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Community Preparedness, Acceptability, and Uptake of UTT Services in PHC Facilities 社区对初级保健设施中UTT服务的准备程度、接受程度和使用率
Pub Date : 2023-06-01 DOI: 10.28991/scimedj-2023-05-02-02
Dzunisani B. Mhlari, M. Mokgatle, N. M. Mogale, R. J. Seretlo
Background: The Universal Test and Treat (UTT) strategy ensures that people test and initiate early treatment in health facilities. Communities have benefited from this strategy to help manage HIV and prevent the spread of the disease, but the way people perceive the strategy and their experiences of testing and initiating antiretroviral therapy (ART) on the same day have an impact on their remaining on treatment and on their adherence. The aim of the study: The aim of this study was to describe the perceptions and explore the experiences of newly enrolled patients regarding the UTT strategy employed in health facilities in Kgetleng sub-district. Method: This is a qualitative study that used in-depth interviews to describe the perceptions and explore the experiences of newly enrolled patients regarding the UTT strategy employed in health facilities in Kgetleng sub-district. The twenty-seven participants were purposefully selected from three health facilities in the sub-district. The data were collected and transcribed verbatim. The transcripts were analyzed using thematic content analysis. Results: The participants reported that they were not knowledgeable about or aware of the strategy until they tested positive in their clinics. HIV testing services (HTS) are still underused, as the participants presented to the facilities only when they were seriously ill, had various symptoms, or were pregnant. They described accepting their status and treatment because they were already sick, and there was nothing that they could do but take treatment. Despite the different emotions they experienced, the participants were able to accept their treatment and their status. Surprisingly, those who were still in denial also accepted treatment. Some were able to disclose and received support from their family, partners, and friends, but others had not disclosed. The data also showed their fear of stigmatization if they were seen coming to the clinic frequently. Conclusion: Being diagnosed with the human immunodeficiency virus (HIV) is still a source of embarrassment. There is still a need to educate communities about the virus, encourage them to use HTS, and empower them with information to minimize stigma and promote social support. Doi: 10.28991/SciMedJ-2023-05-02-02 Full Text: PDF
背景:普遍检测和治疗(UTT)战略确保人们在医疗机构进行检测并开始早期治疗。社区已从这一战略中受益,帮助管理艾滋病毒并防止疾病传播,但人们对这一战略的看法以及他们在同一天进行检测和开始抗逆转录病毒疗法(ART)的经历,会对他们继续接受治疗和坚持治疗产生影响。研究目的本研究旨在描述新入院患者对 Kgetleng 分区医疗机构采用的 UTT 策略的看法,并探讨他们的经验。研究方法:这是一项定性研究,通过深入访谈来描述新入院患者对 Kgetleng 县医疗机构采用的UTT 策略的看法和经验。27 名参与者是从该分区的三家医疗机构有目的地挑选出来的。收集数据并逐字记录。采用专题内容分析法对记录誊本进行分析。结果参与者表示,他们在诊所检测出阳性结果之前并不了解或意识到这一策略。艾滋病毒检测服务(HTS)仍未得到充分利用,因为参与者只有在身患重病、出现各种症状或怀孕时才会前往检测机构。他们说,接受自己的身份和治疗是因为他们已经生病了,除了接受治疗,他们别无他法。尽管经历了不同的情绪,但参与者还是能够接受自己的治疗和身份。令人惊讶的是,那些仍在否认的人也接受了治疗。有些人能够公开自己的病情,并得到了家人、伴侣和朋友的支持,但也有些人没有公开病情。数据还显示,他们害怕被人看到他们经常来诊所,从而蒙受耻辱。结论被诊断出感染人类免疫缺陷病毒(HIV)仍然是一个令人尴尬的问题。仍有必要对社区进行病毒教育,鼓励他们使用半边天计划,并向他们提供相关信息,以尽量减少耻辱感并促进社会支持。Doi: 10.28991/SciMedJ-2023-05-02-02 全文:PDF
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引用次数: 0
Giant Fungating Borderline Phyllodes Tumor of the Breast 乳腺巨型蕈样边缘瘤
Pub Date : 2023-06-01 DOI: 10.28991/scimedj-2023-05-02-04
