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Circulating Naturally-Occurring Anticoagulants before Treatment and after Recovery from SARS-CoV-2 Infection in Ghana 加纳严重急性呼吸系统综合征冠状病毒2型感染治疗前和康复后循环的天然抗凝剂
Pub Date : 2022-12-01 DOI: 10.28991/scimedj-2022-04-04-01
C. Nkansah, L. Agyemang, Felix Osei-Boakye, S. K. Appiah, Kofi A Mensah, Gabriel Abbam, S. Bani, Samira Daud, H. A. Osumanu, C. Derigubah, D. Serwaa, F. A. Apodola, E. B. Ackah, Michael O. Tetteh, Nurain Abdul-Kareem, Fatima P. Abubakar, Candy A. E. Wilson, D. Afrifa, Y. Ishaq, Ruth A. A. Wedam, Fremah P. Agyeman-Duah, Kingsford O. Appiah, Yeduah Quansah, P. E. Agbadza, C. B. Dagungong, M. Owusu, F. E. Chukwurah
Background: Disturbance in naturally-occurring anticoagulants may contribute to the hypercoagulable state in COVID-19. This study determined the plasma antigen levels of protein C (PC), protein S (PS), antithrombin-III (AT-III), and thrombomodulin (TM) before treatment and after recovery from COVID-19. Materials and Methods: This cross-sectional study, conducted from February to August 2022 at Kumasi South Hospital, recruited sixty-five RT-PCR-confirmed COVID-19 participants. A venous blood sample was taken for full blood count (FBC) analysis using a 3-part fully automated haematology analyzer, and PC, PS, AT-III, and TM antigen levels measured using ELISA. The data were analyzed using SPSS version 26.0. P<0.05 was considered statistically significant. Results: Severe COVID-19 participants had relatively lower haemoglobin (p<0.001), RBC (p<0.001), HCT% (p<0.001) and platelets (p<0.001), but higher RDW-CV% (p=0.013), WBC (p<0.001), and absolute lymphocyte counts (p<0.001) compared to those with the non-severe form of the disease. The overall prevalence of anaemia among the participants was 58.5%, and 32 (84.2%) and 6 (15.8%) of the anaemic participants had mild and moderate anaemia respectively. Protein C (p<0.001), PS (p<0.001) and ATIII (p<0.001) levels were lower among the severe COVID-19 participants than in the non-severe group. But severe COVID-19 group had higher TM levels (p<0.001) than the non-severe group. Again, participants had higher haemoglobin (p<0.001), RBC (p<0.001), HCT% (p=0.049), absolute neutrophil count (p<0.001) and platelets (p<0.001) after recovery from COVID-19 than the values on admission. Additionally, after recovery, participants had higher levels of PC (p<0.001), PS (p<0.001), and ATIII (p<0.001), but reduced TM (p<0.001). Conclusion: Severe COVID-19 patients had higher PC, PS, and AT-III, but lower TM levels. The changes in circulating anticoagulants may contribute to the hypercoagulable state of COVID-19. Blood cell indices are negatively affected during COVID-19. Complete recovery from the SARS-CoV-2 infection normalised the haematological indices. Assessment of naturally-occurring anticoagulants and the provision of anticoagulants are recommended in the management of COVID-19. Doi: 10.28991/SciMedJ-2022-04-04-01 Full Text: PDF
