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Soil-transmitted helminths infection in pregnant women with anemia: a systematic review 贫血孕妇土壤传播蠕虫感染:系统综述
Pub Date : 2022-12-22 DOI: 10.15562/ijbs.v16i2.401
D. Amiruddin, Arifi Jauhary Su’dan, F. Hamid, Aldian I. Amaruddin
Background: Soil-transmitted helminths are widespread and grow well in countries with tropical and subtropical climates. It is one of the predispositions to anemia for pregnant women during pregnancy. This condition has long-term adverse effects on mothers and their children, causing the need for serious discussion and treatment. Methods: This systematic review uses pre-existing research by collecting data from valid sources such as Pubmed, Google Scholar, and NCBI, using the inclusion and exclusion criteria that have been determined. Results: Based on the vast amount of research that has previously been conducted, it was found that there is a close relationship involving the soil-transmitted helminth infection and various types of worms infecting pregnant women, which causes anemia. Pregnant women need nutrients and increased blood volume during pregnancy. However, the infection interferes with the absorption of micronutrients in the gastrointestinal tract, resulting in impaired nutrient transport between the woman and her unborn child. Conclusion: Soil-transmitted helminth infection is a predisposing factor for anemia in pregnant women and has long-term adverse effects for both mother and child.
背景:土壤传播的蠕虫在热带和亚热带气候的国家广泛存在并生长良好。这是孕妇在怀孕期间易患贫血的原因之一。这种情况对母亲和她们的孩子有长期的不良影响,需要认真讨论和治疗。方法:本系统综述采用已有研究,从Pubmed、Google Scholar和NCBI等有效来源收集数据,采用确定的纳入和排除标准。结果:根据以往大量的研究发现,土壤传播的蠕虫感染与感染孕妇的各种类型的蠕虫引起贫血有着密切的关系。孕妇在怀孕期间需要营养和增加血容量。然而,感染会干扰胃肠道对微量营养素的吸收,导致孕妇和胎儿之间的营养运输受损。结论:土壤传播蠕虫感染是孕妇贫血的易感因素,对母婴均有长期不良影响。
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引用次数: 0
Modified sitting grinder reduces complaints of musculoskeletal disorders, workload, and increases work productivity of blacksmiths in Tabanan Regency, Bali-Indonesia 改进的坐式磨床减少了肌肉骨骼疾病的投诉,工作量,并提高了印度尼西亚巴厘岛塔巴南摄政铁匠的工作效率
Pub Date : 2022-12-10 DOI: 10.15562/ijbs.v16i2.425
I. A. M. S. Arjani, Cokorda Dewi Widhya Hana Sundari, Nyomam Mastra, I. Mahayana, I. G. A. M. Aryasih, Ni Made Marwati, I. G. A. Swastini
Background: Blacksmith is one of the small industries that is developing in Gubug Village, Tabanan Regency. One of the processes in manufacturing household utensils in the form of small knives, large knives, sickles, and machetes will be faced with a grinder. In this process, the worker holds a vibrating grinder weighing more than 1.5 kg. Working with heavy loads and being exposed to vibration for a long time is an additional burden that will cause musculoskeletal complaints, as well as diseases such as Raynaud's Syndrome, Tenosynovitis, and Carpal Tunnel Syndrome in workers. This study aimed to determine the effect of Sitting Grinding Modification on Reducing Complaints of Musculoskeletal Disorders (MSDs), Workload, and Increasing Work Productivity of Blacksmiths in Gubug Tabanan Village.Methods: This research is an experimental study with treatment by subject design. The population is 40 people from 10 industries. Sample selection by simple random sampling with a table of random numbers. The minimum number of samples was calculated using the Colton formula to determine the sample size to be 16 people. Data processing and analysis: Descriptive test for subject condition data includes age, weight, height, and body mass index. Normality test was performed on the data; a) physical environment includes air temperature, humidity, and noise), b). musculoskeletal complaints; c) workload; and d) work productivity. Difference test for data on musculoskeletal complaints, workload, and work productivity using parametric statistical tests (different test paired samples t-test at significance level = 0.05) in treatment I and treatment II on data that is normally distributed, and if it is not normal, non-parametric statistical tests were performed (Wilcoxon's difference test at significance level = 0.05).Results: The mean age of the subjects was 39.00±8.52 years, body weight was 65.31±6.7.57 kg, height was 164.69±4.40 cm and the body mass index was 23.94±2.05. kg/m2. There is no difference in air temperature and humidity, there is a decrease in noise of 0.81%. There was a decrease in musculoskeletal complaints by 0.15%, a decrease in workload by 0.19%, an increase in productivity by 1.06%.Conclusion: There is a significant decrease between musculoskeletal complaints, workload and noise before and after the use of the seated grinder (p<0.05), and there is a significant increase between work productivity before and after using modified sitting grinder.
