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Seroprevalence of Hepatitis E Virus (HEV) Antibodies in Human Populations of Sokodé, Togo 多哥索科尔多瓦人群戊型肝炎病毒(HEV)抗体的血清阳性率
Pub Date : 2023-01-01 DOI: 10.26502/acbr.5070316
Komi Victor-Mari Setondji, K. A. Traore, J. Ouoba, E. Taale, B. Ouoba, Bissah Kokou Nyakou, P. Roques, Simplice Damintoti Karou, N. Barro
Background: Hepatitis E virus (HEV) antibodies prevalence is reported globally worldwide. However, there is still some countries where data are not well reported or even studied as in Togo. The aim of this study was to evaluate the seroprevalence of HEV among human populations and analyze demographic variables related to the infection in the city of Sokodé, in central area of Togo. Results: A total of 289 individuals including 195 blood donors (24 women and 171 men), and 94 pregnant women were recruited from May to October 2020 and socio-economic status were assessed. All obtained sera were tested for the presence of anti-HEV antibodies with the immunochromatography test (MP Diagnostics ASSURE IgM Rapid test) and the MP Diagnostics HEV-IgM and HEV-IgG ELISA. The association between anti-HEV status and potential risk factors was assessed. Total HEV antibodies were in 5.6% (95% CI: 3.8 - 7.3%) of all samples. HEV IgM antibodies were detected in 11.7% (95% CI: 9.8-13.5%) of the samples, of which 29 (14.8%) were from the blood donors group and 5 (5.3%) from pregnant women group. Gender, water storage container, type of latrine used and washing hands after toilet were associated to anti-HEV IgM seropositivity in population. (p ≤ 0.05). Conclusion: These �ndings from asymptomatic population suggest a probable HEV circulation at signi�cant levels. These data are the �rst step to understand the epidemiology of the HEV infection in Togo that deserved to be extended both in timing and Togo’s region.
背景:戊型肝炎病毒(HEV)抗体在全球范围内流行。然而,仍有一些国家的数据没有得到很好的报告,甚至没有像多哥那样得到很好的研究。本研究的目的是评估多哥中部地区索科尔多瓦市人群中HEV的血清患病率,并分析与感染相关的人口统计学变量。结果:2020年5 - 10月共招募了289人,其中献血者195人(女性24人,男性171人),孕妇94人,并对社会经济状况进行了评估。用免疫层析法(MP Diagnostics ASSURE IgM快速试验)和MP Diagnostics HEV-IgM和HEV-IgG ELISA检测所有获得的血清是否存在抗hev抗体。评估抗hev状态与潜在危险因素之间的关系。所有样本中有5.6% (95% CI: 3.8 - 7.3%)存在HEV抗体。11.7% (95% CI: 9.8-13.5%)的样本中检测到HEV IgM抗体,其中29例(14.8%)来自献血者组,5例(5.3%)来自孕妇组。人群中性别、储水容器、使用的厕所类型和如厕后洗手与抗hev IgM血清阳性相关。(p≤0.05)。结论:这些来自无症状人群的结果提示可能存在显著水平的HEV循环。这些数据是了解多哥HEV感染流行病学的第一步,值得在时间和多哥地区进行扩展。
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引用次数: 0
Improvements in Diarrheal Disease Prevalence with Point-of-use Water Filter Implementation in the Informal Settlement of Kibera, Kenya 在肯尼亚基贝拉的非正式住区,使用点水过滤器改善腹泻病患病率
Pub Date : 2023-01-01 DOI: 10.26502/acbr.50170358
Nathan L Tintle, J. Westra, K. Van De Griend, Virginia Beard, Benjamin N Turner, Natalie L H Huisman, Nicholas Dawson, L. Droscha, Clay Ihle, Matthew Moore, Marilyn G Orellana, L. L. Schutter, Lydia Snyder, Devin White, Makayla S. Wilson, Grace K. Goszkowicz, Brent P Krueger, Aaron A Best
37 Background There is increasing evidence of the efficacy of point-of-use water filters on diarrhea 38 prevalence in numerous global settings, in both observational studies and randomized experiments. Most 39 studies, however, are focused on rural locations. Methods We use self-report household surveys to 40 monitor a set of approximately 10,000 households receiving point-of-use water filters and WASH training 41 in Kibera, Kenya. Twenty-five drinking water sources throughout the 7 neighborhoods were also selected 42 for testing of E. coli, total coliform, bacterial 16S rRNA community sequencing and metals. Albendazole 43 was provided to all households at distribution as part of the standard filter distribution protocol, with a 44
