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Effect of Vitamin B6 and Acupressure on Vomiting Symptoms in Pregnant Women with Hyperemesis Gravidarum 维生素B6和穴位按压对妊娠剧吐孕妇呕吐症状的影响
Pub Date : 2021-01-22 DOI: 10.11648/J.AJBLS.20210901.14
H. Mahmood, T. Shah, Sohail Rasool, Ammara Waqar, Zia-ul-Miraj, Z. Maken, Awais Gohar, A. Rauf
Introduction: Hyperemesis Gravidarum (HG) is a common early pregnancy syndrome that usually occurs around 6 weeks of pregnancy. The patient may cause dehydration, electrolyte metabolism disorders and abnormal fat metabolism, causing increased risk of pregnancy-induced. Objective: The effects of vitamin B and acupressure application combined with psychological adjuvant therapy on vomiting symptoms and mental health in pregnant women with severe vomiting. Methods: Study Type: Randomized Control Trial Duration of Study: Twelve Months from January 2019 to December 2019 Sampling Technique: The data has been collected from the subject index coming to the gynecology OPD of Gulab Devi Teaching Hospital, Lahore, Pakistan. Control group: aged 20 to 37 years, with an average of (26.12±2.44) years; 8 to 17 weeks of gestation, with an average of (9.18±1.77) weeks. Sample Selection Inclusion Criteria: All persons who have 1) meet the diagnostic criteria for HG; 2) 20 to 40 years of age; 3) both signed informed consent. Exclusion Criteria: vomiting caused by medical diseases such as hydatidiform mole, gastrointestinal disease, viral hepatitis, cholecystitis. This study was approved by the Medical Ethics Committee of Gulab Devi Teaching hospital. Pregnant women who were enrolled were divided into control group and experimental group according to the random number table method, with 48 cases in each group. Study Tools: Questionnaire and Interview Sample size (n)=96. Results: After 7 days of treatment the effective percentage rate in the experimental group was higher as compare to the control group in terms of clinical efficacy, SAS and SDS scores, antiemetic and hospitalization time and cost was much lower and within limits in the experimental group as compare to control group. Discussion: In addition to physiological treatment such as fluid replacement, psychological treatment should not be ignored. Conclusion: vitamin B6 and acupressure application combined with psychological adjunctive treatment of HG had a significant effect and could significantly relieve pregnant women Anxiety, depression and promote the recovery of pregnant women.
妊娠剧吐(hyemesis Gravidarum, HG)是一种常见的妊娠早期综合征,通常发生在妊娠6周左右。患者可能引起脱水、电解质代谢紊乱和脂肪代谢异常,引起妊娠诱发风险增加。目的:探讨维生素B配合穴位按压配合心理辅助治疗对重度呕吐孕妇呕吐症状及心理健康的影响。研究类型:随机对照试验研究时间:2019年1月至2019年12月12个月抽样方法:数据收集自巴基斯坦拉合尔Gulab Devi教学医院妇科门诊就诊的受试者索引。对照组:年龄20 ~ 37岁,平均(26.12±2.44)岁;妊娠8 ~ 17周,平均(9.18±1.77)周。样本选择纳入标准:1)符合HG诊断标准;2) 20 ~ 40岁;3)双方均签署知情同意书。排除标准:医学疾病引起的呕吐,如葡萄胎、胃肠道疾病、病毒性肝炎、胆囊炎等。本研究经古拉德维教学医院医学伦理委员会批准。将入组孕妇按随机数字表法分为对照组和实验组,每组48例。研究工具:问卷调查和访谈样本量(n)=96。结果:治疗7 d后,实验组在临床疗效、SAS、SDS评分、止吐、住院时间和费用等方面的有效率均明显低于对照组,且均在控制范围内。讨论:除补液等生理治疗外,心理治疗也不可忽视。结论:维生素B6和穴位按压联合HG心理辅助治疗效果显著,可显著缓解孕妇焦虑、抑郁,促进孕妇康复。
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引用次数: 3
Sialylated Carbohydrates as Inhinitors of Coronavirus Infection 唾液化碳水化合物对冠状病毒感染的抑制作用
Pub Date : 2021-01-22 DOI: 10.11648/J.AJBLS.20210901.13
Jesus’ Christus, M. Madson
