micropreparation.
本研究的目的是评估个性化代谢支持对合格运动员血清脱水结构特征的影响。这项研究包括55名周期性运动的运动员。随机数字测试对象分为两组:主组(n=23),进行个体化代谢纠正,对照组(n=22)接受安慰剂。在比赛开始前和结束后立即采集了两组运动员的血液样本。然后利用经典晶体学技术制备微制剂。用自己的视觉参数系统对晶体表面进行了估计。该研究使我们能够确定,在合格的运动员中,服用生物活性药物的过程,在血液氧化代谢状态的多参数评估的基础上进行个体化,有助于优化血清的结晶特性。这表现在图中主要元素的结构发生了变化,它们的尺寸随着密度的比例增加而减小,同时也表现在晶体的破坏程度降低,微制备的边缘区扩大。
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引用次数: 1
Comparison Distribution of Vibrio Species in Stocking to Harvesting Process of Shrimp at Commercialize Shrimp Farm 商业化虾场放养与收获过程中弧菌种类分布的比较
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2022-01-21 DOI: 10.46300/91011.2022.16.22
E. Nillian, Nur Diyana Zakaria, D. Lesen, N. Yusoff, Nurain Syahirah Binti Ismail, Teng Sing Tung, L. Bilung
Vibrio species is one of the pathogenic bacteria infecting shrimps in aquaculture farm has caused severe loss to the aquaculture farm. The aim of this research is to isolate and compare the presence of Vibrio spp. in commercialize shrimp farm during the stocking process and the final harvest phase of shrimp productions. Quantification and isolation were conducted and measured using Log CFU (colony forming units) counts and morphological investigation gram staining and conventional biochemical test identification. A total of sixty-four (n=64) sediment and water samples were collected from the inlet and outlet of the two selected shrimp ponds (Pond A and Pond B) in Kampung Telaga Air, Kuching, Sarawak. As a result, the bacteria count from water samples during stocking period at both shrimps ponnds were 6.6 Log CFU/ml and 5.6 Log CFU/ml while during harvesting period were 5.3 Log CFU/ml and 5.8 Log CFU/ml. Meanwhile, bacteria count sediments samples during stocking period at both shrimp ponds were 5.5 Log CFU/g and 5.7 Log CFU/g whereas harvesting period at showed both shrimps pond were 5.2 Log CFU/g and 4.8 Log CFU/g. The finding showed the Vibrio sp. identified in sediment samples were V. parahemolyticus with 27%, followed by V. alginolyticus (22%), V. cholerae (16%). V. fluvialis (14%) and 7% of V. fulmisi and V. vulnificus and V. mimicus. Meanwhile, the Vibrio sp. identified in water samples were V. fluvialis with 29%, followed by V. alginolyticus (22%), V. parahemolyticus (19%) and 10 % were V. fulmisi , V. mimicus and V. vulnificus. The study has been carried out further by investigated the Antibiotic Susceptibility Test (AST) using erythromycin (15 ug/ml), ampicillin (10 ug/ml), and streptomycin (25 ug/ml). The positive cultures from sediment samples showed Ampicillin resistant profile was > 0.2 MAR index while fifty percent (50%) of the isolates from water samples were resistant to ampicillin. Therefore, this study has profound implications for further monitoring process from the stocking process towards the harvesting process in order to prevent any Vibrio sp. infection which caused shrimp’s disease or food safety issue related to public consumption or of shrimps in future.