背景:铁匠是塔巴南县古布格村正在发展的小型工业之一。在制造小刀、大刀、镰刀和砍刀等家用器具的过程中,其中一个工序将面临磨床。在这个过程中,工人手持重达1.5公斤以上的振动研磨机。在重负荷下工作和长时间暴露在振动中是一个额外的负担,会导致肌肉骨骼疾病,以及工人的雷诺综合征、腱鞘炎和腕管综合征等疾病。本研究旨在探讨坐磨改良对古布塔巴南村铁匠减少肌肉骨骼疾病(MSDs)投诉、工作量和提高工作效率的影响。方法:本研究采用受试者设计的实验研究。人口是40人,来自10个行业。样本选择采用简单的随机抽样与随机数字表。使用科尔顿公式计算最小样本数,确定样本量为16人。数据处理与分析:受试者状况数据的描述性检验包括年龄、体重、身高、体质指数。对数据进行正态性检验;A)物理环境包括空气温度、湿度和噪音),b)肌肉骨骼疾病;c)工作负载;d)工作效率。处理1和处理2对正态分布数据采用参数统计检验(不同检验配对样本t检验,显著性水平= 0.05)对肌肉骨骼抱怨、工作量和工作效率数据进行差异检验,如果数据不正态分布,则进行非参数统计检验(Wilcoxon差异检验,显著性水平= 0.05)。结果:受试者平均年龄39.00±8.52岁,体重65.31±6.7.57 kg,身高164.69±4.40 cm,体质指数23.94±2.05。kg / m2。空气温湿度无差异,噪声降低0.81%。肌肉骨骼疾病的投诉减少了0.15%,工作量减少了0.19%,生产力提高了1.06%。结论:使用改良坐式磨床前后,肌肉骨骼投诉、工作量、噪音均显著降低(p<0.05),工作效率显著提高(p<0.05)。
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引用次数: 0
Analysis of liquid waste in weaving home industry at Nusa Penida, Klungkung, Bali, Indonesia 印尼巴厘岛努沙佩尼达织造家庭工业废液分析
Pub Date : 2022-12-10 DOI: 10.15562/ijbs.v16i2.429
Cokorda Dewi Widhya Hana Sundari, I. A. M. S. Arjani, L. Krisna
Introduction: The existence of regulations using clothing made from traditional Balinese fabrics cloth called “endek” has caused the demand for woven fabrics to increase. One of the traditional woven fabric handicrafts starting to be recognized and favored by the public is the Cepuk and Rangrang woven fabric from island of Nusa Penida. Currently, liquid waste from weaving home industry activities has not been processed.  The purpose of the study was to measure the quality of liquid waste from the weaving home industry and compare it with the quality standards of liquid waste for businesses and or textile industry activities.Method: This study was descriptive, conducted in Nusa Penida District, Klungkung Regency. The sample size was 25, taken by purposive sampling from nine craftsmen actively carrying out the production process with repetition three times. Measurement of liquid waste quality was carried out at the Laboratory of Panureksa Denpasar. The parameters examined are mandatory test parameters including physical parameters (temperature, TDS, TSS and color) and chemical parameters (total chromium, total ammonia, BOD5, COD, sulfide, oil and fat). Data analysis was carried out by comparing the measurement results with the Liquid Waste Quality Standards for Textile Industry Businesses and Activities according to Bali Governor Regulation 16 of 2016.Result: The results showed an average temperature of 27.48o C, TDS levels of 6,095.20 mg/L, TSS 1,090.76 mg/L and color 2,216.56 TCU scale.  The chemical parameters showed average levels of total chromium 2.3912 mg/L, total ammonia 1.6068 mg/L, BOD5 675.84 mg/L, COD 1,286.72 mg/L, Sulfide 0.2395 mg/L, oil and fat 1,340 mg/L. Based on Bali Governor Regulation No. 16 of 2016, the parameters of temperature, total ammonia, Sulfide, Oil and Fat meet the quality standard requirements. While the parameters of TDS, TSS, color, total chrome, BOD and COD do not meet the quality standard requirements because it exceed the maximum allowable levels.Conclusion:  It is recommended that weaving craftsmen carry out liquid waste treatment before disposal in the environment.
