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Copper Oxide Nanoparticles Induced Liver and Kidney Toxicity in Rat 纳米氧化铜诱导大鼠肝、肾毒性
Pub Date : 2022-12-23 DOI: 10.9734/ajbgmb/2022/v12i4280
A. El-atrash, Somia Zaki, E. Tousson, M. Negm
Aims: Copper oxide nanoparticles (CuO NPs), which have potential hazards for organisms and the environment in a number of applications, have emerged as a prominent class of nanomaterials. Study Design: This study aimed to investigate the effect of copper oxide nanoparticles in rat liver and kidney tissues. Methodology: A total of 20 adult male rats were assigned randomly to 2 groups [1st, control; 2nd, CuO NPs (400 mg/kg body weight/day) intraperitoneally for 4 weeks]. Results: Current results revealed significant increases in serum ALT, AST, urea, creatinine, potassium ions and liver and kidney tissue damage after CuO NPs administration when compared to control group. Conversely, statistical significant decreases were detected in serum albumin, total proteins, calcium and sodium ions levels in CuO NPs group as compared to control group. Conclusion: We can conclude that; CuO NPs induced toxicity and injury in rat liver and kidney tissues.
目的:氧化铜纳米颗粒(CuO NPs)已成为一类突出的纳米材料,在许多应用中对生物和环境具有潜在的危害。研究设计:研究氧化铜纳米颗粒对大鼠肝、肾组织的影响。方法:将20只成年雄性大鼠随机分为2组[1,对照组;2、CuO NPs (400mg /kg体重/天)腹腔注射,持续4周。结果:目前的研究结果显示,与对照组相比,服用CuO NPs后血清ALT、AST、尿素、肌酐、钾离子和肝肾组织损伤显著增加。相反,与对照组相比,CuO NPs组血清白蛋白、总蛋白、钙、钠离子水平均有统计学意义的降低。结论:我们可以得出结论;CuO NPs对大鼠肝、肾组织的毒性和损伤作用。
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引用次数: 1
Ulcero-Protective Potential of Ethyl Acetate Fractions of Persea americana Seed and Bryophyllum pinnatum Leaf Binary Combinations in Indomethacin Induced Gastric Ulcer 美洲洋槐种子和青叶组合乙酸乙酯部分对吲哚美辛诱导胃溃疡的保护作用
Pub Date : 2022-12-22 DOI: 10.9734/ajbgmb/2022/v12i4279
E. S. Asiwe, Chidi Uzoma Igwe, K. Iheanacho, V. Onwuliri, C. Alisi, Nmadike G. Ezeji-Chigbu, C. Ujowundu
Aims: This study was aimed at investigating the protective potential of ethyl acetate fractions of Persea americana (PA) seed and Bryophyllum pinnatum (BP) leaf binary combinations against indomethacin-induced gastric ulcers. Methodology: Fifty (50) male Wistar rats were used in this study; they were assigned into 10 groups of five animals each and respective groups received a standard rat diet and drinking water ad libitum. The groups were group 1 (normal control group (NC)), group 2 (ulcer control (UC)), group 3 (Omeprazole, 20mgkg-1 (OMEP)), group 4 (PA) and group 5 (BP). Groups receiving binary combinations were group 6 (PA + BP, 1:1), group 7 (PA + BP, 1:2), group 8 (PA + BP, 1:3), group 9 (PA + BP, 2:1), group 10 (PA + BP, 3:1) each group was pre-treated with 400 mgKg-1 body weight/day of respective fraction or binary mixture by intubation for 21 days. On the 22nd day after overnight fasting, a gastric ulcer was induced with indomethacin (30mg/kg body weight) by intubation in a single dose. Ulcer markers and histopathology of stomach tissues were measured using standard methods. Results: The present study revealed that the ethyl acetate fraction of the plants PA seeds and BP leaf showed potent gastric tissue protective effects. Analysis of gastric changes indicated a significant (P<0.05) reduction in ulcer index, gastric acid output, gastric mucus content and pepsin activity  of ulcerated rats pretreated with PA and BP fractions. The effect of the binary combinations was significantly (p<0.05) higher than single plant fractions. The protective effect of the fractions was in the order OMEP > PA+BP (3:1) > PA+BP (2:1) > PA+BP (1:1), > PA+BP (1:2) > PA+BP (1:3) > PA > BP. The observed ulcero-protective effect of the binary combinations of P. americana seed and B. pinnatum leaf may be attributed to the synergy of the phytochemicals contained in the fractions. Conclusion: These findings suggest that P. americana and B. pinnatum ethyl acetate fraction combination favorably protect against indomethacin-induced gastric mucosal oxidative damage, reducing ulcer index, gastric acid output, gastric mucus content and pepsin activity. The ethyl acetate fractions exhibited a dose-dependent inhibition of ulcer formation in indomethacin gastric ulcer model.
