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A Collection of Studies on Anesthesia Modalities, Anesthetic Drugs and Circulatory Stability in Elderly Patients 老年患者麻醉方式、麻醉药物与循环稳定性的研究综述
Pub Date : 2023-09-01 DOI: 10.56397/crms.2023.09.05
Bing Lu
With the increase in the proportion of elderly population in the society, China is gradually entering an aging society. Elderly patients may require anesthesia during medical treatment, and considering the relatively high surgical risk of elderly patients, comprehensive consideration must be given to the selection of anesthesia and the use of anesthetic drugs. Induction of general anesthesia is a process in which patients undergo reversible drug inhibition from a physiological state to a surgically operable anesthesia state within a short period of time, but tracheal intubation and anesthesia inhibition can trigger cardiovascular reactions, especially in elderly patients with poor circulatory function, which can lead to hemodynamic fluctuations and affect the stability of circulatory function. As elderly patients age, their organ function decreases, and their reserve function deficiency under anesthetic stress can increase the risk of adverse cardiovascular events. The hemodynamic fluctuations of patients during the induction period of general anesthesia are large, and it is important to reduce the hemodynamic fluctuations and maintain the stability of circulatory function to improve the safety of surgery. At present, the commonly used methods for induction of general anesthesia include manual intravenous push, target-controlled infusion and constant-rate infusion by infusion pump, and the commonly used drugs for induction of general anesthesia include intravenous sedative anesthetics, intravenous analgesics, muscle relaxants and inhaled anesthetics. Based on this paper, we analyze the effects of general anesthesia, epidural anesthesia, lumbar anesthesia, and epidural anesthesia in the application of surgery in elderly patients and general anesthesia induction in the circulatory stability of elderly patients for a review, in order to more accurately and better guide further clinical anesthesia research.
随着老年人口在社会中所占比例的增加,中国正逐步进入老龄化社会。老年患者在医疗过程中可能需要麻醉,考虑到老年患者手术风险较高,对麻醉的选择和麻醉药物的使用必须综合考虑。全麻诱导是患者在短时间内由生理状态向可手术麻醉状态进行可逆药物抑制的过程,但气管插管和麻醉抑制可引发心血管反应,特别是循环功能较差的老年患者,可导致血流动力学波动,影响循环功能的稳定性。随着老年患者年龄的增长,器官功能下降,麻醉应激下的储备功能不足可增加心血管不良事件的发生风险。全麻诱导期患者血流动力学波动较大,降低血流动力学波动,保持循环功能稳定对提高手术安全性至关重要。目前,全麻诱导常用的方法有手动静脉推注、靶控输注和输液泵恒速输注,全麻诱导常用的药物有静脉镇静麻醉剂、静脉镇痛药、肌肉松弛剂和吸入麻醉剂。本文基于对全麻、硬膜外麻醉、腰麻、硬膜外麻醉在老年患者手术中的应用效果及全麻诱导对老年患者循环稳定性的影响进行综述,以期更准确、更好地指导进一步的临床麻醉研究。
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引用次数: 0
Hydrophobicity, Transport and Target Sites of Action Are Important for the Activity of Many Drugs 疏水性、转运和作用靶点对许多药物的活性都很重要
Pub Date : 2023-09-01 DOI: 10.56397/crms.2023.09.03
Rezk R. Ayyad, Ahmed M. Nejm, Yasser H. Abdelaleem, Ahmed R. Ayyad
The Hydrophobicity mean the compounds which insoluble in water i.e., hate the water (not love the water). May be these compounds are lipid soluble, but not actually. This means these compounds may across the cell membrane of the cell. This transport of compounds through, simple diffusion, passive transport (active transport), transport by carrier (amino acids carrier), pinocytosis. And the binding of drugs with tissue (may be receptors or tissue reservoir as (fatty tissue and lipid soluble vitamins) and the carbohydrates (glucose convert to glycogen in the liver).