导言:由于规定使用巴厘岛传统面料“恩德克”制成的服装,导致对机织物的需求增加。努沙佩尼达岛的切普克和朗朗梭织物是开始被公众认可和喜爱的传统梭织手工艺品之一。目前,纺织家居工业活动产生的废液尚未得到处理。本研究的目的是测量纺织家庭工业的废液质量,并将其与商业和纺织工业活动的废液质量标准进行比较。方法:本研究是描述性的,在昆明市努沙佩尼达区进行。样本数量为25人,从9个积极进行生产过程的工匠中有目的的抽样,重复三次。液体废物质量的测量是在Panureksa Denpasar实验室进行的。检查的参数是强制性测试参数,包括物理参数(温度、TDS、TSS和颜色)和化学参数(总铬、总氨、BOD5、COD、硫化物、油和脂肪)。根据2016年巴厘总督条例第16条,将测量结果与《纺织工业业务和活动液体废物质量标准》进行比较,进行数据分析。结果:样品平均温度27.48℃,TDS含量6095.20 mg/L, TSS含量1090.76 mg/L,颜色2216.56 TCU标度。化学参数显示,总铬平均含量为2.3912 mg/L,总氨平均含量为1.6068 mg/L, BOD5平均含量为675.84 mg/L, COD平均含量为128.6.72 mg/L,硫化物平均含量为0.2395 mg/L,油脂平均含量为1340 mg/L。根据2016年巴厘省长第16号规定,温度、总氨、硫化物、油和脂肪参数符合质量标准要求。而TDS、TSS、颜色、总铬、BOD、COD等参数均超过最大允许值,不符合质量标准要求。结论:建议纺织工艺人员在环境处置前进行废液处理。
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引用次数: 0
Identification of active chemical compounds and potential antibacterial snail mucus (Achatina fulica) on bacteria Enterococcus foecalis causes of periodontitis 蜗牛黏液对引起牙周炎的粪肠球菌的活性化合物和潜在抗菌作用的鉴定
Pub Date : 2022-12-10 DOI: 10.15562/ijbs.v16i2.426
I. G. A. Swastini, Ni Nengah Sumerti, Ni Ketut Ramini, Wayan Juniarsana, I. K. Suardana, I. A. M. S. Arjani, Ida Ayu Dewi Kumala Ratih, Regina Tedjasulaksana
Background: A chemical compound is a chemical compound present in a natural source that gives it the special properties and characteristics of the plant or animal source. Snail slime is one of the traditional medicines from animals that is used by the community as a traditional medicine for healing minor wounds and toothaches. The aim of this study was to identify the active chemical compounds and antibacterial potential of snail mucus against the bacteria E. foecalis that causes periodontitis.Method: True experiment laboratory research method which is carried out by laboratory analysis of snail mucus to obtain chemical elements, the content of compounds contained in a test sample. The content of active compounds based on the Gas Chromatography-Mass Spectrometry (GCMS) test.Results: The average content of heparan sulfate with four repetitions was 16.45 mg/100g, Acharan sulfate 21.33 mg/100g, protein achasin 102.22 mg/100g, Glycoconyugat 88.6 mg/100g, Ion Ca2+ 86.2 mg/100g, Beta agglutinins 85.22 mg/100g. Toxicity test was carried out with four repetitions with concentrations of 100%, 50%, 25%, and 12.5%. And the lowest results of the toxicity test were at a concentration of 100% with a value of 0.171, while at a concentration of 50% 0.302, 25% 0.453, and 12.5% 0.768, for bacteria E. Foecalis with an inhibitory power of 23.15 mm, the category was very strong. Conclusion: The active chemical content in snail mucus is Acharan sulfate, achasin protein, Glycoconyugat, Ca2+ ion, Beta agglutinin, and the antibacterial potential of snail mucus against E. foecalis bacteria is very strong.