COVID-19 is pandemic. Neuraminidase ịs central to both infection from the virus and is involved in the cell's endothelial cell rolling, as an example. Inhibition of glycosidases are known to include anhydro ald(ket)itols. An L-1,5-anhydro fucitol substituted by a derivatized (diħydrido) sulfo hydrate has been synthesized from bovine thyroglobulin N-linked oligosaccharide dipeptide. Also, 2,5-anhydro 1,6 di-(hydrido) di-phospho diħydrate mannitol (glucitol) has been prepared. Both include a treatment with NaBH4 in NH4OH. Here evidence is presented on 2,6-anhydro N-acetamido neuraminitol under similar reaction conditions using Kappa casein and bovine submaxilary mucin (bsm). It is hoped to use these reaction conditions and apply it to bovine milk. It may be possible to synthesize 2,6-anhydro N-acetamido neuraminitol in two steps from bovine milk. Then treatment costs can be afforded by those who are financially compromised. Conditions used are 8 hours at ambient temperature in a capped or un-capped reaction vial. These glycoproteins were treated with PNGase-F which could contain peptidase activity that acts in appreciable quantities in the large excesses of PNGase-F used here. Then the effluent from an NH4+ form cation exchange cartridge to which it was bound, after H2O wash, were eluted with NH4OH and partially evaporated to remove excess base. The reaction products were stored frozen prior to analysis by a single quadrupole mass spectrometer, AQA, or a triple quadrupole mass spectrometer, API 2000. Fetuin was treated in the same manner but was used only as a standard and not included as sc a starting material. Hope is in the transfer of these protocols to the preparation pf 2,6-anhydro N-acetamido neuraminitol. It may act as a two-pronged attack on COVID-19 infection. Previous work suggests that the purification of 2,6-anhydro N-acetamido neuraminitol is not trivial.
COVID-19是大流行。神经氨酸酶ịs是病毒感染的核心,并参与细胞内皮细胞的滚动,例如。已知对糖苷酶的抑制包括无水ald(ket)醇。以牛甲状腺球蛋白n -连接寡糖二肽为原料,合成了一种由衍生化(diħydrido)水合亚砜取代的l -1,5-无羟基水合糖醇。还制备了2,5-无水1,6二(水合)二磷酸diħydrate甘露醇(葡萄糖醇)。两者都包括NaBH4在NH4OH中的处理。本文用Kappa酪蛋白和牛颌下粘蛋白(bsm)在相似的反应条件下制备了2,6-无氢n -乙酰氨基神经氨醇。希望利用这些反应条件,将其应用于牛乳中。以牛乳为原料,两步合成2,6-无氢n -乙酰氨基神经氨醇是可能的。这样,那些经济困难的人就可以负担治疗费用。使用的条件是在环境温度下在有盖或无盖的反应瓶中8小时。这些糖蛋白用pnase - f处理,pnase - f可能含有肽酶活性,在这里大量过量的pnase - f中起可观的作用。然后将其与NH4+形式阳离子交换筒结合后的流出物,经过H2O洗涤,用NH4OH洗脱并部分蒸发以去除多余的碱。在用AQA单四极杆质谱仪或API 2000三四极杆质谱仪分析之前,将反应产物冷冻保存。Fetuin以同样的方式处理,但仅作为标准品,不作为起始材料。希望是在这些协议转移到制备2,6-无氢n -乙酰氨基神经氨醇。它可能是对COVID-19感染的双管齐下的攻击。以往的研究表明,2,6-无氢n -乙酰氨基神经氨醇的纯化并非易事。
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引用次数: 0
Relationship of Hypocalciamia and Severity of Disease in COVID-19 Patients in Lahore Pakistan 巴基斯坦拉合尔地区COVID-19患者低钙血症与病情严重程度的关系
Pub Date : 2021-01-22 DOI: 10.11648/J.AJBLS.20210901.15
H. Mahmood, T. Shah, Sohail Rasool, Ammara Waqar, M. Zia-ul-Miraj, Awais Gohar, A. Rauf
Introduction: In Pakistan, a wave of coronavirus has started in February which was first reported in Wahun City China. Abnormal calcium blood level is considered one of the important and common electrolyte disturbances in patients with severe infection. The effect of blood calcium level on the severity of COVID-19 and the possible immune regulation mechanism is considered to be an important factor related to severity of disease. Aim of the Study: To find out the correlation of blood calcium levels and related risk factors of patients suffering from