目的:研究美洲柏树(PA)种子和羽状苔藓(BP)叶片二组分乙酸乙酯提取物对吲哚美辛致胃溃疡的保护作用。方法:选用50只雄性Wistar大鼠;它们被分成10组,每组5只,每组都吃标准的大鼠饮食和随意饮水。各组分别为:1组(正常对照组(NC))、2组(溃疡对照组(UC))、3组(奥美拉唑20mgkg-1 (OMEP))、4组(PA)、5组(BP)。二联用药组分别为:6组(PA + BP, 1:1)、7组(PA + BP, 1:2)、8组(PA + BP, 1:3)、9组(PA + BP, 2:1)、10组(PA + BP, 3:1),每组分别以400 mgKg-1体重/天的分剂或二联用药预先插管治疗21 d。禁食第22天,用单剂量吲哚美辛(30mg/kg体重)插管诱导胃溃疡。采用标准方法测定胃组织溃疡标志物和组织病理学。结果:本研究表明,植物PA种子和BP叶的乙酸乙酯部分具有较强的胃组织保护作用。胃变化分析显示:P - PA+BP (3:1) > PA+BP (2:1) > PA+BP (1:1), > PA+BP (1:2) > PA+BP (1:3) > PA > BP。美洲桤木种子与羽状叶二元组合对溃疡的保护作用可能与两组分中所含植物化学物质的协同作用有关。结论:美洲双歧杆菌和滨草乙酸乙酯部位联合使用对吲哚美辛诱导的胃粘膜氧化损伤具有良好的保护作用,可降低溃疡指数、胃酸输出量、胃粘液含量和胃蛋白酶活性。乙酸乙酯组分对吲哚美辛胃溃疡模型的溃疡形成具有剂量依赖性的抑制作用。
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引用次数: 0
Effects of Two Months Durational Vitamin E Therapy on Paraquat-inflicted Liver Damage in Wistar Rats (Rattus norvegicus) 持续2个月维生素E治疗对百草枯致褐家鼠肝损伤的影响
Pub Date : 2022-12-21 DOI: 10.9734/ajbgmb/2022/v12i4277
B. Okolonkwo
Paraquat is a highly poisonous chemical that is commonly used as a herbicide (plant killer) to control weeds and grasses. It has been found to disrupt the levels and activities of some liver enzyme parameters. This experimental study was aimed at assessing the effect of Vitamin E in restoring liver physiology in paraquat-induced liver poisoning in rats. In this study, 200 male rats with a mean weight of 0.20.02kg, with 50 rats in each group of four, labeled A, B, C, and D. The "A" group received no paraquat, while the "B", "C", and "D" groups received 0.02g, 0.04g, and 0.06g of paraquat per kilogram of rat every two weeks for three months respectively. Each group also had a subgroup treated only with vitamin E and the Vit. E + paraquat subgroup BVE, CVE, and DVE but AVE was treated with paraquat but only Vit E. The blood was taken and the liver function was assayed. The result showed that there was a significant dose-dependent increase (P-value<0.05) in the levels liver enzymes in the subgroups treated with paraquat alone (A0, B0, C0 and D0). After treatment with vit E, the result revealed that there a significant decrease (P-value<0.05) in the level of the liver enzymes when compared to the corresponding subgroups without Vit. E treatment. This study has shown that vit E can ameliorate the effect of paraquat liver poisoning particularly when the treatment is administered weekly for two months.