疏水性是指不溶于水的化合物,即憎水(不是爱水)。这些化合物可能是脂溶性的,但实际上不是。这意味着这些化合物可以穿过细胞膜。这种化合物通过转运、简单扩散、被动转运(主动转运)、载体转运(氨基酸载体)、胞饮作用。以及药物与组织(可能是受体或组织储存库作为(脂肪组织和脂溶性维生素)和碳水化合物(葡萄糖在肝脏中转化为糖原)的结合。
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引用次数: 1
Research Progress on Traditional Medicine, Chemical Composition and Pharmacological Activity of Pine Pollen 松花粉的传统医学、化学成分及药理活性研究进展
Pub Date : 2023-09-01 DOI: 10.56397/crms.2023.09.02
Xiuling Wei, Minghui Sun, Huaiyuan Zheng, An Yan, Yuxin Wei, Xuehai Wei, Shibo Zhao, Yunqi Liu
In traditional Chinese medicine, “pine yellow” and “pine flower” are the pollen of Pinaceae, commonly Pinus Massoniana Lamb or Pinus tabulaeformis Carr. The pollen of Pinus Massoniana Lamb or Pinus tabulaeformis Carr is common. Pine flower is a unique species of medicinal and edible pollen in the Chinese pharmacopoeia, and is commonly found in ancient Chinese medical and herbal texts, such as “Derivatives of the Materia Medica”, “Classical Materia Medica”, and “Compendium of the Materia Medica”. In this paper, we review the source, history of traditional medicine, and progress of research on pharmacological activity of Chinese pine pollen in order to provide reference for better research on its value.
在中医中,“松黄”和“松花”是松科植物的花粉,通常是马尾松或油松。马尾松(Pinus Massoniana Lamb)和油松(Pinus tabulaeformis Carr)的花粉较为常见。松花是中国药典中独特的药用和食用花粉种,常见于《本草衍生品》、《古典本草》、《本草纲目》等中国古代医学和草药文献中。本文综述了油松花粉的来源、传统医学的历史和药理活性的研究进展,以期为更好地研究油松花粉的价值提供参考。
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引用次数: 0
Advances in Research on Risk Factors for Disease Progression in Advanced Prostate Cancer 晚期前列腺癌疾病进展危险因素的研究进展
Pub Date : 2023-09-01 DOI: 10.56397/crms.2023.09.06
Jialiang Li, Jie Yang, Yunpeng He, Jianhe Liu
Advanced prostate cancer has mostly lost the chance of surgery, and has a low 5-year survival rate and high mortality rate. Therefore, exploring the risk factors for advanced prostate cancer disease progression can help formulate scientific and standardized treatment plans and strategies for advanced prostate cancer disease progression. Intervention measures provide evidence to improve the quality of life and survival rate of patients. Based on the existing research reports at home and abroad, I reviewed the risk factors related to the progression of advanced prostate cancer.