COVID-19 and provide a basis for early intervention in patients with relevant clinical characteristics and further reduce the incidence of critical illness and mortality in COVID-19 patients. Method: 180 COVID-19 patients were admitted to Gulab Devi Teaching Hospital, Lahore between February to July 2020. Subject index were tested on real-time fluorescent RT-PCR test. On the basis of the result of RT-PCR, they were divided into two groups according to clinical symptoms as mild (control/placebo group) and critical (experimental group). The patient with the mild symptom were included in the placebo group, whereas patient with the severe symptoms were included in the experimental group. Exclusion criteria: The patients who do not show the detection level of viral infection with the RT-PCR are excluded from the study. Results: The comparison has been carried out between the placebo group and the experimental group on the basis of various parameters. The patients serum calcium level was tested and the value for hypocalcemia was declared as per universal recommendation which is < 2.13mmol/L. According to the corrected serum total calcium level, COVID-19 patients can be divided into hypocalcemia group and normal blood calcium group. The result showed that hypocalcemia and immune dysfunction was found high in experimental group as compare to control group which shows a strong correlation between hypocalcemia and COVID-19 disease. Conclusion: It has been concluded from the study that patients with COVID-19 have obvious hypocalcemia and immune dysfunction, especially in experimental group patients. In this study, it is easy to be combined with multiple infections caused by pathogenic bacteria under certain conditions. Close monitoring of blood calcium levels can predict the severity of the disease more effectively.
导读:在巴基斯坦,一波冠状病毒已于2月开始,首先在中国瓦胡市报告。血钙异常被认为是重症感染患者常见的重要电解质紊乱之一。血钙水平对COVID-19严重程度的影响及其可能的免疫调节机制被认为是与疾病严重程度相关的重要因素。研究目的:了解COVID-19患者血钙水平与相关危险因素的相关性,为具有相关临床特征的患者进行早期干预提供依据,进一步降低COVID-19患者的危重症发生率和死亡率。方法:对2020年2月至7月在拉合尔古拉布·德维教学医院收治的新冠肺炎患者180例进行分析。采用实时荧光RT-PCR检测受试者指标。根据RT-PCR结果,根据临床症状分为轻症组(对照组/安慰剂组)和危重症组(实验组)。症状轻者为安慰剂组,症状重者为实验组。排除标准:RT-PCR未显示出病毒感染检测水平的患者排除在研究之外。结果:在各项参数的基础上对安慰剂组和实验组进行了比较。检测患者血钙水平,低血钙值按照国际推荐值< 2.13mmol/L。根据校正后的血清总钙水平,将COVID-19患者分为低钙血症组和血钙正常组。结果显示,实验组低钙血症和免疫功能障碍发生率高于对照组,表明低钙血症与COVID-19疾病有很强的相关性。结论:本研究得出COVID-19患者存在明显的低钙血症和免疫功能障碍,尤其是实验组患者。在本研究中,在一定条件下容易合并致病菌引起的多重感染。密切监测血钙水平可以更有效地预测疾病的严重程度。
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引用次数: 1
Correlation Analysis Between Thyroid Function and Autoantibodies in Hashimoto Thyroiditis Patients with Different Iodine Nutritional Status 不同碘营养状况桥本甲状腺炎患者甲状腺功能与自身抗体的相关性分析
Pub Date : 2021-01-18 DOI: 10.11648/J.AJBLS.20210901.12
L. Hongyan, Ma Jinqun, Wang Cuicui, Liu Jianfeng, Chen Yunxia, L. Chunyan, Hou Zhenjiang
Objective: In order to discuss the correlation between thyroid function stratification and autoantibody titer in HT patients under different iodine nutritional status. Methods: The serum TH, antibody and urinary iodine levels were measured by the electrochemical immune-luminescent apparatus and iodine-catalyzed arsenic-cerium method in 100 HT patients (HT-A, HT-B, HT-C) with different thyroid functions and 60 healthy subjects. Results: The urinary iodine level of HT patients from HT-A increased in turn along with the progression