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A Case Study of Amenorrhea Treated with Acupuncture 针刺治疗闭经一例
Pub Date : 2021-07-24 DOI: 10.53043/2347-3894.acam90012
Victoria Szafranska, Lauren Murphy, Bin Xu, Jason Y Park, Ting Feng, Yemeng Chen
Women with post-pill amenorrhea with no underlying condition are not offered many, if any, treatment options and have to wait until their body returns to normal. A 26-year-old female presented with amenorrhea of three years duration after getting off of birth control which she had been previously taking consistently for seven years, from 17 until the age of 23. Her lab test results were unremarkable, and her primary care physician had not offered her any treatment options. Based on her TCM diagnosis, she started receiving weekly acupuncture treatments, beginning in July 2019, using the combination of Traditional Chinese Medicine acupuncture points and Master Tung’s points, chosen for their specific properties. The patient’s prognosis was good and the patient’s menstrual cycle returned after the third session. Even though our case study represents one patient’s experience, the return of her menstrual cycle warrants additional research into the use of Master Tung’s points for the treatment of amenorrhea.
没有潜在疾病的药物后闭经女性没有很多治疗选择,必须等到身体恢复正常。一名26岁的女性在停止节育后出现了持续三年的闭经,她之前从17岁到23岁已经连续服用了七年。她的实验室检测结果并不显著,她的初级保健医生也没有给她任何治疗选择。根据她的中医诊断,她从2019年7月开始每周接受针灸治疗,使用中医穴位和董大师穴位的组合,根据其特定特性进行选择。患者的预后良好,患者的月经周期在第三次治疗后恢复。尽管我们的案例研究代表了一名患者的经历,但她的月经周期的恢复需要对董大师穴位治疗闭经进行进一步的研究。
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引用次数: 0
COVID-19 & Obstructive Sleep Apnea: Association and Management COVID-19与阻塞性睡眠呼吸暂停:关联和管理
Pub Date : 2021-06-25 DOI: 10.53043/2347-3894.acam90008
Pooran Chand, Mohit, Neeti Solanki, P. Dutt
The rate and severity of COVID-19 transmission has elevated the morbidity and mortality rate across the world with failure of respiratory system being the major cause. The corona virus approach the cells through ACE-2 receptor and induce cytopathic effect triggering the pro-infalmmatory marker against the lung damage [1]. Therefore, induction of cytokines like IL6, ferritin, IL-8, leptin amongst others may contribute to the most prevailing sleep-related respiratory disorder, Obstructive sleep apnea (OSA) [2]. OSA is characterized by intermittent hypoxia, which can further deteriorate the COVID-19 associated hypoxemia and prompt the pulmonary damage. Hence, OSA by itself puts at risk of COVID-19 complications and increase the mortality rate. Moreover, literature suggests the association of OSA with various comorbidities such as diabetes mellitus, chronic respiratory issues, cardiovascular disease, hypertension, cerebrovascular disease etc., which might be more likely to develop complications of COVID-19 than other individuals considering the present statistics. Thus, OSA requires special assistance and , the management of OSA should be stressed upon for prevention and control [3].