晚期前列腺癌大多失去手术机会,5年生存率低,死亡率高。因此,探讨晚期前列腺癌疾病进展的危险因素,有助于制定科学、规范的晚期前列腺癌疾病进展治疗方案和策略。干预措施为提高患者的生活质量和生存率提供了依据。在国内外已有研究报道的基础上,对晚期前列腺癌进展的相关危险因素进行综述。
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引用次数: 0
The Impact of the Lifting of COVID-19 Restrictions on College Students’ Knowledge, Attitude, and Practice (KAP) in Self-Medication with Antibacterial Agents 新冠肺炎防控措施解除对大学生抗菌药物自我用药知识、态度和行为的影响
Pub Date : 2023-09-01 DOI: 10.56397/crms.2023.09.04
Shiqi Zhao, Siying Yang, Xuanbo Zhao, Zongfeng Zou
Objective: This study aims to investigate the Knowledge, Attitude, and Practice (KAP) of college students regarding self-medication with antibacterial agents before and after the lifting of COVID-19 restrictions, as well as the impact of the lifting of COVID-19 restrictions on college students’ KAP towards self-medication with antibacterial agents. We analyze the factors influencing college students’ self-medication with antibacterial agents and provide relevant reference data for the rational use of antibacterial agents for self-medication among college students. Methods: Non-probability sampling methods, including convenience sampling and quota sampling, were employed to collect data samples. College students were invited to participate in an online questionnaire survey that they completed independently, and the data were entered into Excel software for statistical analysis using SPSS 26.0 software. Results: Independent samples t-test and analysis of variance revealed that, before the lifting of pandemic restrictions, female college students scored higher than male students in KAP towards self-medication with antibacterial agents, with all differences being statistically significant (P<0.05). However, after the lifting of pandemic restrictions, the gender differences in these aspects diminished; College students from rural areas scored significantly higher than their urban counterparts in the knowledge of antibacterial agents both before and after the lifting of COVID-19 restrictions (P<0.05); Moreover, medical students had significantly higher attitude scores compared to science and engineering students before the lifting of pandemic restrictions (P<0.05), while social science students scored significantly higher in practice compared to science and engineering students both before and after the lifting of pandemic restrictions (P<0.05). Paired samples t-test indicated a significant improvement in knowledge and practice towards self-medication with antibacterial agents after the lifting of pandemic restrictions, with attitude showing no significant change. Multiple linear regression analysis demonstrated that, before the pandemic, there were significant differences in KAP based on gender and grade. However, after experiencing the pandemic, there were no longer significant differences in KAP among different genders and different grades, and this could be attributed to the impact of health education and campaigns during the pandemic. Conclusion: The lifting of COVID-19 restrictions has had a positive impact on college students’ knowledge and practice towards self-medication with antibacterial agents. Before and after the lifting of COVID-19 restrictions, the KAP of college students regarding self-medication with antibacterial agents were influenced by multiple factors. One important measure to enhance the rational use of antibacterial agents for self-medication among college students is to conduct health education courses in universities. Public
目的:本研究旨在调查解除新冠肺炎限制前后大学生抗菌药物自我药疗知识、态度和行为(KAP)情况,以及解除新冠肺炎限制对大学生抗菌药物自我药疗知识、态度和行为的影响。分析影响大学生抗菌药物自我药疗的因素,为大学生合理使用抗菌药物进行自我药疗提供相关参考数据。方法:采用方便抽样和定额抽样等非概率抽样方法收集数据样本。邀请大学生进行在线问卷调查,由大学生独立完成,并使用SPSS 26.0软件将数据录入Excel软件进行统计分析。结果:独立样本t检验和方差分析显示,在疫情限制解除前,女大学生抗菌药物自我用药的KAP得分高于男大学生,差异均有统计学意义(P<0.05)。然而,在取消大流行病限制之后,这些方面的性别差异缩小了;解除限制前后农村大学生抗菌药物知识得分均显著高于城市大学生(P<0.05);此外,在大流行限制解除前,医学生的态度得分显著高于理工科学生(P<0.05),而在大流行限制解除前后,社会科学学生的实践得分显著高于理工科学生(P<0.05)。配对样本t检验表明,解除大流行限制后,对抗菌药物自我用药的认识和实践有显著提高,态度无显著变化。多元线性回归分析表明,在大流行之前,基于性别和年级的KAP存在显著差异。然而,在经历大流行之后,不同性别和不同年级之间的KAP不再存在显著差异,这可归因于大流行期间健康教育和运动的影响。结论:解除新冠肺炎限制对大学生抗菌药物自我用药的认识和实践产生了积极影响。解除限制前后,大学生自我抗菌药物用药的KAP受到多种因素的影响。加强大学生合理使用抗菌药物进行自我药疗的重要措施之一是在高校开展健康教育课程。公共卫生应重视网络媒体渠道。
