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Risk Factors and Microbiological Outcome in Neonatal Sepsis: A Clinical Study 新生儿败血症的危险因素和微生物预后:一项临床研究
Pub Date : 2023-03-30 DOI: 10.37191/mapsci-2582-4937-5(1)-034
Venugopal Reddy I
Infection is the predominant cause of neonatal deaths universally. Neonatal deaths (30-50%) every year is caused due to sepsis. Due to nosocomial infections and their associated morbidities, cost and mortality, betterment of neonatal outcomes is complicated as hospitals in developing countries are at major risk for the transmission of infection. The present study aimed to analyse sepsis risk factors and microbiological outcome in the NICU and post-natal ward. The study diagnosed the affected neonates as earliest possible so that suitable antibiotic treatment can be done without adding to the burden of antibiotic resistance. In this study, 94% of babies with neonatal sepsis were discharged and 6% of babies succumbed to the illness. Low birth weight between 1500-2500 grams was noted as an important contributing factor to sepsis in babies. PROM was found to be greater than 18 hours in (46%) of cases. Klebsiella pneumoniae was the common pathogen amongst gram negative bacteria in the present study and thus was the common cause of septicemia in neonates, and Coagulase negative Staphylococcus and Staphylococcus aureus were common bacteria among the gram-positive bacteria. A higher mortality rate in cases of late onset sepsis was observed and was explained probably due to prolonged NICU stay, multiple interventions such as mechanical ventilation, umbilical venous catheterization, and central lines.
感染是全世界新生儿死亡的主要原因。每年新生儿死亡(30-50%)是由败血症造成的。由于医院感染及其相关的发病率、费用和死亡率,改善新生儿结局是复杂的,因为发展中国家的医院面临感染传播的重大风险。本研究旨在分析新生儿重症监护室和产后病房脓毒症的危险因素和微生物学结果。这项研究尽可能早地诊断出受影响的新生儿,以便在不增加抗生素耐药性负担的情况下进行适当的抗生素治疗。在这项研究中,94%患有新生儿败血症的婴儿出院,6%的婴儿死于疾病。1500-2500克的低出生体重被认为是导致婴儿败血症的重要因素。在46%的病例中,早破时间大于18小时。肺炎克雷伯菌是本研究革兰氏阴性菌中常见的致病菌,是导致新生儿败血症的常见原因;凝固酶阴性葡萄球菌和金黄色葡萄球菌是革兰氏阳性菌中常见的细菌。观察到晚发性脓毒症的死亡率较高,这可能是由于延长新生儿重症监护病房的住院时间、机械通气、脐静脉置管和中心静脉导管等多种干预措施所致。
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引用次数: 0
Cholera Outbreak in Haiti 2010-2011 2010-2011年海地霍乱疫情
Pub Date : 2023-03-30 DOI: 10.37191/mapsci-2582-4937-5(1)-032
K. Mwenda
The cholera epidemic that started with just a few cases soon found its way in all the corners of the republic of Haiti and this was a major blow to the public health and sanitation of the country. For the nation that had not experienced cholera cases in more than 100 years, this was one of the most devastating catastrophes of all time. For a disease that causes severe diarrhea and dehydration that can lead to death within 48 hours, Haitian authorities and supporting organizations were fighting against time to reduce the morbidity and mortality associated with the cholera outbreak. This article review explores the efforts made by various actors to contain the outbreak, the retrospective review looks at the origin, magnitude of the catastrophe, the efforts to contain it, the factors that aided the spread and the public health social determinants that would have helped reduce the magnitude.
