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Management of Live Cervical Ectopic Pregnancy 活子宫颈异位妊娠的处理
Pub Date : 2020-01-01 DOI: 10.36648/2386-5180.8.1.310
Nnadozie Igbokwe, D. Jeyanesan, A. Mehta
We report a case of live cervical ectopic pregnancy (CEP) at 6 weeks gestation. A 36-year-old nulliparous who presented with mild bleeding in vagina. She was haemodynamic ally stable with a serum B-hCG of 10713. A transvaginal ultrasound scan showed an empty uterus and lives cervical ectopic pregnancy with a fetal pole measuring 7.1 mm and yolk sac with negative sliding sign. She was counselled on options of management and had hysteroscopy and surgical evacuation under ultrasound guidance with no complications and post-operative methotrexate injection. She had a significant drop in her serial B-hCG and urine pregnancy test 3 weeks after surgery was negative.
我们报告一例活子宫颈异位妊娠(CEP)在妊娠6周。一位36岁的未产妇女,表现为阴道轻度出血。她血流动力学稳定,血清B-hCG 10713。经阴道超声示子宫空,宫颈异位妊娠,胎极7.1 mm,卵黄囊有负滑征。在超声指导下进行宫腔镜检查和手术撤离,无并发症,术后注射甲氨蝶呤。术后3周B-hCG显著下降,尿妊娠试验阴性。
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引用次数: 1
The Use of Radio Frequency Identification (RFID) and Track and Trace Technology in Reducing the Risks and Cost of Sperm Cryopreservation 射频识别(RFID)和跟踪技术在降低精子冷冻保存风险和成本中的应用
Pub Date : 2020-01-01 DOI: 10.36648/2386-5180.8.1.308
Nnadozie Igbokwe, M. Tomlinson
Study question: Can the use of radio frequency identification (RFID) and track and trace technology reduce the risks and cost of sperm cryopreservation? Summary answer: The use this system is more efficient and accurate with no biosafety issue when compared with the manual method. What is known: The use of the manual system for auditing of cryopreserved samples is tedious and expensive, with high rate of mix-up in ART settings. No documented evidence about any biohazard effect of high frequency RFID tags (13.56 MHz) on gametes and embryos. Study design: A prospective study cohort study using 20 sperm samples. Only samples with initial good quality were used, and the study lasted for 6 weeks. Methods: Reliability of the system was evaluated by doing multiple reads and percentage accuracy recorded. The prepared samples were exposed to continuous RFID radiation over 24 hours and their motility and speed checked serially using computerised assisted semen analysis (CASA). Comparison was made with a control group and secondarily with samples on heated block at 36°C. Statistical analysis was done between the groups. Results: Reliability of 100% as a witnessing system was practically recorded. No significant effect of RFID radiation on sperm motility, however increased temperature significantly reduced both sperm motility and velocity with time (p<0.0001). Limitations: Small sample size of 20. Technical errors and challenges of a new system affected extensive biosafety evaluation Wider implication: Better structured studies are needed to confirm these findings
研究问题:使用射频识别(RFID)和追踪技术能降低精子冷冻保存的风险和成本吗?与人工方法相比,该系统的使用效率更高,准确性更高,没有生物安全问题。已知情况:使用人工系统对冷冻保存的样本进行审核既繁琐又昂贵,而且在ART设置中混淆率很高。高频RFID标签(13.56 MHz)对配子和胚胎没有任何生物危害效应的文献证据。研究设计:一项使用20个精子样本的前瞻性队列研究。只选取初始质量较好的样品,研究时间为6周。方法:通过多次读取来评估系统的可靠性,并记录准确率百分比。将制备好的样本连续暴露在RFID辐射下24小时,并使用计算机辅助精液分析(CASA)连续检查其运动和速度。与对照组和36°C加热块样品进行比较。组间进行统计学分析。结果:作为目击系统的可靠性达到100%。射频识别辐射对精子活力无显著影响,但温度升高会显著降低精子活力和速度(p<0.0001)。局限性:样本量只有20人。新系统的技术错误和挑战影响了广泛的生物安全评价。更广泛的含义:需要更好的结构研究来证实这些发现
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引用次数: 0
Spiral Arterial Morphology in Relation to Hypertension in Pregnancy and Birth Weight by Placental Bed Biopsy: A Retrospective Analysis 胎盘床活检与妊娠期高血压和出生体重相关的螺旋动脉形态:回顾性分析