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引用次数: 0
A Collection of Regional Treatment Features of Chinese Traditional Medicine for Polycystic Ovary Syndrome 多囊卵巢综合征中医区域治疗特点综述
Pub Date : 2023-09-01 DOI: 10.56397/crms.2023.09.07
Xiuling Wei, Chunhong Pan, Shibo Zhao, An Yan
Polycystic ovary syndrome (PCOS) is one of the common female gynecological diseases that cause menstrual disorders, amenorrhea and infertility in women of childbearing age, polycystic ovary syndrome or PCOS is a disease that causes menstrual disorders, amenorrhea and infertility due to endocrine metabolic abnormalities. According to epidemiological research data in China, the incidence of PCOS in China is between 5% and 10%. The prevalence of PCOS in China is between 5% and 10%, which seriously affects female reproductive function. The disease is divided into Western medicine and Chinese medicine treatment two methods. However, due to the Western medicine treatment of this disease taking a long time and causing side effects, it is slowly not being used; Chinese medicine treatment of this disease, instead, uses evidence-based treatment and typology treatment. The effect is significant and gradually widely used in clinical. This paper summarizes the research and treatment of this disease in Chinese medicine in recent years and provides a reference value for the subsequent clinical treatment and research of this disease.
多囊卵巢综合征(Polycystic ovarian syndrome, PCOS)是育龄妇女引起月经紊乱、闭经、不孕症的常见女性妇科疾病之一,多囊卵巢综合征或PCOS是由于内分泌代谢异常导致月经紊乱、闭经、不孕症的疾病。根据中国流行病学研究资料,中国多囊卵巢综合征的发病率在5% - 10%之间。PCOS在中国的患病率在5% ~ 10%之间,严重影响女性生殖功能。本病分为西医和中医两种治疗方法。但由于西医治疗此病耗时长,且有副作用,所以慢慢不被使用;中医对本病的治疗采用循证治疗和分型治疗。效果显著,并逐渐广泛应用于临床。本文总结了近年来中医对本病的研究和治疗,为本病的后续临床治疗和研究提供参考价值。
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引用次数: 0
Meta-Analysis of the Effect of Continuous Care on Patients with Type 2 Diabetes 持续护理对2型糖尿病患者影响的meta分析
Pub Date : 2023-09-01 DOI: 10.56397/crms.2023.09.08
Zang Lin, Yang Sen
A meta-analysis was conducted to assess the effect of continuing care in patients with type 2 diabetes mellitus. Methods: A review of the PUBMED, CNKI, and Wan Fang databases was done, to find ten randomized controlled trials that used continuous care for patients with type 2 diabetes mellitus, and Review Manager 5.4 the Meta analysis was performed. Results: Meta-analysis showed that continuation of care could improve fasting blood glucose [MD=-2.17, 95% CI (-3.10, -1.23), P<0.00001], 2-hour postprandial blood glucose [MD=-2.58, 95% CI (-3.21, -1.96), P<0.00001], and glycosylated hemoglobin [MD=-1.20, 95%CI (-2.04, -0.36), P=0.005]. Conclusion: Continuous care is of great significance for the control of blood glucose in patients with type 2 diabetes.
进行了一项荟萃分析,以评估2型糖尿病患者持续护理的效果。方法:检索PUBMED、CNKI和万方数据库,选择10项采用2型糖尿病患者持续护理的随机对照试验,采用review Manager 5.4进行Meta分析。结果:荟萃分析显示,继续护理可改善空腹血糖[MD=-2.17, 95%CI (-3.10, -1.23), P<0.00001],餐后2小时血糖[MD=-2.58, 95%CI (-3.21, -1.96), P<0.00001]和糖化血红蛋白[MD=-1.20, 95%CI (-2.04, -0.36), P=0.005]。结论:持续护理对2型糖尿病患者血糖控制具有重要意义。
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引用次数: 0
Research Progress on Human Papillomavirus-Associated Oropharyngeal Cancer 人乳头瘤病毒相关口咽癌的研究进展
Pub Date : 2023-09-01 DOI: 10.56397/crms.2023.09.01
Jiefan Zhao, Yuhui Zhao, Jianqi Gu, Qing Dong
HPV-positive oropharyngeal carcinoma is classified as a distinct clinical entity that differs substantially from other types of head and neck tumors in terms of epidemiology, morphology, molecular and clinical features, treatment, and prognosis. The research progress in the above aspects is mainly reviewed.