新冠肺炎的传播率和严重程度提高了世界各地的发病率和死亡率,呼吸系统衰竭是主要原因。冠状病毒通过ACE-2受体接近细胞,并诱导细胞病变效应,触发对抗肺损伤的炎症标志物[1]。因此,IL6、铁蛋白、IL-8、瘦素等细胞因子的诱导可能导致最常见的睡眠相关呼吸障碍,即阻塞性睡眠呼吸暂停(OSA)[2]。OSA以间歇性缺氧为特征,可进一步恶化新冠肺炎相关的低氧血症,并提示肺部损伤。因此,OSA本身就存在新冠肺炎并发症的风险,并增加死亡率。此外,文献表明,OSA与各种合并症(如糖尿病、慢性呼吸系统问题、心血管疾病、高血压、脑血管疾病等)有关,考虑到目前的统计数据,这些疾病可能比其他人更容易发展为新冠肺炎并发症。因此,OSA需要特殊援助,应重视OSA的管理,以进行预防和控制[3]。
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引用次数: 0
COVID -19 Vaccination in Patients with End Stage Kidney Disease. Early Results for an mRNA Vaccine in a Vulnerable Population 终末期肾病患者的COVID-19疫苗接种。mRNA疫苗在弱势人群中的早期结果
Pub Date : 2021-06-25 DOI: 10.53043/2347-3894.acam90010
N. Yanay, Z. Armaly
Patients with end stage kidney disease receiving dialysis treatment are at increased risk of COVID-19 infection. These patients have also higher rates of complications and mortality. The vulnerability may in part be explained by the profound changes in the immune system that are associated with impaired renal function. At the time of approval of the first vaccine for COVID-19, the BNT162b2 mRNA vaccine, there was no information on the efficacy and safety of the vaccine in dialysis patients. Preliminary reports on outcomes with the vaccine in the dialysis population have been published recently and the results are, in general, encouraging. However, these results indicate a lower response rate, a longer time to mount antibody response, lower antibody levels and possibly higher rate of COVID-19 breakthrough infection in the dialysis population. These results raise several questions that await further data to be reported. Meanwhile the dialysis patient’s population may still need special attention. Lessons learnt in this special population may also be applicable for other vulnerable patient groups.
接受透析治疗的终末期肾病患者感染新冠肺炎的风险增加。这些患者的并发症和死亡率也较高。这种脆弱性的部分原因可能是免疫系统的深刻变化与肾功能受损有关。在批准第一种新冠肺炎疫苗BNT162b2 mRNA疫苗时,没有关于该疫苗在透析患者中的有效性和安全性的信息。最近发表了关于透析人群中疫苗效果的初步报告,总体而言,结果令人鼓舞。然而,这些结果表明透析人群的反应率较低,产生抗体反应的时间较长,抗体水平较低,新冠肺炎突破性感染率可能较高。这些结果提出了一些有待报告的问题。同时,透析患者的人群可能仍然需要特别关注。从这一特殊人群中吸取的经验教训也可能适用于其他弱势患者群体。
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引用次数: 1
Placenta Development Associated Factor GCM Contributes to NTDs 胎盘发育相关因子GCM与ntd有关
Pub Date : 2021-06-25 DOI: 10.53043/2347-3894.acam90011
Qiu Xie
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引用次数: 0
Constitutional Facial Acupuncture: The New Protocols 体质面部针灸:新方案
Pub Date : 2021-06-25 DOI: 10.53043/2347-3894.acam90009
M. E. Wakefield
Therefore, by integrating these protocols into your practice, you will be able to offer your patients a comprehensive constitutional treatment which is anything but cosmetic, one which views the face as a mirror of the overall health and wellbeing of the body. It is necessary for us to achieve more than a pretty face as a result of our efforts; my approach seeks to transform and renew the original essence and beauty of life.
因此,通过将这些协议整合到您的实践中,您将能够为您的患者提供全面的体质治疗,而不是美容,而是将面部视为身体整体健康和福祉的镜子。我们需要通过努力获得的不仅仅是一张漂亮的脸;我的方法是改变和更新生命的本质和美。
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引用次数: 0
Consumption of Sun-Exposed Oyster Mushrooms Help Patients Fight Tuberculosis 食用暴露在阳光下的牡蛎蘑菇有助于患者对抗结核病
Pub Date : 2021-06-01 DOI: 10.53043/2347-3894.acam90007
T. Keflie, Aregash Samuel, A. Woldegiorgis, C. Lambert, D. Nohr, H. Biesalski
