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Cut-off values of coronary risk factors in women with hypothyroidism. 甲状腺功能减退症女性冠心病风险因素的临界值。
IF 1.9 Pub Date : 2024-07-31 eCollection Date: 2024-01-01 DOI: 10.6026/973206300200762
Deepika Srivastava, Latheef S A A, Venkatramana P

Women with hypothyroidism are at higher risk of cardiovascular diseases and the consequent mortality. It is not known whether cut-off values of coronary risk factors in women with hypothyroidism are the same as healthy women. This may help to initiate interventions as early to prevent cardiovascular mortality. Therefore, this study was conducted to determine the cut-off values of coronary risk factors in women with hypothyroidism. One hundred women patients with hypothyroidism were compared with 100 healthy controls. Significantly higher mean body mass index (BMI), waist circumference (WC), triglycerides and low-density lipoprotein cholesterol (LDL-C) were observed in women with hypothyroidism than without it. All variables showed an area under curve (AUC) value of >0.6 in receiver operator characteristic curve (ROC) analysis, and similar to healthy women.

患有甲状腺功能减退症的女性罹患心血管疾病的风险较高,因此死亡率也较高。目前尚不清楚甲状腺功能减退症女性与健康女性的冠心病风险因素临界值是否相同。这可能有助于尽早启动干预措施,预防心血管疾病死亡。因此,本研究旨在确定甲状腺功能减退症女性患者冠心病风险因素的临界值。100 名甲状腺功能减退症女性患者与 100 名健康对照者进行了比较。观察发现,甲减女性患者的平均体重指数(BMI)、腰围(WC)、甘油三酯和低密度脂蛋白胆固醇(LDL-C)均明显高于非甲减女性患者。在接收器运算特征曲线(ROC)分析中,所有变量的曲线下面积(AUC)值均大于0.6,与健康女性相似。
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引用次数: 0
Management of refractory rectal variceal bleed using computed tomography. 使用计算机断层扫描治疗难治性直肠静脉曲张出血。
IF 1.9 Pub Date : 2024-07-31 eCollection Date: 2024-01-01 DOI: 10.6026/973206300200812
Devara Anil Kashi Vishnuvardhan, Lavanya P, Sandeep Botcha, Biswa Basu Das, Sandeep Sahu, Payala Vijayalakshmi

The management of refractory rectal variceal bleed using a minimally invasive percutaneous approach is described. Rectal varices are portosystemic collaterals that arise as a complication of portal hypertension. Bleeding is less common from rectal varices than from esophageal varices, but it is potentially life-threatening. Hence, it is of interest to describe a novel minimally invasive percutaneous technique to control refractory bleeding from rectal varices in a complex scenario where other proven treatments have failed. In the present study, a 28-year-old male presented to the Emergency department with one episode of hematemesis, hematochezia and severe abdominal pain. Sigmoidoscopy revealed actively bleeding rectal varices. CT abdominal angiogram revealed variceal formation in the rectum. we successfully performed CT guided percutaneous N- butyl cyanoacrylate (NBCA) glue injection of rectal varices with immediate and complete cessation of rectal bleed after failed endoscopic sclerotherapy.

本文介绍了采用经皮微创方法治疗难治性直肠静脉曲张出血的方法。直肠静脉曲张是门静脉高压症并发的门静脉袢。与食道静脉曲张相比,直肠静脉曲张出血并不常见,但有可能危及生命。因此,描述一种新型的微创经皮技术来控制直肠静脉曲张难治性出血是很有意义的。在本研究中,一名 28 岁的男性因一次吐血、血性便血和剧烈腹痛到急诊科就诊。乙状结肠镜检查发现直肠静脉曲张正在出血。我们成功地在 CT 引导下对直肠静脉曲张进行了经皮氰基丙烯酸丁酯(NBCA)胶注射,并在内镜硬化剂治疗失败后立即完全止住了直肠出血。
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引用次数: 0
Effect of four direct pulp capping agents on human dental pulp tissue. 四种牙髓直接封闭剂对人类牙髓组织的影响
IF 1.9 Pub Date : 2024-07-31 eCollection Date: 2024-01-01 DOI: 10.6026/973206300200785
Prerna Goel, Navneet Kukreja, Sushruth Nayak, Swati Chhabra, Surinder Sachdeva, Urvashi Sukhija