背景:化合物是一种存在于天然来源的化合物,使其具有植物或动物来源的特殊性质和特征。蜗牛粘液是一种来自动物的传统药物,被社区用作治疗轻微伤口和牙痛的传统药物。本研究的目的是鉴定蜗牛粘液对引起牙周炎的粪肠杆菌的活性化合物和抗菌潜力。方法:采用真实验实验室研究方法,即通过实验室分析蜗牛黏液中所含的化学元素、化合物的含量。基于气相色谱-质谱(GCMS)测试的活性化合物含量。结果:硫酸肝素4次重复平均含量为16.45 mg/100g,硫酸阿查兰21.33 mg/100g,阿查素蛋白102.22 mg/100g,糖凝素88.6 mg/100g, Ca2+离子86.2 mg/100g, β凝集素85.22 mg/100g。毒性试验采用浓度为100%、50%、25%、12.5%的4次重复试验。在100%浓度下毒性试验结果最低,为0.171,而在50% 0.302、25% 0.453和12.5% 0.768浓度下,对粪肠杆菌的抑制力为23.15 mm,类群很强。结论:蜗牛黏液中有效化学成分为硫酸阿查兰、阿查霉素蛋白、糖凝蛋白、Ca2+离子、β凝集素,对粪肠杆菌具有很强的抑菌潜力。
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引用次数: 2
Calf muscle evaluation during rehabilitation after flexor hallucis longus tendon transfer in neglected achilles tendon rupture: A case report 忽视跟腱断裂致幻长屈肌腱转移术后康复中的小腿肌肉评估:1例报告
Pub Date : 2022-12-09 DOI: 10.15562/ijbs.v16i2.411
I. Subawa, I. Pratama, I. Pramana
Introduction: Neglected achilles tendon rupture is generally defined as a rupture with a delay of more than 4 weeks prior to diagnosis or treatment. Difficulties in management make it one of the challenging problems in orthopedic practice. They have a greater tendency to develop complications and slightly poorer functional outcomes than patients with an acute rupture.Method: This case report features a case of 30 years old female with 3 months of neglected achilles tendon rupture after landing in the wrong position while playing badminton. The patient complains of continuous pain and inability to move her ankle downward, making walking difficult. On physical examination and CT imaging, we found achiles tendon rupture with significant gap and calf muscle atrophy. The patient was then managed operatively by debridement and tendon repair with flexor halucis longus tendon transfer.Result: Follow up 3 months post-operative, found a difference in calf muscle circumference in both legs. At the same time, there is still an improvement in active ROM ankle plantarflexion and positive single heel raise test on the affected side. The functional outcome measured by ATRS obtained 80 points, and AOFAS ankle-hindfoot scales with a value of 91 points.Discussion: With several advantages, FHL tendon transfer is the currently used technique for neglected cases of achiles tendon rupture. Despite long immobilization will induce other complications. Good operative techniques and accelerated rehabilitation are still recommended to gain good functional outcomes for the patient.
简介:忽视跟腱断裂通常定义为在诊断或治疗前延迟超过4周的断裂。管理上的困难使其成为骨科实践中具有挑战性的问题之一。与急性破裂的患者相比,他们更容易出现并发症,功能结果稍差。方法:本病例报告一例30岁女性,在打羽毛球时,因落脚姿势不对,导致3个月后跟腱断裂。患者主诉持续疼痛,踝关节不能向下移动,行走困难。在体格检查和CT成像中,我们发现跟腱断裂并有明显间隙和小腿肌肉萎缩。然后对患者进行手术治疗,清创和肌腱修复与拇长屈肌腱转移。结果:术后随访3个月,发现两腿小腿肌围有差异。同时,患侧活动性ROM踝关节跖屈和阳性单跟抬高试验仍有改善。ATRS功能评分为80分,AOFAS踝-后足评分为91分。讨论:FHL肌腱移植有几个优点,是目前用于被忽视的跟腱断裂病例的技术。尽管长时间固定会引起其他并发症。良好的手术技术和加速康复仍然被推荐为患者获得良好的功能预后。
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引用次数: 0
The relationship between follistatin and sarcopenia in elderly 老年人卵泡抑素与肌肉减少症的关系
Pub Date : 2022-11-29 DOI: 10.15562/ijbs.v16i2.382
I. Aryana, Ida Bagus Putu Putrawan, Ni Ketut Rai Purnami, RA Tuty Kuswardhani, I Nyoman Astika
Introduction: Sarcopenia is a multifactorial condition characterized by progressive and comprehensive mass loss accompanied by skeletal muscle strength or function. It can be triggered by physical inactivity, hormonal changes, energy, protein intake, oxidative stress and inflammatory processes. The state of inactivity underlying sarcopenia is related to follistatin levels.Methods: an analytical cross-sectional study conducted in Posyandu or Elderly Associations in Denpasar City with subjects aged ≥60 years old started from January 2021 to September 2021. The data collected were anthropometric measurements, muscle mass, grip strength, walking speed and serum follistatin levels. Sarcopenia was diagnosed based on the AWGS criteria. Bivariate analysis was performed using the Mann-Whitney analysis to determine the difference in the mean of the independent variables and the Spearman's test to determine the relationship between sarcopenia and follistatin levels. Results: 75 subjects were selected, and 15 (20%) subjects were diagnosed with sarcopenia. The results of the Spearman correlation test of upper arm circumference, waist circumference, calf circumference, SMI, walking speed, hand grip strength and follistatin levels only found a significant negative relationship between waist circumference and follistatin levels r= -0,309, p= 0,016. No differences in mean follistatin levels with sarcopenia and non-sarcopenia group p= 0,516. There was no significant relationship between follistatin levels and sarcopenia p= 0,615.  Conclusion: There is no correlation between follistatin levels and sarcopenia in the elderly. However, follistatin is inversely correlated with waist circumference.