背景:天然抗凝药物的紊乱可能导致COVID-19患者高凝状态。本研究检测了新冠肺炎治疗前和康复后血浆蛋白C (PC)、蛋白S (PS)、抗凝血素- iii (AT-III)和血栓调节素(TM)的抗原水平。材料和方法:这项横断面研究于2022年2月至8月在库马西南医院进行,招募了65名rt - pcr确诊的COVID-19参与者。静脉血标本采用全自动三分式血液学分析仪进行全血细胞计数(FBC)分析,并采用ELISA法测定PC、PS、AT-III和TM抗原水平。数据采用SPSS 26.0版本进行分析。P<0.05为差异有统计学意义。结果:严重的COVID-19参与者的血红蛋白(p<0.001)、RBC (p<0.001)、HCT% (p<0.001)和血小板(p<0.001)相对较低,但RDW-CV% (p=0.013)、WBC (p<0.001)和绝对淋巴细胞计数(p<0.001)高于非严重形式的疾病。研究对象总体贫血患病率为58.5%,其中轻度贫血32例(84.2%),中度贫血6例(15.8%)。重症COVID-19患者的蛋白C (p<0.001)、PS (p<0.001)和ATIII (p<0.001)水平低于非重症组。但重症组TM水平高于非重症组(p<0.001)。再次,参与者在COVID-19康复后的血红蛋白(p<0.001)、RBC (p<0.001)、HCT% (p=0.049)、绝对中性粒细胞计数(p<0.001)和血小板(p<0.001)高于入院时的值。此外,恢复后,参与者的PC (p<0.001), PS (p<0.001)和ATIII (p<0.001)水平较高,但TM降低(p<0.001)。结论:重症患者PC、PS、AT-III水平较高,TM水平较低。循环抗凝药物的变化可能与COVID-19高凝状态有关。COVID-19期间血细胞指数受到负面影响。SARS-CoV-2感染完全康复后,血液学指标恢复正常。建议在COVID-19的管理中评估天然抗凝剂并提供抗凝剂。Doi: 10.28991/SciMedJ-2022-04-04-01全文:PDF
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引用次数: 0
Antibacterial Property and Bioactive Compounds of Selected Herbal Products 精选草药产品的抗菌性能和生物活性成分
Pub Date : 2022-12-01 DOI: 10.28991/scimedj-2022-04-04-03
SciMedicine Journal, V. Oyetayo, O. Balogun
Ten herbal products, made up of five powdery and five liquid samples of different brands, were assessed microbiologically for the presence and types of microorganisms. Qualitative and quantitative phytochemical screening of the samples above was also conducted to verify the presence or absence of bioactive components. Ten bacterial species, viz: Bacillus subtilis, Staphylococcus aureus, Salmonella typhi, Shigella dysenteriae, Pseudomonas aeruginosa, Corynebacterium diptheriae, Streptococcus pyogenes, Enterobacter cloacae, Klebsiella pneumoniae, and Clostridium botulinum, were isolated from these herbal products. The fungi isolated were Aspergillus Niger, Rhizopus stolonifer, Alternaria alternata, Aspergillus flavus, Fusarium verticillioides, Fusarium oxysporium, and Mucor racemosus. Results of phytochemical screening revealed the presence of flavonoids, saponins, terpenoids, and tannins. Alkaloid was the most abundant in the samples, with a value of 1070.04 mg/100g in sample F, while the least abundant in sample F was phenol (0.38 mg/100g). The GC-MS analysis revealed the presence of certain compounds such as thiophene, propanoic acid, 2,2-dimethyl-, ethyl ester, pentanoic acid, 2-methyl, toluene, and many others in sample F that exhibited significant antimicrobial effects. These compounds are known to possess antimicrobial properties. Results from this study revealed that, though these herbal products contain bioactive compounds with potential antimicrobial and antioxidant properties, they are contaminated with microorganisms of health importance. Hence, local herbalists preparing these herbal products need to be educated on good manufacturing practices (GMP). Doi: 10.28991/SciMedJ-2022-04-04-03 Full Text: PDF
10种草药产品由5种不同品牌的粉末和5种液体样品组成,对微生物的存在和类型进行了微生物学评估。还对上述样品进行了定性和定量的植物化学筛选,以验证是否存在生物活性成分。从这些草药产品中分离出10种细菌,即枯草芽孢杆菌、金黄色葡萄球菌、伤寒沙门氏菌、痢疾杆菌、铜绿假单胞菌、白喉棒状杆菌、化脓性链球菌、阴沟肠杆菌、肺炎克雷伯菌和肉毒梭菌。分离到的真菌有尼日尔曲霉、匍匐根霉、赤星链孢、黄曲霉、轮状镰刀菌、尖孢镰刀菌和外消旋毛霉。植物化学筛选结果显示存在黄酮类化合物、皂苷、萜类化合物和单宁。生物碱在样品中含量最高,样品F中的含量为1070.04 mg/100g,而样品F中含量最低的是苯酚(0.38 mg/100g)。GC-MS分析显示,样品F中存在某些化合物,如噻吩、丙酸、2,2-二甲基、乙酯、戊酸、2-甲基、甲苯和许多其他表现出显著抗菌效果的化合物。已知这些化合物具有抗微生物特性。这项研究的结果表明,尽管这些草药产品含有具有潜在抗菌和抗氧化特性的生物活性化合物,但它们受到了对健康至关重要的微生物的污染。因此,制备这些草药产品的当地草药医生需要接受良好生产规范(GMP)的教育。Doi:10.28991/SciMedJ-2022-04-04-03全文:PDF
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引用次数: 0
Immune Thrombocytopenia Purpura in Children in Lebanon: Prevalence, Treatment Modalities, and Clinical Outcomes in a Retrospective Study 黎巴嫩儿童免疫性血小板减少性紫癜:一项回顾性研究的患病率、治疗方式和临床结果
