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Evaluation of C-peptide in Type 2 Diabetic Patient in Douala Cameroon: C-peptide Correlation with BMI and Duration of Diabetes 喀麦隆杜阿拉2型糖尿病患者c肽的评价:c肽与BMI和糖尿病病程的相关性
Pub Date : 2021-09-11 DOI: 10.11648/J.AJBLS.20210905.12
M. Diane, Mbango-Ekouta Noel Désirée, N. Pierre, Assiene Oyong Damase Serge, Eloumou Bagnaka Servais, A. Dieudonné
Introduction: The C-peptide assay is the more reliable indicator of insulin secretion than insulin itself, making it possible to optimize the treatment and to anticipate the evolution of complications linked to type 2 diabetes. The present study reports the relationship between the levels of C-peptide, the body mass index and the duration of type 2 diabetes in two hospitals (General Hospital and Gyneco-Obstetric and Pediatric Hospital) in the city of Douala Cameroon. The aim of this study was to assess relationship between serum C-peptide levels with some patient characteristics such as duration in type 2 diabetes and obesity. Methods: We carried out an analytical cross-sectional study over a period of 9 months of patients with type 2 diabetes regularly monitored at the General Hospital and Gyneco-Obstetric and Pediatric Hospital of Douala Cameroon. We included any patient whose diagnosis of type 2 diabetes was mentioned in the medical file. The C-peptide assays after fasting blood sampling were carried out according to the principle of electro-chemiluminescence assay. The ANOVA and PEARSON tests made it possible to compare groups and look for correlations between C-peptide and other variables. The significant threshold was set at P˂0.05. Results: We included 90 subjects with a mean age of 58±12.31 years. The average BMI was 28.18±5.51 kg/m2. The mean duration of diabetes was 8.71±6.94 years, the mean C-peptide level was 2.50±1.68 ng/ml. We found that C-Peptide levels increased with body mass index (P=0.004) and patient age (P=0.004). Conversely, we found that C-peptide levels increased with duration of diabetes but not significantly (P=0.411). Conclusion: The C-peptide levels make it possible to objectify the residual secretion of pancreatic beta cells. We found that C-peptide levels increases with increasing body mass index, but they were no significant correlation between C-peptide levels and the diabetes duration.
c肽测定是比胰岛素本身更可靠的胰岛素分泌指标,使优化治疗和预测2型糖尿病相关并发症的发展成为可能。本研究报告了喀麦隆杜阿拉市两家医院(综合医院和妇产儿科医院)c肽水平、体重指数和2型糖尿病病程之间的关系。本研究的目的是评估血清c肽水平与某些患者特征(如2型糖尿病持续时间和肥胖)之间的关系。方法:我们对喀麦隆杜阿拉综合医院和妇产儿科医院定期监测的2型糖尿病患者进行了为期9个月的分析性横断面研究。我们纳入了任何在医疗档案中被提及诊断为2型糖尿病的患者。空腹采血后c肽检测按电化学发光法原理进行。方差分析和皮尔逊检验使比较组和寻找c肽和其他变量之间的相关性成为可能。显著性阈值设为P小于0.05。结果:纳入90例受试者,平均年龄58±12.31岁。平均BMI为28.18±5.51 kg/m2。糖尿病的平均病程为8.71±6.94年,平均c肽水平为2.50±1.68 ng/ml。我们发现c肽水平随着体重指数(P=0.004)和患者年龄(P=0.004)的增加而增加。相反,我们发现c肽水平随着糖尿病病程的延长而增加,但不显著(P=0.411)。结论:c肽水平使胰岛β细胞残留分泌物化成为可能。我们发现c肽水平随体重指数的增加而增加,但c肽水平与糖尿病病程无显著相关性。
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引用次数: 1
Discovery of Meridian Entities and the Third Regulatory Framework 经络实体的发现与第三个规范框架
Pub Date : 2021-09-08 DOI: 10.11648/J.AJBLS.20210905.11
Xu Yueyuan
Human diseases are the result of neuromodulation and humoral regulation disorders. However, the Chinese people have carried out acupuncture experiments on the body for thousands of years, and their curative effects have convinced them that the meridians and acupoint structure based on acupuncture and moxibustion is not a simple mechanism of nerve conduction and humoral regulation. This study adopts "Xu's pulse diagnosis Intangible Cultural Heritage Inheritance technology". According to "Lingshu · meridians", the pulse on the skin surface of the whole body was perceived. Pulse diagnosis found that there were longitudinal and transverse pulsating thin lines on the body surface. Then through the meridian pen to test the vertical and horizontal conduction path, acupuncture to verify the clinical effect, and local anatomy to confirm the existence of meridian and acupoint entities in the human body. Finally, it is determined that there are 31 pairs of transverse meridians and 13 pairs of longitudinal meridians in human epidermis and dermis. It is highly consistent with the meridian path of the twelve meridians, the odd meridians and the eight meridians of traditional Chinese medicine, and the position of acupoints is also highly consistent. According to the new development of skin anatomy, this paper expounds the physiological and pathological regulation mechanism of meridian structure, and determines that there is an artificial external regulation system based on vertical and horizontal meridian structure in human body.