of the disease, while the levels of FT3, FT4, TT3, TT4 decreased gradually and the levels of TSH and thyroid autoantibodies increased gradually. The urinary iodine level of HT-C group was negatively correlated with the serum FT3, FT4, TT3 and TT4 (P<0.05), while the urinary iodine level of HT-B group was negatively correlated with the serum FT3 and TT4 (P<0.05), and positively correlated with TSH (P<0.05). Along with the progression of HT disease, the levels of serum TPOAb and TGAb increased successively, and there were significant differences among each group (P<0.01). The serum TSH level of high TPOAb group and high TgAb group were respectively higher than those of low TPOAb group, low TgAb group and the control group, the levels of FT3 and FT4 were respectively lower than the low TPOAb group and low TGAb group, but there were no statistically significant on the differences between the FT3 of low TgAb and the levels of T3 and T4 of the control group, high TPOAb group, high TGAb group, low TPOAb group and low TGAb group. Conclusions: Under different iodine nutritional status, if the TH and autoantibody levels of HT patients with different thyroid functions changed correspondingly, it could indicate that the iodine nutritional status is involved in the occurrence and development process of HT of different thyroid functions and antibody levels, and plays an important role in it.
目的:探讨不同碘营养状况下HT患者甲状腺功能分层与自身抗体滴度的相关性。方法:应用电化学免疫发光仪和碘催化砷铈法测定100例不同甲状腺功能HT (HT- a、HT- b、HT- c)患者和60名健康者血清TH、抗体和尿碘水平。结果:HT- a型HT患者尿碘水平随病情进展依次升高,FT3、FT4、TT3、TT4水平逐渐降低,TSH和甲状腺自身抗体水平逐渐升高。HT-C组尿碘水平与血清FT3、FT4、TT3、TT4呈负相关(P<0.05), HT-B组尿碘水平与血清FT3、TT4呈负相关(P<0.05),与TSH呈正相关(P<0.05)。随着HT疾病的进展,血清TPOAb、TGAb水平依次升高,各组间差异有统计学意义(P<0.01)。的血清TSH水平高TPOAb组和高TgAb组分别高于低TPOAb组,低TgAb组和对照组,分别发生和FT4水平低于TPOAb组和低TgAb组低,但没有统计上显著的差异发生的低TgAb和T3和T4的对照组的水平,高TPOAb集团高TgAb组、低TPOAb组和低TgAb组。结论:在不同的碘营养状态下,不同甲状腺功能HT患者的甲状腺激素和自身抗体水平若发生相应的变化,说明碘营养状态参与了不同甲状腺功能和抗体水平HT的发生发展过程,并在其中发挥重要作用。
{"title":"Correlation Analysis Between Thyroid Function and Autoantibodies in Hashimoto Thyroiditis Patients with Different Iodine Nutritional Status","authors":"L. Hongyan, Ma Jinqun, Wang Cuicui, Liu Jianfeng, Chen Yunxia, L. Chunyan, Hou Zhenjiang","doi":"10.11648/J.AJBLS.20210901.12","DOIUrl":"https://doi.org/10.11648/J.AJBLS.20210901.12","url":null,"abstract":"Objective: In order to discuss the correlation between thyroid function stratification and autoantibody titer in HT patients under different iodine nutritional status. Methods: The serum TH, antibody and urinary iodine levels were measured by the electrochemical immune-luminescent apparatus and iodine-catalyzed arsenic-cerium method in 100 HT patients (HT-A, HT-B, HT-C) with different thyroid functions and 60 healthy subjects. Results: The urinary iodine level of HT patients from HT-A increased in turn along with the progression of the disease, while the levels of FT3, FT4, TT3, TT4 decreased gradually and the levels of TSH and thyroid autoantibodies increased gradually. The urinary iodine level of HT-C group was negatively correlated with the serum FT3, FT4, TT3 and TT4 (P<0.05), while the urinary iodine level of HT-B group was negatively correlated with the serum FT3 and TT4 (P<0.05), and positively correlated with TSH (P<0.05). Along with the progression of HT disease, the levels of serum TPOAb and TGAb