SciMedicine Journal, F. C. Makhandule, M. Bhuiyan
Phyllodes Tumors are rare fibroepithelial neoplasms of the breast, accounting for less than 1% of all breast neoplasms. Preoperative diagnosis of Phyllodes Tumors is not easy, and a definitive diagnosis depends on a complete excision of the tumor. We present a case of a Giant Fungating Borderline Phyllodes Tumor of the breast. The main objective is to share our experience with the Phyllodes tumor of the breast from Mankweng Academic Hospital, Limpopo, South Africa. Case Report:  A 50-year-old postmenopausal patient presented to our Breast Oncology clinic with a history of a slow-growing left breast mass for a duration of more than 1 year. It started as a small mass and progressively increased in size. She previously had two core needle biopsies, of which both histological analyses were inconclusive. In the last four months, there were multiple ruptured round masses associated with pain, bleeding, and an offensive discharge. The patient does not have any family history of breast cancer. On examination, the left breast has a fungating mass of 15×15 cm, with areas of necrosis and hemorrhage. There were no associated axillary lymph nodes and no abnormal findings in the right breast. Chest X-ray: normal. A mammogram was not done owing to the fear and risk of bleeding. A mastectomy was performed, and it was a highly vascularized mass. The excised specimen weighed 2.7 kg and was sent for histological assessment, which showed features of fibroepithelial proliferation consistent with Borderline Phyllodes Tumor with areas of stromal atypia, focal increase in cellularity, mitosis 5 per 10 High Power Field (HPF), and clear surgical margins of 0.9 millimeters (mm). The patient was reviewed six weeks after the operation. Conclusion: Owing to the rare nature and misdiagnosis of Phyllodes tumors, it is important to obtain a tissue biopsy for histological assessment of all suspicious breast lesions, regardless of age. Doi: 10.28991/SciMedJ-2023-05-02-04 Full Text: PDF
Phyllodes 肿瘤是一种罕见的乳腺纤维上皮肿瘤,占所有乳腺肿瘤的 1%以下。Phyllodes瘤的术前诊断并不容易,确诊取决于肿瘤的完整切除。我们介绍了一例乳腺巨型真菌性边界线菲啰兹瘤。主要目的是分享南非林波波省曼昆学术医院在乳腺 Phyllodes 肿瘤方面的经验。病例报告: 一名 50 岁的绝经后患者因左侧乳房肿块缓慢生长超过 1 年而来到我们的乳腺肿瘤诊所就诊。开始时肿块很小,后来逐渐增大。她曾做过两次核心针活检,组织学分析均未得出结论。在过去的四个月中,出现了多个破裂的圆形肿块,伴有疼痛、出血和异味分泌物。患者没有乳腺癌家族史。经检查,左侧乳房有一个 15×15 厘米的发霉肿块,有坏死和出血区域。没有相关的腋窝淋巴结,右侧乳房也没有异常发现。胸部 X 光检查:正常。由于担心出血和出血风险,没有做乳房 X 光检查。对乳房进行了切除,这是一个高度血管化的肿块。切除的标本重 2.7 千克,送去进行组织学评估,结果显示纤维上皮增生的特征与边界线 Phyllodes 肿瘤一致,有基质不典型的区域,灶性细胞增多,每 10 个高倍视野(HPF)有 5 个有丝分裂,手术边缘 0.9 毫米(mm)清晰。术后六周对患者进行了复查。结论:由于Phyllodes肿瘤的罕见性和误诊率,对所有可疑的乳腺病变进行组织活检以进行组织学评估非常重要,无论年龄大小。Doi: 10.28991/SciMedJ-2023-05-02-04 全文:PDF
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引用次数: 0
Systematic Review on the Effects of Food on Mental Health via Gut Microbiome 通过肠道微生物组了解食物对心理健康影响的系统性综述
Pub Date : 2023-06-01 DOI: 10.28991/scimedj-2023-05-02-05
Simone Lao, Shayna Keying Seow, Rong Ting Ong, Vaidehi S. Dave, M. Ling
Recent studies have suggested that diet may affect the gut microbiome, subsequently influencing mental health. While several systematic reviews have been done on the effects of diet on mental health via the gut microbiome, there are focused on either specific diets or mental disorders. This systematic review examines the effect of diet and broad-based mental health via the gut microbiome. 