人类疾病是神经调节和体液调节紊乱的结果。然而,中国人对人体进行了几千年的针灸实验,其疗效使他们确信,以针灸为基础的经络和腧穴结构并不是一种简单的神经传导和体液调节机制。本研究采用“徐氏脉诊非物质文化遗产传承技术”。根据《灵枢·经络》,感知全身皮肤表面的脉搏。脉诊发现体表有纵、横脉动细纹。然后通过经络笔测试纵横传导路径,针灸验证临床效果,局部解剖证实人体存在经穴实体。最后确定人体表皮和真皮层有31对横向经络和13对纵向经络。与中医十二经、奇经、八经的经络路径高度一致,腧穴的位置也高度一致。根据皮肤解剖学的新进展,阐述了经络结构的生理病理调节机制,确定了人体存在一个以纵横经络结构为基础的人工外调节系统。
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引用次数: 0
The Challenges of Delta Variant of Coronavirus and Indian Vaccinations Can Envision the Coronavirus and Its Effects 冠状病毒三角洲变异的挑战和印度疫苗接种可以预见冠状病毒及其影响
Pub Date : 2021-08-31 DOI: 10.11648/j.ajbls.20210904.16
J. Malviya, A. Parmar, Lokesh Parmar, Roshni Khan, Rituja Roy, Sushmita Kanade, Prince Giri, Balram Rathore
Since the outbreak of the novel corona virus disease COVID-19, precipitated by way of the SARS-CoV-2 virus, this sickness has unfolded hastily round the globe. Considering the practicable risk of a pandemic, scientists and medical doctors have been racing to apprehend this new virus and the pathophysiology of this disorder to discover feasible therapy regimens and find out fantastic therapeutic sellers and vaccines. To guide the cutting-edge lookup and development, CAS has produced a extraordinary record to furnish an overview of posted scientific statistics with an emphasis on patents in the CAS content material collection. It highlights antiviral techniques involving small molecules and biologics concentrated on complicated molecular interactions concerned in corona virus contamination and replication. The drug-repurposing effort documented herein focuses principally on dealers recognized to be superb in opposition to different RNA viruses such as SARS-CoV and MERS-CoV. The current secondary data have been chosen for the study while text 16 research articles to focus the study. The review is focus on that the challenges of coronaviruses and the new strains in Indian population due to constantly virus has changed through mutation appeared and disappeared too the more diverse and spread easily and resistant to treatments or vaccines. The vaccination in India is slow rate due to unavailability of the raw materials; the two Indian vaccine development companies have not able to provided vaccines as per the requirement. Unawareness has also been a biggest problem to the pandemic situation in the second wave of the coronavirus with new variants. The present study is deals with the challenges of new variants of coronavirus; the conditions of health system; Crisis of medicine, oxygen cylinder, failure of management increase more cases and finally the vaccination process; management and availability.