Direct pulp capping (DPC) is a vital pulp therapy, wherein accidental or carious pulp exposures can be capped with various materials to induce reparative dentine formation. One of the major factors that determine the success of direct pulp capping procedures is the material used. Therefore, it is of interest to evaluate and compare the efficacy of a new material, Tristrontium aluminate in comparison with the widely used materials such as ProRoot MTA, Biodentine & TheraCal LC. Hence, 40 premolars scheduled for extraction for orthodontic treatment, were equally divided into 4 groups and iatrogenic DPC was done using one of the study materials. The premolars were then extracted after 90 days & assessed for the formation of Dentine Bridge and pulpal response elicited by the materials using CBCT and histopathological analysis. All the materials tested in the study were successful in inducing dentine bridge formation & maintaining pulp vitality. Thus, the novelty of Tristrontium aluminate for potential applications in future is eminent.

直接牙髓盖髓术(DPC)是一种重要的牙髓治疗方法,可使用各种材料对意外或龋坏的牙髓暴露进行盖髓,以诱导修复性牙本质的形成。决定直接盖髓术成功与否的主要因素之一是所使用的材料。因此,我们有兴趣评估和比较一种新材料--铝酸三锶与 ProRoot MTA、Biodentine 和 TheraCal LC 等广泛使用的材料的功效。因此,40 颗因正畸治疗而计划拔除的前臼齿被平均分成 4 组,并使用其中一种研究材料进行先天性 DPC。然后在 90 天后拔出这些前臼齿,并使用 CBCT 和组织病理学分析评估牙桥的形成以及材料引起的牙髓反应。研究中测试的所有材料都成功地诱导了牙本质桥的形成并保持了牙髓的活力。因此,铝酸锶在未来潜在应用中的新颖性是显而易见的。
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引用次数: 0
Effectiveness of a structured life skills training program among Indian nursing students. 结构化生活技能培训计划在印度护理专业学生中的效果。
IF 1.9 Pub Date : 2024-07-31 eCollection Date: 2024-01-01 DOI: 10.6026/973206300200740
Buvaneswari Ramakrishnan, Juliet Sylvia

Nursing education programs increasingly emphasize the importance of life skills alongside clinical competencies to prepare students for the multifaceted demands of modern healthcare. However, there remains a gap in understanding the most effective strategies for integrating life skills into nursing curricula. Therefore, it is of interest to evaluate the impact of a structured life skills training program on first-year B.Sc. Nursing students' proficiency in selected life skills in Tamil Nadu, India. A true experimental pretest-posttest design was employed, with 257 first-year B.Sc. Nursing students from six selected colleges in Trichy district, Tamil Nadu, participating. The intervention, an eight-week Life Skills Training Program, was delivered to the experimental group, while the control group received no intervention. Data were collected using a self-administered questionnaire comprising socio-demographic variables and the Life Skills Assessment Scale. Statistical analysis included chi-square tests, one-way ANOVA repeated measures, and correlation analysis. Significant differences were observed between the experimental and control groups in various life skills, including self-awareness, empathy, interpersonal relationships, and creative thinking (p < 0.001). Age, place of stay, number of friends, hobbies, reason for choosing nursing, and interest in the course showed significant associations with pretest life skills scores (p < 0.05). Positive correlations were found between certain life skills, emphasizing their interconnectedness (p < 0.05). The structured life skills training program demonstrated effectiveness in enhancing the life skills proficiency of first-year B.Sc. Nursing students. The study underscores the importance of integrating life skills development into nursing education curricula to better prepare students for the complexities of patient care. Tailored interventions based on individual characteristics may further optimize outcomes. Future research should explore longitudinal effects and additional factors influencing life skills development among nursing students.