hpv阳性口咽癌被归类为一种独特的临床实体,在流行病学、形态学、分子和临床特征、治疗和预后方面与其他类型的头颈部肿瘤有很大不同。本文主要综述了以上几方面的研究进展。
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引用次数: 0
Mapping the Relationship Between Selenium and Bone: A Bibliometric Analysis Covering 1980-2023 绘制硒和骨骼之间的关系:覆盖1980-2023年的文献计量学分析
Pub Date : 2023-06-01 DOI: 10.56397/crms.2023.06.12
Dongping Wan, Rui Tang, Shihang Cao, Qiang Zan
Background: Selenium, an indispensable trace element in the human body, has been the subject of growing research that highlights its significant association with bone health. This project aims to employ the Bibliometrics method to comprehensively understand the research status of selenium and bone between 1980 and 2023. By utilizing visualizations to identify research hotspots and trends, we strive to shed light on the current state of knowledge in this field. Methods: Relevant articles on the topic of selenium and bone were retrieved from the Network Science Core Collection (WoSCC). Statistical and visual analysis was conducted using CiteSpace and VOSviewer. This analysis encompassed various aspects, including annual publication output, active countries, prolific institutions, authors, and keyword analysis. Results: A total of 864 relevant articles were retrieved for analysis, comprising 746 articles and 118 reviews. The number of publications in the field of selenium and bone has demonstrated a consistent upward trend over time. Notably, China emerged as the leading contributor in terms of publication output, with 195 articles, followed closely by the United States with 177 articles, and Germany with 50 articles. Among the institutions, Huazhong University of Science and Technology stood out as a core institution, while K. Sandeep Prabhu emerged as a prominent core author. The analysis of keyword frequency revealed the most frequently occurring terms in the publications. Selenium, with a count of 415, topped the list, followed by Bone (101), oxidative stress (91), zinc (87), osteoporosis (70), metabolism (66), copper (63), toxicity (62), supplementation (57), and nanoparticles (55). Notably, the emergence of Selenium nanoparticles and Scaffolds indicates novel research trends within the field. Conclusions: The research demonstrates an increasing number of publications focusing on the association between selenium and bone health in recent years, with China leading in terms of article output. Furthermore, prominent keywords such as selenium, bone, and oxidative stress indicate recurring themes in the literature, while emerging trends like selenium nanoparticles and scaffolds have gained significant attention.