自新型冠状病毒病COVID-19爆发以来,以SARS-CoV-2病毒为媒介,这种疾病在全球范围内迅速蔓延。考虑到大流行的实际风险,科学家和医生们一直在竞相了解这种新病毒和这种疾病的病理生理学,以发现可行的治疗方案,并找到出色的治疗销售商和疫苗。为了指导前沿的查找和开发,CAS制作了一个非凡的记录,提供了一个概述发布的科学统计,重点是CAS内容材料收集中的专利。它重点介绍了涉及小分子和生物制剂的抗病毒技术,重点关注与冠状病毒污染和复制有关的复杂分子相互作用。本文记录的药物重新利用工作主要集中在被认为对不同RNA病毒(如SARS-CoV和MERS-CoV)具有卓越抗性的经销商。目前的二手数据已被选择为研究,而文本16篇研究文章,重点研究。审查的重点是,由于病毒不断发生突变,冠状病毒和印度人口中的新毒株的挑战出现了,也消失了,更多样化,更容易传播,对治疗或疫苗有抵抗力。由于缺乏原料,印度的疫苗接种速度缓慢;两家印度疫苗开发公司未能按要求提供疫苗。在新型冠状病毒的第二波大流行中,不认识也是最大的问题。目前的研究是针对冠状病毒新变种的挑战;卫生系统条件;药物危机、氧气瓶、管理失败增加了更多的病例,最终导致疫苗接种过程;管理和可用性。
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引用次数: 0
Cluster and Principal Component Analysis of Semi-Dwarf Tef [Eragrostis tef (Zucc.) Trotter] Recombinant Inbred Lines with Emphasis to Lodging 半矮秆Tef [Eragrostis Tef (Zucc.)]的聚类和主成分分析以倒伏为主的重组自交系
Pub Date : 2021-08-27 DOI: 10.11648/j.ajbls.20210904.12
Getahun Bekana
Tef is the main cereal crop widely produced and consumed in Ethiopia and preferred by millions of local smallholder farmers. It also gained recognition as a food crop in other parts of the world very recently due to its gluten-free grains and its nutritive value. Lodging is the major factor which greatly reduces both yields and quality of tef grain as well as the straw. The current study was conducted to group the lines as their similarities and assess the magnitude of genetic distances among them; then identify the contribution of individual traits for total variations. A total of 49 lines were evaluated for 16 traits using simple lattice design at Holetta and Debre Zeit in 2017 main rainy season. All the traits evaluated over the locations showed highly significant differences among the lines except fertile tiller per plant, while the lines x location interaction effect was highly significant for most of the traits evaluated. Cluster analysis grouped the lines into four clusters based on their similarity. The highest inter-cluster distance noted between clusters two and four while the lowest was between clusters one and four. Principal component analysis showed that about 77.6% of the gross variance among lines explained by five Principal components with eigenvalues greater than unity. This study revealed that four recombinant inbred lines had higher yield than local and standard checks. RIL# 14 showed highest grain yield, low lodging index and other desirable traits than all lines, which could base and strengthen future tef breeding if incorporated as plant material; especially for lodging problem.
