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Pattern and Trends of Respiratory Disease Admissions at the Emergency Paediatrics Unit of Jos University Teaching Hospital – A Four Year Review 乔斯大学教学医院儿科急诊科呼吸系统疾病住院的模式和趋势——四年回顾
Pub Date : 2017-06-10 DOI: 10.9734/BJMMR/2017/34099
E. Yiltok, H. Akhiwu, C. Yilgwan, E. Ejeliogu, C. John, A. Ebonyi, S. Oguche
Aims: Respiratory diseases contributes substantially to the number of Paediatric admissions and deaths especially in low income countries. Understanding the trends will help in health planning and resource distribution. This study is to describe the pattern and trend of respiratory diseases in children in a tertiary healthcare facility in north-central Nigeria. Study Design: This study was a retrospective study including all patients admitted and managed with respiratory diseases. The relevant clinical information was extracted from the hospital records. Place and Duration of Study: The Emergency Paediatric Unit (EPU) of the Jos University Teaching Hospital (JUTH), Jos Nigeria, between January 2012 and December 2015. Original Research Article Yiltok et al.; BJMMR, 22(2): 1-6, 2017; Article no.BJMMR.34099 2 Methodology: A total of 2277 children aged 6 weeks-18 years were admitted into the unit within the study period. Out of these, 498 (21.9%) were diagnosed with respiratory disease. Clinical records were retrieved and reviewed. Those with inconclusive diagnosis as well as those with associated co-morbidities such as cardiac anomalies were excluded. The data collected were entered and analyzed using Epi Info version 7.2. Student t-test and chi-square test were used to analyze categorical and continuous variables respectively. Results: Pneumonia accounted for 54.4% of total respiratory diseases. Cases of Pneumonia were mostly seen at the peak of the rainy and the harmattan seasons. (March, June/July and October/November). The highest number of cases of respiratory diseases were in the under-fives. The commonest complication was congestive cardiac failure and it was commoner in the younger age group. Conclusion: The prevalence of respiratory diseases remains high and contributes significantly to hospital admissions especially in the under five children. There is need to introduce new vaccines and re-enforce existing immunization against common organisms that cause pneumonia in children. There is also need to introduce policies that would ensure appropriate treatment for children to reduce the burden of these diseases.
目的:呼吸道疾病在很大程度上导致儿科住院和死亡,特别是在低收入国家。了解这些趋势将有助于卫生规划和资源分配。本研究旨在描述尼日利亚中北部三级医疗机构儿童呼吸系统疾病的模式和趋势。研究设计:本研究是一项回顾性研究,包括所有因呼吸系统疾病入院和治疗的患者。从医院记录中提取了相关的临床信息。学习地点和时间:2012年1月至2015年12月在尼日利亚乔斯乔斯大学教学医院儿科急诊科(EPU)学习。原创研究文章iltok等;地球物理学报,22(2):1-6,2017;文章no.BJMMR。方法:在研究期间,共有2277名6周至18岁的儿童进入该单元。其中,498人(21.9%)被诊断患有呼吸系统疾病。检索并回顾临床记录。排除了诊断不确定以及伴有心脏异常等相关合并症的患者。收集的数据使用Epi Info 7.2版本进行输入和分析。分类变量分析采用学生t检验,连续变量分析采用卡方检验。结果:肺炎占呼吸道疾病总数的54.4%。肺炎病例多见于雨季和雨季的高峰期。(三月、六月/七月及十月/十一月)。5岁以下儿童患呼吸道疾病的人数最多。最常见的并发症是充血性心力衰竭,在年轻年龄组中更为常见。结论:呼吸道疾病的患病率仍然很高,是导致住院的重要原因,特别是在5岁以下儿童中。有必要引进新的疫苗,并加强现有的免疫接种,以预防引起儿童肺炎的常见微生物。还需要制定政策,确保儿童得到适当治疗,以减轻这些疾病的负担。
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引用次数: 0
No More Live Lectures - Quixotism or Realism-? Association between Learning Preferences and Attendances at Live Lectures 不再有现场讲座——是堂吉诃德式的还是现实主义的?学习偏好与现场讲座出勤率的关系
Pub Date : 2017-01-10 DOI: 10.9734/BJMMR/2017/33051
Siaw-Cheok Liew, J. Sidhu, A. Barua
Background: The increasing decline in medical students’ attendances at live lectures left educators with differing views on its acceptability. Aim: The aim of this study was to look at the association between the medical students’ attendances at live lectures and their learning preferences and outcomes. Study Design: University based, cross sectional study. The study 2015. Methodology: All the pre-clinical medical students (Year 2 and Year 3) were invited to participate in this study. A total of 776 students, Year 2 (397) and Year 3 (379) students participated in this study. The students’ recorded attendances at live lectures were compared to their (i) learning preferences; VARK (Visual/Aural/ReadWrite/Kinesthetic) and ASSIST (Approaches and Study Skills Inventory for Students) and to their (ii) performances at the summative examinations. Data was analysed using Pearson Chi-square test. Results: A majority of medical students (54.8%) still attend live lectures. The attenders were mostly auditory (p=0.010) learners. Non-attenders at live lectures perform better in the examination compared to the attenders (p=0.003). Those who used online lectures as their aid to studying performed better in the examination (p=0.026). Conclusions: Medical students still attend live lectures regularly. However, high performances at summative examination was associated with non-attendances at live lectures and the use of online learning/online lectures.