Introduction: Tuberculosis (TB) is an airborne infectious disease that usually affects the lungs leading to severe coughing, fever, and chest pains. Objective: This study aimed to assess the effects of consuming sun-exposed mushrooms on the treatment outcomes of TB Methods: Participants were TB patients and categorized into block-1 (32) and block-2 (32) based on their willingness to consume sandwich bread containing sun-exposed oyster mushrooms. Blood and sputum samples were taken at the beginning (Day 0) and end of the study (4th month). Assays of 25-hydroxy (OH) D, cytokines, LL-37, and CRP were performed using Enzyme Linked- Immunosorbent Assay (ELISA) technique, and mycobacterial cultures were performed using Lowenstein Jensen media. A p-value less than 0.05 was considered significant. Results: Consumption of the sandwich bread induced a 27.8% increase in the mean serum 25(OH)D level with 35.5% and 32.3% reduction in the proportion of vitamin D deficiency (VDD) and insufficiency (VDI), respectively. There were progressive changes in TB score (mean } SD of 2.6 } 1.8; 95% CI of 1.95 to 3.17; p<0.001) and Karnofsky performance status scale (80.3 } 6.9%, p < 0.001) with significant improvements in IFN-γ and LL-37 levels (p<0.05). Conclusion: Consumption of sun-exposed oyster mushrooms effectively improved the deficiencies of vitamin D in TB patients. The accelerated improvements on the clinical and immunological outcomes give us a clue that sun-exposed oyster mushrooms could serve as a potential, safe, easily available, and affordable adjunctive treatment and help patients fight TB. Keywords: Sun-exposure; Mushrooms; Vitamin D; Tuberculosis; Treatment outcomes
结核病(TB)是一种空气传播的传染病,通常会影响肺部,导致严重的咳嗽、发烧和胸痛。目的:本研究旨在评估食用暴露在阳光下的蘑菇对结核病治疗结果的影响。方法:参与者是结核病患者,根据他们是否愿意食用含有暴露在阳光下的平菇的三明治面包,将他们分为第1组(32人)和第2组(32人)。在研究开始(第0天)和研究结束(第4个月)分别取血和痰。采用酶联免疫吸附试验(ELISA)技术检测25-羟基(OH) D、细胞因子、LL-37和CRP,采用Lowenstein Jensen培养基进行分枝杆菌培养。p值小于0.05被认为是显著的。结果:食用三明治面包导致平均血清25(OH)D水平升高27.8%,维生素D缺乏(VDD)和不足(VDI)比例分别降低35.5%和32.3%。TB评分呈进行性变化(平均SD为2.6}1.8;95% CI为1.95 ~ 3.17;p<0.001)和Karnofsky性能状态量表(80.3 μ} 6.9%, p<0.001), IFN-γ和LL-37水平显著改善(p<0.05)。结论:食用日晒平菇可有效改善结核病患者维生素D缺乏症。临床和免疫学结果的加速改善为我们提供了一个线索,即暴露在阳光下的平菇可以作为一种潜在的、安全的、容易获得的和负担得起的辅助治疗方法,帮助患者对抗结核病。关键词:阳光照射;蘑菇;维生素D;肺结核;治疗结果
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引用次数: 2
BRIEF FACTS ABOUT COVID-19 (SARS-CoV-2) and DETAILS 关于新冠肺炎(SARS-CoV-2)的简要事实和详细信息
Pub Date : 2021-03-01 DOI: 10.53043/2347-3894.ACAM90001
Sorush Niknamian
Coronaviruses are a group of related viruses that cause diseases in mammals and birds. In humans, coronaviruses cause respiratory tract infections that can range from mild to lethal. Mild illnesses include some cases of the common cold, while more lethal varieties can cause SARS, MERS, and COVID-19. The outbreak was identified in Wuhan, China, in December 2019, declared to be a Public Health Emergency of International Concern on 30 January 2020, and recognized as a pandemic on 11 March 2020. Coronaviruses are the subfamily Orthocoronavirinae, within the family of Coronaviridae, order Nidovirales, and realm Riboviria. They are enveloped viruses with a positive-sense single-stranded RNA genome and a nucleocapsid of helical symmetry. The genome size of coronaviruses is approximately from 26 to 32 kilobases. Coronaviruses were first discovered in the 1930s and Human coronaviruses were discovered in the 1960s. The earliest ones studied were from human patients with the common cold, which were later named human coronavirus 229E and human coronavirus OC43. Other human coronaviruses have since been identified, including SARS-CoV in 2003, HCoV NL63 in 2004, HKU1 in 2005, MERS-CoV in 2012, and SARS-CoV-2 in 2019. Most of these have involved serious respiratory tract infections