霍乱疫情最初只有几个病例,很快就在海地共和国的各个角落蔓延开来,这对该国的公共卫生和卫生造成了重大打击。对于这个100多年来从未经历过霍乱病例的国家来说,这是有史以来最具破坏性的灾难之一。对于一种可导致严重腹泻和脱水并可在48小时内导致死亡的疾病,海地当局和支持组织正在争分夺秒地降低与霍乱爆发相关的发病率和死亡率。这篇文章综述了各种行为者为遏制疫情所做的努力,回顾性综述着眼于灾难的起源、规模、遏制疫情的努力、助长疫情蔓延的因素以及有助于减少疫情规模的公共卫生社会决定因素。
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引用次数: 0
Maternal and Perinatal Death Surveillance and Response System: An Intervention to Reduce Maternal and Perinatal Deaths in Africa; Using Nigeria as a Case Study 孕产妇和围产期死亡监测和反应系统:减少非洲孕产妇和围产期死亡的干预措施以尼日利亚为案例研究
Pub Date : 2023-03-30 DOI: 10.37191/mapsci-2582-4937-5(1)-033
Isaac Tenzek Kiroso
Zero maternal and early neonatal deaths from preventable causes have been a global target for many years. There has been observed improvement as the trends have reduced for the past 20 years globally. While this can be seen as a considerable global reduction, it is, however, not uniform to continents, regions, and Nations. Of note, Sub-Saharan African countries remain the worst affected. Healthcare solutions to manage or prevent complications in pregnancy and childbirth are well known. While access to quality skilled care has been accepted globally as a major solution to the reduction of maternal and perinatal deaths and it is the greatest need of every woman, the majority of countries in Sub-Saharan Africa lack an accountability framework to ensure every woman in childbirth receive the right care, every time. For this reason, the sustainable development goals called for a renewed focus, and the healthcare system is held accountable for quality service provision. This article appreciates the efforts and approaches African Countries have put to close the gap. However, after several years of implementation, the goal remains far from being achieved. This article, therefore, provides the significance of adopting maternal and perinatal death surveillance and response (MPDSR) as a quality improvement methodology, using Nigeria as a case study. This will definitely contribute to the realization of global targets among countries in sub-Saharan Africa with a high burden of maternal deaths. It further explains why and how the MPDSR system works and outlines the structural and operational requirements for the implementation of the methodology.
多年来,可预防原因造成的孕产妇和早期新生儿零死亡一直是一项全球目标。在过去20年中,随着全球趋势的减少,已经观察到改善。虽然这可以看作是一个相当大的全球减少,然而,它不是统一的大陆,地区和国家。值得注意的是,撒哈拉以南非洲国家仍然是受影响最严重的国家。管理或预防妊娠和分娩并发症的医疗保健解决方案是众所周知的。虽然获得高质量的熟练护理已被全球接受为减少孕产妇和围产期死亡的主要解决办法,并且是每个妇女的最大需求,但撒哈拉以南非洲大多数国家缺乏问责制框架,无法确保每个分娩妇女每次都能得到正确的护理。因此,可持续发展目标要求重新关注,并要求卫生保健系统对提供优质服务负责。本文赞赏非洲国家为缩小差距所作的努力和采取的办法。然而,经过几年的实施,这一目标仍远未实现。因此,本文以尼日利亚为案例研究,提供了采用孕产妇和围产期死亡监测和反应(MPDSR)作为质量改进方法的意义。这肯定将有助于孕产妇死亡负担沉重的撒哈拉以南非洲国家实现全球目标。它进一步解释了MPDSR系统工作的原因和方式,并概述了实施该方法的结构和操作要求。
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引用次数: 0
Study of the Antiviral Activity and Toxicity of Dextrin - In Vitro Study 葡聚糖的抗病毒活性及毒性研究——体外实验
Pub Date : 2023-03-01 DOI: 10.37191/mapsci-2582-4937-5(1)-031
G. Hakobyan
Objective: This study was to in vitro study of the antiviral effect of "Dextrin" on the replication of the EMCV virus in HeLa cells and toxicity of "Dextrin". Methods: For this purpose, the virus at a dose of 100 TCD50 is applied to a 24-hour monolayer of HeLa cells. The experiment is carried out under conditions of 5% CO2 saturation and 100% humidity. The virus dose used was expressed as a tissue cytopathic dose of 100 TCD50/ml. Cultivation of HeLa cells, to study toxicity, was performed on 96-well plates under conditions of 5% CO2 saturation and 100% humidity. The toxic effect of "Dextrin" on HeLa cells was studied by the degree of destruction of the monolayer and at the population level. Results: Peak levels of the virus reached after 48 hours of replication accompanied by complete destruction of the cell monolayer (7-8 cycles of replication). As follows from the graph, “Dextrin significantly” (significance is indicated by asterisks.) reduces the dose of the virus when introduced into the medium with HeLa cells to, or at the early stages of EMCV virus replication (-1,0 and 1 hour). Based on the data obtained, it was decided to use a dose of 1:100 (1%), which is the highest non-toxic dose. Conclusion: “The investigated Dextrin has an antiviral effect against the EMCV virus, when applied in the early stages of infection. This may open up the prospect of studying the antiviral spectrum of Dextrin in more future studies”.