在观察性研究和随机实验中,越来越多的证据表明,在许多全球环境中,使用点滤水器对腹泻患病率有效。然而,大多数研究都集中在农村地区。方法:我们采用自我报告式家庭调查对肯尼亚基贝拉大约1万户家庭进行监测,这些家庭接受了使用点滤水器和WASH培训。选取7个社区的25个饮用水源进行大肠杆菌、总大肠菌群、细菌16S rRNA群落测序和金属检测。阿苯达唑43作为标准过滤器分发方案的一部分,分发给所有家庭
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引用次数: 0
Frequency of Risk Factors of Coronary Heart Diseases in Patients with Acute Coronary Syndrome and its Comparison in Male and Female 急性冠脉综合征患者冠心病危险因素发生频率及男女比较
Pub Date : 2023-01-01 DOI: 10.26502/acbr.50170330
Naqash Mazhar, Usman Hassan Khan, Bakhat Mand, A. Rehman, Maryam Mubeen, Mohammad Hamza Bin Abdul Malik, Syed Anas Hussain
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引用次数: 0
The Spermine Phosphate-Bound Cyclooctaoxygen Sodium Epigenetic Shell of Euchromatin DNA Is Destroyed by the Epigenetic Poison Glyphosate 精胺磷酸结合环氧钠常染色质DNA表观遗传壳被表观遗传毒性草甘膦破坏
Pub Date : 2023-01-01 DOI: 10.26502/acbr.50170331
Andreas J Kesel
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引用次数: 0
Interactive Knowledge Construction in Medical Problem-Based Learning: A Corpus-Based Study 基于语料库的医学问题学习中的交互式知识建构
Pub Date : 2023-01-01 DOI: 10.26502/acbr.50170339
Olukayode Matthew Tokode, R. Dennick
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引用次数: 0
Financial Toxicity and Strain among Veteran and Civilian Men with Prostate Cancer 退伍军人和平民前列腺癌患者的经济毒性和压力
Pub Date : 2023-01-01 DOI: 10.26502/acbr.50170343
Adam B. Sumlin, A. Houjaij, Oussama M. Darwish, Susan Camacho, A. Groman, Z. Fayazi
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引用次数: 0
Efficient Generation of Tyrosine Hydroxylase-Expressing Dopamine- Producing Neurons from Rat Peripheral Blood Progenitors Using a Combination of Growth Factors and Biomimetic Matrix 结合生长因子和仿生基质高效生成大鼠外周血祖细胞表达酪氨酸羟化酶产生多巴胺的神经元
Pub Date : 2023-01-01 DOI: 10.26502/acbr.50170332
P. Prakash, Rahul S. Rajan, A. Deepti, A. Vengellur, Unnikrishnan Sivan, Baby Chakrapani PS
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引用次数: 1
Addiction among Health Care Professionals? What is the Current State of Nurses, Caregivers and Paramedics in 2022? A Review 医疗保健专业人员的成瘾问题?到2022年,护士、护理人员和护理人员的现状如何?回顾
Pub Date : 2023-01-01 DOI: 10.26502/acbr.50170340
A. Amirouche, Hugo Felix, R. Serreau, P. Denormandie, Julia Fernández, Sarah Coscas, L. Blecha, A. Benyamina
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引用次数: 1
Efetividade de um plano de metas fisioterapêuticas em pacientes internados em uma unidade de terapia intensiva: uma análise retrospectiva vs. prospectiva 物理治疗目标计划在重症监护病房住院患者中的有效性:回顾性与前瞻性分析
Pub Date : 2023-01-01 DOI: 10.22491/2357-9730.128680
Rodrigo Borges Noguera, Tauana Bandeira Gonçalves, Rafael Bueno Orcy, Luiz Alberto Forgiarini Junior
A fisioterapia na unidade de terapia intensiva (UTI) apresenta como objetivo utilizar estratégias de mobilização precoce a fim de reduzir o impacto da fraqueza muscular adquirida na UTI. Logo, este estudo apresenta como objetivo avaliar a efetividade de um plano de metas fisioterapêuticas para pacientes internados em uma Unidade de Terapia Intensiva.