Tef是埃塞俄比亚广泛生产和消费的主要谷类作物,深受当地数百万小农的喜爱。最近,由于其无麸质谷物和营养价值,它在世界其他地区也获得了粮食作物的认可。倒伏是影响小麦和秸秆产量和品质的主要因素。目前的研究是根据相似性对这些系进行分组,并评估它们之间的遗传距离大小;然后确定个体特征对总变异的贡献。在2017年主要雨季,采用简单格点设计对49个品系的16个性状进行了评价。除单株可育分蘖数外,各品系间均表现出极显著差异,且品系与各品系间的互作效应显著。聚类分析将这些线根据相似性分为四类。簇2和簇4之间的簇间距离最大,而簇1和簇4之间的簇间距离最小。主成分分析表明,5个特征值大于1的主成分可解释约77.6%的总方差。结果表明,4个重组自交系的产量均高于当地和标准检验。RIL 14号表现出最高的籽粒产量和较低的倒伏指数等优良性状,可作为选育材料,为今后的tef育种奠定基础和加强基础;尤其是住宿问题。
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引用次数: 0
Prevalence and Antimicrobial Susceptibility Profiles of Pasteurella multocida in Village Chickens (Gallus gallus domesticus) in Maiduguri, Borno State, Nigeria 尼日利亚博尔诺州迈杜古里村鸡(家鸡)中多杀性巴氏杆菌的流行及药敏特征
Pub Date : 2021-08-27 DOI: 10.11648/j.ajbls.20210904.14
J. Lawal, A. Ibrahim, Muazu Ayuba, U. Ibrahim
Pasteurella multocida is a highly contagious bacterial pathogen that causes cholera in chickens and water fowls. From September 2019 to February 2021, 600 samples, consisting of tracheal and cloacal swabs (300 samples each), were obtained from 300 seemingly healthy village chickens from households and live bird markets to evaluate the prevalence of P. multocida, test for its antibiotic susceptibility profile and multiple drug resistance patterns. Trachea and cloacal swabs collected were cultured on sheep blood agar and MacConkey agar, isolation and identification was based on morphological characteristics. Prevalence was higher in chickens sampled from live birds’ markets (27.0%) than those from households (16.3%), and higher in hens (13.3%) than in cocks (8.7%). Pure culture colonies were characterized using biochemical test and isolates identified by biochemical characterization were further subjected to Microbact GNB 24E test. Twenty three pure isolates of P. multocida were recovered, eighteen found in the trachea, and five in the cloaca, with an overall prevalence of 21.7%. Disk diffusion approach was used to assess in vitro susceptibility of isolates to 18 different antimicrobial agents. Isolates demonstrated multidrug-resistant to 15 of the antimicrobial compounds used. Antibiogram showed isolates to be extremely susceptible to ciprofloxacin, nitrofurantoin, and neomycin, and total resistant to erythromycin, amoxicillin/clavulinate, cefuroxime, ampicillin, enrofloxacin, tylosin, and furasol. Isolation of Pasteurella multocida from healthy village chickens, indicates they are carriers of the pathogen and that the bacterium has multidrug resistance. To control fowl cholera, it is also recommended that field veterinarians conduct sensitivity tests prior to administering antibiotics.
多杀性巴氏杆菌是一种高度传染性的细菌病原体,可在鸡和水禽中引起霍乱。从2019年9月至2021年2月,从300只看似健康的乡村鸡和活禽市场中获取了600份样本,包括气管和阴道炎拭子(各300份样本),以评估多杀假单胞菌的流行情况,测试其抗生素敏感性谱和多种耐药模式。收集气管和肛肠拭子,分别在羊血琼脂和麦康基琼脂上进行培养,根据形态特征进行分离鉴定。从活禽市场采集的鸡患病率(27.0%)高于家庭采集的(16.3%),母鸡(13.3%)高于公鸡(8.7%)。对纯培养菌落进行生化鉴定,对经生化鉴定的分离菌进行GNB 24E检测。共检出多杀性假单胞菌23株,其中气管18株,泄殖腔5株,总感染率为21.7%。采用纸片扩散法测定分离菌株对18种不同抗菌药物的体外敏感性。分离株显示对所用的15种抗菌化合物具有多重耐药性。抗生素谱显示,分离株对环丙沙星、呋喃妥因和新霉素极敏感,对红霉素、阿莫西林/克拉维酸盐、头孢呋辛、氨苄西林、恩诺沙星、泰洛辛和呋喃醇完全耐药。从健康的农村鸡中分离出多杀性巴氏杆菌,表明它们是病原体的携带者,并且该细菌具有多药耐药性。为了控制家禽霍乱,还建议现场兽医在使用抗生素之前进行敏感性试验。
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引用次数: 1
Finding the Best Performing Pre-Trained CNN Model for Image Classification: Using a Class Activation Map to Spot Abnormal Parts in Diabetic Retinopathy Image 寻找表现最好的预训练CNN图像分类模型:使用类激活图识别糖尿病视网膜病变图像中的异常部分
Pub Date : 2021-07-10 DOI: 10.11648/J.AJBLS.20210904.11
Jihyung Kim