increased successively, and there were significant differences among each group (P<0.01). The serum TSH level of high TPOAb group and high TgAb group were respectively higher than those of low TPOAb group, low TgAb group and the control group, the levels of FT3 and FT4 were respectively lower than the low TPOAb group and low TGAb group, but there were no statistically significant on the differences between the FT3 of low TgAb and the levels of T3 and T4 of the control group, high TPOAb group, high TGAb group, low TPOAb group and low TGAb group. Conclusions: Under different iodine nutritional status, if the TH and autoantibody levels of HT patients with different thyroid functions changed correspondingly, it could indicate that the iodine nutritional status is involved in the occurrence and development process of HT of different thyroid functions and antibody levels, and plays an important role in it.","PeriodicalId":7857,"journal":{"name":"American Journal of Biomedical and Life Sciences","volume":"99 2 1","pages":"10"},"PeriodicalIF":0.0,"publicationDate":"2021-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73418932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Satisfaction on Hospital Services in Dhaka Among Heart Disease Patients: A SERVQUAL Modeling Approach 达卡心脏病患者对医院服务的满意度:SERVQUAL模型方法
Pub Date : 2021-01-18 DOI: 10.11648/J.AJBLS.20210901.11
M. Uddin, Safiullah
Now-a-days, patients’ voice regarding the delivery of health care services is a burning question in the developing countries. It is thought that patients’ perceptions towards health services are mostly ignored in these countries by the health service providers. This study, therefore, seeks the service quality factors which are essential to the patients. A field survey was made in this purpose on the heart disease patients in Dhaka city as this disease is very common in Bangladesh. SERVQUAL modeling approach and principal component analysis were considered to make evaluation over hospital facilities and found, overall, dissatisfaction of the patients. The SERVQUAL model is used to assess patients’ expectations and perceptions regarding service quality in hospitals. Both expectations and perceptions are measured using a 5-point scale to rate their level of agreement or disagreement (1: strongly disagree and 5: strongly agree), on which the higher numbers indicate higher level of expectation or perceptions. Perceptions are based on the actual service they receive in hospitals are based on experiences and information received about hospital stuffs, doctors or overall hospital maintenance system. Service quality scores are obtained from the difference between the expectation and perception scores which range from -4 to +4 (-4: very dissatisfied, +4: very satisfied). The quality score measures the service gap, that is, the degree to which the expectations excels perceptions. Binary logistic regression analysis was used to find out significant covariates for occurring heart disease. Also, a Poisson regression model was performed for detecting potential covariates that affect number of hospital visit (s) per year of the heart disease patients. The study found ultimate dissatisfaction of the patients which brings the thought that a powerful managerial orientation might be launched in the hospitals to ensure quality services.