骨骼肌减少症是一种多因素的疾病,其特征是进行性和全面的质量损失,并伴有骨骼肌力量或功能。它可以由缺乏运动、荷尔蒙变化、能量、蛋白质摄入、氧化应激和炎症过程引发。肌肉减少症的不活动状态与卵泡素水平有关。方法:从2021年1月至2021年9月,在登巴萨市Posyandu或老年人协会进行一项分析性横断面研究,受试者年龄≥60岁。收集的数据包括人体测量、肌肉质量、握力、步行速度和血清卵泡素水平。骨骼肌减少症是根据AWGS标准诊断的。双变量分析采用Mann-Whitney分析确定自变量均值的差异,采用Spearman检验确定肌肉减少症与卵泡抑素水平之间的关系。结果:入选75名受试者,其中15名(20%)被诊断为肌肉减少症。上臂围、腰围、小腿围、SMI、步行速度、握力和卵泡素水平的Spearman相关检验结果仅发现腰围与卵泡素水平呈显著负相关r= -0,309, p= 0,016。肌少症组和非肌少症组的平均卵泡抑素水平无差异p= 0.516。卵泡抑素水平与肌肉减少症之间无显著关系p= 0.615。结论:老年人卵泡抑素水平与肌肉减少症无相关性。然而,卵泡抑素与腰围呈负相关。
{"title":"The relationship between follistatin and sarcopenia in elderly","authors":"I. Aryana, Ida Bagus Putu Putrawan, Ni Ketut Rai Purnami, RA Tuty Kuswardhani, I Nyoman Astika","doi":"10.15562/ijbs.v16i2.382","DOIUrl":"https://doi.org/10.15562/ijbs.v16i2.382","url":null,"abstract":"Introduction: Sarcopenia is a multifactorial condition characterized by progressive and comprehensive mass loss accompanied by skeletal muscle strength or function. It can be triggered by physical inactivity, hormonal changes, energy, protein intake, oxidative stress and inflammatory processes. The state of inactivity underlying sarcopenia is related to follistatin levels.\u0000Methods: an analytical cross-sectional study conducted in Posyandu or Elderly Associations in Denpasar City with subjects aged ≥60 years old started from January 2021 to September 2021. The data collected were anthropometric measurements, muscle mass, grip strength, walking speed and serum follistatin levels. Sarcopenia was diagnosed based on the AWGS criteria. Bivariate analysis was performed using the Mann-Whitney analysis to determine the difference in the mean of the independent variables and the Spearman's test to determine the relationship between sarcopenia and follistatin levels. \u0000Results: 75 subjects were selected, and 15 (20%) subjects were diagnosed with sarcopenia. The results of the Spearman correlation test of upper arm circumference, waist circumference, calf circumference, SMI, walking speed, hand grip strength and follistatin levels only found a significant negative relationship between waist circumference and follistatin levels r= -0,309, p= 0,016. No differences in mean follistatin levels with sarcopenia and non-sarcopenia group p= 0,516. There was no significant relationship between follistatin levels and sarcopenia p= 0,615.  \u0000Conclusion: There is no correlation between follistatin levels and sarcopenia in the elderly. However, follistatin is inversely correlated with waist circumference.","PeriodicalId":55769,"journal":{"name":"Indonesia Journal of Biomedical Science","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89818893","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
Risk factors for decreased hand grip strength in type 2 diabetes mellitus patients at the Tabanan Public Health Center II 塔巴南公共卫生中心2型糖尿病患者手部握力下降的危险因素
Pub Date : 2022-11-10 DOI: 10.15562/ijbs.v16i2.405
I. P. G. P. Darmawan, Ayu Agung Pradnya Paramitha, Ida Bagus Indra Wibawa Putrawan
Introduction: The condition of decreased muscle mass and function in people with type 2 diabetes mellitus (DMT2) will lead to a significant effect on the decline in quality of life. A commonly found manifestation of sarcopenia is the presence of a decrease in the strength of the hand grip. Other research showed a significant inverse relationship between the strength of the hand grip and DMT2. But to date, there are still few studies that assess the factors that cause a decrease in the strength of the hand grip in DMT2 patients. This study aims to evaluate risk factors that are related to the strength of the decrease in the strength of the hand grip in patients with DMT2.Methods: Cross-sectional analytical research. The data was taken through interviews, physical examinations and data collection of laboratory examination results at the general polyclinic of the Tabanan Public Health Center II. The bivariate test used chi-square and the multivariate analysis with logistic regression was used in assessing the magnitude of influence between variables that have a meaningful relationship with HGS and looking for the magnitude of the adjusted odd ratio (AOR) value. Results: The study discovered a strong correlation between age (p=0.002), body mass index (p=0.002), and fasting blood sugar levels (p=0.001) and hand grip strength. In the multivariate analysis, it was found that the relationship of age more than 50 years to the decrease in hand grip strength was greater than high fasting blood sugar levels, while no significant relationship was found on excess nutritional status in this multivariate analysis (p=0.44).Conclusion: Age, body mass index, and fasting blood sugar levels are the risk factors for decreased hand grip strength in type 2 diabetes mellitus patients.