护理教育课程越来越强调生活技能与临床能力的重要性,以培养学生适应现代医疗保健的多方面需求。然而,在了解将生活技能融入护理课程的最有效策略方面仍存在差距。因此,我们有兴趣评估在印度泰米尔纳德邦开展的结构化生活技能培训项目对护理专业一年级本科生熟练掌握特定生活技能的影响。研究采用了真正的实验性前测-后测设计,泰米尔纳德邦 Trichy 地区六所选定学院的 257 名护理学学士学位一年级学生参与其中。实验组接受为期八周的生活技能培训项目干预,对照组则不接受任何干预。数据收集采用自填式问卷,包括社会人口变量和生活技能评估量表。统计分析包括卡方检验、单因素方差分析重复测量和相关分析。实验组和对照组在各种生活技能方面存在显著差异,包括自我意识、移情能力、人际关系和创造性思维(P < 0.001)。年龄、居住地、朋友数量、业余爱好、选择护理专业的原因以及对课程的兴趣与测试前的生活技能得分有显著关联(P < 0.05)。某些生活技能之间存在正相关,强调了它们之间的相互联系(P < 0.05)。结构化生活技能培训计划在提高一年级护理学学士学生的生活技能熟练程度方面表现出了有效性。这项研究强调了将生活技能培养纳入护理教育课程的重要性,以便让学生更好地为复杂的病人护理工作做好准备。根据个人特点进行有针对性的干预可进一步优化结果。未来的研究应探索纵向效应和影响护理专业学生生活技能发展的其他因素。
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引用次数: 0
Management of diabetes mellitus using medicinal plants: A review. 利用药用植物治疗糖尿病:综述。
IF 1.9 Pub Date : 2024-07-31 eCollection Date: 2024-01-01 DOI: 10.6026/973206300200705
Anupa Sivakumar, Amardev Singh Thanu, Thirupathirao Vishnumukkala, Angu Bala Ganesh Ksv, Jeevan K Shetty, Saravanan Jagadeesan, Prarthana Kalerammana Gopalakrishna

Diabetes mellitus has a global impact affecting 422 million individuals and leading to significant health complications. This makes it a pressing global health concern. Present treatments prioritize alleviating symptoms; however, it is imperative to adopt a multitarget strategy. Herbal medicines, which have been historically employed in traditional medicine, have undergone animal experiments to assess their efficacy in reducing or preventing the disease. Known data shows that the phytochemicals found in medicinal plants have anti-hypoglycemic properties. Hence, we review the therapeutic properties of Withania somnifera, Trigonella foenum-graecum, Moringa oliefera, Memmordica charantia and Allium sativa.

糖尿病对全球产生影响,影响到 4.22 亿人,并导致严重的健康并发症。这使其成为一个紧迫的全球健康问题。目前的治疗方法以缓解症状为主,但必须采取多靶点策略。草药历来是传统医学中的常用药,已通过动物实验来评估其在减少或预防该疾病方面的功效。已知数据显示,药用植物中的植物化学物质具有抗血糖的特性。因此,我们综述了睡茄(Withania somnifera)、三叶草(Trigonella foenum-graecum)、辣木(Moringa oliefera)、芒果(Memmordica charantia)和薤白(Allium sativa)的治疗特性。
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引用次数: 0
Molecular docking analysis of imeglimin and its derivatives with estrogen receptor-alpha. imeglimin及其衍生物与雌激素受体-α的分子对接分析。
IF 1.9 Pub Date : 2024-07-31 eCollection Date: 2024-01-01 DOI: 10.6026/973206300200711
Anitha Elango, Iyanar Kannan, Ramya Ravichandar, Punnagai Kumaravelu

Estrogen receptor-α (ER- α) is a principal endocrine regulatory protein in breast cancer. The progression of ER-α positive breast cancer is slowed by selective estrogen receptor modulators such as Tamoxifen. But, long term therapy with Tamoxifen leads to resistance. Therefore, it is of interest to document the Molecular docking and pharmacokinetic analysis of imeglimin derivatives with ER-alpha. Among the 166 derivatives of Imeglimin, only five derivatives were shortlisted after toxicity testing. The selected derivatives showed good binding affinity with favorable pharmacokinetic profiles. The selected compounds of Imeglimin were found to possess excellent anticancer potential and could be considered as novel, cost-effective anticancer agents effective against ER positive breast cancer for further investigation.

