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New Coumarinic Azo-Derivatives of Metoclopramide and Diphenhydramine: Synthesis and In Vitro Testing for Cholinesterase Inhibitory Effect and Protection Ability Against Chlorpyrifos 甲氧氯普胺和苯海拉明新香豆素偶氮衍生物的合成及其对毒死蜱胆碱酯酶抑制和保护作用的体外测试
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2020-11-09 DOI: 10.31436/IMJM.V13I1.486
Ahmed A. J. Mahmood, Yasser Fakri Mustafa, M. Abdulstaar
ABSTRACT Introduction: This study aims to synthesize new coumarin azo compounds of metoclopramide and diphenhydramine and to evaluate their in vitro cholinesterase inhibitory effects and protection abilities against chlorpyrifos. Methods: Two series of azo coumarin compounds were synthesized. Series I compound resulted from the diazotization of metoclopramide and then coupling with coumarin and 4-methyl coumarin to give compounds 1 and 2 respectively. Series II compound resulted from the diazotization of 7-aminocoumarin and 7-amino 4-methyl coumarin and then coupling with diphenhydramine to give compounds 3 and 4 respectively. The new compounds were tested for their in vitro cholinesterase inhibitory effect and protection ability against chlorpyrifos using the modified Elman electrometric method. Results: Metoclopramide derivatives with coumarin show selectivity protection for ChE against chlorpyriphos inhibitory effect as protect BChE and increase the inhibition of the AChE, or the opposite. Conclusion: Diphenhydramine derivatives with coumarin show more protective ability for both BChE and AChE as one of them shows the maximum protection for all concentration. However, the other derivative shows different manner as the low concentrations act as metoclopramide derivatives while the high concentration act as first diphenhydramine derivative (protect both AChE and BChE). KEYWORDS: Coumarinic azo-derivatives, metoclopramide, diphenhydramine, cholinesterase, chlorpyrifos.
摘要简介:本研究旨在合成新的甲氧氯普胺和苯海拉明香豆素偶氮化合物,并评价其体外胆碱酯酶抑制作用和对毒死蜱的保护能力。方法:合成了两个偶氮香豆素系列化合物。系列化合物由甲氧氯普胺重氮化后与香豆素和4-甲基香豆素偶联得到化合物1和2。系列II化合物是由7-氨基香豆素和7-氨基4-甲基香豆素重氮化,然后与苯海拉明偶联得到化合物3和4。采用改进的Elman电滴定法检测新化合物体外胆碱酯酶抑制作用和对毒死蜱的保护能力。结果:甲氧氯普胺类香豆素衍生物对乙酰胆碱酯具有选择性保护作用,对氯吡虫啉的抑制作用可能是保护BChE,增加对乙酰胆碱酯的抑制作用,或相反。结论:苯海拉明与香豆素衍生物对BChE和AChE均有较强的保护作用,其中一种对所有浓度的保护作用均最大。然而,其他衍生物表现出不同的方式,低浓度作为甲氧氯普胺衍生物,而高浓度作为苯海拉明第一衍生物(同时保护AChE和BChE)。关键词:香豆素偶氮衍生物、甲氧氯普胺、苯海拉明、胆碱酯酶、毒死蜱
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引用次数: 22
Is Assisted Reproductive Technique Shari'aa-compliant? A Case Study at a Fertility Centre in Malaysia 辅助生殖技术是否符合伊斯兰教法?马来西亚生育中心个案研究
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2020-11-09 DOI: 10.31436/IMJM.V13I2.473
Z. AhmadMurad, Zailin Shah Yusoff, Sulaiman Mansor, Ahmad Irfan Ih, L. Abdullah
To investigate the questions that Muslim patients, embryologists, paramedics, clinical counsellor and doctors may have pertaining to the compliance of Assisted Reproductive Technique (ART) to Shari’aa. Methods: As a preliminary study, an open-ended survey was administered to participants. Participants for the survey comprised of 21 patients, 2 embryologists, 2 doctors, 4 paramedics and 1 counsellor. Results: Data analysis showed that most of the participants posed questions that fall into six classifications which are: Munakahat (Family Law), social Hukm, Fiqh Ibadah, Fiqh Qadha (Islamic Hukm), General Fiqh and Usul Fiqh. Conclusion: It is clear that even though the participants were rather familiar with some of the existing Fatwas pertaining to ART and IVF in Malaysia, there are still remaining doubts which need to be clarified. This indicates that there are challenges faced in seeking and providing ART treatment to Muslim patients. This needs to be addressed perhaps in the form of Shari’aa-compliant guidelines to provide a clear explanation of each process and procedure in fertility treatment.