Pub Date : 2020-01-01 DOI: 10.36648/2386-5180.8.1.309
P. Nobis, Himleena Gautam, K. Kathar, P. Goswami, Joydev Sharma
Background: Physiological changes in spiral arteries i.e. remodeling occur upto myometrial segment of the vessels and these changes are important for growth of the fetus. However in hypertensive pregnancies and IUGR, these changes are often not seen and arteries remain non-dilated. The aims of the study were to assess the extent of spiral vessel dilatation in hypertensive pregnancies and IUGR cases. Methods: Placental bed biopsy were taken in cases who underwent caesarean section and gave consent for the study, during the study period. 50 cases were included. Morphology and diameters of spiral arteries were assessed by histopathological examination. Arteries who retained the non-pregnant morphology were considered non-dilated and those who showed features of remodeling were considered normal. 14 cases were excluded as no vessel was seen in biopsy specimen. T-test and Chi-square tests were used for analysis. Out of the included 36 cases, percentage of non-dilated vessels was significantly high in gestational hypertension and preeclampsia(p=0.0230) and also significantly high in IUGR cases, (p=0.0113),irrespective of hypertension. Also the percentage of non-dilated vessels was higher in nulliparous women, though not significant. Placental bed biopsy specimens have limitations because they only provide information about a small segment of the placental bed. It is possible that areas close to the nonbiopsy site may have a completely different degree of vascular transformation. Moreover the number of cases in this study is less. Conclusion: Absence of spiral arterial remodeling is a crucial factor in hypertension in pregnancy and low birth weight babies. And adequate research is needed in this aspect so that such knowledge can help us to prevent hypertension in pregnancy and IUGR.
背景:螺旋动脉的生理变化,即重构发生在血管的肌层段,这些变化对胎儿的生长是重要的。然而,在高血压妊娠和IUGR中,这些变化通常不可见,动脉仍未扩张。本研究的目的是评估高血压妊娠和IUGR病例中螺旋血管扩张的程度。方法:在研究期间,对同意研究的剖宫产患者进行胎盘床活检。纳入50例。组织病理学检查螺旋动脉的形态和直径。保留非妊娠形态的动脉被认为没有扩张,而那些表现出重塑特征的动脉被认为是正常的。14例因活检标本未见血管而排除。采用t检验和卡方检验进行分析。在纳入的36例病例中,无论高血压与否,妊娠期高血压和先兆子痫的非扩张血管百分比显著高(p=0.0230), IUGR的非扩张血管百分比也显著高(p=0.0113)。未产妇女的血管未扩张的比例也较高,但不显著。胎盘床活检标本有局限性,因为它们只能提供关于胎盘床一小部分的信息。靠近非活检部位的区域可能有完全不同程度的血管转化。此外,本研究的病例数较少。结论:螺旋动脉重构缺失是妊娠期及低出生体重儿高血压发病的重要因素。需要在这方面进行充分的研究,使这些知识能够帮助我们预防妊娠期高血压和IUGR。
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引用次数: 2
Convalescent Plasma Therapy for Prophylaxis and Treatment of COVID-19: A Systematic Research of Facts and Files, A Narrative Review 恢复期血浆治疗预防和治疗COVID-19:事实和档案的系统研究,述评
Pub Date : 2020-01-01 DOI: 10.36648/2386-5180.8.2.314
K. Sridevi, Amit Munjal, A. Ch, S. Nachiappan, P. Raman, S. Bhalla, Sourya Kumar, A. Nayyar
Humanity has witnessed a pandemic in late December or, early January. Novel corona virus nCov-19 is responsible for causing COVID-19. The first case was reported in Wuhan city, China in the month of December 2019. No specific drugs have been approved yet for its treatment, though, convalescent plasma (CP) therapy is expected to increase the survivable rate. The history of convalescent plasma therapy dates back to the early 20th century. A plethora of studies suggest that CP can be used to treat the emerging infectious diseases. We had a systematic search in PubMed and found numerous Chinese and Korean clinical trials of convalescent plasma transfusions. The present review gives an insight in to the same.