如今,在发展中国家,病人对卫生保健服务提供的意见是一个亟待解决的问题。据认为,在这些国家,病人对保健服务的看法大多被保健服务提供者所忽视。因此,本研究寻求对患者至关重要的服务质量因素。由于心脏病在孟加拉国很常见,为此对达卡市的心脏病患者进行了实地调查。采用SERVQUAL建模方法和主成分分析对医院设施进行评价,发现患者总体上不满意。SERVQUAL模型用于评估患者对医院服务质量的期望和看法。期望和看法都是用5分制来衡量他们同意或不同意的程度(1:非常不同意,5:非常同意),数字越高表明期望或看法越高。感知是基于他们在医院获得的实际服务,是基于对医院工作人员、医生或整个医院维护系统的经验和信息。服务质量得分由期望和感知得分之间的差值得出,范围从-4到+4(-4表示非常不满意,+4表示非常满意)。质量分数衡量的是服务差距,也就是说,期望超过感知的程度。采用二元logistic回归分析,寻找与心脏病发生相关的显著协变量。此外,还使用泊松回归模型来检测影响心脏病患者每年住院次数的潜在协变量。研究发现,患者的极度不满,这使我们想到,医院可能会推出强有力的管理导向,以确保服务质量。
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引用次数: 0
Double Regulation of Tonifying-Detoxifing on Elderly Diabetic Coronary Heart Disease After PCI 老年糖尿病冠心病PCI术后补毒双重调节作用的研究
Pub Date : 2021-01-01 DOI: 10.11648/j.ajbls.20210905.20
Fu Xianzhao, Jiang Xiaofeng, Chen Jiajun, Cen Qianli, Li Yuegui, Qiu Haixian
: Objective to investigate the effect of Huoxue Jiedu Jiangtang Recipe (HJJR) on cardiac remodeling and function prognosis in diabetic patients complicated with coronary heart disease (CHD) after percutaneous coronary intervention (PCI), and to explore its possible mechanism. Methods 92 diabetic patients with CHD who had received PCI therapy, were equally randomized into the treatment group (46) and the control group (46) from January 2016 to August 2016. The control group were given standardized western medicine, while treatment group received HJJR besides standardized treatment. The treating course were 2 months. Before and after treatment, the left ventricular morphology index [left ventricular end diastolic diameter (LVEDD), left ventricular end systolic diameter (LVESD), left ventricular posterior wall thickness (LVPWT), left ventricular end-diastolic ventricular septal thickness (LVEST)] and the cardiac function data [stroke volume (SV), left ventricular fractional shortening (FS), the cardiac index (CI), cardiac output (CO), maximum blood flow velocity of early diastolic/ atrium late diastolic (E/A), left ventricle ejection fraction (EF)] were detected with echocardiography. The serum levels of C-reactive protein (CRP), tumor necrosis factor-a (TNF-α), interleukin-6 (IL-6) and Angiotensin II (Ang II) were tested with enzyme linked immunosorbent assay (ELISA), and the clinical efficacy and 5-year survival rate were evaluated. Results The total clinical effective rate and 5-year survival ratio in treatment group were higher than those in control group (P<0.05). Serum inflammatory mediators (CRP, IL-6, TNF-α) and Ang II decreased more than that in the control group (all P<0.05); And in treatment group, the left ventricular morphology index (LVESD, LVEDD) decreased more than that in the control group, while the cardiac function indexes (∆ FS, CO, CI, SV, LVEF, E/A) were increased more in treatment group. Conclusion HJJR can hold back the deterioration of heart restructure, improve heart function, ameliorate prognosis and prolong living in diabetic CHD after PCI, and its partial therapeutic effects might come from its reducing the level of Ang II and anti-inflammatory function.