目的:体外研究“糊精”对EMCV病毒在HeLa细胞内复制的抗病毒作用及其毒性。方法:为此目的,将100 TCD50剂量的病毒应用于HeLa细胞单层24小时。实验在CO2饱和度5%、湿度100%的条件下进行。使用的病毒剂量表示为100 TCD50/ml的组织细胞病变剂量。为了研究HeLa细胞的毒性,在96孔板上,在5% CO2饱和度和100%湿度的条件下进行培养。从单层破坏程度和群体水平研究了糊精对HeLa细胞的毒性作用。结果:病毒在复制48小时后达到峰值水平,同时细胞单层完全破坏(7-8个复制周期)。如下图所示,在EMCV病毒复制的早期阶段(-1,0和1小时),将“糊精显著”(显著性以星号表示)引入含有HeLa细胞的培养基中,或将病毒剂量降低。根据获得的数据,决定使用1:100(1%)的剂量,这是最高无毒剂量。结论:所研究的糊精在感染的早期阶段对EMCV病毒具有抗病毒作用。这为今后研究糊精的抗病毒谱开辟了广阔的前景。”
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引用次数: 0
Evaluation of Transplanted Stem Cell Dynamic Variables in the Bone Marrow of Children with Malignancies 儿童恶性肿瘤骨髓移植干细胞动态变量的评估
Pub Date : 2023-03-01 DOI: 10.37191/mapsci-2582-4937-5(1)-030
P. Oktar
Objective: According to risk classifications, the transplant of healthy hematopoietic stem cells in the bone marrow is a priority treatment option for hematopoietic diseases. The effectiveness of hematopoietic stem cell transplantation after bone marrow transplantation is largely dependent on the capacity of the bone marrow microenvironment to accept transplanted cells. Detailed analysis of hematopoietic stem cell kinetics after transplantation is very important, as initial transplantation of hematopoietic stem cells affects prognosis. In this study, hematopoietic stem and progenitor cell percentage values were evaluated together with other transplantation-related parameters to determine the capacity of stem cell dynamic variables in the bone marrow. Methods: Dynamic variables in hematopoietic stem cell fate in bone marrow transplantation include many parameters; hematopoietic stem cell transplantation rates in the apheresis product of 13 patients and cell counts per kilogram and engraftment times, CD34+ cell rates, CD34+ cell counts per kilogram, chimerism rates, Graft-versus-Host Disease grades, white blood cell counts, and post-transplant relapse status. In the apheresis products collected from the patients before transplantation, hematopoietic stem and progenitor cells were identified by the immunophenotypic barcode "CD34+, CD38-, CD45RA-, CD90+, CD49f+", and data analysis was performed with the BD FACSDivaTM software by studying on the BD FACSCanto II flow cytometer device. Results: According to the results of the pearson correlation analysis (non-parametric correlations), a strong positive and significant relationship was found between the number of hematopoietic stem cell transplantation per kg and the percentage of hematopoietic stem cell transplantation of the patients (r=.733, p<.05). According to the results of the analysis, there was a moderately significant and positive relationship (r=.631, p<.05) between the percentage of hematopoietic stem cell transplantation and platelet engraftment time, while there was a strong inverse relationship between erythrocyte engraftment time (r=-.730, p<.01). A strong positive and significant relationship was found between the number of Hematopoietic stem cell transplantation cells per kilogram infused into the patients and the platelet engraftment times (r=.780, p<.05). Conclusion: This study confirms that a mean cell dose of hematopoietic stem and progenitor cells ≥ 2.57 x 106/kg infused provides rapid short- and long-term platelet engraftment in pediatric patients undergoing autologous and allogeneic transplantation. This study is important in terms of revealing the possible relationship between pulling forward the platelet engraftment time and the number and percentage of Hematopoietic stem and progenitor cells in our transplanted patients. It is also important that a statistically significant inverse relationship was determined between HSPC values and mean erythrocyte engraftment times.