重症监护病房(icu)的物理治疗旨在使用早期动员策略,以减少icu获得性肌肉无力的影响。因此,本研究旨在评估物理治疗目标计划对重症监护病房住院患者的有效性。
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引用次数: 0
Explorations Gone Viral: A Comparative Study of Emergency Laparotomies in COVID-19 Positive vs COVID-19 Negative Patients at A Tertiary Care Hospital during the COVID-19 Pandemic 探索病毒:COVID-19大流行期间某三级医院COVID-19阳性与阴性患者急诊剖腹手术的比较研究
Pub Date : 2023-01-01 DOI: 10.26502/acbr.50170366
Aishwarya Dutt, Ajay Bhandarwar, Girish Bakhshi, Nikhil Dhimole, Harshal Padekar, Snehal Dandge, Kaushal Lahoti, Advaith Chetan, Apoorva Raichur
Aim: To compare the mortality in emergency laparotomy cases between those with COVID-19 infection to those without the infection and to identify predicting factors that would help in optimum management for the same. Method: A prospective observational study was conducted in a tertiary care centre in Mumbai. Patients underwent exploratory laparotomy of which 20 were COVID-19 positive (Group A) while 20 were COVID-19 negative (Group B). Patient’s details with blood investigations, radiological investigations, preoperative and postoperative stay were taken into consideration. All these parameters were studied and compared in detail. Result: 40 cases that underwent emergency laparotomy for various causes were compared. Pulmonary complications were seen postoperatively in 45% patients of Group A and 15% patients of Group B. Mortality was seen in 40% cases of Group A of which 87.5% cases were due to postoperative respiratory complications due to COVID-19 infection. Group B had one mortality, due to septic shock. Mortality was significantly higher in Group A(p-value: 0.008). Comorbidities such as hypertension, diabetes mellitus and ischemic heart disease were seen to be associated with a higher incidence of mortality. Mortality was witnessed more in the age group above 40 years. High APACHE-II score and Computed Tomography severity index (CTSI) showed higher mortality. Antivirals did not show any effect on postoperative survival. Conclusion: Emergency operations can be taken up in COVID-19 positive patients with adequate precautions. Postoperative complications are related to comorbidities, age and CTSI. High index of suspicion for pulmonary complications and aggressive postoperative management with steroids gives improved outcomes.
目的:比较COVID-19感染与未感染的急诊剖腹手术患者的死亡率,并确定预测因素,有助于优化治疗。方法:前瞻性观察研究在孟买三级保健中心进行。患者行剖腹探查,其中COVID-19阳性20例(A组),COVID-19阴性20例(B组)。考虑患者的血液检查、影像学检查、术前和术后住院情况。对这些参数进行了详细的研究和比较。结果:对40例不同原因的急诊剖腹手术进行了比较。A组术后肺部并发症发生率为45%,b组为15%,A组死亡率为40%,其中87.5%为COVID-19感染术后呼吸道并发症。B组因感染性休克死亡1例。A组死亡率显著高于对照组(p值:0.008)。高血压、糖尿病和缺血性心脏病等合并症被认为与较高的死亡率有关。40岁以上年龄组死亡率较高。高APACHE-II评分和ct严重程度指数(CTSI)显示较高的死亡率。抗病毒药物对术后生存无任何影响。结论:COVID-19阳性患者在做好预防措施的情况下可以采取紧急手术。术后并发症与合并症、年龄和CTSI有关。肺部并发症的高怀疑指数和积极的术后类固醇治疗改善了预后。
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引用次数: 0
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Archives of clinical and biomedical research
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