人类在12月底或1月初目睹了一场大流行。新型冠状病毒nCov-19是导致COVID-19的原因。首例病例于2019年12月在中国武汉市报告。目前还没有专门的药物被批准用于治疗这种疾病,但恢复期血浆(CP)疗法有望提高生存率。恢复期血浆治疗的历史可以追溯到20世纪初。大量研究表明,CP可用于治疗新发传染病。我们在PubMed进行了系统的搜索,发现了许多中国和韩国的恢复期血浆输注的临床试验。目前的审查提供了一个相同的见解。
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引用次数: 6
Hematological changes and antidiabetic activities of Colocasia esculenta (L.schatt) stem tuber aqueous extract in alloxan induced diabetic rats 四氧嘧啶诱导的糖尿病大鼠血液学变化及降糖作用
Pub Date : 2020-01-01 DOI: 10.36648/2386-5180.8.2.313
Nwaogwugwu Jc
Management of blood glucose level is the hallmark in the treatment of diabetes. Much work has not been done on the management of diabetes using the stem tuber extract of Colocasia esculenta. The objective of this study was to evaluate the antihyperglycemic and hematological parameter on Colocasia esculenta aqueous stem extract in alloxan induced diabetic rats. Sixty (60) male rats were used in the study. Seven days of acclimatization, the rats were divided randomly into six groups of five in each group. Group 1: Served as normal control, Group 2: Diabetic control group (negative control), Group 3: Diabetic group and “Glucinorm-M80” (positive control), Group 4: Diabetic group and extract at 200 mg/kg bodyweight, Group 5: Diabetic group and extract at 400 mg/kg, Group 6: Diabetic group and extract at 600 mg/kg. Diabetes was induced in albino rats by intraperitoneal injection of alloxan at a single dose of 120 mg/kg body weight in groups 2 to 6 after starving them for 24 hrs. The animals were given feed and water ad libitum. The albino rats were administered for twenty eight days with the aqueous Colocasia esculenta stem tuber, after which they were fasted overnight, anaesthetized with chloroform and sacrificed. The result showed that there was a significant increase (p<0.05) in mean body weight of the positive control and the treatment groups (200 mg/kg to 600 mg/kg) when compared with the negative control which has a significant decrease (p<0.05) in mean body weight. The result showed that there was a substantial decrease in blood glucose of animals administered with different doses of aqueous extract of Colocasia esculenta stem tuber and the positive control group. The result showed that a significant difference (P<0.05) in the concentrations of RBC, PCV, HB, PLT and MCH of the treatment groups and negative group when compared with the normal control group. Also there was a significant difference in glycosylate hemoglobin of the treatment groups when compared with the control group and negative group. This study has demonstrated that aqueous stem tuber extract of Colocasia esculenta has a significant increase on body weight which may have a role of improving the states of possible weight loss following complicated diabetes. Also, aqueous stem tuber extract of Colocasia esculenta has an ameliorative effect on sugar level and some hematological parameters of alloxan induced diabetic rats showing effective diabetic control and management of diabetes.