雌激素受体-α(ER- α)是乳腺癌的主要内分泌调节蛋白。选择性雌激素受体调节剂(如他莫昔芬)可减缓ER-α阳性乳腺癌的进展。但是,长期使用他莫昔芬会导致耐药性。因此,记录伊迈格列明衍生物与ER-α的分子对接和药代动力学分析很有意义。在伊迈格列明的 166 种衍生物中,只有五种衍生物经过毒性测试后入围。入选的衍生物具有良好的结合亲和力和药代动力学特征。研究发现,这些入选的 Imeglimin 化合物具有很好的抗癌潜力,可被视为新型、经济有效的抗癌剂,对 ER 阳性乳腺癌有效,有待进一步研究。
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引用次数: 0
Analysis of palatal rugae pattern and maxillary sinus index for gender determination. 分析腭嵴形态和上颌窦指数以确定性别。
IF 1.9 Pub Date : 2024-07-31 eCollection Date: 2024-01-01 DOI: 10.6026/973206300200748
Himalee Mehta, Saurabh Goel, Kavita Verma, Barkha Makhijani, Meet Mehta, Shivani Maheshwari, Adarsh Dixit

Correlation between rugoscopy and lateral cephalometric radiographic technique for gender determination is of interest. A cross sectional study was conducted on 100 subjects within an age group of 20 to 50 years. Distribution of rugae patterns and morphometric analysis of maxillary sinus was done for gender correlation. Wavy curved and straight rugae patterns were observed to be more in female gender as compared to males. The mean MSI was higher in females (1.32) when compared with males (1.26). Both the morphometric analysis of maxillary sinus and rugoscopy has been proved to be a valuable tool in the assessment of sexual dimorphism. But, morphometric analysis of maxillary sinus is relatively a new and reliable method for gender determination using maxillary sinus index.

地毯镜和头颅侧位X线摄影技术在确定性别方面的相关性令人感兴趣。我们对 100 名 20 至 50 岁年龄组的受试者进行了横断面研究。研究人员对上颌窦的皱襞形态分布和形态计量分析进行了性别相关性分析。与男性相比,女性的波浪形弯曲嵴和直线嵴更多。女性的平均 MSI(1.32)高于男性(1.26)。事实证明,上颌窦的形态分析和皱襞镜检查都是评估性别双态性的重要工具。但是,上颌窦形态分析是利用上颌窦指数确定性别的一种相对较新且可靠的方法。
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引用次数: 0
Investigating hematuria among young Indian adults using MDCT urography. 利用 MDCT 尿路造影术调查印度年轻成年人的血尿情况。
IF 1.9 Pub Date : 2024-07-31 eCollection Date: 2024-01-01 DOI: 10.6026/973206300200794
Mohammed Musheer Ahmed, Holebasu B, Yogesh S, Prashanth A, Naveen Kumar Nallathambi, Arun K, Gaurav Mittal

Hematuria may suggest bladder cancer, renal cell carcinoma, UUT-UCC, or urinary tract stones. Therefore, it is of interest to use Multi-Detector Computed Tomography (MDCT) to determine the cause of hematuria in children and connect MDCT results with cystoscopic and histological findings. The study included 110 young people under 40 with microscopic or macroscopic hematuria. A clinical exam and complete history were recorded. MDCT data from non-contrast and contrast-enhanced scans were properly documented. Histopathological and cystoscopic findings were noted alongside MDCT data when appropriate. The study's typical patient was 26 years old, 66% male. Eighty of the cases had hematuria as the cause. In 66 of 80 individuals, renal or ureteric calculi were the most common clinically relevant outcomes. There were four renal and four UB masses. Two cases of renal papillary necrosis and four of pyelonephritis/renal abscess were identified. MDCT diagnosed renal and vesical masses 100% accurately. MDCT can diagnose and treat hematuria, especially in young men, according to one study. The findings emphasize clinical awareness and targeted diagnosis. Further research is needed to determine hematuria causes and prevention across demographics.