Pub Date : 2022-12-01 DOI: 10.28991/scimedj-2022-04-04-02
Hassan Khalife, F. Abdel-Sater, Zaynab Fatfat, H. Khalife, Kawthar H. Sharaf Al-Deen, Hala Khalife
Background: Immune thrombocytopenia purpura (ITP) is one of the most common autoimmune diseases in children characterized by a decreased number of circulating platelets combined with impaired platelet production. There is limited literature data on the prevalence and treatment modalities, and outcome of ITP in children from Lebanon. Methods: We retrospectively reviewed the demographic and clinical data of 59 patients aged 0–18 years diagnosed with ITP between January 2007 and April 2016 in different hospitals in Beirut and the south of Lebanon. Results: ITP patients represented 2.5% of the total number of children admitted to these hospitals during this period. Among the ITP children, 55.93% were male and 44.07% were female. The greatest number of ITP children were in the 1–4 year group, followed by the 5–9 year group. As for the clinical course of the disease, 40.68% of the ITP children presented acute ITP, whereas 59.32% presented chronic ITP. Among the different therapeutic approaches adopted to treat these ITP children, intravenous immunoglobulin was the most commonly used, followed by steroids, a combination of these both agents, cyclosporine, and splenectomy. Interestingly, these therapeutic modalities induced a statistically significant increase in the patients’ platelet count. In addition, the clinical course of ITP was not significantly associated with each of the age group, the platelet count at diagnosis, and gender of patients. Conclusion:This study showed the prevalence of ITP among children from Lebanon, where more than half of ITP children presented a chronic disease. Further studies are needed to evaluate additional predictors of chronic ITP among children from Lebanon and help medical providers make informed decisions about treating childhood ITP. Doi: 10.28991/SciMedJ-2022-04-04-02 Full Text: PDF
背景:免疫性血小板减少性紫癜(ITP)是儿童最常见的自身免疫性疾病之一,其特征是循环血小板数量减少并伴有血小板生成受损。关于黎巴嫩儿童ITP的患病率、治疗方式和结果的文献数据有限。方法:我们回顾性回顾了2007年1月至2016年4月期间在贝鲁特和黎巴嫩南部不同医院诊断为ITP的59名0–18岁患者的人口统计学和临床数据。结果:ITP患者占同期入住这些医院的儿童总数的2.5%。ITP患儿中男性占55.93%,女性占44.07%。ITP儿童数量最多的是1-4岁组,其次是5-9岁组。就疾病的临床病程而言,40.68%的ITP儿童表现为急性ITP,而59.32%的儿童表现为慢性ITP。在治疗这些ITP儿童的不同治疗方法中,静脉注射免疫球蛋白是最常用的,其次是类固醇、这两种药物的组合、环孢菌素和脾切除术。有趣的是,这些治疗方式诱导了患者血小板计数的统计学显著增加。此外,ITP的临床病程与每个年龄组、诊断时的血小板计数和患者的性别没有显著相关性。结论:本研究显示了黎巴嫩儿童ITP的患病率,黎巴嫩一半以上的ITP儿童患有慢性病。需要进一步的研究来评估黎巴嫩儿童慢性ITP的其他预测因素,并帮助医疗提供者在治疗儿童ITP方面做出明智的决定。Doi:10.28991/SciMedJ-2022-04-04-02全文:PDF
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引用次数: 0
Implementation of Enhanced Recovery After Surgery Protocol in a Second-level Hospital 某二级医院加强术后恢复方案的实施
Pub Date : 2022-12-01 DOI: 10.28991/scimedj-2022-04-04-04
S. Karachentsev