调查穆斯林患者、胚胎学家、护理人员、临床顾问和医生可能存在的与辅助生殖技术(ART)遵守伊斯兰教有关的问题。方法:作为一项初步研究,对参与者进行开放式调查。调查参与者包括21名患者、2名胚胎学家、2名医生、4名护理人员和1名顾问。结果:数据分析显示,大多数参与者提出的问题分为六类,即:Munakahat(家庭法)、社会Hukm、Fiqh Ibadah、Fiqh Qadha(伊斯兰Hukm)、General Fiqh和Usul Fiqh。结论:很明显,尽管参与者对马来西亚现有的一些与ART和IVF有关的Fatwas相当熟悉,但仍有一些疑问需要澄清。这表明在寻求和向穆斯林患者提供抗逆转录病毒治疗方面面临挑战。这可能需要以符合伊斯兰教法的指导方针的形式来解决,以明确解释生育治疗的每一个过程和程序。
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引用次数: 0
Pilomatrixoma: A Diagnostic Pitfall on Fine-Needle Aspiration Cytology of Benign ‘Neck Metastases’ 毛基质瘤:细针穿刺细胞学诊断良性“颈部转移瘤”的一个缺陷
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2020-11-09 DOI: 10.31436/IMJM.V13I2.481
Z. A. Asha’ari, Muhd Izani Shiyuti, Kahairi Abdullah, Arfahiza Selimin, K. Sathananthar
Pilomatrixoma is a benign tumour that originates from the matrix of the hair root. This rare tumour is usually managed by the dermatologists. The commonest location of this tumour is in the head and neck region; hence, it can be encountered by any doctors with interest in this area. When presented in the neck, this hard tumour may pose a diagnostic challenge. A case report of pilomatrixoma misdiagnosed as a metastatic neck disease from fine-needle aspiration cytology is presented. The mistake in the diagnosis has led to a more aggressive and high morbidity surgery than necessary. It is important that head and neck doctors be aware of this condition and includes it in the differential diagnosis of hard masses presenting in the neck.
毛瘤是一种良性肿瘤,起源于发根基质。这种罕见的肿瘤通常由皮肤科医生治疗。这种肿瘤最常见的部位是头颈部;因此,任何对这一领域感兴趣的医生都可能遇到这种情况。当出现在颈部时,这种坚硬的肿瘤可能会对诊断提出挑战。本文报告一例细针穿刺细胞学诊断为转移性颈部疾病的毛质瘤。诊断上的错误导致了比必要的更具攻击性和高发病率的手术。重要的是,头颈部医生要意识到这种情况,并将其纳入颈部硬块的鉴别诊断中。
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引用次数: 0
A case report of pyomyoma: radiological diagnosis of a potentially fatal complication of uterine leiomyoma. 子宫肌瘤的病例报告:子宫肌瘤潜在致命并发症的放射学诊断。
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2020-11-09 DOI: 10.31436/IMJM.V7I2.787
Mubarak My, Noordini
ABSTRACT Pyomyoma (suppurative leiomyoma) is a rare complication of uterine leiomyoma. It results from infarction and infection of a leiomyoma. It may lead to diagnostic and therapeutic difficulties with potential complications such as bacteraemia, uterine rupture, compressive effect to adjacent structures and even death. We report a case of pyomyoma based on the Ultrasound (US) and Computed Tomography (CT) findings and literature review on the subject. KEYWORDS: Pyomyoma, Leiomyoma, Ultrasound, Computed Tomography.
摘要化脓性平滑肌瘤是一种罕见的子宫平滑肌瘤并发症。它是由平滑肌瘤的梗塞和感染引起的。它可能导致诊断和治疗困难,潜在的并发症,如菌血症,子宫破裂,压迫邻近结构,甚至死亡。我们根据超声(US)和计算机断层扫描(CT)的发现和文献复习报告一例子宫肌瘤。关键词:子宫肌瘤,平滑肌瘤,超声,计算机断层扫描。
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引用次数: 3
Multiple Renal Arteries with an Ascending Upward Renal Vein of the Right Kidney: a Case Report 多肾动脉伴右肾上行肾静脉1例
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2020-11-09 DOI: 10.31436/IMJM.V13I1.493
S. Al-Shibli
ABSTRACT As it is known; the majority of the human subjects has two renal arteries arising from the abdominal aorta; each will supply one kidney but in 30% of individuals, certain variations can be found. Accessory renal arteries constitute the most common and clinically important of these variations. For our case report, we are presenting one of these different variations that can be found in the blood supply of the kidneys. During dissecting the abdomen of an approximately 65 years-old male cadaver, multiple variations were found. There were double right renal arteries with prehilar branching of the upper renal artery. We found also that the right renal vein ascended upwards obliquely before ending in the lateral aspect of the inferior vena cava. Variation in the renal vessels is relatively common, especially multiple renal arteries, and can go smoothly without any abnormalities with the function of the kidney, but in some situations like renal transplantations, vascular reconstructions, and various surgical and radiological diagnostic techniques, the study of the anatomy of these variations is of crucial importance to decrease the patient morbidity during surgical procedures. KEYWORDS: Renal artery, renal vein, anatomical variation.