目的探讨活血解毒降糖方(HJJR)对糖尿病合并冠心病(CHD)患者经皮冠状动脉介入治疗(PCI)后心脏重构及功能预后的影响,并探讨其可能的机制。方法2016年1月至2016年8月,将92例接受PCI治疗的糖尿病合并冠心病患者随机分为治疗组(46例)和对照组(46例)。对照组给予规范化西药治疗,治疗组在规范化治疗的基础上给予HJJR治疗。疗程2个月。治疗前后左室形态学指标[左室舒张末期内径(LVEDD)、左室收缩末期内径(LVESD)、左室后壁厚度(LVPWT)、左室舒张末期室间隔厚度(LVEST)]及心功能指标[卒中容积(SV)、左室分数缩短(FS)、心脏指数(CI)、心输出量(CO)、超声心动图检测舒张早期/舒张晚期心房最大血流速度(E/A)、左心室射血分数(EF)。采用酶联免疫吸附法(ELISA)检测两组患者血清c反应蛋白(CRP)、肿瘤坏死因子-α (TNF-α)、白细胞介素-6 (IL-6)、血管紧张素II (Ang II)水平,并评估临床疗效和5年生存率。结果治疗组患者临床总有效率和5年生存率均高于对照组(P<0.05)。血清炎症介质(CRP、IL-6、TNF-α)、Angⅱ降低幅度均大于对照组(P<0.05);治疗组左室形态指数(LVESD、LVEDD)下降幅度大于对照组,心功能指数(∆FS、CO、CI、SV、LVEF、E/A)升高幅度大于对照组。结论HJJR可抑制糖尿病性冠心病PCI术后心脏结构恶化,改善心功能,改善预后,延长生存期,其部分治疗作用可能与降低angii水平及抗炎功能有关。
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引用次数: 0
Epidemiological, Therapeutics Aspects and Socioeconomics Consequences of Urogenital Fistula 泌尿生殖瘘管的流行病学、治疗方面和社会经济学后果
Pub Date : 2021-01-01 DOI: 10.11648/j.ajbls.20210906.18
Salifou I. Traore, Ousmane Dembélé, Soumaila A. Traore, Aly B. Diallo, Malla Sylla, A. Maiga, M. Kante, L. Touré, B. Traoré, M. Diassana, T. Traoré, A. Dolo, S. Ouattara
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引用次数: 0
Knowledge, Attitude and Practice of Mothers Toward Immunization of Their Infants in Shashemene Referral Hospital, West Arsi Zone, Oromia Regional State, Ethiopia 埃塞俄比亚奥罗米亚州西阿尔西区沙什梅内转诊医院母亲对婴儿免疫接种的知识、态度和做法
Pub Date : 2021-01-01 DOI: 10.11648/J.AJBLS.20210902.12
Y. Gurmu, Gada Edea, Eniyewu Molla, Dirriba Tari, Elifitu Lamesa, Elsa Belay
Background: Ethiopian was able to expand the immunization service by introducing new vaccines into the country routine immunization program that increased the number of antigens from 10 to 12. Expanded Program on Immunization (EPI) is one of the key programs in World Health Organization (WHO) Ethiopia under the Maternal, Child Health and Nutrition (MCHN). Compliance to vaccination may be influenced by understanding of the community towards the service. Objective: To assess the knowledge, Attitude and practice of mothers towards vaccination of their infants in Shashemene referral Hospital west Arsi, Zone Oromia Regional state, South-Ethiopia, 2018. Method: Institutional based cross-sectional study design was conducted in shashemene Referral Hospital from February to April 10, 2018. Face to face structured Interview questionnaire was used by systematic sampling techniques. Data collection was start from March 01 to 30, 2018 G. C and after reviewing, data was analyzing with SPSS software version 20. Result: A total of 228 mothers were participated on this study, giving the response rate of 98.1%. From the total respondents (52.3%) of mothers have good knowledge and (42.3%) of them had good practices of services utilization of vaccination for their infants. Conclusion: This study showed that 52.3%, 67.7%, 42.3% of study participant had good knowledge, attitude, and practice towards immunization of infants respectively. Educational interventions are required to improve parents’ knowledge, attitude, and practice.