21 out of 99 studies published prior to 2023 and listed in PubMed are included. Our analysis suggests that a vegan diet, a Mediterranean-style diet, fiber, probiotics, dietary vitamin D, unpasteurized milk, foods with a low omega-3 to omega-6 ratio, and Xiao Yan Sanmay have positive effects on gut microbiome, leading to a positive influence on mental health, while a meat-rich diet, a high-fat diet, high fructose intake, and zinc deficiency may have negative effects on gut microbiome, leading to a negative influence on mental health. Collectively, the effects of diet on mental health via gut microbiome may be explained by the composition of gut microbiome and the metabolites produced by gut microbiome on gut permeability. Doi: 10.28991/SciMedJ-2023-05-02-05 Full Text: PDF
最近的研究表明,饮食可能会影响肠道微生物组,进而影响心理健康。虽然已有多篇关于饮食通过肠道微生物组影响心理健康的系统综述,但这些综述都集中在特定饮食或精神疾病方面。本系统综述研究了饮食通过肠道微生物组对广泛的心理健康的影响。在 PubMed 上列出的 99 项研究中,有 21 项研究发表于 2023 年之前。我们的分析表明,素食、地中海式饮食、纤维、益生菌、膳食维生素 D、未经巴氏消毒的牛奶、欧米茄-3 和欧米茄-6 比例较低的食物以及小燕三味丸对肠道微生物组有积极影响,从而对心理健康产生积极影响;而肉类丰富的饮食、高脂肪饮食、高果糖摄入以及锌缺乏可能对肠道微生物组产生负面影响,从而对心理健康产生负面影响。总之,饮食通过肠道微生物组对精神健康的影响可能是由肠道微生物组的组成和肠道微生物组产生的代谢物对肠道通透性的影响所解释的。Doi: 10.28991/SciMedJ-2023-05-02-05 全文:PDF
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引用次数: 0
Effect of Season on Blood Transfusion Patterns: A Retrospective Study 季节对输血模式的影响:一项回顾性研究
Pub Date : 2023-06-01 DOI: 10.28991/scimedj-2023-05-02-03
Felix Osei-Boakye, Nicholas Agyepong, C. Nkansah, Abdul-Razak Saasi, D. Serwaa, Mark Danquah, Kwesi Kattah, Mohammed Khadija, Fati Salifu, Andrea Owusu Antwi
Background: Different seasons present varied environmental factors that influence the occurrence of transfusion-driven diseases. Therefore, this study determined the patterns of blood transfusion among hospitalized patients and the effect of season on ABO/Rh phenotypes. Methods: A single-center retrospective cross-sectional study was conducted on 5089 hospitalized patients that were transfused with blood at Sunyani Municipal Hospital. Archived blood transfusion records were retrieved and analyzed using GraphPad Prism, and SPSS. The association, effect size, and yearly trends of transfusion patterns were determined. Results: The majority of the participants were females (63.0% [3208]), 36-49 years old (20.4% [1039]), O phenotype (48.1% [2447]), Rh-positive (93.1% [4737]), and transfused in the rainy season (61.0% [3103]). Patients’ ABO was weakly associated with age (r = 0.07, p≤0.001) and season (r = 0.05, p = 0.008). Eighty percent (4053/5089) of the transfusions were ABO group-specific, and 28.3% (1146/4053) of this occurred at the emergency ward. The source of transfusion request was weakly associated with season (r = 0.1, p≤0.001) and type of transfusion (r = 0.1, p = 0.002). The rainy season (slope: 142.9, p≤0.001) and ABO-specific transfusions (slope: 219.5, p≤0.001) showed consistent increasing trends over the years. Conclusion: Blood transfusion was frequent among females, adults, Rh-positive and O phenotypes, and in the rainy season. Age and season were significantly associated with ABO, but not Rh. A transfusion request was associated with the season and type of transfusion, with the majority of transfusions occurring in the rainy season and emergency ward. There was an increasing yearly trend in blood transfusions. Doi: 10.28991/SciMedJ-2023-05-02-03 Full Text: PDF