2型糖尿病(DMT2)患者的肌肉质量和功能下降会对生活质量下降产生显著影响。肌肉减少症的一个常见表现是手部握力的下降。其他研究表明,握力和DMT2之间存在显著的反比关系。但到目前为止,仍然很少有研究评估导致DMT2患者握力下降的因素。本研究旨在评估与DMT2患者握力下降强度相关的危险因素。方法:横断面分析研究。这些数据是通过访谈、体格检查和收集塔巴南第二公共卫生中心综合门诊实验室检查结果的数据获得的。双变量检验采用卡方检验,多变量分析采用logistic回归评估与HGS有显著关系的变量之间的影响程度,寻找调整奇比(AOR)值的大小。结果:研究发现,年龄(p=0.002)、体重指数(p=0.002)、空腹血糖水平(p=0.001)和握力之间存在很强的相关性。在多变量分析中,我们发现年龄大于50岁与手部握力下降的关系大于空腹血糖水平高,而在这个多变量分析中,没有发现与营养过剩状态有显著关系(p=0.44)。结论:年龄、体重指数、空腹血糖水平是2型糖尿病患者握力下降的危险因素。
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引用次数: 0
Airway involvement and mechanical ventilation in Steven Johnson Syndrome and Toxic Epidermal Necrolysis management 史蒂文·约翰逊综合征的气道受累和机械通气及中毒性表皮坏死松解治疗
Pub Date : 2022-11-10 DOI: 10.15562/ijbs.v16i2.330
Benny Supono, Leonardo, Sieny Veronica
Steven-Johnson syndrome (SJS) and Toxic Epidermal Necrolysis (TEN) are severe drug allergic reactions characterized by skin and mucosal membrane detachments. Most of the literature focuses only on the skin and ocular mucosal damage, but more severe and life-threatening mucosal damage may actually occur in the respiratory tract. This airway involvement may cause an acute complication, e.g. acute respiratory failure, and chronic complications, e.g. bronchiolitis organizing pneumonia, bronchiectasis, and restrictive bronchiolitis. The presence of airway involvement in SJS/TEN requires a more detailed examination, ranging from examination of the ear, nose, and throat (ENT), to fiberoptic bronchoscopy done by a skilled clinician to determine the presence of bronchial epithelial detachment. A higher percentage of skin and mucosal detachment is associated with a greater need for mechanical ventilation. Male sex, age, low serum bicarbonate, high serum urea, and higher amount of infiltrate on chest X-rays are also associated with a higher risk for mechanical ventilation in patients with SJS/TEN. The general indications for intubation and mechanical ventilation in patients with SJS/TEN are respiratory failures, inability to clear the airway, shock, neurologic disorder, and uncontrollable pain. More specific indications for intubation and mechanical ventilation are oral involvement with an initial total body surface area (TBSA) during hospital admission was ≥70%, or progression of TBSA ≥15% in the first 3 days of hospitalization, or neurological disorders, or documented airway involvement based on direct laryngoscopy examination.