背景:埃塞俄比亚能够通过在国家常规免疫规划中引入新疫苗,将抗原数量从10种增加到12种,从而扩大免疫服务。扩大免疫规划(EPI)是世界卫生组织(世卫组织)埃塞俄比亚孕产妇、儿童健康和营养(MCHN)下的关键方案之一。接种疫苗的依从性可能受到社区对这项服务的理解的影响。目的:了解2018年埃塞俄比亚南部奥罗米亚地区州西阿尔西沙什梅内转诊医院母婴疫苗接种知识、态度和行为。方法:采用基于机构的横断面研究设计,于2018年2月至4月10日在沙什梅内转诊医院进行研究。采用系统抽样技术,采用面对面结构化访谈问卷。数据收集于2018年3月1日至30日开始,审核后使用SPSS软件20版进行数据分析。结果:共有228名母亲参与本研究,回复率为98.1%。在所有答复者中(52.3%),母亲对其婴儿接种疫苗的服务利用有良好的了解,其中(42.3%)有良好的做法。结论:52.3%、67.7%、42.3%的调查对象对婴幼儿免疫接种有良好的认识、态度和实践。需要通过教育干预来改善家长的知识、态度和行为。
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引用次数: 0
Beware of Dog: Practical Consideration in Asthmatic Patients with Poor Perception of Respiratory Symptoms 小心狗:对呼吸症状感知差的哮喘患者的实际考虑
Pub Date : 2021-01-01 DOI: 10.11648/j.ajbls.20210906.15
G. Madonia, U. Madonia
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引用次数: 0
A Novel Fast and Efficient Approach to Purify the Thrombin-like Enzyme from Two Bothrops-genus Snake Venoms 一种从两种蛇属蛇毒中快速高效纯化凝血酶样酶的新方法
Pub Date : 2021-01-01 DOI: 10.11648/j.ajbls.20210904.15
Maurício Aurelio Gomes Heleno, Edda E Newball-Noriega, S. Huancahuire-Vega, R. S. F. Júnior, B. Barraviera
: Snake venoms are important sources of complex substances with a variety of pharmacological activities. Among them serine proteinases (SVSPs) have important effects on the hemostatic system influencing the hemodynamic of human or animal blood. Bothrops genus-snake venoms are rich in the thrombin-like enzyme, a type of SVSPs, with great interest to produce medicine. Therefore, the aim of this work was to describe a rapid, only two-step chromatographic-procedure developed to perform a faster purification of SVSPs from Bothrops alternatus and Bothrops moojeni venoms. As a result, two groups of serine proteinases respectively BaIII-4 - 8 and BmIII-2 - 5, were isolated and their molecular masses estimated by mass spectrometry and SDS-PAGE under denaturing conditions. The SVTLEs isolated from B. alternatus (BaIII-3 - 8) and B. moojeni (BmIII-2 - 5) fractions displayed apparent molecular mass around 30-40 kDa which closely relates to SVTLEs from other Bothrops species, as well their amino acid partial sequence triptych ions. Analysis of the alignment of the amino acid residue sequences of the N-terminal of the isolated proteins revealed a high level of identity with other SVTLEs. These enzymes coagulated plasma and showed fibrinogenolytic activity in blood. These SVTLEs isolated can be considered α-fibrinogenase mainly due to the fact that they hydrolyze the Aα chain fibrinogen. B. moojeni SVTLE showed greater activity than those from B. alternatus isolated. This new purification alternative approach developed was faster and more economical than the traditional process currently used. Faster purification and improved extraction yield can provide new insights into these enzymes including the use as a candidate molecule in the production of new drugs.
蛇毒是具有多种药理活性的复杂物质的重要来源。其中丝氨酸蛋白酶(SVSPs)对止血系统有重要作用,影响人或动物血液的血流动力学。蛇属蛇毒富含凝血酶样酶,是svsp的一种,具有很大的药用价值。因此,这项工作的目的是描述一种快速的,只有两步的色谱程序,以执行更快的纯化从交替Bothrops和Bothrops moojeni毒液svsp。结果分离得到了两组丝氨酸蛋白酶BaIII-4 - 8和BmIII-2 - 5,并在变性条件下通过质谱法和SDS-PAGE测定了它们的分子量。从B. alternatus (BaIII-3 - 8)和B. moojeni (BmIII-2 - 5)分离得到的SVTLEs的表观分子质量在30-40 kDa左右,其氨基酸部分序列三联离子与其他Bothrops物种的SVTLEs密切相关。对分离蛋白n端氨基酸残基序列的比对分析显示,分离蛋白与其他SVTLEs具有高度的同源性。这些酶使血浆凝固,并在血液中显示纤维蛋白原溶解活性。这些分离的SVTLEs可以被认为是α-纤维蛋白原酶,主要是因为它们水解Aα链纤维蛋白原。木氏白僵菌SVTLE的活性明显高于分离的白僵菌。这种新的净化替代方法比目前使用的传统方法更快,更经济。更快的纯化和提高提取率可以为这些酶提供新的见解,包括作为新药生产的候选分子。
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引用次数: 1
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American Journal of Biomedical and Life Sciences
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