背景:不同季节的环境因素各不相同,会影响输血引起的疾病的发生。因此,本研究确定了住院患者的输血模式以及季节对 ABO/Rh 表型的影响。研究方法对桑亚尼市立医院 5089 名住院输血患者进行了单中心回顾性横断面研究。研究人员检索了存档的输血记录,并使用 GraphPad Prism 和 SPSS 进行了分析。确定了输血模式的关联性、效应大小和年度趋势。结果大多数参与者为女性(63.0% [3208])、36-49 岁(20.4% [1039])、O 表型(48.1% [2447])、Rh 阳性(93.1% [4737])、雨季输血(61.0% [3103])。患者的 ABO 与年龄(r = 0.07,p≤0.001)和季节(r = 0.05,p = 0.008)微弱相关。80%(4053/5089)的输血是针对ABO血型的,其中28.3%(1146/4053)发生在急诊病房。输血请求的来源与季节(r = 0.1,p≤0.001)和输血类型(r = 0.1,p = 0.002)呈弱相关。雨季(斜率:142.9,p≤0.001)和 ABO 特异性输血(斜率:219.5,p≤0.001)呈逐年上升趋势。结论女性、成人、Rh 阳性和 O 型血以及在雨季输血的频率较高。年龄和季节与 ABO 明显相关,但与 Rh 无关。输血申请与季节和输血类型有关,大多数输血发生在雨季和急诊病房。输血量呈逐年上升趋势。Doi: 10.28991/SciMedJ-2023-05-02-03 全文:PDF
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引用次数: 0
Comparative Study on Prediction of Survival Event of Heart Failure Patients Using Machine Learning and Statistical Algorithms 使用机器学习和统计算法预测心衰患者生存事件的比较研究
Pub Date : 2023-06-01 DOI: 10.28991/scimedj-2023-05-02-01
SciMedicine Journal, O. E. Oyewunmi, O. B. Aladeniyi, O. Bodunwa
In a pressing global health concern with substantial morbidity and mortality rates, accurate survival prediction is paramount for informed decision-making and enhanced patient well-being. This study presented a comparative investigation aimed at predicting the survival events of heart failure (HF) patients through the utilization of both machine learning and statistical algorithms. A comprehensive dataset drawn from Allied Hospital and the Faisalabad Institute of Cardiology, Faisalabad, Pakistan, was used. The Synthetic Minority Over-Sampling Technique (SMOTE) was employed on the data to rectify the imbalance, and a notable improvement was observed. To ascertain significant variables, statistical methods (Mann-Whitney and Chi-Square) were compared with machine learning-based feature selection to identify pivotal features for survival prediction, namely ejection fraction and serum creatinine. Remarkably, on final training with these features, the Random Forest Classifier emerges as the top-performing model, boasting an accuracy exceeding 90%. These findings hold the potential to substantially enhance patient prognosis, management, and outcomes, consequently alleviating the strain on healthcare systems. Doi: 10.28991/SciMedJ-2023-05-02-01 Full Text: PDF
心力衰竭(HF)是全球亟待解决的健康问题,发病率和死亡率都很高,准确的生存预测对于做出明智决策和提高患者福利至关重要。本研究介绍了一项比较调查,旨在通过利用机器学习和统计算法预测心力衰竭(HF)患者的生存事件。研究使用了来自巴基斯坦费萨拉巴德 Allied 医院和费萨拉巴德心脏病研究所的综合数据集。在数据中采用了合成少数群体过度采样技术(SMOTE)来纠正不平衡现象,并观察到明显的改善。为了确定重要的变量,将统计方法(曼-惠特尼和秩方)与基于机器学习的特征选择进行了比较,以确定生存预测的关键特征,即射血分数和血清肌酐。值得注意的是,在对这些特征进行最终训练后,随机森林分类器成为表现最佳的模型,准确率超过 90%。这些发现有望大大改善患者的预后、管理和疗效,从而减轻医疗系统的压力。Doi: 10.28991/SciMedJ-2023-05-02-01 全文:PDF
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引用次数: 0
Lung and Lung Tumor Segmentation of CT Images During MWA Therapy Using AI Algorithm 基于AI算法的MWA治疗中肺和肺肿瘤CT图像分割
Pub Date : 2023-03-01 DOI: 10.28991/scimedj-2023-05-01-01
SciMedicine Journal, N. Mahmoodian, Harshita Thadesar, M. Sadeghi, Marilena Georgiades, M. Pech, C. Hoeschen
Microwave ablation (MWA) therapy as a thermal ablation procedure is an excellent alternative to open surgery for tumor treatment. The technique is considered advantageous for patients who are not candidates for open surgery due to factors such as age, anatomic limitations, resection, etc. Computed tomography (CT) is a commonly used interventional imaging modality during MWA therapy for localizing the tumor and finalizing the tumor treatment process. However, the CT scan of the body usually includes neighboring organs that are not relevant to lung tumor MWA therapy. Therefore, the segmentation of the lung and lung tumor in CT images provides valuable information about the tumor margin. This information can assist