目的:根据风险分类,在骨髓中移植健康的造血干细胞是治疗造血系统疾病的优先选择。骨髓移植后造血干细胞移植的有效性在很大程度上取决于骨髓微环境接受移植细胞的能力。移植后造血干细胞动力学的详细分析非常重要,因为造血干细胞的初次移植会影响预后。在本研究中,造血干细胞和祖细胞百分比值与其他移植相关参数一起进行评估,以确定骨髓中干细胞动态变量的容量。方法:骨髓移植造血干细胞命运的动态变量包括许多参数;13名患者的单采产品中的造血干细胞移植率以及每公斤细胞计数和植入时间、CD34+细胞率、每公斤CD34+细胞计数、嵌合率、移植物抗宿主病分级、白细胞计数和移植后复发状态。在移植前从患者身上采集的单采产物中,通过免疫表型条形码“CD34+、CD38-、CD45RA-、CD90+、CD49f+”鉴定造血干细胞和祖细胞,并通过在BD FACSCanto II流式细胞仪设备上研究,用BD FACSDivaTM软件进行数据分析。结果:根据pearson相关性分析(非参数相关性)的结果,每公斤造血干细胞移植数量与患者造血干细胞的移植百分比之间存在强正相关关系(r=.733,p<.05),造血干细胞移植的百分比与血小板植入时间之间存在中度显著正相关(r=.631,而红细胞移植时间呈强负相关(r=-0.730,p<0.01)。每公斤输注患者的造血干细胞移植细胞数与血小板移植时间呈强烈正相关(r=.780,p<0.05)输注≥2.57 x 106/kg的祖细胞可为接受自体和异基因移植的儿童患者提供快速的短期和长期血小板植入。这项研究对于揭示提前血小板植入时间与移植患者中造血干细胞和祖细胞的数量和百分比之间的可能关系非常重要。同样重要的是,在HSPC值和平均红细胞植入时间之间确定具有统计学意义的反比关系。
{"title":"Evaluation of Transplanted Stem Cell Dynamic Variables in the Bone Marrow of Children with Malignancies","authors":"P. Oktar","doi":"10.37191/mapsci-2582-4937-5(1)-030","DOIUrl":"https://doi.org/10.37191/mapsci-2582-4937-5(1)-030","url":null,"abstract":"Objective: According to risk classifications, the transplant of healthy hematopoietic stem cells in the bone marrow is a priority treatment option for hematopoietic diseases. The effectiveness of hematopoietic stem cell transplantation after bone marrow transplantation is largely dependent on the capacity of the bone marrow microenvironment to accept transplanted cells. Detailed analysis of hematopoietic stem cell kinetics after transplantation is very important, as initial transplantation of hematopoietic stem cells affects prognosis. In this study, hematopoietic stem and progenitor cell percentage values were evaluated together with other transplantation-related parameters to determine the capacity of stem cell dynamic variables in the bone marrow. Methods: Dynamic variables in hematopoietic stem cell fate in bone marrow transplantation include many parameters; hematopoietic stem cell transplantation rates in the apheresis product of 13 patients and cell counts per kilogram and engraftment times, CD34+ cell rates, CD34+ cell counts per kilogram, chimerism rates, Graft-versus-Host Disease grades, white blood cell counts, and post-transplant relapse status. In the apheresis products collected from the patients before transplantation, hematopoietic stem and progenitor cells were identified by the immunophenotypic barcode \"CD34+, CD38-, CD45RA-, CD90+, CD49f+\", and data analysis was performed with the BD FACSDivaTM software by studying on the BD FACSCanto II flow cytometer device. Results: According to the results of the pearson correlation analysis (non-parametric correlations), a strong positive and significant relationship was found between the number of hematopoietic stem cell transplantation per kg and the percentage of hematopoietic stem cell transplantation of the patients (r=.733, p<.05). According to the results of the analysis, there was a moderately significant and positive relationship (r=.631, p<.05) between the percentage of hematopoietic stem cell transplantation and platelet engraftment time, while there was a strong inverse relationship between erythrocyte engraftment time (r=-.730, p<.01). A strong positive and significant relationship was found between the number of Hematopoietic stem cell transplantation cells per kilogram infused into the patients and the platelet engraftment times (r=.780, p<.05). Conclusion: This study confirms that a mean cell dose of hematopoietic stem and progenitor cells ≥ 2.57 x 106/kg infused provides rapid short- and long-term platelet engraftment in pediatric patients undergoing autologous and allogeneic transplantation. This study is important in terms of revealing the possible relationship between pulling forward the platelet engraftment time and the number and percentage of Hematopoietic stem and progenitor cells in our transplanted patients. It is also important that a statistically significant inverse relationship was determined between HSPC values and mean erythrocyte engraftment times.","PeriodicalId":87293,"journal":{"name":"Journal of biomedical and allied research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45436099","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: 0