Background: Enhanced recovery after surgery (ERAS) became standard perioperative care in the western world. However, little is known about the implementation of fast-track pathways (FTP) in developing countries. The objectives of the study were to assess the feasibility of the FTP program and adherence to the ERAS protocol in general surgery patients implemented in low-resource setting. Methods: In this retrospective, observational study, we evaluated perioperative care for elective and emergency surgical population changed in accordance with the ERAS program in a second-level hospital in Zambia. Ninety-eight patients aged two weeks to 87 years (median 32 years) with a male to female ratio of 2.3:1 and categorised by the American Society of Anaesthesiologists (ASA) in classes I to IV were included. Outcomes of interest were functional recovery, postoperative complications, length of hospital stay, and compliance with the protocol. Results: All elements of the ERAS protocol, including minimal access surgery (through mini-laparotomy incisions) and accelerated postoperative care, were employed. A successful recovery with discharge home by day 4 after the operation and the absence of complications and readmissions was achieved in 45.5% of patients. The postoperative period was complicated in 18.8% of cases, with a total mortality rate of 6.3%. The overall adherence level to the protocol was 72.2%. The highest levels of adaptation (≥95%) were reported for preoperative stratification, antimicrobial prophylaxis, modification of preanaesthetic medications, and prevention of intraoperative hypothermia. The poor compliance to the program was recorded for fasting and carbohydrate loading before surgery and postoperative thromboprophylaxis (17.9% and 21.4%, respectively). Conclusion: The study indicates that the employment of the ERAS program for the general surgery population at a second-level hospital is feasible and safe. It is possible to achieve a high level of adherence to the ERAS pathway in a resource-limited environment. A reasonable modification of the protocol can bring additional clinical benefits. Integrating elements of FTP into perioperative care and including the ERAS program in postgraduate education in developing nations is recommended. Further studies are needed, first, to frame ERAS pathways for application in emergency general surgery, and second, to present the local initiatives and identify barriers to the implementation of FTP in low-income countries. Doi: 10.28991/SciMedJ-2022-04-04-04 Full Text: PDF
背景:增强术后恢复(ERAS)已成为西方国家围手术期的标准护理。然而,人们对发展中国家实施快速通道的情况知之甚少。本研究的目的是评估FTP计划的可行性以及在低资源环境下实施的普通外科患者对ERAS协议的遵守情况。方法:在这项回顾性观察性研究中,我们评估了赞比亚一家二级医院根据ERAS计划改变的择期和急诊手术人群的围手术期护理。98名年龄在2周至87岁(中位数为32岁)的患者,男女比例为2.3:1,被美国麻醉师协会(ASA)分为I至IV级。感兴趣的结果是功能恢复、术后并发症、住院时间和对方案的遵守情况。结果:采用了ERAS方案的所有要素,包括微创手术(通过小型剖腹手术切口)和加速术后护理。45.5%的患者在手术后第4天成功康复出院回家,没有并发症和再次入院。18.8%的病例术后并发症,总死亡率为6.3%。对方案的总体遵守率为72.2%。据报道,术前分层、抗菌预防、麻醉前药物调整和术中体温过低预防的适应率最高(≥95%)。手术前禁食和碳水化合物负荷以及术后血栓预防对该计划的依从性较差(分别为17.9%和21.4%)。结论:二级医院普通外科人群采用ERAS方案是可行和安全的。在资源有限的环境中,可以实现对ERAS途径的高水平遵守。方案的合理修改可以带来额外的临床益处。建议将FTP的要素纳入围手术期护理,并将ERAS项目纳入发展中国家的研究生教育。需要进一步的研究,首先,制定ERAS在急诊普通外科中的应用途径,其次,介绍当地的举措,并确定低收入国家实施FTP的障碍。Doi:10.28991/SciMedJ-2022-04-04-04全文:PDF
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引用次数: 0
Understanding Patient Knowledge and Participation in Radiological Examinations: A Study on Women of Childbearing Age 了解患者知识和参与放射检查:对育龄妇女的研究
Pub Date : 2022-09-01 DOI: 10.28991/scimedj-2022-04-03-03
B. Barros, F. Serranheira