百草枯是一种剧毒的化学物质,通常用作除草剂(植物杀手)来控制杂草和草。已经发现它会破坏一些肝酶参数的水平和活性。本实验旨在探讨维生素E对百草枯肝中毒大鼠肝脏生理恢复的作用。本实验选用200只平均体重0.20.2 kg的雄性大鼠,每组50只,每组4只,分别标记为a、B、C、D。a组不给药,B组、C组、D组每公斤大鼠每2周给药0.02g、0.04g、0.06g,连续3个月。每组还有一个亚组只接受维生素E和维生素E。E +百草枯亚组BVE、CVE、DVE, AVE用百草枯治疗,但只用Vit E。结果显示,百草枯单独处理各组(A0、B0、C0和D0)肝酶水平呈显著剂量依赖性升高(p值<0.05)。经维生素E处理后,与未加维生素E的相应亚组相比,肝酶水平显著降低(p值<0.05)。E治疗。这项研究表明,维生素E可以改善百草枯肝中毒的影响,特别是当每周给予治疗两个月时。
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引用次数: 0
The Effect of Combined Vitamin Treatment on Paraquat-inflicted Liver Damage 复合维生素治疗对百草枯致肝损害的影响
Pub Date : 2022-12-21 DOI: 10.9734/ajbgmb/2022/v12i4278
B. Okolonkwo
Paraquat poisoning causes serious herbicide intoxication commonly and usually as a result of deliberate or accidental ingestion. Vitamins C and E are very good antioxidants that reacts rapidly with radicals and alters lipid peroxidation. This study was done to evaluate the effect of Vitamin E and C combination therapy on the chronic toxicity of paraquat on liver markers in Wistar rats. A total of 200 male rats were used for the study. The rats were divided into four groups of 50 rats in each group (A, B, C, D) and was further subgrouped into two (0 and VEC), having 25rats per subgroup. All “0” subgroups (A0, B0, C0 and D0) except A0 were treated with paraquat in 0.02g, 0.04g and 0.06g respectively every two weeks for three months. All “VEC” subgroups (AVEC, BVEC, CVEC and DVEC) except AVEC were treated with paraquat similarly, after which they were treated with vitamin E (500mg) and C (2000mg/L) weekly for one month. AVEC was only treated with vitamin E and C. Blood samples were collected and analysed for liver function test (total and direct bilirubin, total protein, albumin and globulin). There was a significant difference in the level of all the parameters among the “Ao”, “Bo”, “Co” and “Do”, p-value<0.05 and also among the “AVEC”, “BVEC”, “CVEC” and “DVEC”, p-value<0.05. The result also showed that there were significant differences in intra-group comparison in all the liver biochemical parameters, p-value<0.05. There was no significant difference in the concentration of globulin among the subgroup. This study has confirmed that vitamin E and C combination has a therapeutic effect in male Wistar rats on two month of weekly treatment. Therefore, a weekly treatment with Vit E and C can ameliorate liver toxicity in rats.