Kalanchoe Pinnata is a Miraculous Plant: A Review 凤尾莲是一种神奇的植物:综述
Pub Date : 2023-01-01 DOI: 10.37191/mapsci-2582-4937-4(2)-029
Poonam Dogra
A variety of names for Kalanchoe pinnata include wondering the world, miraculous plant, and the Pattharchatta. It features tall cylindrical stems, meaty, deeply scalloped dark green leaves, and pendulous scarlet and bell-shaped blooms that are trimmed. It is well-known in the scientific community to display a wide spectrum of pharmacological actions that include the treatment of the most severe human disorders. The pharmacological studies are reviewed and discussed, focusing on actions such as immunomodulator, CNS depressant, pain reliever, antimicrobial, anti-inflammatory, anti-allergic, anti-anaphylactic, antileishmanial, Anti tumorous, antiulcer, anti-bacterial, fungicidal, antihistaminic, antiviral activity, febrifuge, gastroprotective, immune suppressants, insecticidal, muscle relaxant, sedative, and anticancer. The plant includes a variety of active substances, including lipids, organic acids, bufadienolides, alkaloid, triterpenes, glycosides, flavonoids, and steroids. Due to its current state, it is an endangered plant that needs to be preserved and researched.
kalanche pinnata有各种各样的名字,包括好奇世界,神奇的植物和Pattharchatta。它的特点是高大的圆柱形茎,厚实的深扇形深绿色叶子,下垂的猩红色和修剪的钟形花朵。众所周知,在科学界显示出广泛的药理作用,包括治疗最严重的人类疾病。对其药理研究进行了综述和讨论,重点介绍了免疫调节剂、中枢神经系统抑制剂、止痛药、抗菌、抗炎、抗过敏、抗过敏、抗利什曼原虫、抗肿瘤、抗溃疡、抗菌、杀真菌、抗组胺、抗病毒、退热、胃保护、免疫抑制、杀虫、肌肉松弛剂、镇静和抗癌等作用。该植物含有多种活性物质,包括脂质、有机酸、水仙二烯内酯、生物碱、三萜、糖苷、类黄酮和类固醇。由于其现状,它是一种需要保护和研究的濒危植物。
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引用次数: 1
A Review on Biological Activities of Indian Traditional Medicinal Plant: Calotropis Gigantea 印度传统药用植物大甘薯的生物活性研究进展
Pub Date : 2023-01-01 DOI: 10.37191/mapsci-2582-4937-4(2)-028
Babita Patial
India, which is aptly referred to as the world's botanical garden, is the country that produces the most medicinal herbs. The Apocynaceae/Asclepiadaceae family member, Calotropis gigantea sometimes known as the Crown Flower, has special therapeutic characteristics that can be used on its own or in combination with other drugs to treat common illnesses. There is a surprising therapeutic diversity in herbal medications. Entire dried plant is employed as rejuvenating, parasitic worm expellers and mucus explusors in ayurveda. While latex of it cures vertigo, baldness, hair loss, and rheumatoid arthritis, and to treat asthma root in dry form is used, leprosy. Calotropis is employed as a homoeopathic remedy in addition to its conventional purposes. Significant medicinal benefits can be obtained from the plant's extracts from its many components. It is necessary to objectively investigate these treatments in order to determine their active principles and comprehend their pharmacological properties, such as prophylactic protective, NSAID, antibacterial, antimicrobial, anti-oxidant, antiulcer ,helps in treating Covid-19, antimalarial, antipyretic, wound healing activity, cytotoxic properties, anti-asthmatic , procoagulant , CNS and anticonvulsant activity, pregnancy interceptive, anticancer, analgesic, antidiabetic, antidiarrheal, insecticidal, and hepatoprotective. It provides data about the mythical importance, herbal relevance, origin, pharmacogenetic illustration, herbal constituents, biological activities, and ethnopharmacological noteworthiness of Calotropis gigantea is summarized in the current review.