弧菌是养殖场感染对虾的致病菌之一,给养殖场造成了严重的损失。本研究的目的是分离和比较在商业化虾养殖场的放养过程和虾产品的最后收获阶段弧菌的存在。采用Log CFU(菌落形成单位)计数、形态调查、革兰氏染色和常规生化试验鉴定进行定量和分离。在沙捞越州古晋甘邦特拉加航空的两个对虾池(池A和池B)的入口和出口共采集了64份(n=64)沉积物和水样。结果表明,放养期水样细菌计数分别为6.6 Log CFU/ml和5.6 Log CFU/ml,收获期水样细菌计数分别为5.3 Log CFU/ml和5.8 Log CFU/ml。同时,两个虾池放养期沉积物样品细菌计数分别为5.5 Log CFU/g和5.7 Log CFU/g,而收获期的细菌计数分别为5.2 Log CFU/g和4.8 Log CFU/g。结果表明,沉积物样品中检出的副溶血性弧菌最多,占27%,其次是溶藻弧菌(22%)和霍乱弧菌(16%)。河流弧菌占14%,富米弧菌、创伤弧菌和拟弧菌占7%。水样中检出的弧菌以河流弧菌为主(29%),其次为溶藻弧菌(22%)、副溶血性弧菌(19%),富米弧菌、拟溶血性弧菌和创伤弧菌占10%。本研究进一步采用红霉素(15 ug/ml)、氨苄西林(10 ug/ml)和链霉素(25 ug/ml)进行抗生素敏感性试验(AST)。沉积物样品阳性培养显示氨苄西林耐药谱为bb0 0.2 MAR指数,水样中50%(50%)的分离株对氨苄西林耐药。因此,该研究对从放养过程到收获过程的进一步监测具有深远的意义,以防止任何引起虾病的弧菌感染或未来与公众消费或虾相关的食品安全问题。
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引用次数: 0
Glibenclamide Elicits Endoplasmic Reticulum Stress and Myokine Expression in the L6 Skeletal Muscle Cells 格列本脲引起L6骨骼肌细胞内质网应激和肌因子表达
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2022-01-18 DOI: 10.46300/91011.2022.16.21
Kisang Kwon, Y. Ko, Hyewon Park, Junghae Kim, Kyung-Hee Kang, Seung-Whan Kim, O. Kwon
Although glibenclamide is an oral hypoglycemic agent used in type 2 diabetes, skeletal muscle wasting has been reported as a side effect. To understand how to reduce this side effect, we determined whether glibenclamide induces endoplasmic reticulum (ER) stress in skeletal muscle cells and which myokine expression changes at this time. The ER chaperone genes do not show a significant change by glibenclamide, but the ER stress sensor genes are upexpressed approximately twice, and those downstream [ATF6 (activating transcription factor 6) fragmentation, eIF2α (eukaryotic initiation factor-2α) phosphorylation, and XBP1 (Xbox DNA-binding protein) mRNA splicing] are activated. Additionally, the myokine gene expression was up- or downregulated by glibenclamide. These results will serve as useful data for overcoming the side effects of sarcopenia caused by glibenclamide.
尽管格列本脲是一种用于2型糖尿病的口服降糖药,但据报道,骨骼肌萎缩是一种副作用。为了了解如何减少这种副作用,我们确定了格列本脲是否在骨骼肌细胞中诱导内质网(ER)应激,以及此时哪些肌因子的表达发生了变化。ER伴侣基因在格列本脲作用下没有表现出显著变化,但ER应激传感器基因约两次表达,下游[ATF6(激活转录因子6)片段化、eIF2α(真核起始因子2α)磷酸化和XBP1(Xbox DNA结合蛋白)mRNA剪接]被激活。此外,肌细胞因子基因的表达被格列本脲上调或下调。这些结果将为克服格列本脲引起的少肌症的副作用提供有用的数据。
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引用次数: 0
Advantages and Limits of Remote Care and Stress Management Experienced by Mothers of Students with Specific Learning Disabilities During the Covid-19 Period 新冠肺炎期间特殊学习障碍学生母亲远程护理与压力管理的优势与局限
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2022-01-10 DOI: 10.46300/91011.2022.16.8
Zhour Leqouider, Z. Abidli, Bahae Ouali, Latifa Kamal, Joumana El Turk, B. Touri, Abdrrahim Khyati
These instructions give you guidelines for preparing papers. Use this document as a template if you are using Microsoft Word. Otherwise, use this document as an instruction set.. Define all symbols used in the abstract. Do not cite references in the abstract. Do not delete the blank line immediately above the abstract; it sets the footnote at the bottom of this column. Page margins are 1,78 cm top and down; 1,65 cm left and right. Each column width is 8,89 cm and the separation between the columns is 0,51 cm. Abstract-Introduction : The period of confinement due to the COVID-19 pandemic has harmful consequences on the psychological state of parents and their children, especially those with psychological or neurocognitive problems. The care of these children plays a primordial role in their development, particularly during the COVID-19 period. For this reason, our objective is to assess the state of stress among mothers of children with learning disabilities during the COVID-19 period in Morocco, as well as the support of these children. Materials and methods : This is a cross-sectional study that was conducted during the period from April to June 2020. To realise it, we used a investigation form which contains three parts. To evaluate the state of stress in mothers, we used the "PSS10d" scale adapted to the Moroccan context. The target population is composed of mothers of children with learning disabilities who are being monitored by Moroccan Association for Learning Disorders and Difficulties (MALDD) in Casablanca. Results : During the period of confinement, only 13% (n=15) of mothers reported that their children "Dys" had benefited from remote remediation by specialists According to the Odds Ratio calculation, the risk factors influencing the care of "Dys" children during this period of confinement are: lack of cooperation from the child (Odds Ratio= 16.8; IC95%=[3.5-79]). 1]; P-value=0.001), the educational level of mothers (Odds Ratio= 9.4; IC95%=[2.4-35.7]; P-value=0.001), the economic situation (Odds Ratio= 5.1; IC95%=[1.5-17.4]; P-value=0.01) and technical problems (Odds Ratio= 5.1; IC95%=[1.5-17.4]; P-value=0.01). Conclusion : According to our results, we noticed that the psychological state of the mothers is influenced by the remote care of the "Dys" children. For this the responsible authorities in Morocco must support this population.