冠状病毒是一组引起哺乳动物和鸟类疾病的相关病毒。在人类身上,冠状病毒会引起呼吸道感染,感染范围从轻微到致命。轻度疾病包括一些普通感冒病例,而更致命的品种可能会导致SARS、MERS和新冠肺炎。该疫情于2019年12月在中国武汉被发现,于2020年1月30日被宣布为国际关注的突发公共卫生事件,并于2020年3月11日被确认为大流行。冠状病毒是正冠状病毒亚科,属于冠状病毒科、Nidovirales目和核糖核酸领域。它们是具有正义单链RNA基因组和螺旋对称核衣壳的包膜病毒。冠状病毒的基因组大小约为26至32千碱基。冠状病毒最早于20世纪30年代被发现,人类冠状病毒于20世纪60年代被发现。最早研究的是普通感冒患者,后来被命名为人类冠状病毒229E和人类冠状病毒OC43。此后,还发现了其他人类冠状病毒,包括2003年的SARS冠状病毒、2004年的HCoV NL63、2005年的HKU1、2012年的MERS冠状病毒和2019年的严重急性呼吸系统综合征冠状病毒2型。其中大多数涉及严重的呼吸道感染
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引用次数: 1
The Choice of Sports Specialization On the Basis of Morphological and Functional Characteristics in The Underwater Sport 基于形态与功能特征的水下运动专业化选择
Pub Date : 2021-03-01 DOI: 10.5455/jcmr.2020.11.02.31
R. Vladimirovna, T. Anatolevich, C. Dmitrievna, K. Nikolaevna
Aim. To investigate morphological and functional characteristics of sportsmen-divers, specializing in swimming in the stayers, sprinters and subsea disciplines. Materials and methods. The study involved submariners aged from 18 to 25 years (15 boys and 15 girls). Each athlete is a member of the national team of the Krasnoyarsk territory and has a sports title not lower than the master of sports of Russia. The following methods are used: the method of evaluating anthropometric indicators, the method of evaluating morphofunctional indicators, and the method of mathematical statistics. Results. Submariners who specialize in Stayer disciplines fit the second morphofunctional type of physical development (MFTFR) (according To O. N. Moskovchenko [19]). These athletes are characterized by an athletic build, above average height and light weight. This makes it easier to overcome the surface of the water environment. Athletes-divers, specializing in the sprint and underwater subjects, is attributed to the third MPTP (for O. N. Moskovchenko [19] ). Swimmers have high indicators of length and body weight, which allows them to perform speed-power work at a high level. Conclusion. The data obtained in the course of the research can serve as an effective pedagogical tool in the training of submariners. The relationship between sports specialization and morphofunctional characteristics serves as a scientific basis for organizing the training process. The dynamics of changes in morphofunctional parameters depending on the specialization provides an opportunity to justify the choice of underwater discipline, which allows you to predict the high result of the athlete and individualize the training process. Keywords. swimmers, divers, training process, morphological and functional features, sports specialty.
目标目的了解运动员跳水运动员的形态和功能特征,特别是游泳运动员、短跑运动员和水下项目。材料和方法。这项研究涉及18至25岁的潜艇艇员(15名男孩和15名女孩)。每位运动员都是克拉斯诺亚尔斯克地区国家队的成员,拥有不低于俄罗斯体育大师的体育头衔。使用以下方法:人体测量指标评估方法、形态功能指标评估方法和数理统计方法。后果专门从事Stayer学科的潜艇手符合第二种形态功能型的身体发育(MFTFR)(根据O.N.Moskovchenko[19])。这些运动员的特点是体格健壮,身高高于平均水平,体重较轻。这使得克服水环境的表面变得更加容易。专门研究短跑和水下科目的运动员潜水员被认为是第三个MPTP(针对O.N.Moskovchenko[19])。游泳运动员有很高的长度和体重指标,这使他们能够在高水平上进行速度力量训练。结论研究过程中获得的数据可以作为潜艇艇员培训的有效教学工具。体育专业化与形态功能特征之间的关系是组织训练过程的科学依据。形态功能参数的动态变化取决于专业化,这为选择水下训练提供了一个机会,使你能够预测运动员的高成绩,并使训练过程个性化。关键词。游泳运动员、跳水运动员、训练过程、形态和功能特点、体育特长。