百草枯中毒通常引起严重的除草剂中毒,通常是故意或意外摄入的结果。维生素C和E是很好的抗氧化剂,能与自由基迅速反应,改变脂质过氧化。本研究评价了维生素E和C联合治疗对百草枯对Wistar大鼠肝脏标志物慢性毒性的影响。共有200只雄性大鼠被用于这项研究。将大鼠分为4组(A、B、C、D),每组50只,再分为0组和VEC组,每亚组25只。除A0组外,其余“0”亚组(A0、B0、C0和D0)每2周分别用0.02g、0.04g和0.06g百草枯处理,连续3个月。除AVEC外,所有VEC亚组(AVEC、BVEC、CVEC和DVEC)均用百草枯处理,然后每周用维生素E (500mg)和C (2000mg/L)处理,持续1个月。AVEC仅用维生素E和c治疗。采集血样进行肝功能检测(总胆红素和直接胆红素、总蛋白、白蛋白和球蛋白)。“Ao”、“Bo”、“Co”、“Do”各参数水平差异有统计学意义,p值<0.05;“AVEC”、“BVEC”、“CVEC”、“DVEC”各参数水平差异有统计学意义,p值<0.05。各组间肝脏各项生化指标比较差异均显著,p值<0.05。各组间球蛋白浓度差异无统计学意义。本研究证实,维生素E和C的组合对雄性Wistar大鼠有治疗作用,每周治疗两个月。因此,每周给予Vit E和C可改善大鼠肝毒性。
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引用次数: 0
Antitoxic Effects of Solanum betaceum cav. Peel Skin Extract 龙葵的抗毒作用。果皮提取物
Pub Date : 2022-11-22 DOI: 10.9734/ajbgmb/2022/v12i4276
J. Sudiono, P. Trisfilha, Debi Agita
Background: In Indonesia, Solanum betaceum cav is a traditional herbal medicine which their skin is often wasted because not many people known its content. Aims: To find out the anti-toxic effect of Solanum betaceum cav peel skin ethanol extract on rat’s renal post-carrageenan induction. Study Design: Laboratory experimental in vivo study. Place and Duration of Study: This research was done at Animal Research Facilities (ARF) Medical Faculty University of Indonesia, at September to December 2021. Methodology: The samples used in this research are male white mice, Wistar strain (Rattus norvegicus) with the body weight 180–220 gram which divided into 5 groups, negative control (saline), positive control (sodium dilcofenac 7mg/kgBW), and Solanum betaceum Cav. peel skin ethanol extract groups (70mg/kgBW, 140mg/kgBW, and 280mg/kgBW).  Mice’s buccal mucosa was injected with Caraagenan 1%. Macroscopic and microscopic observation was done before, 24 hours, 48 hours and 72 hours post caraagenan injection. Results: Phytochemical test showed that Solanum betaceum Cav. peel skin ethanol extract contains phenolic, flavonoid, tannin, and alkaloid. At all doses, anti-toxic effect of Solanum betaceum Cav. peel skin ethanol extract have same healing effectiveness within 48 hours. In positive control, the renal were normal at 48 hours. Meanwhile, the negative control’s healing effectiveness was seen at 72 hours. Conclusion: The anti-toxic effect of Solanum betaceum Cav. peel skin ethanol extract has effective healing process at all doses in 48 hours post-carrageenan induction without affect rats’ body weight, however with lower intensity than positive control which using dilcofenac as anti-inflammatory drug.
背景:在印度尼西亚,茄油是一种传统的草药,由于没有多少人知道它的成分,他们的皮肤经常被浪费。目的:探讨茄皮乙醇提取物对卡拉胶诱导后大鼠肾脏的抗毒作用。研究设计:实验室实验体内研究。研究地点和时间:本研究于2021年9月至12月在印度尼西亚大学动物研究机构(ARF)医学院完成。方法:以体重180 ~ 220 g的雄性小白鼠Wistar品系(褐家鼠)为研究对象,将其分为阴性对照(生理盐水)、阳性对照(双cofenac钠7mg/kgBW)和甜菜茄(Solanum betaceum Cav) 5组。果皮乙醇提取物组(70mg/kgBW、140mg/kgBW、280mg/kgBW)。小鼠颊黏膜注射1%卡拉胶。分别在注射前、注射24小时、注射48小时、注射72小时进行宏观和微观观察。结果:植物化学试验表明,茄属甜菜属;果皮乙醇提取物含有酚类、类黄酮、单宁和生物碱。在所有剂量下,茄的抗毒作用。果皮乙醇提取物在48小时内具有相同的愈合效果。阳性对照48小时时肾脏正常。同时观察阴性对照组在72小时的愈合效果。结论:龙葵有抗毒作用。皮皮乙醇提取物在卡拉胶诱导后48小时内均有有效的愈合过程,且不影响大鼠体重,但强度低于使用双cofenac作为消炎药的阳性对照。
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引用次数: 0
Chromium Induced Developments of Diseases and their Inhibitions by Cargos 铬引起的疾病发展及其对货物的抑制作用
Pub Date : 2022-11-10 DOI: 10.9734/ajbgmb/2022/v12i4274
A. Mandal