physicians in precisely and completely destroying the tumor during the MWA procedure. To solve the aforementioned problem, deep learning (DL), in particular, achieves a higher level of accuracy in segmentation than machine learning techniques due to its composition of multiple learning layers. The immediate goal is to distinguish among the different tissue structures of the tumor, healthy tissue, and the ablated area in lung CT images using the DL method to segment the organ and cancer area. Researchers have proposed various segmentation models. However, different segmentation tasks require different perception fields. In this study, we propose a new DL model that includes a residual block based on the U-Net model to accurately segment the lung organ and lung tumor tissue. The dataset consists of lung CT images acquired during MWA therapy using a CT scanner at the University Hospital Magdeburg. Manual tumor segmentation has been performed and confirmed by physicians. The results of our proposed method can be compared with those of the U-net model with a SSIM of 90%. Furthermore, accurately determining the margin area of the tumor tissue can decrease insufficient tumor ablation, which often leads to tumor recurrence. We anticipate that our proposed model can be generalized to perform tumor segmentation on CT images of different organs during MWA treatment. Finally, we hope that this method can achieve sufficient accuracy to decrease tumor recurrence and enable dose reduction for patients in interventional CT imaging. Doi: 10.28991/SciMedJ-2023-05-01-01 Full Text: PDF
微波消融术(MWA)作为一种热消融术治疗肿瘤是一个很好的替代开放手术。该技术被认为对由于年龄、解剖限制、切除等因素而不适合开放手术的患者是有利的。计算机断层扫描(CT)是MWA治疗中常用的一种介入成像方式,用于定位肿瘤和确定肿瘤治疗过程。然而,身体的CT扫描通常包括与肺肿瘤MWA治疗无关的邻近器官。因此,CT图像中肺和肺肿瘤的分割为肿瘤边缘提供了有价值的信息。这些信息可以帮助医生在MWA手术过程中精确和完全地摧毁肿瘤。为了解决上述问题,特别是深度学习(DL),由于其由多个学习层组成,在分割方面比机器学习技术实现了更高的准确性。直接目标是利用DL方法对器官和癌区进行分割,以区分肺CT图像中肿瘤、健康组织和消融区域的不同组织结构。研究者们提出了不同的分割模型。然而,不同的分割任务需要不同的感知场。在本研究中,我们提出了一种新的基于U-Net模型的DL模型,该模型包含残差块,可以准确地分割肺器官和肺肿瘤组织。该数据集包括在马格德堡大学医院使用CT扫描仪进行MWA治疗期间获得的肺部CT图像。手工肿瘤分割已进行,并由医生确认。我们提出的方法的结果可以与SSIM为90%的U-net模型的结果进行比较。此外,准确确定肿瘤组织的边缘区域可以减少肿瘤消融不足,这往往导致肿瘤复发。我们期望我们提出的模型可以推广到在MWA治疗过程中对不同器官的CT图像进行肿瘤分割。最后,我们希望该方法能够达到足够的准确性,以减少肿瘤复发,并使患者在介入CT成像中减少剂量。Doi: 10.28991/SciMedJ-2023-05-01-01全文:PDF
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引用次数: 0
Effect of Ivabradine in Controlling Heart Rate in Patients with Sepsis and Septic Shock: Randomized Control Trails 伊伐布雷定对脓毒症和感染性休克患者控制心率的作用:随机对照试验
Pub Date : 2023-03-01 DOI: 10.28991/scimedj-2023-05-01-04
S. M. Muneeb Ali, M. I. Memon, Salman Shafi Koul, T. Pasha, Fazal Rabbi, Syed Amir Gilani, A. Butt, Rana Imran Sikander, Muhammad Khan, Tawseef Ahmad
Background: Ivabradine is a selective inhibitor of (If) channels in the sinoatrial node and a pure bradycardic agent with no deleterious effect on other aspects of cardiac function nor on blood pressure. This study was conducted to evaluate the effect of Ivabradine on controlling tachycardia in sepsis patients as compared to placebo. Methods: A total of 100 patients admitted to the Medical Intensive Care Unit (MICU) were recruited in this randomized controlled trial. A total of 50 patients were randomly allocated to either Group A (the Ivabradine group) or Group B (the control group). Heart rate (HR) was recorded for all patients at baseline, 12, 24, 48, 72, 96, and 120 hours. Mean arterial pressure (MAP), ejection fraction (EF), and change in Norepinephrine (NE) dosage were