Diabetic retinopathy (DR) is a common eye disease that people get from diabetes. About 33.7% of the people with diabetes have DR. With our datas, which are pictures of the eyeball with and without DR, we tried different convolutional neural network (CNN) models to get the best accuracy score. We tested our datas with a default CNN model, and 5 different pre-trained models: MobileNet, VGG16, VGG19, Inception V3, and Inception ResNet V2. The default CNN model didn’t perform very well, getting only 10.4%. The pre-trained model also didn’t perform as good as expected, so we decided to use GRU with the models, which increases the score. For the higher accuracy, we added bidirectional GRU to train the whole parameters in the model. The 5 different pre-trained models scored an average of 74.2% accuracy score, and Inception ResNet V2 with bidirectional GRU included scored the highest accuracy, achieving 83.57%. For additional study, we used a class activation map to spot the abnormal parts of the eyeball with DR, and we could spot abnormal veins and bleeding on the eyeball. However, our research has limitations on that we did not use the segmentation methods, which is more advanced technique compared to classification, such as U-net, Fully Convolutional Network (FCN), Deep Lab V3, and Feature Pyramid Network. Furthermore, even though our model classified 5 different classes, the fact that the highest accuracy score was lower than 90% is also a limitation. For further study, we would prepare a masking method for applying segmentation methods to our dataset.
糖尿病视网膜病变(DR)是一种由糖尿病引起的常见眼病。大约33.7%的糖尿病患者患有DR。根据我们的数据(有DR和没有DR的眼球的图片),我们尝试了不同的卷积神经网络(CNN)模型来获得最佳的准确率分数。我们用一个默认的CNN模型和5个不同的预训练模型来测试我们的数据:MobileNet, VGG16, VGG19, Inception V3和Inception ResNet V2。默认的CNN模型表现不太好,只有10.4%。预训练的模型也没有达到预期的效果,所以我们决定对模型使用GRU,这样可以提高分数。为了获得更高的精度,我们在模型中加入了双向GRU对整个参数进行训练。5种不同的预训练模型平均准确率为74.2%,其中包含双向GRU的Inception ResNet V2准确率最高,达到83.57%。在进一步的研究中,我们使用了一个类激活图,用DR来发现眼球的异常部位,我们可以发现眼球上的异常静脉和出血。然而,我们的研究有局限性,我们没有使用比分类更先进的分割方法,如U-net、Fully Convolutional Network (FCN)、Deep Lab V3和Feature Pyramid Network。此外,尽管我们的模型分类了5个不同的类别,但最高准确率低于90%也是一个限制。为了进一步研究,我们将准备一种掩蔽方法,用于将分割方法应用于我们的数据集。
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引用次数: 1
A Cross Sectional Study to Assess the Association of Thyroid Autoantibodies with Thyroid Malignancies in a Tertiary Care Hospital in Bangladesh 横断面研究评估甲状腺自身抗体与甲状腺恶性肿瘤在孟加拉国三级护理医院的关系
Pub Date : 2021-06-30 DOI: 10.11648/j.ajbls.20210903.14
Mitan Chakma, M. Barua, Kyaw Khin U, Mahmud Ullah Faruquee, Sayed Muhammad Alauddin Sharif, Shahin Ibn Rahman, Afjal Hossain, Aman Ullah
Thyroid cancer is the most common endocrine malignant lesion and its incidence continues to rise. The aim of this study was to assess association between thyroid antibodies and thyroid malignancies. This was a cross sectional study of 120 patients with thyroid nodules undergoing thyroidectomy with recorded preoperative thyroid antibodies [autoantibodies to thyroglobulin (TgAb) and/or thyroid peroxidase (TPOAb)] levels from 2017 to 2018 admitted at the ENT Department of Chittagong Medical College Hospital, Chittagong. Analysis was done to assess the association between preoperative thyroid antibody levels, fine needle aspiration cytology (FNAC) results, type of thyroid surgery and final histopathology. Mean age of the study population was 35.58 years (SD:±11.36). According to the final histopathological diagnosis of the 120 patients 80% were benign and other 20% were malignant. Men are more likely to suffer from thyroid malignancy than women (33.3% versus 18.9%). Multinodules are predominant group than solitary nodule (55% versus 45%). Though the prevalence of thyroid malignancies is more in solitary group than multinodules group (22.2% versus 18.2%) the difference is not statistically significant. Among the benign nodules most of them (88.5%) were nodular goiter and among the malignancies most of them were (80.3%) were papillary thyroid carcinoma. There is moderate agreement between FNA and histopathological diagnosis (kappa is .405). The patients with high TSH level in comparison to low TSH level were significantly associated with thyroid malignancy. The patients with preoperative elevated TgAb (≥ 40IU/mL) has 2.55 times of more chance to have malignant lesion than the patients who has normal TgAb level. The study revealed that elevated level of TgAb may act as an independent prediction factor for thyroid malignancy.