The exposure of hexavalent chromium (Cr-VI) mainly through the inhalation, skin contact or oral administration by the environmental chromium industrial processes causes the major toxicity-induced health hazardous mortality throughout the world. Though reduced chromium (Cr-III), as an essential micronutrient, is utilized to maintain the normal blood glucose, lipid and protein profiles through the metabolism in the body to activate the action of the hormones such as insulin, the high concentration exposures of Cr-VI and Cr-III cause oxidative stress-induced DNA oxidation and adducts, DNA strand breaks and mutations, DNA-protein cross-links, membrane-lipid peroxidation and reduced/altered antioxidant/immune response activities, leading to cellular damage-related various diseases and the development of malignant cancer. Applications of different cargos may inhibit Cr-VI or its intermediates-induced cytotoxicity, immunotoxicity, or genotoxicity through chromium-chelating and scavenging free radical reactive species, restoring antioxidant and immune response activities or arresting disease-oriented signal transductions or other pathways at cellular and molecular levels. This review mainly demonstrates  the development  of various  diseases by chromium exposure and their inhibitions by cargos.
六价铬(Cr-VI)的暴露主要是通过吸入、皮肤接触或环境铬工业过程的口服给药,在世界范围内造成了主要的毒性引起的健康危险死亡率。虽然还原铬(Cr-III)作为一种必需的微量营养素,通过体内代谢激活胰岛素等激素的作用来维持正常的血糖、脂质和蛋白质特征,但高浓度的Cr-VI和Cr-III暴露会引起氧化应激诱导的DNA氧化和加合物、DNA链断裂和突变、DNA-蛋白质交联、膜-脂质过氧化和抗氧化/免疫反应活性降低/改变。导致细胞损伤相关的各种疾病和恶性肿瘤的发展。不同货物的应用可能通过铬螯合和清除自由基反应物质抑制Cr-VI或其中间体诱导的细胞毒性、免疫毒性或遗传毒性,恢复抗氧化和免疫反应活性,或在细胞和分子水平上阻止疾病导向的信号转导或其他途径。本文主要综述了铬暴露引起的各种疾病的发展及其对货物的抑制作用。
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引用次数: 1
Biochemistry of Corona Virus: An Overveiw 冠状病毒的生物化学研究综述
Pub Date : 2022-10-31 DOI: 10.9734/ajbgmb/2022/v12i4272
N. J. Caleb, V. Nwankwo, Nweke Celestine Chimaobi, Ugoaghalam Uche James, Uchenna Sampson Igwe, A. Chinedu
Coronaviruses forma large family of respiratory viruses having positive (+ve)-stranded RNA (C0V).  Their names are derived from the crown-like shape that is present on their them (surface). The new viral strain SARS-CoV-2 was first discovered in Wuhan, China, in December 2019. Even though this virus can spread via airborne, direct, and indirect contact, the most typical way of infection transmission is through droplets. Like the other coronaviruses in the same family, it can causeeverything from minor flu-like symptoms like; cold, sore throat, cough, and fever, to very seriousones like; pneumonia and breathing difficulties. It also has the potential to be fatal. The primary constituents make up the coronavirus. For instance, the positive-stranded RNA molecule that the host cell will translate is carried by the endoplasm, cell membrane, and outer globular protein. The transit of substances into and out of the cell is regulated by the cell membrane and membrane protein. One or more of them include the pointed glycoprotein, envelope small membrane protein, hemagglutinin esterase, nucleoprotein, and genomic RNA. The second coronavirus that causes severe acute respiratory syndrome is the reason for the ongoing coronavirus disease epidemic known as covid-19 pandemic or coronavirus pandemic (SARS-COV-2). It was originally discovered in December 2019 in Wuhan, China. The World Health Organization (WHO) classified the outbreak as a pandemic and a public health emergency of global concern in January 2020 and March 2020, respectively. As of March 7th, 2021, COVID-19, one of the deadliest pandemics in recorded history, had been linked to over 2.59 million fatalities and over 11.7 million confirmed cases. Being vaccination is one of the steps you may take to protect yourself and others from getting infected with COVID-19. Protection from COVID-19 is essential since it can cause severe illness or death in some persons. It takes all the tools at our disposal to stop a pandemic. You can reduce your risk of getting sick or spreading the disease to others by taking additional precautions like wearing masks and avoiding social situations. Combining the COVID-19 vaccine with following the CDC’s recommendations for safeguarding both you and others will provide the best defense against the virus.