背景:硒作为人体不可缺少的微量元素,其与骨骼健康的重要关系已成为越来越多研究的主题。本项目旨在运用文献计量学的方法,全面了解1980 - 2023年间硒与骨的研究现状。通过利用可视化来识别研究热点和趋势,我们努力阐明这一领域的知识现状。方法:检索网络科学核心文献(WoSCC)中有关硒与骨的相关文章。使用CiteSpace和VOSviewer进行统计和可视化分析。该分析包括年度出版物产出、活跃国家、多产机构、作者和关键词分析等多个方面。结果:共检索到相关文献864篇,其中文献746篇,综述118篇。随着时间的推移,硒和骨骼领域的出版物数量呈现出一致的上升趋势。值得注意的是,中国以195篇文章的发表量成为主要贡献者,紧随其后的是美国的177篇文章,德国的50篇文章。在这些机构中,华中科技大学作为核心机构脱颖而出,K. Sandeep Prabhu成为杰出的核心作者。关键词频率分析揭示了出版物中出现频率最高的术语。硒含量为415,位居榜首,其次是骨骼(101)、氧化应激(91)、锌(87)、骨质疏松症(70)、新陈代谢(66)、铜(63)、毒性(62)、补充剂(57)和纳米颗粒(55)。值得注意的是,硒纳米颗粒和支架的出现预示着该领域新的研究趋势。结论:该研究表明,近年来关注硒与骨骼健康之间关系的出版物越来越多,其中中国在文章产量方面处于领先地位。此外,诸如硒、骨和氧化应激等突出的关键词表明了文献中反复出现的主题,而诸如硒纳米颗粒和支架等新兴趋势也得到了极大的关注。
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引用次数: 0
The Value of Contrast-Enhanced Ultrasound Features in Predicting HER2 Positive and Ki67 High Expression in Invasive Breast Cancer of No Special Type 超声造影对无特殊类型浸润性乳腺癌中HER2阳性和Ki67高表达的预测价值
Pub Date : 2023-06-01 DOI: 10.56397/crms.2023.06.09
Huiying Huang, Xiaoling Huang
Objective: To investigate the value of contrast-enhanced ultrasound features in predicting HER2 positive and Ki67 high expression in invasive breast cancer of no special type. Methods: Retrospective analysis was conducted on the correlation between contrast-enhanced ultrasound images of 92 patients with invasive breast cancer of no special type confirmed by pathology in our hospital and the expression of HER2 and Ki67, including 64 cases in the HER2 negative group and 28 cases in the positive group. Ki67 expression was low in 14 cases and high in 78 cases. The contrast-enhanced ultrasound indicators include: BI (Base Intensity), AT (Arrival Time), TTP (Time To Peak), PI (Peak Intensity), AS (Ascending Slope), DT/2 (Descending Time/2), DS (Descending Slope), AUC (Area Under Curve), maximum focal area ratio of before and after contrast-enhanced ultrasound (AR Area Ratio), Distance of anterior boundary of lesion to skin after contrast-enhanced ultrasound (DTS Distance to skin) and maximum diameter after contrast-enhanced ultrasound (D Diameter), and the above indexes were compared and analyzed in the negative and positive groups of HER2, and the low and high expression groups of Ki67. Results: Logistics regression analysis showed that DTS is an independent risk factor for HER2 positive (P<0. 05). AR was an independent risk factor for Ki67 high expression (P<0. 05). Conclusion: The combination of contra-enhanced ultrasound features has high diagnostic efficacy for HER2 positive and Ki67 high expression, which can provide an important reference.
目的:探讨超声造影特征对无特殊类型浸润性乳腺癌中HER2阳性及Ki67高表达的预测价值。方法:回顾性分析我院92例经病理证实无特殊类型的浸润性乳腺癌超声造影图像与HER2、Ki67表达的相关性,其中HER2阴性组64例,阳性组28例。Ki67低表达14例,高表达78例。超声造影指标包括:BI (Base Intensity)、AT (Arrival Time)、TTP (Time To Peak)、PI (Peak Intensity)、AS (Ascending Slope)、DT/2(递减时间/2)、DS(递减斜率)、AUC (Area Under Curve)、增强前后最大病灶面积比(AR Area ratio)、增强前后病灶前边界到皮肤的距离(DTS Distance To skin)、增强后最大直径(D diameter)、对HER2阴性组和阳性组、Ki67低表达组和高表达组的上述指标进行比较分析。结果:logistic回归分析显示,DTS是HER2阳性的独立危险因素(P< 0.05)。05). AR是Ki67高表达的独立危险因素(P< 0.05)。05). 结论:超声造影联合对HER2阳性及Ki67高表达具有较高的诊断效能,可提供重要参考。
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引用次数: 0
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Current research in medical sciences
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