血尿可能提示膀胱癌、肾细胞癌、UT-UCC 或尿路结石。因此,使用多载体计算机断层扫描(MDCT)来确定儿童血尿的原因,并将 MDCT 结果与膀胱镜检查和组织学检查结果联系起来是很有意义的。这项研究包括 110 名 40 岁以下、患有显微镜或镜下血尿的年轻人。研究人员记录了临床检查和完整病史。正确记录了非对比和对比增强扫描的 MDCT 数据。组织病理学和膀胱镜检查结果与 MDCT 数据同时记录在案。该研究的典型患者年龄为 26 岁,66% 为男性。80例患者的病因是血尿。在 80 例患者中,有 66 例最常见的临床相关结果是肾结石或输尿管结石。有四个肾肿块和四个输尿管肿块。发现两例肾乳头坏死和四例肾盂肾炎/肾脓肿。MDCT诊断肾脏和膀胱肿块的准确率为100%。一项研究表明,MDCT 可以诊断和治疗血尿,尤其是年轻男性。研究结果强调了临床意识和有针对性的诊断。需要进一步研究确定不同人群的血尿原因和预防措施。
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引用次数: 0
Prevalence of oral submucous fibrosis linking with Areca Nut usage among Indians. 印度人口腔黏膜下纤维化的发病率与使用阿雷卡坚果有关。
IF 1.9 Pub Date : 2024-07-31 eCollection Date: 2024-01-01 DOI: 10.6026/973206300200751
Abhishek Jayaswal, Saurabh Goel, Kavita Verma, Srujal Jivrajani, Barkha Makhijani

The prevalence of oral submucous fibrosis amongst population of Southern Rajasthan is of interest to dentists. Hence, a cross sectional study had been conducted on 3548 patients from 18-60 years age group who visited the Department of the Oral Medicine and Radiology, Pacific Dental College and Research Centre, Bedla, Udaipur was completed. They were subjected to thorough case history related to quid habit in arecanut (Areca catechu L.) form and to diagnose OSMF clinically. 1645 processed form of arecanut users were identified. The prevalence of arecanut chewers in study population has been reported to be 46.36%. The prevalence of OSMF in study population has been reported to be 458 (12.9%). Exact component associated and the mechanism involved in the occurrence of OSMF is still not available in literature and research is going on regarding unveiling this mysterious lesion.

拉贾斯坦邦南部人口中口腔黏膜下纤维化的发病率引起了牙科医生的兴趣。因此,在乌代布尔贝德拉太平洋牙科学院和研究中心口腔内科和放射科就诊的 18-60 岁年龄组的 3548 名患者进行了一项横断面研究。他们被详细询问了与吃山竹果(Areca catechu L.)有关的病史,并在临床上诊断出 OSMF。确定了 1645 名加工形式的山竹果使用者。据报道,研究人群中咀嚼火麻仁者的患病率为 46.36%。据报告,研究人群中OSMF的患病率为458人(12.9%)。文献中仍未提供与OSMF发生相关的确切成分和机制,有关揭示这一神秘病变的研究仍在继续。
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引用次数: 0
A case report on peripheral cemento-ossifying fibroma in South India. 一份关于南印度外周骨水泥化纤维瘤的病例报告。
IF 1.9 Pub Date : 2024-07-31 eCollection Date: 2024-01-01 DOI: 10.6026/973206300200771
Pavithra Gopalakrishnan, Vijayalakshmi Rajaram, Lakshmi Priya Kannan, Anitha Logaranjani, Jaideep Mahendra

Gingival enlargement is a common manifestation of gingival diseases and it is characterized by increase in size of the gingiva. A 20-year-old male reported with the primary complaint of swelling in lower front teeth region for the past 7 month. Patient noticed the swelling to be small when it started and gradually increased to attain the present size. There was no contributing history of bleeding or pain. Excision of the lesion was done using electrocautery followed by histopathological analysis. The challenge for clinicians lies in accurately diagnosing the underlying cause due to the diverse presentations of these conditions in this case report.

牙龈增生是牙龈疾病的一种常见表现,其特点是牙龈增大。一名 20 岁的男性患者主诉下门牙区域肿胀,已持续 7 个月。患者发现肿胀开始时很小,后来逐渐增大到现在的大小。没有出血或疼痛病史。采用电烧法切除病灶,然后进行组织病理学分析。本病例报告中的病症表现多种多样,临床医生面临的挑战在于如何准确诊断病因。
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引用次数: 0
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