冠状病毒是一大类呼吸道病毒,具有正(+ve)链RNA (C0V)。它们的名字来源于它们表面呈皇冠状的形状。新型病毒SARS-CoV-2于2019年12月在中国武汉首次被发现。尽管这种病毒可以通过空气传播,直接和间接接触传播,但最典型的感染传播方式是通过飞沫传播。像同一家族的其他冠状病毒一样,它可以引起各种各样的症状,从轻微的流感样症状,比如;感冒,喉咙痛,咳嗽,发烧,以非常严重的喜欢;肺炎和呼吸困难。它也有可能是致命的。这些主要成分构成了冠状病毒。例如,宿主细胞将翻译的正链RNA分子由内质、细胞膜和外球状蛋白携带。物质进出细胞是由细胞膜和膜蛋白调控的。其中一种或多种包括尖糖蛋白、包膜小膜蛋白、血凝素酯酶、核蛋白和基因组RNA。导致严重急性呼吸系统综合征的第二种冠状病毒是目前被称为covid-19大流行或冠状病毒大流行(SARS-COV-2)的冠状病毒疾病流行的原因。它最初于2019年12月在中国武汉被发现。世界卫生组织(世卫组织)分别于2020年1月和2020年3月将此次疫情列为大流行和全球关注的突发公共卫生事件。截至2021年3月7日,COVID-19是有史以来最致命的大流行病之一,已导致259万多人死亡,1170多万确诊病例。接种疫苗是您可以采取的保护自己和他人免受COVID-19感染的步骤之一。预防COVID-19至关重要,因为它可导致某些人患上严重疾病或死亡。我们需要使用所有可用的工具来阻止大流行。你可以通过采取额外的预防措施,如戴口罩和避免社交场合,来降低患病或将疾病传播给他人的风险。将COVID-19疫苗与遵循疾病预防控制中心保护您和他人的建议相结合,将提供针对该病毒的最佳防御。
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引用次数: 0
Adherence to Antiretroviral Therapy (Art) among Pregnant Women Living with HIV/AIDS in Okigwe Imo State, Nigeria 尼日利亚奥基圭伊莫州感染艾滋病毒/艾滋病的孕妇坚持抗逆转录病毒治疗(Art
Pub Date : 2022-10-22 DOI: 10.9734/ajbgmb/2022/v12i4271
E. C. Uloeme, N. J. Caleb, V. C. Nwankwo, C. Nosiri
The antiretroviral medication (ART) compliance of expectant HIV/AIDS patients in Nigeria's Okigwe Imo state was investigated in this study. In particular, the study established the prevalence of HIV among expectant mothers in Okigwe Imo State, Nigeria, identified the behavioral and demographic factors associated with ART adherence, and looked at the obstacles to ART use among expectant mothers in Okigwe Imo State, Nigeria. The study adopted the AIDS risk reduction model by Catania  and Coates, (1990), the pathway of survival model theory by Mosley and Chen (1984) and the health belief model by Rosenstock et al (1950). From the responses obtained and analysed, the findings revealed that the extent of the prevalence of HIV among pregnant women in Okigwe Imo State, Nigeria is low. Also, the findings revealed that there is a significant relationship between demography and ART adherence among pregnant women in Okigwe Imo State, Nigeria. The findings further revealed that there is a significant relationship between behaviour and ART adherence among pregnant women in Okigwe Imo State, Nigeria. The study therefore recommends that PMTCT services should be accessible to every pregnant woman attending antenatal care, either onsite or through a referral to a nearby clinic, to improve coverage. When it comes to locating PMTCT facilities, using a geographic information system can help eliminate inequity and enhance accessibility within states.