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引用次数: 2
What’s attitude should we hold?: The balance between CAM (complementary and alternative medicine) and mainstream medicine. 我们应该持什么态度?:CAM(补充和替代医学)与主流医学之间的平衡。
Pub Date : 2021-03-01 DOI: 10.53043/2347-3894.acam90004
T. Chien
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引用次数: 0
Trends in TC/HDL and LDL/HDL Ratios across the Age Span: Data from the 2007-2018 National Health and Nutrition Examination Survey (NHANES) TC/HDL和LDL/HDL比值在整个年龄段的趋势:来自2007-2018年全国健康和营养检查调查(NHANES)的数据
Pub Date : 2021-03-01 DOI: 10.53043/2347-3894.acam90002
Inga Wang, Jay Kapellush, Stephen Hou, M. Rahman, Xiaoyan Li, David Ritchie
Background. Cholesterol levels in total cholesterol (TC), low-density lipoprotein (LDL-C), high-density lipoprotein (HDL-C), and triglyceride (TG) contribute to atherosclerosis and its clinical consequences. Objectives. This study aimed to examine the trends in serum TC/HDL and LDL/HDL ratio across the age span. Methods. This is an observational study. Blood lipid measurements, taken from 85,646 noninstitutionalized participants, aged 6 to 80, were obtained from the National Health and Nutrition Examination Survey (NHANES) study. We compared the TC/HDL and LDL/HDL ratio trends in three distinct cross-sectional surveys during 2007-2010, 2011-2014, and 2015- 2018. Results. Cholesterol ratios changed by age and differed by sex. Mean TC/HDL ratios declined from 4.03 (95% CI, 4.01-4.05) in 2007-2010, to 3.84 (95% CI, 3.81-3.87) in 2015-2018 (p<.05 for linear trend) in male; mean TC/HDL ratios declined from 3.69 (95% CI, 3.67-3.70) in 2007- 2010, to 3.45 (95% CI, 3.42-3.47) in 2015-2018 (p<.05 for linear trend) in female. Mean LDL/HDL ratios declined from 2.30 (95% CI, 2.28-2.32) in 2007-2010, to 2.18 (95% CI, 2.15- 2.20) in 2015-2018 (p<.05 for linear trend) in male; mean LDL/HDL ratios declined from 2.04 (95% CI, 2.02-2.06) in 2007-2010, to 1.96 (95% CI, 1.94-1.98) in 2015-2018 (p<.001 for linear trend) in female. Conclusions. Between 2007 and 2018, favorable trends in lipid ratio levels were observed among noninstitutionalized residents in the US.
背景。总胆固醇(TC)、低密度脂蛋白(LDL-C)、高密度脂蛋白(HDL-C)和甘油三酯(TG)中的胆固醇水平与动脉粥样硬化及其临床后果有关。目标。本研究旨在探讨血清TC/HDL和LDL/HDL比值在不同年龄段的变化趋势。方法。这是一项观察性研究。从国家健康与营养检查调查(NHANES)研究中获得了85,646名年龄在6至80岁之间的非机构参与者的血脂测量数据。我们比较了2007-2010年、2011-2014年和2015- 2018年三个不同的横断面调查中TC/HDL和LDL/HDL比率的趋势。结果。胆固醇比率随年龄和性别而变化。平均TC/HDL比值从2007-2010年的4.03 (95% CI, 4.01-4.05)下降到2015-2018年的3.84 (95% CI, 3.81-3.87) (p< 0.05)。男性为线性趋势0.05);平均TC/HDL比值从2007- 2010年的3.69 (95% CI, 3.67-3.70)下降到2015-2018年的3.45 (95% CI, 3.42-3.47) (p< 0.05)。05为线性趋势)。平均LDL/HDL比值从2007-2010年的2.30 (95% CI, 2.28-2.32)下降到2015-2018年的2.18 (95% CI, 2.15- 2.20) (p< 0.05)。男性为线性趋势0.05);平均LDL/HDL比值从2007-2010年的2.04 (95% CI, 2.02-2.06)下降到2015-2018年的1.96 (95% CI, 1.94-1.98) (p< 0.05)。001表示线性趋势)。结论。在2007年至2018年期间,在美国非机构居民中观察到脂质比率水平的有利趋势。
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引用次数: 0
期刊
Asian journal of complementary and alternative medicine : A-CAM
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