recorded at baseline and post-intervention (120 hours). A mortality rate was recorded for both groups. Results: The patients had a mean age of 32.49 + 16.22 years. There were 56 males and 44 females in the study. Epilepsy (n = 12, 12%) and tetanus (n = 11, 11%) were the most common primary diagnosis. Ventilator Associated Pneumonia (n = 60) was found to be the most common infection. Patients in Group A (23.2 + 11.02 beats per minute) had a significantly greater heart rate reduction at 120 hours in mean heart rate as compared to Group B patients (8.92 + 30.46 beats per minute, p = 0.002). The increase in mean MAP for Group A (1.68 + 2.44 mm Hg) was also significantly greater than that for Group B (0.54 + 2.46 mm Hg, p = 0.022). There was no difference in the mean change in NE dosage between Groups A (0.63 + 0.25 units/minute) and B (-0.34 + 0.36 units/minute, p = 0.106). A significantly greater increase in EF was found for Group A (1.16 + 1.5%), in comparison to Group B (0.30 + 1.69 %, p = 0.009). There were 22 (44%) deaths reported in Group A as compared to 24 (48%, p = 0.688) in Group B. Conclusion:Ivabradine has a significantly greater effect on controlling heart rate as compared to placebo in sepsis patients. The use of Ivabradine should be included in clinical guidelines for managing sepsis patients in ICU settings. Doi: 10.28991/SciMedJ-2023-05-01-04 Full Text: PDF
背景:艾伐拉定是窦房结(If)通道的选择性抑制剂,是一种纯的心动过缓剂,对心脏功能的其他方面和血压没有有害影响。本研究旨在评估与安慰剂相比,艾伐拉定在控制败血症患者心动过速方面的作用。方法:在这项随机对照试验中,共招募了100名入住医疗重症监护室(MICU)的患者。共有50名患者被随机分配到A组(艾伐拉定组)或B组(对照组)。记录所有患者在基线、12、24、48、72、96和120小时的心率(HR)。在基线和干预后(120小时)记录平均动脉压(MAP)、射血分数(EF)和去甲肾上腺素(NE)剂量的变化。记录了两组患者的死亡率。结果:患者平均年龄32.49±16.22岁。研究中有56名男性和44名女性。癫痫(n=12,12%)和破伤风(n=11,11%)是最常见的初级诊断。呼吸机相关性肺炎(n=60)是最常见的感染。与B组患者(8.92±30.46次/分,p=0.002)相比,A组患者(23.2±11.02次/分)在120小时时的平均心率下降幅度明显更大。A组患者的平均MAP增加幅度(1.68±2.44毫米汞柱)也明显大于B组患者的(0.54±2.46毫米汞柱,p=0.022)A组(0.63+0.25单位/分钟)和B组(-0.34+0.36单位/分钟,p=0.106)之间的剂量。与B组(0.30+1.69%,p=0.009)相比,A组(1.16+1.5%)的EF显著增加。A组报告的死亡人数为22人(44%),而B组为24人(48%,p=0.688)。结论:在脓毒症患者中,与安慰剂相比,艾伐拉定在控制心率方面有更大的作用。Ivabradine的使用应包括在ICU环境中管理败血症患者的临床指南中。Doi:10.28991/SciMedJ-2023-05-01-04全文:PDF
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引用次数: 0
Exploring Small-Scale Broiler Farming Practices and Vaccine Adherence: A Study in Aguata, Nigeria 探索小规模肉鸡养殖实践和疫苗依从性:尼日利亚阿瓜塔的一项研究
Pub Date : 2023-03-01 DOI: 10.28991/scimedj-2023-05-01-03
C. O. Attamah, Ugochukwu C. Ezeibe, D. J. Okoronkwo
The study ascertained the production practices of small-scale broiler farmers in Aguata Local Government Area of Anambra State, Nigeria. A multistage sampling procedure was adopted for the random selection of 80 farmers using a structured interview schedule. The data were analysed using descriptive statistics. The result reveals that 87.5% of the farmers adopted a deep litter housing system, and 98.75% ensured their poultry houses were sited in well-drained soil and properly ventilated pens. About 93% and 98% of the farmers had brooding and finishing houses separately on their farms and ensured adequate lighting and heat in their brooding houses, respectively. The result shows that 100% and 93.75% of the respondents administered antibiotics and multivitamins at the early stage of day-old chicks and adhered to the Gumboro and Lasota vaccine schedules, respectively, while only 1.25% of the farmers provided a footbath at the entry of their poultry house. All the farmers used broiler starters and finishers in feeding