血糖水平的控制是糖尿病治疗的标志。很多工作还没有做的管理糖尿病使用大肠癌茎块茎提取物。本研究旨在探讨四氧嘧啶诱导的糖尿病大鼠的降血糖和血液学指标。60只雄性大鼠被用于研究。适应7 d后,随机分为6组,每组5只。1组:正常对照组,2组:糖尿病对照组(阴性对照组),3组:糖尿病组和“葡糖苷- m80”(阳性对照组),4组:糖尿病组,提取液剂量为200 mg/kg, 5组:糖尿病组,提取液剂量为400 mg/kg, 6组:糖尿病组,提取液剂量为600 mg/kg。2 ~ 6组小鼠饥饿24 h后,腹腔注射单剂量的四氧嘧啶120 mg/kg体重诱导糖尿病。这些动物被随意喂饲料和水。白化大鼠连续28天给药,之后禁食过夜,氯仿麻醉,处死。结果表明:阳性对照组和各处理组(200 ~ 600 mg/kg)的平均体重均显著高于阴性对照组(p<0.05),而阴性对照组的平均体重则显著低于阴性对照组(p<0.05)。结果表明,给药不同剂量的土芋茎水提物和阳性对照组小鼠血糖均有明显降低。结果显示,治疗组和阴性组红细胞、PCV、HB、PLT、MCH浓度与正常对照组比较,差异均有统计学意义(P<0.05)。治疗组糖化血红蛋白与对照组、阴性组比较,差异均有统计学意义。本研究表明,土芋茎水提物对体重有显著的增加作用,这可能对改善并发症糖尿病后可能的体重减轻状态有作用。大肠癌茎提取物对四氧嘧啶诱导的糖尿病大鼠的血糖水平和一些血液学指标有改善作用,对糖尿病有有效的控制和管理作用。
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引用次数: 1
Nasal Extramedullary Plasmacytoma - A Rare Case 鼻髓外浆细胞瘤1例
Pub Date : 2019-01-01 DOI: 10.21767/2386-5180.100285
Jamuneswary Selvarajoo, Jasmine Kho Pei Ying, I. Tang
Extramedullary (extraosseous) plasmacytoma is a plasma cell tumor that grows within any soft tissue. It is a scarce neoplasm, characterized by monoclonal proliferation of plasma cells. Most of the lesions appear in the head and neck region, with the upper respiratory tract as the primary site. We here present a case of a young man who presented to us with similar presentation as of a patient with nasal polyps. Extra medullary plasmacytoma of the nasal cavity is relatively quite rare and should be in the back of our mind when we are dealing with unilateral nasal cavity masses.
髓外(骨外)浆细胞瘤是一种生长在任何软组织内的浆细胞瘤。它是一种罕见的肿瘤,以浆细胞单克隆增生为特征。大多数病变出现在头颈部,以上呼吸道为主要部位。我们在这里提出的情况下,一个年轻的男子谁提出了类似的介绍给我们的病人与鼻息肉。鼻腔髓外浆细胞瘤是相对罕见的,当我们处理单侧鼻腔肿块时,我们应该把它放在脑后。
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引用次数: 1
Merkel Cell Carcinoma Occurring Within A Squamous Papilloma of the External Ear Canal - A Case of Spontaneous Regression 外耳道鳞状乳头状瘤内发生的默克尔细胞癌-一例自发消退
Pub Date : 2019-01-01 DOI: 10.21767/2386-5180.100281
I. Yi, Hao Li, M. Lim, Ernest Fu Weizhong, ini Cl Rao, Y. K. Chong, M. Bundele
Merkel Cell Carcinoma (MCC) is a rare, malignant neuroendocrine tumour belonging to the broad category of cancers called small round blue cell tumours. We present a case of this rare tumour occurring in a squamous papilloma of the external auditory canal of a patient, which regressed spontaneously and was subsequently excised with no evidence of recurrence.