Over the years, patients have been called upon to play a more active role in their health processes. An increase in radiological examinations has also been observed, which leads to increased exposure of the most sensitive population (women of childbearing age) to X-rays and subsequent stochastic effects. Therefore, it is important to understand what knowledge this group has about radiology, if they intend to increase/know more about exposure to radiation, as well as to understand their participation in their radiological process. For a month, and with the help of three Portuguese associations, it was possible to disseminate the data collection instrument (questionnaire) adapted to the Portuguese reality on all its digital platforms. In this way, it was possible to obtain 502 responses from women between the ages of 18 and 57. Through the data obtained, it was noticed that participation and knowledge are reduced, but there is a willingness on the part of the sample to obtain more information and participate more in the entire radiological process. For greater participation of users in their radiological process (before the radiological examination, during the procedure, and after the procedure), it is important to provide tools that help to increase knowledge in this area. Stimulating interaction between health professionals in the field of radiology and users is equally important. Doi: 10.28991/SciMedJ-2022-04-03-03 Full Text: PDF
多年来,患者被要求在他们的健康过程中发挥更积极的作用。还观察到放射检查的增加,这导致最敏感的人群(育龄妇女)暴露于X射线和随后的随机效应的增加。因此,如果他们打算增加/了解更多关于辐射暴露的信息,以及了解他们对放射过程的参与,了解这一群体对放射学的了解是很重要的。在三个葡萄牙协会的帮助下,在一个月的时间里,可以在其所有数字平台上传播适应葡萄牙现实的数据收集工具(问卷)。通过这种方式,可以从18岁至57岁的妇女那里获得502份答复。通过所获得的数据,我们注意到参与度和知识减少了,但样本方面愿意获得更多信息,更多地参与整个放射过程。为了让用户更多地参与他们的放射过程(在放射检查之前、手术期间和手术之后),重要的是提供有助于增加这一领域知识的工具。刺激放射学领域的卫生专业人员和用户之间的互动同样重要。Doi:10.28991/SciMedJ-2022-04-03-03全文:PDF
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引用次数: 0
Serum Soluble Transferrin Receptor and Transferrin Levels among Regular Blood Donors 正常献血者血清可溶性转铁蛋白受体和转铁蛋白水平
Pub Date : 2022-09-01 DOI: 10.28991/scimedj-2022-04-03-01
S. K. Appiah, S. Bani, C. Nkansah, K. Mensah, Gabriel Abbam, Felix Osei-Boakye, Samira Daud, C. Derigubah, C. Nkrumah, D. Serwaa, Vincent Kawuribi, Deborah E. Nkansah, Benjamin O. Opoku, Catherine A. Avero, Yeduah Quansah, Candy A. E. Wilson, F. E. Chukwurah
Background: The study evaluated the effects of regular blood donation on serum transferrin and soluble transferrin receptor levels at Wenchi Methodist Hospital. Methods: This was a hospital-based cross-sectional study conducted at the Medical Laboratory Department of the Wenchi Methodist Hospital in the Bono Region of Ghana. A total of eighty-nine (89) venous blood samples from apparently healthy blood donors were analyzed. Complete blood count parameters were analyzed using an automated haematology analyzer and serum transferrin and transferrin receptor using ELISA. The data were analyzed using SPSS version 22.0. Results: Haemoglobin (p<0.001) and HCT (p=0.004) were significantly lower among the regular blood donors compared with the first-time donors. Regular blood donors had relatively higher serum transferrin (p<0.001) and soluble transferrin receptor levels (p<0.001). A negative correlation was observed between Hb and serum transferrin (r=-0.552, p<0.001), as well as Hb and serum soluble transferrin receptor (r=-0.552, p<0.001). Remunerated donors had lower Hb (p=0.001) and