本研究调查了尼日利亚Okigwe Imo州HIV/AIDS准患者抗逆转录病毒药物治疗依从性。特别是,该研究确定了尼日利亚Okigwe Imo州孕妇中艾滋病毒的流行情况,确定了与抗逆转录病毒治疗依从性相关的行为和人口因素,并研究了尼日利亚Okigwe Imo州孕妇使用抗逆转录病毒治疗的障碍。本研究采用了卡塔尼亚和科茨(1990)的艾滋病风险降低模型,Mosley和Chen(1984)的生存模型路径理论和Rosenstock等(1950)的健康信念模型。从获得和分析的答复来看,调查结果显示,尼日利亚奥基圭伊莫州孕妇中艾滋病毒的流行程度很低。此外,调查结果显示,尼日利亚奥基圭伊莫州孕妇的人口统计学与抗逆转录病毒治疗依从性之间存在显著关系。研究结果进一步表明,尼日利亚奥基圭伊莫州孕妇的行为与抗逆转录病毒治疗依从性之间存在显著关系。因此,该研究建议,每个参加产前保健的孕妇都应该能够获得预防母婴传播服务,无论是在现场还是通过转诊到附近的诊所,以提高覆盖率。在确定预防母婴传播设施的位置时,使用地理信息系统可以帮助消除不平等现象,提高各州的可及性。
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引用次数: 0
Antipsychotic Medications and Cognitive Behavior Therapy in Pregnant Women with Bipolar Disorder 双相情感障碍孕妇的抗精神病药物和认知行为治疗
Pub Date : 2022-10-18 DOI: 10.9734/ajbgmb/2022/v12i4270
Kimberly Morton Cuthrell, M. Singh, Marly Villamar, Ushna Shabbir
One of the most difficult clinical tasks is treating pregnant women with bipolar disorder. Decisions that patients and physicians make are challenging, and no strategy is without risks nor prevents potential malpractice litigation. There is debate about whether to continue or discontinue antipsychotic medications during pregnancy. While discontinuation of antipsychotics may increase the risk of relapse, continued use of these medications may lead to fetal and maternal adverse outcomes. Some antipsychotics effectively treat symptoms related to bipolar disorder, including manic episodes and mood swings between mania and depression. Though antipsychotics may be useful for the treatment and management of bipolar disorder, the medications are not always favorable and are associated with adverse effects which have influenced some medical professionals to practice defensive medicine for decades that, in some cases, may coincide or conflict with medical ethics. While antipsychotics have a less safe yet effective impact on bipolar disorder in pregnant women, an alternative therapeutic approach such as Cognitive Behavior Therapy (CBT) should be considered. CBT psychotherapy is an evidence-based practice approach that can be beneficial in the treatment of bipolar disorder in pregnant women while bypassing the associated adverse reactions of antipsychotics. Attention is needed to explore the use and associated risks and benefits of antipsychotic medications during prenatal and postnatal, the debate of whether to continue or discontinue antipsychotic medication during pregnancy, and the role of CBT in the treatment of pregnant women with bipolar disorder. While antipsychotics may have beneficial effects that should not be underscored, the risks associated with the usage of antipsychotics during pregnancy cannot be minimized.