默克尔细胞癌(MCC)是一种罕见的恶性神经内分泌肿瘤,属于被称为小圆形蓝细胞肿瘤的广泛癌症类别。我们提出一个病例,这种罕见的肿瘤发生在一个病人的外耳道鳞状乳头状瘤,它自发地消退,随后被切除,没有复发的证据。
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引用次数: 0
Diclofenac Orodispersible Tablets: Formulation and In Vitro Evaluation 双氯芬酸口腔分散片:处方及体外评价
Pub Date : 2019-01-01 DOI: 10.21767/2386-5180.100287
Ch Kantharao, K. Swarna, J. Leelakrishna, J. Anusha, B. Asha, B. Bhavani
Aim: The aim of the present study is to prepare and evaluate Diclofenac sodium orodispresible tablets by using two super disintegrates, such as croscarmellose sodium (CCS) and sodium starch glycolate (SSG) in different concentrations by using direct compression technique. Materials and methods: We prepared 8 formulations by using direct compression technique. For this preparation, we have used different excipients along with the Dicofenac sodium drug such as sodium starch glycolate, carboxy methyl cellulose, lactose, mannitol, croscarmellose sodium, micro crystalline cellulose, magnesium stearate and talc. To identify the drug, we have used two methods such as Ultraviolet Spectroscopy and Capillary tube method. Results: All the formulations are disintegrated within one minute indicating the suitability of the product. Among all the formulations, F1, F5 and F6 showed maximum drug released within 30 minutes compared to other formulations. F1 formulation contains SSG 10%, F5 formulation contains CCS 10% and F6 contains CCS 20%. And F6 formulation gave 100% drug release when compared to F5 formulation which gave 82.3% of drug release within 30 minutes.
目的:采用直接压缩法制备双氯芬酸钠或羟戊酸钠两种不同浓度的超崩解物,并对其进行评价。材料与方法:采用直接压缩法制备8种配方。在该制剂中,我们使用了不同的辅料,如淀粉乙醇酸钠、羧甲基纤维素、乳糖、甘露醇、交联纤维素钠、微晶纤维素、硬脂酸镁和滑石粉。我们采用了紫外光谱法和毛细管法两种方法来鉴别该药物。结果:所有制剂均在1分钟内崩解,表明产品的适宜性。在所有制剂中,F1、F5和F6比其他制剂在30分钟内释放的药物最大。F1配方含SSG 10%, F5配方含CCS 10%, F6配方含CCS 20%。F6的药物释放率为100%,而F5的药物释放率为82.3%。
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引用次数: 5
Comparative Evaluation of Antimicrobial Efficacy of Calcium Hydroxide and Chlorhexidine Gutta Percha Points Against E. faecalis and S. mutans - An In Vitro Study 氢氧化钙与氯己定古塔胶对粪肠杆菌和变形链球菌抗菌效果的体外比较研究
Pub Date : 2019-01-01 DOI: 10.21767/2386-5180.100280
S. AnitaRao, G. Ravishankar, T. Muralidhar, C. Soonu, B. Nageshwarrao
Aim: To determine the antibacterial effectiveness of calcium hydroxide and chlorhexidine gutta-percha points against Enterococcus faecalis and Streptococcus mutans Materials and methods: Eighteen extracted single-rooted human teeth were selected. After decoronation, root canals were prepared by using k files (Mani, Inc, Japan) up to master apical file size of forty. Following autoclave sterilization of these specimens, root canals were incubated at 37°C with E. faecalis and S. mutans for 24 hrs. Specimens were tested by inserting calcium hydroxid(Coltene/WhaledentInc.Germany), chlorhexidine (Roekoactivpoint, Germany) and conventional gutta-percha points (Endomax Guttapercha Points, Dento One Inc) for 1 hr, 3 hrs and 6 hrs respectively. Dentin chips collected after incubation were inoculated into agar plates and following an overnight incubation the colonies grown on agar plates were counted and interpreted as colony forming units. Results were tested statistically by using Friedman test for intragroup comparison at various time periods. One way Anova for intergroup comparison at different time periods. Overall two way Anova for comparison between the groups and the bacteria. Results: When compared with conventional gutta percha points, calcium hydroxide and chlorhexidine gutta-percha points showed significantly lower colony forming units against E. faecalis and S. mutans Conclusion: Chlorhexidine gutta percha points were more effective against E. faecalis and S. mutans than calcium hydroxide and conventional gutta-percha points.