HCT% (p=0.001) but a higher transferrin receptor (p=0.041) than non-remunerated donors. Conclusion: Regular blood donors had relatively lower erythrocyte parameters but higher serum transferrin and soluble transferrin receptors, indicating a possible reduction in serum iron and iron stores. Moderate negative correlations exist between Hb and both transferrin and soluble transferrin receptors. Again, remunerated donors had lower erythrocyte parameters but higher transferrin and soluble transferrin receptors than non-remunerated donors. Periodic assessment of iron parameters among regular blood donors is recommended. A future longitudinal study to assess the entire iron profile of regular blood donors is recommended. Doi: 10.28991/SciMedJ-2022-04-03-01 Full Text: PDF
背景:本研究评估了文池卫理公会医院定期献血对血清转铁蛋白和可溶性转铁蛋白受体水平的影响。方法:这是一项在加纳波诺地区温奇卫理公会医院医学检验科进行的基于医院的横断面研究。对来自明显健康的献血者的八十九(89)份静脉血液样本进行了分析。使用自动血液学分析仪分析全血计数参数,并使用ELISA分析血清转铁蛋白和转铁蛋白受体。使用SPSS 22.0版对数据进行分析。结果:与首次献血者相比,常规献血者的血红蛋白(p<0.001)和HCT(p=0.004)显著降低。正常献血者血清转铁蛋白(p<0.001)和可溶性转铁蛋白受体水平(p<0.01)相对较高,Hb与血清转铁蛋白呈负相关(r=-0.552,以及Hb和血清可溶性转铁蛋白受体(r=-0.552,p<0.001)。无偿献血者的Hb(p=0.001)和HCT%(p=001)较低,但转铁蛋白受体较高(p=0.041)。结论:常规献血者红细胞参数相对较低,但血清转铁蛋白和可溶性转铁蛋白受体较高,表明血清铁和铁储存可能减少。Hb与转铁蛋白和可溶性转铁蛋白受体之间存在中度负相关。同样,有偿献血者的红细胞参数较低,但转铁蛋白和可溶性转铁蛋白受体高于无偿献血者。建议定期评估定期献血者的铁参数。建议未来进行一项纵向研究,以评估常规献血者的整体铁谱。Doi:10.28991/SciMedJ-2022-04-03-01全文:PDF
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引用次数: 0
A Prevalence Risk Analysis of Waterborne Transmission of SARS-CoV-2 SARS-CoV-2水媒传播流行风险分析
Pub Date : 2022-09-01 DOI: 10.28991/scimedj-2022-04-03-02
Abdullah R. Alanzi, M. A. Parvez, Abdulrahman R. Alruwaili, M. Parvez
We statistically analyzed 31 published studies comprising 113 water samples collected from 17 countries for SARS-CoV-2 positivity. The pooled estimated prevalence of viral RNA in the tested samples was 64.1% [95% CI:51.6%, 74.9%] with considerable heterogeneity (I2: 90.1%, P<0.001). Notably, wastewater, sewage, hospital septic-tank, biological sludge, and effluent demonstrated statistical significance (P<0.05) for RNA positivity. The country-wise pooled estimated prevalence for Germany, India, Turkey, Spain, the Netherlands, Italy, the USA, and Japan were 88% (76%, 94%), 85% (33%, 98%), 83% (43%, 97%), 78% (54%, 92%), 60% (41%, 77%), 53% (36%, 70%), 53% (27%, 77%), and 25% (13%,43%), respectively. Further subgroup analyses showed that the prevalence of SARS-CoV-2 among the tested water samples was significantly higher in middle-income countries compared to high-income groups. Our data, therefore, suggests wastewater-based epidemiological surveillance as an important tool for community-wide monitoring of SARS-CoV-2. Doi: 10.28991/SciMedJ-2022-04-03-02 Full Text: PDF
我们对31项已发表的研究进行了统计分析,这些研究包括从17个国家收集的113份严重急性呼吸系统综合征冠状病毒2型阳性水样。测试样本中病毒RNA的合并估计患病率为64.1%[95%CI:51.6%,74.9%],具有相当大的异质性(I2:90.1%,P<0.001)。值得注意的是,废水、污水、医院化粪池、生物污泥和污水的RNA阳性率具有统计学意义(P<0.05)。德国、印度、土耳其、西班牙、荷兰、意大利、美国和日本的国家汇总估计患病率分别为88%(76%,94%)、85%(33%,98%)、83%(43%,97%)、78%(54%,92%)、60%(41%,77%)、53%(36%,70%)、53%、27%和25%(13%,43%)。进一步的亚组分析表明,与高收入群体相比,中等收入国家的受试水样中严重急性呼吸系统综合征冠状病毒2型的流行率明显更高。因此,我们的数据表明,基于废水的流行病学监测是社区范围内监测严重急性呼吸系统综合征冠状病毒2型的重要工具。Doi:10.28991/SciMedJ-2022-04-03-02全文:PDF
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引用次数: 0