这些说明给你准备论文的指导方针。如果使用Microsoft Word,请将此文档用作模板。否则,将此文档用作指令集。定义抽象中使用的所有符号。不要在摘要中引用参考文献。不要删除摘要上方的空白行;它将脚注设置在本列的底部。页边距上下分别为1.78厘米;1、左右各65厘米。每个柱的宽度为8.89厘米,柱间的间距为0.51厘米。摘要/ abstract摘要-导读:新冠肺炎疫情导致的坐月子对家长和孩子的心理状态,特别是对有心理或神经认知问题的家长和孩子的心理状态造成不良影响。对这些儿童的照顾在他们的成长中发挥着至关重要的作用,特别是在2019冠状病毒病疫情期间。因此,我们的目标是评估摩洛哥在2019冠状病毒病疫情期间有学习障碍儿童的母亲的压力状况,以及对这些儿童的支持。材料和方法:这是一项横断面研究,于2020年4月至6月进行。为了实现这一点,我们使用了一个调查表格,它包含三个部分。为了评估母亲的压力状态,我们使用了适合摩洛哥背景的“PSS10d”量表。目标人群是有学习障碍儿童的母亲,她们正在接受卡萨布兰卡摩洛哥学习障碍和困难协会的监测。结果:在坐月子期间,只有13% (n=15)的母亲报告他们的孩子“Dys”受益于专家的远程补救。根据优势比计算,影响“Dys”儿童在坐月子期间护理的危险因素是:孩子缺乏合作(优势比= 16.8;IC95% =[-79 - 3.5])。1);p值=0.001),母亲的受教育程度(优势比= 9.4;IC95% = (2.4 - -35.7);p值=0.001),经济状况(优势比= 5.1;IC95% = (1.5 - -17.4);p值=0.01)和技术问题(优势比= 5.1;IC95% = (1.5 - -17.4);假定值= 0.01)。结论:根据我们的研究结果,我们注意到母亲的心理状态受到“Dys”儿童远程护理的影响。为此,摩洛哥的主管当局必须支持这些人口。
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引用次数: 0
Gel Textural Characteristics of Hair Gel with Cocoa Shell Extract by Using Mixture D-optimal Method 混合d -最优法测定可可壳提取液发胶的凝胶结构特征
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2022-01-10 DOI: 10.46300/91011.2022.16.14
Arief Huzaimi Md Yusof, Siti Salwa Abd Gani, Uswatun Hasanah Zaidan, M. Halmi
This study was used a mixture design to optimize the spreadability and viscosity of topical hair gel incorporates cocoa shell extract. The factor of the hair gel ingredient was thickener (0.2 – 0.8%), styling polymer A (2-5%), styling polymer B (2-6%), and solvent (84.63-91.63%) were studied on two responses selected spreadability and viscosity. The data collected were fitted to the model with high coefficient determination (R2= 0.994 for the spreadability and 0.9937 for the viscosity). The model can be predicted by showing the good lack of fit test result not significant with the p-value bigger than 0.05. From the ramp function simulation, the optimized formulation was selected and established at thickener (0.55%), styling polymer A (3.61%), styling polymer B (3.72%), and solvent (88.55%) with the spreadability and viscosity at 353.77 g.s and 39.91 pa.s respectively. The benefit of using mixture design in this experiment, it can help a formulator to understand the complex interaction between factors and can easily modify the formulation through ramp function simulation to obtain the desired result. The predicted validation test shows that both values were comparable. Under this condition showed that the model development could be used to predict future observations within the design range thickener (0.2 – 0.8%), styling polymer A (2-5%), styling polymer B (2-6%), and solvent (84.63-91.63%).