目的:观察氢氧化钙和洗己定胶过胶穴位对粪肠球菌和变形链球菌的抑菌效果。材料和方法:选择18颗拔除的人单根牙齿。根管装饰完毕后,使用k锉(Mani, Inc, Japan)准备根管,根管尖锉大小为40。在对这些标本进行高压灭菌后,将根管与粪肠杆菌和变形链球菌一起在37°C下孵育24小时。分别用氢氧化钙(Coltene/WhaledentInc.Germany)、氯己定(Roekoactivpoint, Germany)和常规杜胶针(Endomax Guttapercha points, Dento One Inc.)浸泡1小时、3小时和6小时。将培养后收集的牙本质芯片接种到琼脂板上,经过一夜的培养,对琼脂板上生长的菌落进行计数并解释为菌落形成单位。采用Friedman检验对各时间段组内比较结果进行统计学检验。单因素方差分析用于不同时期的组间比较。两组和细菌之间的总体双向方差分析比较。结果:氢氧化钙和氯己定杜胶穴位对粪肠杆菌和变形链球菌的集落形成单位明显低于常规杜胶穴位。结论:氯己定杜胶穴位对粪肠杆菌和变形链球菌的防治效果优于氢氧化钙和常规杜胶穴位。
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引用次数: 1
Percutaneous Transforaminal Endoscopic Discectomy for Lumbar Disc Herniation: A Retrospective Study 经皮经椎间孔内窥镜椎间盘切除术治疗腰椎间盘突出症:回顾性研究
Pub Date : 2019-01-01 DOI: 10.21767/2386-5180.100291
Shun Li, Xiang Wu, Zhong-Wei Ji, Bin Ru, Quan Wan, Wenbo Diao, Y. Niu
Aim: To explore the long-term outcome of patients with lumbar disc herniation (LDH) performed with percutaneous transforaminal endoscopic discectomy technique (PTED). Materials and methods: In this retrospective study, we collected the medical records from 974 patients with LDH who received PTED operation from May 2010 to July 2015. Follow-up measurements were performed at 1, 3, 6 and 12 months after surgery. Before and after surgery, visual analogue scale (VAS) was used for evaluating pain in leg and low back. Oswestry Disability Index (ODI) was used for evaluating the recovery of function. Japanese Orthopaedic Association (JOA) and modified MacNab criteria were used for clinical efficacy evaluation. Results: We found that the mean value of VAS and ODI were significantly decreased at each follow-up time points compared with that before operation (each p<0.01). The JOA showed significantly improving after the surgery through the follow-up period (each p<0.05). Furthermore, according to the modified MacNab criteria, the overall response of clinical efficiency was excellent in 32.7% patients and good in 54.9% patients.. Conclusion: PTED performed with broad, easy, and immediate surgery (BEIS) technique is an effective endoscopic discectomy approach for the treatment of LDH.
目的:探讨经皮经椎间孔内镜椎间盘切除术(PTED)治疗腰椎间盘突出症(LDH)的远期疗效。材料与方法:本回顾性研究收集2010年5月至2015年7月974例行PTED手术的LDH患者的医疗记录。分别于术后1、3、6、12个月进行随访。术前、术后采用视觉模拟评分法(VAS)评价患者下肢及腰背部疼痛。采用Oswestry失能指数(ODI)评价功能恢复情况。采用日本骨科协会(JOA)和改良的MacNab标准进行临床疗效评价。结果:各随访时间点VAS、ODI均值均较术前显著降低(p均<0.01)。术后随访期间JOA均有明显改善(p<0.05)。此外,根据修改后的MacNab标准,临床效率的总体反应为优秀的患者占32.7%,良好的患者占54.9%。结论:采用广泛、简单、即时手术(BEIS)技术进行PTED是治疗LDH的有效内镜椎间盘切除术方法。
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引用次数: 0
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Annals of Clinical and Laboratory Research
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