众所周知;大多数人有两条起源于腹主动脉的肾动脉;每个人都会提供一个肾脏,但在30%的个体中,可以发现某些变异。副肾动脉是这些变异中最常见和临床上重要的。在我们的病例报告中,我们将介绍在肾脏血液供应中发现的这些不同变化中的一种。在解剖一具大约65岁男性尸体的腹部时,发现了多种变异。右肾动脉双支,上肾动脉门前分支。我们还发现,右肾静脉斜向上上升,在下腔静脉外侧结束。肾血管的变异是比较常见的,尤其是多动脉肾,并且可以顺利进行,没有任何异常的肾脏功能,但在某些情况下,如肾移植,血管重建,以及各种外科和放射诊断技术,这些变异的解剖研究是至关重要的,以减少患者在手术过程中的发病率。关键词:肾动脉、肾静脉、解剖变异。
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引用次数: 0
'I can't pray' - The spiritual needs of Malaysian Muslim patients suffering from depression “我不能祈祷”——马来西亚穆斯林抑郁症患者的精神需求
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2020-11-09 DOI: 10.31436/IMJM.V15I1.415
A. Mr, Saini Sm, Nasrin N, Bahari R, Sharip S
Introduction : The mainstay of treatment of depression relies on pharmacological and psychological treatments. On top of that, evidence also recognizes the vital role of spirituality for human wellness which leads to growing interest in its utilization to treat depression. However, research on spirituality among Muslims in relation to depression is relatively scarce. The aim of this study is to explore the understanding of spirituality among Muslim patients with depression, and to explore their spiritual needs. Methods : This is a qualitative study conducted on 10 depressed Muslim patients at the UKM Medical Centre. Purposive sampling was done to ensure diversity of subjects. Individual in-depth interviews were conducted using semi-structured questionnaire guidelines. The data were transcribed verbatim and analysed using a thematic approach. Result : Out of 10 patients, almost all of them expressed spiritual needs. Two major themes emerged in relation to the spiritual needs which are (i) religious needs; need for worship, religious knowledge and guidance, religious reminders, and (ii) existential needs; need for calmness, sensitivity and empathy, self-discipline, certainty, hope , physical help, ventilate and meaning of illness. These needs are essential for patients during the time of crisis. Conclusion: The majority of patients expressed spiritual needs which are required during the process of recovery and this provides an opportunity to incorporate spiritual approaches in the treatment of depression. However, more studies are needed to demonstrate its scientific basis and to design an effective psycho-spiritual treatment modality so that the ‘holistic’ or ‘bio-psychosocial-spiritual’ treatment can be integrated by health care professionals to those in need.
引言:抑郁症的治疗主要依靠药物和心理治疗。除此之外,有证据还认识到精神对人类健康的重要作用,这导致人们对利用精神治疗抑郁症越来越感兴趣。然而,关于穆斯林精神与抑郁症之间关系的研究相对较少。本研究旨在探讨穆斯林抑郁症患者对精神的理解,并探讨他们的精神需求。方法:这是一项在UKM医疗中心对10名抑郁症穆斯林患者进行的定性研究。进行了有目的的抽样以确保受试者的多样性。采用半结构化问卷指南进行个人深入访谈。数据被逐字转录,并使用专题方法进行分析。结果:在10例患者中,几乎所有患者都表达了精神需求。与精神需求有关的两个主要主题是:(一)宗教需求;崇拜、宗教知识和指导、宗教提醒的需求,以及(ii)生存需求;需要冷静、敏感和同理心、自律、确定性、希望、身体帮助、通风和疾病的意义。在危机时期,这些需求对患者来说至关重要。结论:大多数患者表达了康复过程中所需的精神需求,这为将精神方法纳入抑郁症的治疗提供了机会。然而,还需要更多的研究来证明其科学基础,并设计一种有效的心理-精神治疗模式,以便卫生保健专业人员能够将“整体”或“生物-心理-精神”治疗与有需要的人相结合。
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引用次数: 6
Allergic Reaction Following Insertion of Vancomycin Loaded in Bone Cement 骨水泥中加入万古霉素后的过敏反应
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2020-11-09 DOI: 10.31436/IMJM.V13I1.494
K. L. Goh, N. M. Yusof, C. L. Ong
ABSTRACT Vancomycin bead is an important ancillary treatment for osteomyelitis caused by methicillin-resistant Staphylococcus aureus (MRSA). However, red-man syndrome, which can be a life-threatening complication of vancomycin, may occur from the use of vancomycin beads albeit rarely. We report our first case of red-man syndrome caused by vancomycin bead's insertion for chronic osteomyelitis. Symptomatic treatment was not effective and removal of the vancomycin beads seems to be the best treatment for this condition. KEYWORDS: Vancomycin beads, allergic syndrome, osteomyelitis, anaphylactoid reaction
万古霉素丸是耐甲氧西林金黄色葡萄球菌(MRSA)所致骨髓炎的重要辅助治疗药物。然而,红人综合征,这可能是危及生命的万古霉素并发症,可能发生在使用万古霉素珠,尽管很少。我们报告我们的第一例红人综合征引起万古霉素头插入慢性骨髓炎。对症治疗无效,去除万古霉素珠似乎是最好的治疗这种情况。关键词:万古霉素珠,过敏综合征,骨髓炎,类过敏反应
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引用次数: 3
Electronic Cigarettes: Friend or Foe? 电子烟:是敌是友?