甲状腺癌是最常见的内分泌恶性病变,其发病率持续上升。本研究的目的是评估甲状腺抗体和甲状腺恶性肿瘤之间的关系。本研究对2017年至2018年吉大港医学院附属附属医院耳鼻喉科收治的120名接受甲状腺切除术的甲状腺结节患者进行了横断面研究,这些患者术前甲状腺抗体(甲状腺球蛋白自身抗体(TgAb)和/或甲状腺过氧化物酶(TPOAb))水平均有记录。分析术前甲状腺抗体水平、细针穿刺细胞学(FNAC)结果、甲状腺手术类型和最终组织病理学之间的关系。研究人群的平均年龄为35.58岁(SD:±11.36)。根据120例患者的最终组织病理学诊断,80%为良性,20%为恶性。男性比女性更容易患甲状腺恶性肿瘤(33.3%比18.9%)。多结节多于孤立结节(55%比45%)。虽然单发组甲状腺恶性肿瘤的患病率高于多结节组(22.2%比18.2%),但差异无统计学意义。良性结节中以结节性甲状腺肿居多(88.5%),恶性结节中以甲状腺乳头状癌居多(80.3%)。FNA与组织病理学诊断有中度一致性(kappa为0.405)。与低TSH水平相比,高TSH水平患者与甲状腺恶性肿瘤有显著相关性。术前TgAb升高(≥40IU/mL)患者发生恶性病变的几率是TgAb正常患者的2.55倍。研究表明,TgAb水平升高可能是甲状腺恶性肿瘤的独立预测因素。
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引用次数: 0
Determinants of Obstetric Complications in Debre Behran Referral Hospital, Amhara Regional State, Ethiopia: A Matched Case-control Study 埃塞俄比亚阿姆哈拉地区州Debre Behran转诊医院产科并发症的决定因素:一项匹配病例对照研究
Pub Date : 2021-06-21 DOI: 10.11648/j.ajbls.20210903.13
A. Balcha, Robert Wondimu, Z. Kaba
Background: Obstetric complications are health problems that occur during pregnancy, delivery and postnatal period. In Ethiopia, obstetric complications are the major cause of maternal death in which results from represent a mix of risk factors such as illiteracy, lack of information, low use of health care, previous obstetric complications, previous chronic medical conditions, remote location, poverty and poor decision-making power of women. Objective: The aim of this study is to assess determinants of obstetric complications in Debre Berhan Referral hospital, Amhara Regional State, Ethiopia. Method: An institutional based matched case-control study was conducted on determinants of obstetric complications in Debre Berhan Referral Hospital from March 10 to April 30, 2019. Systematic sampling method was used to select 47 cases and 94 controls a total sample size of 141 and data was collected using pre-tested standardized questionnaire and checklist. Then data was entered and cleaned using Epi-info version 7.0, bivariate and multivariate analysis was done using conditional logistic regression on SPSS version 21. Descriptive statistics and odds ratio with 95% CI was computed for predictor variables and P-value <0.05 was considered as significant. Results: Age 35 years and above [(COR=1.8, 95% CI: (1.023-3.27)], age of first pregnancy less than 18 years [AOR=2.825, 95% CI, (1.021-3.273)], lack information access [AOR=13.742, 95% CI, (4.935-38.270)], birth interval less or equal 1 year [AOR=2.581, 95% CI, (1.679-3.896)]; past obstetric complications [AOR=3.450, 95% CI, (2.001-4.155)], anemia [AOR=3.1, 95% CI, (2.002-4.414)], focused ANC utilizations [AOR=0.30, 95% CI, (0.014-0.877)], and induced labor [AOR=4.9, 95% CI 1.008-7.321)] showed significant association with an obstetric complications. Conclusions and recommendations: ANC, age, birth interval, past obstetric complications, abortion, information access, educational status, planned pregnancy, anaemia, weight loss, and FP were determinants of obstetric complications in study area. Therefore, providing appropriate information on potential obstetric complications, accessed maternal health services and empower women is very important.