最困难的临床任务之一是治疗患有双相情感障碍的孕妇。患者和医生做出的决定是具有挑战性的,没有任何策略是没有风险的,也没有任何策略可以防止潜在的医疗事故诉讼。关于怀孕期间是否继续或停止使用抗精神病药物存在争议。虽然停用抗精神病药物可能会增加复发的风险,但继续使用这些药物可能会导致胎儿和母亲的不良后果。一些抗精神病药物有效地治疗双相情感障碍的相关症状,包括躁狂发作和躁狂与抑郁之间的情绪波动。虽然抗精神病药物可能对治疗和管理双相情感障碍有用,但这些药物并不总是有利的,并且与不良反应有关,这些不良反应影响了一些医疗专业人员几十年来实行防御性医疗,在某些情况下,可能与医学伦理一致或冲突。虽然抗精神病药物对孕妇双相情感障碍的影响不太安全但有效,但应考虑采用认知行为疗法(CBT)等替代治疗方法。CBT心理治疗是一种基于证据的实践方法,可以有益于治疗孕妇双相情感障碍,同时绕过抗精神病药物的相关不良反应。需要关注的是产前和产后抗精神病药物的使用及其相关的风险和益处,妊娠期间是否继续或停止抗精神病药物的争论,以及CBT在治疗双相情感障碍孕妇中的作用。虽然抗精神病药物可能具有不应强调的有益作用,但与妊娠期间使用抗精神病药物相关的风险不能最小化。
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引用次数: 1
Assessment of Oxidative Stress Level in HIV/AIDS Patients on HAART Treatments HAART治疗对HIV/AIDS患者氧化应激水平的影响
Pub Date : 2022-10-15 DOI: 10.9734/ajbgmb/2022/v12i4269
Florence Oremeyi Elujoba, Samuel Oche Odeh, K. Amadi, Micheal Kehinde Elujoba, H. Tijjani, Oto-obong Idah, Nwibo Nkechi Lilian
Background: Human Immunodeficiency Virus (HIV) infection is associated with the production of reactive oxygen species (ROS) and secondarily cellular damage of varied severity. Highly active antiretroviral therapy (HAART) are currently the therapy of optimal considerations for HIV-infected patients. Aims: The present study was designed to assess the oxidative stress levels in people living with HIV/AIDS on HAART. Methods: A total of one hundred and twenty (120) patients attending the Jos University Teaching Hospital APIN Centre were recruited for the study following the inclusion criteria. Superoxide dismutase (SOD), reduced glutathione (GSH) and malondialdehyde (MDA) were evaluated in blood samples of recruited patients. Results: Superoxide dismutase (SOD) activities increased in control patients with no significant difference (p<0.05) compared with HAART. However, significant increases (p>0.05) were observed in reduced glutathione (GSH) concentration of control patients compared with HAART and HAART Naïve patients. More so, significant increase (p>0.05) was observed in malondialdehyde (MDA) of HAART Naïve patients compared with HAART treatment and control. No significant differences (p>0.05) was observed in alanine aminotransferase and creatinine in HAART, HAART Naïve compared with the control patients. Conclusion: The study indicated that HIV/AIDS positive patients express reduced levels of SOD, and GSH with an increase level of MDA. This could further lead to oxidative stress complications and thus HAART-naïve patients are encouraged to used HAART to prevent further complication that could arise from oxidative stress.
背景:人类免疫缺陷病毒(HIV)感染与活性氧(ROS)的产生和不同程度的继发性细胞损伤有关。目前,高效抗逆转录病毒疗法(HAART)是hiv感染患者的最佳治疗方案。目的:本研究旨在评估接受HAART治疗的艾滋病毒/艾滋病患者的氧化应激水平。方法:按照纳入标准,在乔斯大学教学医院APIN中心共招募120例患者。对招募患者的血液样本进行超氧化物歧化酶(SOD)、还原型谷胱甘肽(GSH)和丙二醛(MDA)的检测。结果:对照组患者超氧化物歧化酶(SOD)活性升高,对照组患者还原性谷胱甘肽(GSH)浓度与HAART和HAART Naïve患者比较差异无统计学意义(p0.05)。更重要的是,与HAART治疗组和对照组相比,HAART Naïve组丙二醛(MDA)显著升高(p>0.05)。HAART、HAART Naïve组丙氨酸转氨酶、肌酐与对照组比较,差异均无统计学意义(p>0.05)。结论:研究提示HIV/AIDS阳性患者血清SOD、GSH水平降低,MDA水平升高。这可能进一步导致氧化应激并发症,因此HAART-naïve鼓励患者使用HAART来防止氧化应激可能引起的进一步并发症。
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引用次数: 0
期刊
Asian Journal of Biochemistry, Genetics and Molecular Biology
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