stevens - johnson综合征(SJS)和中毒性表皮坏死松解症(TEN)是严重的药物过敏反应,以皮肤和粘膜脱落为特征。大多数文献只关注皮肤和眼部粘膜损伤,但更严重和危及生命的粘膜损伤实际上可能发生在呼吸道。气道受累可引起急性并发症,如急性呼吸衰竭和慢性并发症,如支细支气管炎组织性肺炎、支气管扩张和限制性支细支气管炎。SJS/TEN是否累及气道需要更详细的检查,从耳鼻喉检查(ENT)到由熟练的临床医生进行的纤维支气管镜检查,以确定是否存在支气管上皮脱离。较高比例的皮肤和粘膜脱离与更大的机械通气需求相关。男性、年龄、低血清碳酸氢盐、高血清尿素和胸片上较高的浸润量也与SJS/TEN患者机械通气的高风险相关。SJS/TEN患者插管和机械通气的一般指征是呼吸衰竭、无法清除气道、休克、神经系统障碍和无法控制的疼痛。插管和机械通气的更具体适应症是:入院时初始总体表面积(TBSA)≥70%,或住院头3天TBSA进展≥15%,或神经系统疾病,或根据直接喉镜检查证实气道受累。
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引用次数: 0
The comparison of mitral annular plane systolic excursion (MAPSE) and mitral annular systolic velocity (Sm) in determining subclinical left ventricular systolic dysfunction in patients with type 2 diabetes mellitus 二尖瓣环平面收缩偏移(MAPSE)和二尖瓣环收缩速度(Sm)在2型糖尿病患者亚临床左室收缩功能障碍诊断中的比较
Pub Date : 2022-10-27 DOI: 10.15562/ijbs.v16i2.414
B. M. I. Saputra, I. Wibhuti, Luh Oliva Saraswati Suastika, N. Sari
Background: Type 2 diabetes mellitus (T2DM) is an independent factor in increasing the risk of heart failure in the absence of coronary heart disease and hypertension. Global longitudinal strain (GLS) as the gold standard in determining subclinical left ventricular (LV) systolic dysfunction is not available on all echocardiographic tools and requires good-quality images. Mitral annular plane systolic excursion (MAPSE) and mitral annular peak systolic velocity (Sm) are simpler, faster, and widely available method that can determine left ventricular systolic dysfunction regardless of image quality.Methods: This study involved 72 asymptomatic T2DM patients, divided into two groups, patients with subclinical left ventricular systolic dysfunction (GLS >-18%) and normal systolic function (GLS ≤-18%). GLS was obtained from the mean of 18 left ventricular segments on the apical 4-chamber, 3-chamber and 2-chamber images. MAPSE was obtained on the septal and lateral sides of the mitral annulus using M-mode on apical 4-chamber view, while Sm was obtained using tissue doppler imaging (TDI).Results: The study included 72 asymptomatic T2DM patients, 34 samples (47.2%) were found with subclinical LV systolic dysfunction. According to receiver operating characteristic (ROC) curve analysis, lateral TDI Sm had the highest area under the curve (AUC), it was 0.85, followed by average TDI Sm was 0.83 and average MAPSE was 0.81. The cut-off value of average TDI Sm <7.425 cm/s had the best sensitivity and specificity, 82.4% and 81.6%, while cut-off value of average MAPSE <13.4 mm had sensitivity of 76.5% and specificity of 73.7%.Conclusion: TDI Sm had better accuracy than MAPSE in determining subclinical LV systolic dysfunction in T2DM patients. However, both of them can be used as alternative diagnostic methods of GLS.
背景:2型糖尿病(T2DM)是在没有冠心病和高血压的情况下增加心力衰竭风险的独立因素。全局纵向应变(GLS)作为确定亚临床左室(LV)收缩功能障碍的金标准并不是在所有超声心动图工具上都可用,需要高质量的图像。无论图像质量如何,二尖瓣环平面收缩偏移(MAPSE)和二尖瓣环峰值收缩速度(Sm)是一种更简单、更快、广泛应用的方法,可以确定左室收缩功能障碍。方法:本研究纳入72例无症状T2DM患者,分为亚临床左室收缩功能不全(GLS >-18%)和收缩功能正常(GLS≤-18%)两组。在心尖4室、3室和2室图像上取18个左室节段的平均GLS。在根尖4室视图上,采用m模式获得二尖瓣环的中隔和外侧的MAPSE,而组织多普勒成像(TDI)获得Sm。结果:本研究纳入72例无症状T2DM患者,其中34例(47.2%)存在亚临床左室收缩功能障碍。受试者工作特征(ROC)曲线分析显示,侧侧TDI Sm曲线下面积(AUC)最高,为0.85,其次为平均TDI Sm 0.83,平均MAPSE 0.81。平均TDI Sm <7.425 cm/s的临界值敏感性和特异性最高,分别为82.4%和81.6%;平均MAPSE <13.4 mm的临界值敏感性和特异性最高,分别为76.5%和73.7%。结论:TDI Sm诊断T2DM患者亚临床左室收缩功能障碍的准确性优于MAPSE。然而,这两种方法都可以作为GLS的替代诊断方法。
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引用次数: 0
Congenital heart disease, gastrointestinal defect, and low birth weight as the contributing factors for three-year survival rates among Down syndrome children in Indonesia 先天性心脏病、胃肠缺陷和低出生体重是影响印度尼西亚唐氏综合症儿童三年生存率的因素
Pub Date : 2022-10-13 DOI: 10.15562/ijbs.v16i2.409
Tiona Romauli Simamora, Suryono Yudha Patria, Setya Wandita
Background: Down syndrome is the most common congenital chromosomal anomaly and occurs in about 1-10:1.000 live births globally. Various reports stated an increasing survival rate because of advanced medical and surgical care. The highest mortality in Down syndrome children takes place in the first three years of life with its comorbidities being congenital heart disease and gastrointestinal defect. Low birth weight was also more common in Down syndrome children compared to normal children and was one of the contributing factors to higher mortality. This study aims to examine three-year survival rates among children with Down syndrome.Methods: We included all medical records with Down syndrome children in Dr. Sardjito Hospital, Yogyakarta, Indonesia during 2013 to 2016. We excluded all medical records with inadequate data. Three-year survival rates were analyzed using Kaplan-Meier and hazard ratio was analyzed using Cox regression.Results: The 1-year, 2-years and 3-year survival rates in Down syndrome children were 80.1%, 72.4%, and 70.8% respectively. Overall, 45% of births with Down syndrome had congenital heart disease, 11% had a gastrointestinal defect, and 9% had both congenital heart disease and gastrointestinal defect. Three-year survival rates in Down syndrome children with congenital heart disease was 61.4% (78/127) and 81.7% (89/109) (p=0.001). Three-year survival with gastrointestinal defect was 47.8% (22/46) and without was 76.3% (145/190) (p<0.001). Furthermore, three-year survival with low birth-weight was 64.6% (42/65) and without was 71.6% (111/155) (p=0.328).Conclusion: Congenital heart disease and gastrointestinal defect lower the survival rate in Down syndrome children.