背景:产科并发症是在怀孕、分娩和产后期间发生的健康问题。在埃塞俄比亚,产科并发症是孕产妇死亡的主要原因,其结果是由多种风险因素造成的,如文盲、缺乏信息、保健使用率低、以前的产科并发症、以前的慢性疾病、地点偏远、贫穷和妇女的决策能力差。目的:本研究的目的是评估埃塞俄比亚阿姆哈拉地区州Debre Berhan转诊医院产科并发症的决定因素。方法:对2019年3月10日至4月30日在Debre Berhan转诊医院产科并发症的影响因素进行匹配病例对照研究。采用系统抽样法,选取病例47例,对照94例,总样本量141份,采用预试标准化问卷和检查表收集资料。然后使用Epi-info 7.0版本输入数据并进行清理,使用SPSS 21版本的条件逻辑回归进行双变量和多变量分析。对预测变量进行描述性统计和95% CI的比值比计算,p值<0.05为显著性。结果:年龄35岁及以上[(COR=1.8, 95% CI:(1.023 ~ 3.27))],首次妊娠年龄小于18岁[AOR=2.825, 95% CI,(1.021 ~ 3.273)],缺乏信息获取[AOR=13.742, 95% CI,(4.935 ~ 38.270)],生育间隔小于等于1年[AOR=2.581, 95% CI, (1.679 ~ 3.896)];既往产科并发症[AOR=3.450, 95% CI,(2.001-4.155)]、贫血[AOR=3.1, 95% CI,(2.002-4.414)]、集中使用ANC [AOR=0.30, 95% CI,(0.014-0.877)]和引产[AOR=4.9, 95% CI 1.008-7.321)]与产科并发症有显著相关性。结论和建议:ANC、年龄、生育间隔、既往产科并发症、流产、信息获取、教育程度、计划妊娠、贫血、体重减轻和生育计划是研究地区产科并发症的决定因素。因此,提供有关潜在产科并发症、获得孕产妇保健服务和增强妇女权能的适当信息非常重要。
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引用次数: 0
Comparison of Phytochemical Composition, Free Radical Scavenging Activity, and Antimicrobial Activity of Selected Herbs Against Two Foodborne Pathogenic Bacteria 选定草药对两种食源性致病菌的植物化学成分、自由基清除活性和抗菌活性比较
Pub Date : 2021-06-07 DOI: 10.11648/j.ajbls.20210903.12
M. Bomma, Lam Duong, S. Mentreddy, F. Okafor, Qunying Yuan
Spices and herbs, owing to their natural benefits to human health, are gaining momentum as food preservatives in recent years. Due to their antioxidant activity, their extracts with bioactive principles form the basis of pharmaceutical and food processing applications. Two of such crops, mountain mint (Pycnanthemum virginianum) and red turmeric (Curcuma longa), were compared for their phytochemical composition, the antioxidant activity of methanolic extracts, and their antimicrobial activity against foodborne pathogenic bacteria, Listeria monocytogenes, Salmonella enteritidis in this study. Our results showed that the mountain mint had higher total phenolic content and total tannin content: 614.41±3.96 and 529.74±4.39 mg gallic acid equivalents/gram dry weight extract. In comparison, red turmeric had higher total flavonoid content: 1250.51±8.10 mg catechin equivalents/gram dry weight extract. A lower IC50 value (21.39±0.86 μg/mL) of red turmeric reflected its higher antioxidant activity. A lower concentration of methanolic extract of red turmeric rhizome was needed for both MIC (62.5 and 125 μg/mL) and MBC (125 and 250 μg/mL) assay against L. monocytogenes and S. enteritidis, respectively. In conclusion, these findings showed the red turmeric methanolic extract as a source of potential phytochemicals and antioxidants exhibited relative efficiency with antimicrobial activity against two common foodborne pathogens. The results have implications for use in processed food preservation and protection against food spoilage pathogens.