本研究采用混合物设计来优化含有可可壳提取物的局部发胶的铺展性和粘度。头发凝胶成分的因素是增稠剂(0.2-0.8%)、定型聚合物A(2-5%)、定型聚合物B(2-6%)和溶剂(84.63-91.63%)。所收集的数据与具有高系数测定的模型拟合(铺展性R2=0.994,粘度R2=0.9937)。该模型可以通过显示良好的不匹配测试结果来预测,p值大于0.05时不显著。从斜坡函数模拟中,选择并确定了增稠剂(0.55%)、定型聚合物A(3.61%)、定型聚合物B(3.72%)和溶剂(88.55%)的最佳配方,其铺展性和粘度分别为353.77g.s和39.91pa.s。在本实验中使用混合物设计的好处是,它可以帮助公式制定者了解因素之间的复杂相互作用,并可以通过斜坡函数模拟轻松地修改公式,以获得所需的结果。预测验证测试表明,这两个值具有可比性。在此条件下,模型开发可用于预测未来在增稠剂(0.2–0.8%)、定型聚合物A(2-5%)、定型聚合物B(2-6%)和溶剂(84.63–91.63%)设计范围内的观测结果。
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引用次数: 0
The Modified Procedure of Totally Tubeless PNL 改良的全无管PNL手术
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2022-01-10 DOI: 10.46300/91011.2022.16.10
A. Sahalevych, R. Sergiychuk, V. Ozhohin, A. Khrapchuk, Yaroslav Dubovyi, Olexander S. Frolov
Mini percutaneous nephrolithotomy (mPNL) is a standard treatment for kidney stones larger than 1.5 cm, with the placement of a nephrostomy drainage at the end of it, which is considered the standard procedure, but tubeless/ totally tubeless mPNL techniques reduce postoperative discomfort in patients and shorten hospital stays. The aim of article was to compare the efficacy and safety of our proposed modified method of totally tubeless mPNL with control of the parenchymal canal, with existing methods of tubeless/totally tubeless mPNL. Novelty of the study presented by modified method of totally tubeless mPNL. During the period from 2018 to 2020 we performed 486 mPNL were performed in our clinic in total, among which 63 (12.9%) patients underwent tubeless PNL. Patients whose surgeries ended with using tubeless techniques were divided into three groups: Group I – 22 patients who had tubeless mPNL (with ureteral stent), Group II (20 patients) – totally tubeless mPNL with a safety thread (the proposed procedure), Group III (21 patients) – totally tubeless mPNL. In all three groups, the access point was most often made through the lower group of renal calyces: Group I – 12 (54.5%), Group II – 14 (70.0%), Group III – 13 (61.9%); then through the middle calyx: Group I – 8 (36.4%), Group II – 6 (30.0%), Group III – 7 (33.3%); and the upper calyx: Group І – 2 (9.1%), Group ІІ – 0%, Group ІІІ – 1 (4.8%), no differences in the distribution of access points between groups were found (p=0.67). There were no differences in the distribution of tract sizes between the groups (p=0.95) with tract dilatation to 16.5/17.5 Fr was performed most often: Group I – 12 (54.5%), in Group II – 11 (55.0%) and Group III – 11 (52.4%). The mean duration of surgery in Group I was 83.0±22.9 min, in Group II – 74.9±13.6 min, in Group III – 72.6±12.0 min (p=0.47). This study confirms the high effectiveness of totally tubeless mPNL. The proposed modification to perform totally tubeless mPNL allows you to have permanent postoperative control over the parenchymal channel and in case of postoperative bleeding it enables you to immediately insert nephrostomy drainage through the safety thread. Study contributes to practical methods as an intermediate step for surgeons who are considering transition to a totally tubeless PCNL technique.