their birds, and the mean weekly duration of broiler starter and finisher feeding was 4.09 and 4.28 weeks, respectively, while 98.75% ensured to always provide water for their birds. The study concluded that the use of recommended production practices was high to some extent among farmers. Hence, the level of information on broiler production practices should be increased by the government extension service unit to enable farmers to keep abreast of current and necessary information on broiler production. Doi: 10.28991/SciMedJ-2023-05-01-03 Full Text: PDF
该研究确定了尼日利亚阿南布拉州阿瓜塔地方政府地区小规模肉鸡养殖户的生产实践。采用多阶段抽样方法,采用结构化访谈法随机抽取80名农户。使用描述性统计对数据进行分析。结果显示,87.5%的养殖户采用了深度窝舍制,98.75%的养殖户确保其鸡舍位于排水良好、通风良好的鸡舍内。93%和98%的农户在养殖场分别设有育肥房和育肥房,并分别保证育肥房的采光和供暖。结果表明,100%和93.75%的农户在日龄雏鸡早期给予抗生素和复合维生素,并坚持Gumboro和Lasota疫苗接种计划,而只有1.25%的农户在鸡舍门口提供足浴。所有养殖户均采用肉仔鸡初饲和育肥肉,平均每周肉仔鸡初饲和育肥肉的持续时间分别为4.09周和4.28周,98.75%的养殖户保证了对家禽的持续供水。该研究的结论是,在某种程度上,农民对推荐的生产方式的使用程度很高。因此,政府推广服务单位应提高肉鸡生产实践的信息水平,使农民能够及时了解有关肉鸡生产的最新和必要信息。Doi: 10.28991/SciMedJ-2023-05-01-03全文:PDF
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引用次数: 0
Case Report on Diffuse Large B-Cell Non-Hodgkin Lymphoma with a Spontaneous Bowel Perforation 弥漫性大b细胞非霍奇金淋巴瘤并发自发性肠穿孔1例报告
Pub Date : 2023-03-01 DOI: 10.28991/scimedj-2023-05-01-05
F. C. Makhandule, M. M. Z. U. Bhuiyan, K. N. Mongwe
Background: Intestinal Non-Hodgkin lymphoma is an uncommon cause of acute abdominal pain. The main objective of the present case report is to share our experience with Diffuse Large B Cell Non-Hodgkin Lymphoma with spontaneous bowel perforation in a setting of HIV. Method: Description of a Case Report Diffuse Large B-Cell Non-Hodgkin Lymphoma with a spontaneous bowel perforation: A 39-year-old female patient presented with a one-day history of acute abdomen. She is known retroviral disease reactive with CD4 count 534, Viral Load 131 on Antiretroviral Treatment-Fixed Dose Regimen duration of more than 5 years and was being treated for Peptic Ulcer Disease. Chest X-ray: showed pneumoperitoneum consistent with a perforation. A Laparotomy was performed and found a perforated Jejunum leaking small bowel contents. Resection and primary anastomosis were performed, and washout was done. Post-Operative condition was uneventful, and she was discharged four days after the operation. The resected portion was sent for histology, which showed perforation of the Jejunum secondary to a Diffuse Large B Cell Non-Hodgkin Lymphoma. Conclusion: The diagnosis of Intestinal Lymphoma poses a diagnostic challenge for both developed and developing countries; however, coupling the risk factors with signs and symptoms can assist one in making a diagnosis. It is therefore important to always have a high index of suspicion, particularly for HIV patients with lymphadenopathy. Doi: 10.28991/SciMedJ-2023-05-01-05 Full Text: PDF
背景:肠道非霍奇金淋巴瘤是引起急性腹痛的罕见原因。本病例报告的主要目的是分享我们在HIV感染下自发性肠穿孔的弥漫性大B细胞非霍奇金淋巴瘤的治疗经验。方法:报告一例弥漫性大b细胞非霍奇金淋巴瘤合并自发性肠穿孔:39岁女性患者,有1天急腹症病史。她是已知的逆转录病毒疾病,CD4计数534,病毒载量131,抗逆转录病毒治疗固定剂量方案持续时间超过5年,正在接受消化性溃疡疾病治疗。胸片:显示气腹伴穿孔。开腹手术发现空肠穿孔,小肠内容物漏出。手术切除,一期吻合,冲洗。术后情况顺利,术后4天出院。切除的部分被送去做组织学检查,结果显示空肠穿孔继发于弥漫性大B细胞非霍奇金淋巴瘤。结论:肠道淋巴瘤的诊断对发达国家和发展中国家都是一个挑战;然而,将危险因素与体征和症状结合起来可以帮助人们做出诊断。因此,重要的是始终保持高度的怀疑指数,特别是对患有淋巴结病的艾滋病毒患者。Doi: 10.28991/SciMedJ-2023-05-01-05全文:PDF
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引用次数: 0
Blood Cell Indices and Morphological Abnormalities Detected Among COVID-19 Patients Receiving Care 新冠肺炎住院患者血细胞指标及形态异常检测
Pub Date : 2023-03-01 DOI: 10.28991/scimedj-2023-05-01-02