香料和草药由于其对人体健康的天然益处,近年来作为食品防腐剂的势头越来越大。由于其抗氧化活性,其提取物具有生物活性原理,形成了制药和食品加工应用的基础。本研究比较了山薄荷(Pycnanthemum virginianum)和红姜黄(Curcuma longa)的植物化学成分、甲醇提取物的抗氧化活性以及对食源性致病菌、单核增生李斯特菌和肠炎沙门氏菌的抑菌活性。结果表明,山薄荷总酚和总单宁含量分别为614.41±3.96和529.74±4.39 mg没食子酸当量/g干重提取物。红姜黄的总黄酮含量为1250.51±8.10 mg儿茶素当量/克干重提取物。红姜黄的IC50值(21.39±0.86 μg/mL)较低,表明其抗氧化活性较高。在MIC(62.5和125 μg/mL)和MBC(125和250 μg/mL)浓度较低的条件下,红姜黄根甲醇提取物对单核增生乳杆菌和肠炎沙门氏菌的抑制作用较好。总之,这些发现表明,红姜黄甲醇提取物作为潜在的植物化学物质和抗氧化剂的来源,对两种常见的食源性病原体具有相对有效的抗菌活性。该结果对加工食品的保存和防止食品腐败病原体的使用具有指导意义。
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引用次数: 0
Assessment of Student's Knowledge in high Institute of Medical Technology / Abuslim about Tuberculosis diseases 高等医学技术学院/伊斯兰教学生结核病知识评估
Pub Date : 2021-06-01 DOI: 10.21203/RS.3.RS-558078/V1
H. Amer, A. Ouhida
Objective: A purposive study aims to identify the student knowledge about tuberculosis disease.Methods: The sample of 140 students was selected from the second, third, fourth, fifth and sixth class from the medical departments in high Institute of Medical Technology/abusleem for the period from March 2019 to June 2019. The questionnaire was designed to achieve the aims of study, it was consisting of many parts, the first content the demographic information, the second part include knowledge of students about categories that infected with tuberculosis. The third part include the student knowledge of the signs of disease, the fourth content methods of transmission of disease, and the last part include the student information about the methods of protection of tuberculosis disease. Data were analyzed by using frequency distribution, percentageResults: This study found insufficient TB knowledge in a sample of students, poor knowledge about TB. They must improve knowledge about TB, because these students could be exposed to the Mycobacterium strains during their training activities or when they are employed in private and public health care settings. Key words: student – TB – knowledge – bacteria.
目的:了解学生对结核病知识的了解情况。方法:于2019年3月至2019年6月,在高等医学技术学院医学专业二、三、四、五、六班抽取140名学生作为样本。该问卷是为了实现研究目的而设计的,它由许多部分组成,第一部分内容是人口统计信息,第二部分包括学生对结核病感染类别的了解。第三部分是学生对疾病征兆的认识,第四部分是疾病传播途径,最后一部分是学生对结核病防护方法的了解。结果:本研究发现样本学生结核病知识不足,结核病知识贫乏。他们必须提高对结核病的认识,因为这些学生在培训活动期间或在私营和公共卫生保健机构工作时可能会接触到分枝杆菌菌株。关键词:学生-结核知识-细菌。
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引用次数: 0
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American Journal of Biomedical and Life Sciences
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