Examining the Attitudes of Livestock Keepers within Animal Production Systems 在动物生产系统中考察畜牧业饲养员的态度
Pub Date : 2022-09-01 DOI: 10.28991/scimedj-2022-04-03-04
Carla Marmelo
It has been proven that the interactions or relationships established between humans and animals in livestock production significantly affect both. Therefore, it is extremely important that the quality of these interactions be positive and reflect a genuine sense of caring on the part of the people who deal directly with the animals. This study draws on some of the most important publications on the subject from 1986 to 2022 found in article databases; presents the main concepts used to understand the subject; lists the main reasons for what can be considered mistreatment of animals in animal husbandry (negative behaviours); and proposes solutions based on the literature and the author's experience. The purpose of this article is to help a) shift the paradigm and prioritise the definition of a personal profile that should work with animals, rather than focusing exclusively on the technical training of animal caregivers or on the common definition of “stockperson"; b) propose an analytical solution that can be applied during the recruitment process; and c) serve as a basis for the most relevant literature on the subject, given the already large number of publications, and d) encourage mutual reflection. Doi: 10.28991/SciMedJ-2022-04-03-04 Full Text: PDF
事实证明,畜牧生产中人与动物之间建立的相互作用或关系对两者都有重大影响。因此,这些互动的质量是积极的,反映了直接与动物打交道的人的真正的关怀意识,这是极其重要的。本研究借鉴了文章数据库中1986年至2022年关于该主题的一些最重要的出版物;介绍用于理解主题的主要概念;列出在畜牧业中可能被视为虐待动物的主要原因(负面行为);并结合文献和笔者的亲身经历提出解决方案。这篇文章的目的是帮助a)改变模式,优先定义与动物有关的个人资料,而不是只关注动物护理人员的技术培训或“库存人员”的共同定义;B)提出可在招聘过程中应用的分析解决方案;c)鉴于已经有大量的出版物,作为该主题最相关文献的基础,d)鼓励相互反思。Doi: 10.28991/SciMedJ-2022-04-03-04全文:PDF
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引用次数: 0
Excess Readmission rates for Heart Failure and Pneumonia by Hospital Type 按医院类型划分的心力衰竭和肺炎超额再诊断率
Pub Date : 2022-06-01 DOI: 10.28991/scimedj-2022-04-02-03
Viraj Brahmbhatt
The improvement of quality care is a major goal for modern healthcare. Quality of care is often measured through readmission rates for specific conditions such as heart failure, pneumonia, total arthroplasty of the knee/hip, etc. This data has been used by the Center for Medicare and Medicaid Services (CMS) to adjust reimbursement rates for hospitals with excessive readmissions. Different hospital operations and management models possess structural differences that may impact the rates of readmission. This study investigated whether there were significant differences in the readmission rates for academic, non-profit, and for-profit hospitals. The results may be important in reshaping guidelines to assess hospitals based on readmission rates. The average excess readmissions for heart failure were in non-profit hospitals for 1.0047, for-profit hospitals for 1.013, and academic hospitals for 0.975. The ANOVA for this set returned a p-value of 1.70284E-05, meaning that the results were statistically significant. As such, academic hospitals have statistically lower readmission rates for heart failure. The excess readmission rates for pneumonia yielded 1.025 for non-profit, 1.024 for for-profit, and 0.99 for academic hospitals. The ANOVA returned a p-value of 2.4899E-09, which suggests the differences seen are statistically significant. As such, academic hospitals also have a statistically lower rate of pneumonia readmissions. The study has implications for consumer decision-making when choosing a hospital. In addition to this, algorithms for benchmarking as well as CMS adjustments to reimbursement rates may consider factoring in the hospital ownership type. Doi: 10.28991/SciMedJ-2022-04-02-03 Full Text: PDF