印度被恰当地称为世界植物园,是生产草药最多的国家。夹竹桃科/麻科成员,有时被称为冠花,具有特殊的治疗特征,可以单独使用或与其他药物联合使用来治疗常见疾病。草药的治疗方法有着惊人的多样性。在阿育吠陀中,整个干燥的植物被用作再生、寄生虫排出器和粘液排出器。它的乳胶可以治疗眩晕、脱发和类风湿性关节炎,并用于治疗干燥形式的哮喘根,麻风病。除常规用途外,Caltrophis还被用作顺势疗法。从植物的许多成分中提取的提取物可以获得显著的药用价值。有必要客观地研究这些治疗方法,以确定其有效原理并了解其药理特性,如预防性保护性、非甾体抗炎药、抗菌、抗微生物、抗氧化、抗溃疡,有助于治疗新冠肺炎、抗疟、退热、伤口愈合活性、细胞毒性特性、,中枢神经系统和抗惊厥活性、阻断妊娠、抗癌、镇痛、抗糖尿病、止泻、杀虫和保肝。它提供了关于巨大肌萎缩杆菌的神话重要性、草药相关性、起源、药物遗传学说明、草药成分、生物活性和民族药理学价值的数据。
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引用次数: 1
Fault Testing and Diagnosis in Analog Circuits Using Fault Dictionary Techniques 基于故障字典技术的模拟电路故障检测与诊断
Pub Date : 2022-08-09 DOI: 10.37191/mapsci-2582-4937-4(2)-027
Mohammad Yoosof
The present study aims to test and diagnose fault in analog-based equipment including biological and medical laboratory equipment. The diagnosis has been performed using fault dictionary techniques by modern classification methods. The modern classification methods include probabilistic neural networks and wavelets. It is known that analog circuits have difficulties compared to the digital circuits due to lack of efficient fault modeling, tolerance, nonlinearity, parametric effects and other effects. In this study, the fault diagnosis by simulation before-test approach in order to obtain a very high diagnostic degree was performed.
本研究旨在测试和诊断包括生物和医学实验室设备在内的模拟设备的故障。该诊断已通过现代分类方法使用故障字典技术进行。现代分类方法包括概率神经网络和小波。众所周知,与数字电路相比,模拟电路由于缺乏有效的故障建模、容差、非线性、参数效应和其他影响而存在困难。在本研究中,采用先模拟后测试的方法进行故障诊断,以获得非常高的诊断程度。
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引用次数: 0
Functional Impact of Fatigue in Post Covid-19 Patients 冠状病毒感染后患者疲劳对功能的影响
Pub Date : 2022-06-30 DOI: 10.37191/mapsci-2582-4937-4(1)-026
Inmediato Martin
This study was conducted to determine the functional impact of fatigue in post COVID-19 patients, from Asunción and Greater Asunción, in the period from March to April 2022. The methodology of this research was designed through a retrospective, cross-sectional study and descriptive. This survey was answered anonymously, had 26 closed questions. The scale used in the study was the Modified Fatigue Impact Scale: MFIS, which contains items that verify the level of fatigue in relation to physical, cognitive and psychosocial effort. It is observed, in relation to the respondents, that they have had to rest more frequently or for longer periods, due to COVID-19, with 23% Sometimes, than with 23% Often, then with 24%. Few times,15% Never and finally with 12% Almost always. This shows that more than 2/3 of the respondents have experienced different degrees of needing to rest more frequently and/or for prolonged periods, due to COVID-19. In conclusion, we can determine that the impact of the disease at the physical level represented an inconvenience among the respondents, likewise in the subsequent Figures it is shown that the cognitive functions were not affected. This may indicate that the participants had a mild form of the disease or had immunity.