K. Mensah, V. O. Ofori, C. Nkansah, S. K. Appiah, D. Sackey, Vincent Kawuribi, S. Bani, H. A. Osumanu, Selina Mintaah, Helen Owusu-Asante, Gabriel Abbam, Nicholas Klevor, Felix O-Boakye, Samira Daud, C. Derigubah
Blood cell abnormalities may occur among COVID-19 patients and could be detrimental during the disease’s progression. This study assessed complete blood count (CBC) parameters and determined abnormal changes in the peripheral blood of COVID-19 patients receiving care at Komfo Anokye Teaching Hospital (KATH), Ghana. This hospital-based descriptive cross-sectional study conducted at KATH, Kumasi, Ghana, recruited seventy-three (73) RT-PCR-confirmed COVID-19 participants. Venous blood was taken from participants into EDTA tubes and used for CBC analyses and the preparation of a thin blood film for blood cell morphological examination. Data obtained were analyzed with SPSS version 22.0, and p< 0.05 was considered statistically significant. Females were predominant (45/61.6) and had a higher COVID-19 cycle threshold (CT) value than males (p=0.027). The overall prevalence of anaemia among the study participants was 56.2% (65.5% in males and 50% in females). Geriatrics (>70 years old) had relatively lower Hb compared to other age groups in the study. Erythrocytopaenia (18/73), leucocytosis (28/73), lymphopaenia (9/73), and thrombocytopaenia (21/73) were common among the COVID-19 participants. Red cell morphological abnormalities were seen in the study participants: echinocytes (11/73), elliptocytes (6/73), stomatocytes (1/73), acanthocytes (4/73), pencil-shaped cells (5/73), schistocytes (15/73), ovalocytes (2/73) and target cells (1/73). Moreover, the acanthocytes were significantly higher in males compared to females (4 vs. 0, p=0.019). Again, reactive lymphocytes (8/73), neutrophil toxic granulation (18/73), neutrophil cytoplasmic vacuolation (42/73), smear cells (8/73), and one each of atypical lymphocyte and Dohle body were present among the COVID-19 participants. The COVID-19 CT value was lower among male participants. The overall prevalence of anaemia among COVID-19 participants was high, with males and the aged (>70 years) predominantly affected. COVID-19 patients have abnormal blood cell counts and significant morphological abnormalities in peripheral blood. Early detection of haematological abnormalities would be beneficial in the management of COVID-19 patients. Further study to assess the haematopoietic activities of COVID-19 patients is recommended. Doi: 10.28991/SciMedJ-2023-05-01-02 Full Text: PDF
COVID-19患者可能出现血细胞异常,并且在疾病进展期间可能是有害的。本研究评估了全血细胞计数(CBC)参数,并确定了在加纳Komfo Anokye教学医院(KATH)接受治疗的COVID-19患者外周血的异常变化。这项以医院为基础的描述性横断面研究在加纳库马西的KATH进行,招募了73名经rt - pcr确诊的COVID-19参与者。从参与者身上取静脉血到EDTA管中,用于CBC分析和制备薄血膜用于血细胞形态学检查。所得数据采用SPSS 22.0进行分析,p< 0.05为差异有统计学意义。女性居多(45/61.6),周期阈值(CT)高于男性(p=0.027)。研究参与者中贫血的总体患病率为56.2%(男性65.5%,女性50%)。与研究中的其他年龄组相比,老年患者(60 - 70岁)的Hb相对较低。红细胞减少(18/73)、白细胞减少(28/73)、淋巴细胞减少(9/73)和血小板减少(21/73)在COVID-19参与者中很常见。研究对象红细胞形态异常:棘细胞(11/73)、椭圆细胞(6/73)、气孔细胞(1/73)、棘细胞(4/73)、铅笔形细胞(5/73)、裂细胞(15/73)、卵圆细胞(2/73)和靶细胞(1/73)。此外,男性棘细胞数量明显高于女性(4比0,p=0.019)。同样,在COVID-19参与者中存在反应性淋巴细胞(8/73)、中性粒细胞毒性肉芽(18/73)、中性粒细胞细胞质空泡(42/73)、涂片细胞(8/73)以及非典型淋巴细胞和Dohle体各1个。男性参与者的COVID-19 CT值较低。在COVID-19参与者中,贫血的总体患病率很高,主要是男性和老年人(60至70岁)。新冠肺炎患者外周血细胞计数异常,外周血形态异常明显。早期发现血液学异常将有利于COVID-19患者的管理。建议进一步研究评估COVID-19患者的造血活动。Doi: 10.28991/SciMedJ-2023-05-01-02全文:PDF
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