提高医疗质量是现代医疗保健的主要目标。护理质量通常通过心力衰竭、肺炎、膝关节/髋关节置换术等特定疾病的再入院率来衡量。医疗保险和医疗补助服务中心(CMS)已使用这些数据来调整再入院率过高的医院的报销率。不同的医院运营和管理模式具有结构性差异,可能会影响再入院率。这项研究调查了学术性、非营利性和营利性医院的再入院率是否存在显著差异。这一结果可能对重新制定基于再入院率评估医院的指南具有重要意义。非营利医院因心力衰竭再次入院的平均人数为1.0047人,营利性医院为1.013人,学术医院为0.975人。该集合的方差分析返回的p值为1.70284E-05,这意味着结果具有统计学意义。因此,从统计数据来看,学术医院的心力衰竭再入院率较低。非营利医院的肺炎超额再入院率为1.025,营利医院为1.024,学术医院为0.99。方差分析返回的p值为2.4899E-09,这表明所看到的差异具有统计学意义。因此,从统计数据来看,学术医院的肺炎再次入院率也较低。这项研究对消费者在选择医院时的决策具有启示意义。除此之外,基准测试算法以及CMS对报销率的调整可能会考虑考虑医院所有权类型。Doi:10.28991/SciMedJ-2022-04-02-03全文:PDF
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引用次数: 0
Delayed Xenograft Transplantation of Mouse Olfactory Ensheathing Cells in Adult Rats 成年大鼠嗅鞘细胞延迟异种移植
Pub Date : 2022-06-01 DOI: 10.28991/scimedj-2022-04-02-01
M. Naghynajadfard
Regeneration of the central nervous system after injury using appropriate cells for transplantation is a controversial issue. Accessibility of allograft olfactory ensheathing cells to transplant in the spinal cord of patients is not applicable. Therefore, in this study, an attempt has been made to xenotransplant cells from mouse into a corticospinal tract lesion in a rat in order to achieve a plausible preclinical approach for future application to a clinical study. Adult rats were trained to use their forepaws for retrieving. The dorsal corticospinal tract was lesioned by a stereotactic radio-frequency lesion maker at the level of the first/second cervical segments. Rats that had shown no forepaw retrieval by 8 weeks were xenotransplanted with a suspension of cultured olfactory ensheathing cells derived from the mouse olfactory bulb. Starting between 1 and 3 weeks, 10 rats with transplants bridging the lesion site resumed ipsilateral forepaw reaching. After transplanting cells into the lesion side, the cross and horizontal sections of GFAP and NF staining of 10 animals that have the Directed Forepaw Reaching (DFR) function returned showed the regenerated CST fibers in the lesion area after 8 weeks postoperative. Xenotrasplant of olfactory ensheathing cells from the mouse olfactory bulb into a rat corticospinal tract lesion was promising and positive. Animals that had difficulty in Directed Forepaw Reaching had returned the function 8 weeks postoperatively. Doi: 10.28991/SciMedJ-2022-04-02-01 Full Text: PDF
损伤后中枢神经系统的再生使用合适的细胞进行移植是一个有争议的问题。同种异体嗅鞘细胞移植到患者脊髓的可及性是不适用的。因此,在这项研究中,已经尝试将小鼠的细胞异种移植到大鼠的皮质脊髓束损伤中,以实现一种合理的临床前方法,用于未来的临床研究。成年大鼠被训练用前爪进行回收。在第一/第二颈段水平上,用立体定向射频损伤器对皮质脊髓背侧束进行损伤。用来源于小鼠嗅球的培养嗅觉鞘细胞悬浮液对8周前爪未恢复的大鼠进行异种移植。从1到3周开始,10只移植桥接病变部位的大鼠恢复了同侧前爪伸伸伸。将细胞移植到病变侧后,10只具有定向前爪到达(DFR)功能的动物的GFAP和NF染色的横截面和水平截面显示,术后8周,病变区域再生了CST纤维。将小鼠嗅球的嗅鞘细胞异种移植到大鼠皮质脊髓束损伤中是有希望的,也是积极的。在定向前爪触及方面有困难的动物在术后8周恢复了功能。Doi:10.28991/SciMedJ-2022-04-02-01全文:PDF
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引用次数: 1
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