本研究旨在确定2022年3月至4月期间,来自亚松森和大亚松森的新冠肺炎后患者疲劳对功能的影响。本研究的方法是通过回顾性、横断面研究和描述性设计的。这项调查是匿名回答的,共有26个封闭式问题。研究中使用的量表是改良疲劳影响量表:MFIS,其中包含验证疲劳水平与身体、认知和心理社会努力之间关系的项目。据观察,就受访者而言,由于新冠肺炎,他们不得不更频繁地休息或休息更长时间,有时为23%,而经常为23%,然后为24%。很少,15%从来没有,最后是12%几乎总是。这表明,超过2/3的受访者因新冠肺炎而经历了不同程度的需要更频繁和/或更长时间的休息。总之,我们可以确定,疾病在身体层面的影响对受访者来说是一种不便,同样,在随后的数字中,认知功能也没有受到影响。这可能表明参与者患有轻度疾病或具有免疫力。
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引用次数: 0
A “Best Choice Medicine” (BCM) Route to Drug Development to Solve the Aging-Associated Non-Communicable Disease Burden 药物开发的“最佳选择药物”(BCM)途径,以解决与衰老相关的非传染性疾病负担
Pub Date : 2022-06-06 DOI: 10.37191/mapsci-2582-4937-4(1)-025
Elizabeth L. Parrish
Objective: The Objective of this paper is to propose a new modality called Best Choice Medicine (BCM) to provide possible life-saving experimental treatments to patients suffering from Aging-Associated Non-Communicable Diseases (AA-NCDs) who would otherwise not survive without treatment. Likewise, BCM would expedite the drug approval process in the U.S. by generating immediate data from these patients. BCM resembles Medical Tourism in many ways except that it would be done within the U.S. To better appreciate Medical Tourism as a field patients were queried for their feedback on their own experiences with Medical Tourism.Method: Thirteen people who spent significant time and money participating in Medical Tourism were queried in a non-randomized non-controlled survey to understand their perceptions of the Medical Tourism field.Results: The thirteen people chose to participate in Medical Tourism mostly due to lack of treatments available through the regulatory system in their own countries. They also believed that they should be able to choose therapies for themselves. And all participants said that they would consider participating in medical tourism again.Conclusions: Although this is a small study the researchers believe that this research shows the need for a new and more assessable regulatory route, such as BCM, in the United States. This preliminary study is a launchpad for doing more in-depth studies to develop and evaluate the concept of BCM further.
目的:本文的目的是提出一种称为最佳选择医学(BCM)的新模式,为患有衰老相关非传染性疾病(a - ncds)的患者提供可能挽救生命的实验性治疗,否则这些患者如果没有治疗就无法生存。同样,BCM将通过从这些患者中立即生成数据来加快美国的药物审批过程。BCM在许多方面与医疗旅游相似,除了它将在美国境内进行。为了更好地了解医疗旅游作为一个领域,患者被问及他们对自己的医疗旅游经验的反馈。方法:采用非随机非对照调查的方式,对13名花费大量时间和金钱参与医疗旅游的人进行调查,了解他们对医疗旅游领域的看法。结果:13人选择参加医疗旅游,主要是由于缺乏通过本国监管制度提供的治疗方法。他们还认为,他们应该能够为自己选择治疗方法。所有参与者都表示会考虑再次参与医疗旅游。结论:虽然这是一项小型研究,但研究人员认为,这项研究表明需要一种新的、更可评估的监管途径,如美国的BCM。这项初步研究是开展更深入研究以进一步发展和评估BCM概念的起点。
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引用次数: 0
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Journal of biomedical and allied research
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