微型经皮肾镜取石术(mPNL)是大于1.5 cm肾结石的标准治疗方法,在取石后放置肾造瘘引流,这被认为是标准手术,但无管/完全无管的mPNL技术减少了患者术后不适,缩短了住院时间。本文的目的是比较我们提出的改良的完全无管mPNL方法与现有的无管/完全无管mPNL方法的疗效和安全性。采用改进的全无管mPNL方法,提出了研究的新颖性。2018年至2020年,我院共实施mPNL 486例,其中63例(12.9%)为无管PNL。手术结束时使用无管技术的患者分为三组:I组- 22例无管mPNL(输尿管支架),II组(20例)-完全无管mPNL与安全线(建议的手术),III组(21例)-完全无管mPNL。在所有三组中,访问点最常通过肾盏下部组:I - 12组(54.5%),II - 14组(70.0%),III - 13组(61.9%);然后通过中间花萼:I - 8组(36.4%)、II - 6组(30.0%)、III - 7组(33.3%);上花萼:І - 2组(9.1%),ІІ - 0%, ІІІ - 1组(4.8%),各组间接入点分布无差异(p=0.67)。两组间尿路大小分布无差异(p=0.95),尿路扩张至16.5/17.5 Fr的发生率最高:I - 12组(54.5%)、II - 11组(55.0%)和III - 11组(52.4%)。平均手术时间I组为83.0±22.9 min, II组为74.9±13.6 min, III组为72.6±12.0 min (p=0.47)。本研究证实了全无管mPNL的高效性。建议进行完全无管mPNL的修改允许您在术后永久控制实质通道,并且在术后出血的情况下,它使您能够立即通过安全线插入肾造口引流。研究为考虑过渡到完全无管PCNL技术的外科医生提供了实用的中间步骤。
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引用次数: 2
Assessment of Occupational Exhaustion During the COVID 19 Period on Healthcare Professionals in the Rabat-sale-kenitra Region of Morocco 摩洛哥拉巴特-塞尔-凯尼特拉地区医护人员在2019冠状病毒病期间的职业倦怠评估
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2022-01-10 DOI: 10.46300/91011.2022.16.11
K. Tahiri, Z. Abidli, A. Amri, Abdelhamid Esserkassi, Z. Hannoun, Joumana El Turk, A. Bour
The novel Coronavirus 2019 (COVID-19) pandemic has resulted in an overall increase in new cases of depression and burnout and exacerbation of existing mental health problems, with particular emotional and physical harm to healthcare workers. For this reason, the aim of this study is to assess occupational exhaustion and to determine its risk factors within this population during the period of COVID- 19. This is about a cross-sectional study that was conducted from March to June 2020. The target population was health professionals working in the various departments of COVID-19, in public hospitals in Rabat-Sale-Kenitra region of Morocco. To evaluate the burnout, we chose the French version of the Maslach Burnout Inventory (MBI). The average age of the participants was 42.8±7.4. The gender ratio was balanced at 1.1. Regarding professional status, 61% of the participants are nurses and 39% are doctors. The average professional seniority was 20±8.9 years. As shown in the figure below, the MBI revealed that: 80% (n=72) suffered from burnout, of which 49% (n=44) had a low level, 17% (n=15) had a moderate level and 14% (n=13) had a severe burnout. Unmarried status (Odds Ratio= 9.61; 95% IC= [0.19-2.13]; P-value=0.001); The protective measures unavailable to health professionals (Odds Ratio= 7.13; 95%IC=[2.32-21.89];P-value=0.001); dissatisfaction with the efforts made by the Ministry of Health to fight Covid-19 (Odds Ratio= 9.1; IC95%=[2.82-29.37]; P-value=0.001) are the most important risk factors. In light of these results, interventions to support the mental well-being of health care professionals during and after the COVID-19 period should be implemented immediate.
2019年新型冠状病毒(新冠肺炎)大流行导致新的抑郁症和倦怠病例总体增加,现有心理健康问题恶化,尤其是对医护人员的情感和身体伤害。因此,本研究的目的是评估COVID-19期间该人群中的职业耗竭并确定其风险因素。这是关于2020年3月至6月进行的一项横断面研究。目标人群是在摩洛哥拉巴特-萨莱-凯尼特拉地区公立医院新冠肺炎各部门工作的卫生专业人员。为了评估倦怠,我们选择了法国版的Maslach倦怠量表(MBI)。参与者的平均年龄为42.8±7.4岁。男女比例平衡在1.1。在专业地位方面,61%的参与者是护士,39%是医生。平均工龄为20±8.9年。如下图所示,MBI显示:80%(n=72)患有倦怠,其中49%(n=44)具有低水平,17%(n=15)具有中等水平,14%(n=13)具有严重倦怠。未婚状态(比值比=9.61;95%IC=[0.19-2.13];P值=0.001);卫生专业人员无法采取的防护措施(比值比=7.13;95%IC=[2.32-21.89];P值=0.001);对卫生部抗击新冠肺炎努力的不满(比值比=9.1;IC95%=[2.82-29.37];P值=0.001)是最重要的风险因素。鉴于这些结果,应立即实施干预措施,以支持新冠肺炎期间和之后卫生保健专业人员的心理健康。
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International Journal of Biology and Biomedical Engineering
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