背景:唐氏综合症是最常见的先天性染色体异常,全球约有1-10:1000例活产婴儿发生唐氏综合症。各种报告指出,由于先进的医疗和外科护理,生存率不断提高。唐氏综合症儿童的最高死亡率发生在生命的头三年,其合并症是先天性心脏病和胃肠道缺陷。与正常儿童相比,低出生体重在唐氏综合症儿童中更为常见,这也是导致死亡率较高的因素之一。这项研究旨在研究唐氏综合症儿童的三年生存率。方法:纳入2013 - 2016年印度尼西亚日惹Dr. Sardjito医院唐氏综合征患儿的所有病历。我们排除了所有数据不充分的病历。3年生存率采用Kaplan-Meier分析,风险比采用Cox回归分析。结果:唐氏综合征患儿1年、2年、3年生存率分别为80.1%、72.4%、70.8%。总的来说,45%患有唐氏综合症的新生儿患有先天性心脏病,11%患有胃肠道缺陷,9%患有先天性心脏病和胃肠道缺陷。唐氏综合征患儿合并先天性心脏病的3年生存率分别为61.4%(78/127)和81.7% (89/109)(p=0.001)。3年生存率分别为47.8%(22/46)和76.3% (145/190)(p<0.001)。低出生体重组3年生存率为64.6%(42/65),无出生体重组3年生存率为71.6% (111/155)(p=0.328)。结论:先天性心脏病和胃肠道缺陷降低了唐氏综合征患儿的生存率。
{"title":"Congenital heart disease, gastrointestinal defect, and low birth weight as the contributing factors for three-year survival rates among Down syndrome children in Indonesia","authors":"Tiona Romauli Simamora, Suryono Yudha Patria, Setya Wandita","doi":"10.15562/ijbs.v16i2.409","DOIUrl":"https://doi.org/10.15562/ijbs.v16i2.409","url":null,"abstract":"Background: Down syndrome is the most common congenital chromosomal anomaly and occurs in about 1-10:1.000 live births globally. Various reports stated an increasing survival rate because of advanced medical and surgical care. The highest mortality in Down syndrome children takes place in the first three years of life with its comorbidities being congenital heart disease and gastrointestinal defect. Low birth weight was also more common in Down syndrome children compared to normal children and was one of the contributing factors to higher mortality. This study aims to examine three-year survival rates among children with Down syndrome.\u0000Methods: We included all medical records with Down syndrome children in Dr. Sardjito Hospital, Yogyakarta, Indonesia during 2013 to 2016. We excluded all medical records with inadequate data. Three-year survival rates were analyzed using Kaplan-Meier and hazard ratio was analyzed using Cox regression.\u0000Results: The 1-year, 2-years and 3-year survival rates in Down syndrome children were 80.1%, 72.4%, and 70.8% respectively. Overall, 45% of births with Down syndrome had congenital heart disease, 11% had a gastrointestinal defect, and 9% had both congenital heart disease and gastrointestinal defect. Three-year survival rates in Down syndrome children with congenital heart disease was 61.4% (78/127) and 81.7% (89/109) (p=0.001). Three-year survival with gastrointestinal defect was 47.8% (22/46) and without was 76.3% (145/190) (p<0.001). Furthermore, three-year survival with low birth-weight was 64.6% (42/65) and without was 71.6% (111/155) (p=0.328).\u0000Conclusion: Congenital heart disease and gastrointestinal defect lower the survival rate in Down syndrome children.","PeriodicalId":55769,"journal":{"name":"Indonesia Journal of Biomedical Science","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91100021","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
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Indonesia Journal of Biomedical Science
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