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2020-11-09 DOI: 10.31436/IMJM.V15I1.399
A. Mohamed
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引用次数: 1
Prediction model for peak expiratory flow among children in Kocaeli, Turkey 土耳其Kocaeli儿童呼气流量峰值预测模型
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2020-11-09 DOI: 10.31436/IMJM.V7I2.782
Z. Gundogdu, O. Gundogdu
Objective: To evaluate Peak Expiratory Flow (PEF) values in Turkish children between the ages 6 and 14 years old according to height, gender and age. Methods: Data was obtained from public health screening days in primary care practice on 1439 children. Peak expiratory flow (PEF) was measured for each child with a Mini Wright Peak Flow Meter. The study was assessed to find a correlation between heights, age and PEF values in children. Results: In our study, PEF values increased significantly with age and height in both genders. According to our results, the equation for prediction of PEF was calculated for girls as (7.37 × age [years])+ (3.02 × height [cm]) – 222.1 (p < .001, r= 0.83) and for boys (7.92 × age [years])+ (3.13 × height [cm]) – 230.9 (p < .001, r =0.83). Conclusions: The PEF values are statistically significant associated with age and height for girls and boys. The prediction equations specifically developed for children in Kocaeli can be used in clinical practice and these equations may help clinicians to better characterize individual or population airway responsiveness.
目的:根据身高、性别和年龄评估6 - 14岁土耳其儿童呼气流量峰值(PEF)值。方法:收集1439名儿童在初级保健实践中公共健康筛查日的数据。使用Mini Wright峰值流量仪测量每个儿童的呼气峰值流量(PEF)。这项研究的评估目的是发现儿童身高、年龄和PEF值之间的相关性。结果:在我们的研究中,PEF值随年龄和身高的增加而显著增加。根据我们的结果,女孩的PEF预测方程为(7.37 ×年龄[年])+ (3.02 ×身高[cm]) - 222.1 (p < 0.001, r= 0.83),男孩为(7.92 ×年龄[年])+ (3.13 ×身高[cm]) - 230.9 (p < 0.001, r= 0.83)。结论:女孩和男孩的PEF值与年龄和身高有统计学意义。Kocaeli专门为儿童开发的预测方程可以用于临床实践,这些方程可以帮助临床医生更好地表征个体或群体气道反应性。
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引用次数: 1
A case of eosinophilic granulomatosis with polyangiitis (churg-strauss, EGPA) presenting with relapsed mononeuritis multiplex 嗜酸性肉芽肿病合并多血管炎(churg-strauss, EGPA) 1例,表现为复发性多发性单神经炎
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2020-11-09 DOI: 10.31436/IMJM.V13I1.496
Hilmi Abdullah, M. Ainon
ABSTRACT We report a case of eosinophilic granulomatosis with polyangiitis (EGPA), a rare multisystem disorder characterized by difficult-to-control asthma, hypereosinophilia and polyneuropathy. We also discuss the Five Factor Score (FFS) risk stratification strategy, which is used to quantitate the extent of the disease and guide treatment strategy. KEYWORDS: Churg-Strauss syndrome, vasculitis, mononeuritis multiplex, cyclophosphamide
我们报告一例嗜酸性肉芽肿病合并多血管炎(EGPA),这是一种罕见的多系统疾病,以难以控制的哮喘、嗜酸性粒细胞增多和多神经病变为特征。我们还讨论了五因子评分(FFS)风险分层策略,该策略用于量化疾病的程度并指导治疗策略。关键词:丘格-施特劳斯综合征,血管炎,多发性单神经炎,环磷酰胺
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引用次数: 0
期刊
International Medical Journal Malaysia
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