背景:医学生出席现场讲座的人数日益下降,这使得教育工作者对其可接受性持不同看法。目的:本研究的目的是观察医学生出席现场讲座与他们的学习偏好和结果之间的关系。研究设计:基于大学的横断面研究。2015年的研究。方法:邀请所有临床前医学专业学生(二年级和三年级)参与本研究。本研究共有776名学生参与,二年级397名,三年级379名。将学生的现场讲座出勤率记录与他们的学习偏好进行比较;VARK(视觉/听觉/读写/动觉)和ASSIST(学生方法和学习技能清单)以及他们在总结性考试中的表现。数据分析采用Pearson卡方检验。结果:大多数医学生(54.8%)仍然参加现场讲座。参与者多为听觉型学习者(p=0.010)。不参加现场讲座的学生比参加现场讲座的学生在考试中表现更好(p=0.003)。使用网络课程辅助学习的学生在考试中表现更好(p=0.026)。结论:医学生仍然定期参加现场讲座。然而,总结性考试的高分与不出席现场讲座和使用在线学习/在线讲座有关。
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引用次数: 1
Phenylthiocarbamide Taste Perception among HIV- Infected Patients on Highly Active Antiretroviral Therapy 高活性抗逆转录病毒治疗的HIV感染者苯硫胺味觉感知
Pub Date : 2017-01-10 DOI: 10.9734/BJMMR/2017/29573
C. Igbeneghu, T. Oluwatunbi, O. Aina, J. Olisekodiaka
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引用次数: 2
Peri-apical Sinus, A Leading Edge of Gorlin–Goltz Syndrome: Case Report 根尖周围窦,Gorlin-Goltz综合征的前沿:1例报告
Pub Date : 2017-01-10 DOI: 10.9734/BJMMR/2017/32469
V. Tripathi, A. Nagarajappa, V. Chauhan, K. Chandrashekar, Rohit Mishra, S. Tripathi
Gorlin–Goltz syndrome is an autosomal dominant disorder, with mutations in the patched tumor suppressor gene (PTCH1) leading to a wide range of developmental anomalies and neoplasms of cutaneous, dental, osseous, ophthalmic and neurological origin. It commonly presents as multiple keratocystic odontogenic tumors (KCOTs) of the jaws, basal cell carcinomas (BCC) of skin, calcifications of the falx cerebri, ocular hypertelorisms, palmar-plantar pits, bridging of sella turcica and macrocephaly. In addition to these major criteria, more than 100 minor criteria have been described. We hereby, present one such case of Gorlin-Goltz syndrome reported to our dental clinic in Jabalpur, India. A 20 year old male patient presented with complaint of foul fluid discharge Case Study Tripathi et al.; BJMMR, 20(10): 1-8, 2017; Article no.BJMMR.32469 2 from a peri-apical sinus of an over retained, mobile Deciduous Maxillary left canine tooth. Patient’s general physical examination revealed macrocephaly, wide nasal bridge, ocular hypertelorism, numerous naevi and a sebaceous cyst. Panoramic and CT examinations revealed presence of multiple keratocystic odontogenic tumors (KCOT) in both the jaws, bridging of sella turcica, patchy calcifications of falx cerebri and tentorium cerebelli. Though, multi-disciplinary examination revealed no evidence of neoplasm, multi-disciplinary treatment along with genetic counseling was provided to the patient. Lifelong surveillance was offered to prevent future morbidity and mortality associated with this syndrome. This case, illustrates the importance of thorough dental and physical examination including examination of draining oral sinuses, missing teeth, deciduous teeth, macrocephaly and frontal bossing. Additionally, detailed investigations in patients with lesions suggestive of aberrant phenotypic characteristics are mandatory.
Gorlin-Goltz综合征是一种常染色体显性遗传病,斑块肿瘤抑制基因(PTCH1)突变可导致广泛的发育异常和皮肤、牙齿、骨骼、眼科和神经系统起源的肿瘤。它通常表现为颌骨的多发性角化囊性牙源性肿瘤(KCOTs),皮肤基底细胞癌(BCC),大脑镰的钙化,眼远端畸形,掌足底窝,蝶鞍桥接和大头畸形。除了这些主要标准之外,还描述了100多个次要标准。我们在此提出一例Gorlin-Goltz综合征,报告给我们在印度贾巴尔普尔的牙科诊所。1例20岁男性患者以恶臭液体排出主诉。地球物理学报,20(10):1-8,2017;文章no.BJMMR。32469 2来自一颗保留的、活动的乳牙左上颌犬牙的尖周窦。一般体格检查显示:头大、鼻梁宽、眼远视、大量痣及皮脂腺囊肿。全景及CT检查显示双颌多发角化囊性牙源性肿瘤(KCOT),蝶鞍桥接,大脑镰及小脑幕片状钙化。虽然多学科检查没有发现肿瘤的证据,但我们为患者提供了多学科治疗和遗传咨询。提供终身监测以预防与该综合征相关的未来发病率和死亡率。这个病例说明了彻底的牙科和身体检查的重要性,包括检查口窦、缺牙、乳牙、大头畸形和额部隆起。此外,对提示异常表型特征的病变患者进行详细调查是强制性的。
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引用次数: 0
Relationship between Emotional Intelligence and Self-Concept in Individuals with Spinal Cord Injury 脊髓损伤患者情绪智力与自我概念的关系
Pub Date : 2017-01-10 DOI: 10.9734/BJMMR/2017/32769
R. Suriá
The present study aims to identify different profiles in emotional intelligence (EI) and self-concept of the participants with disabilities according to functionality of spinal cord injury. In addition, significant differences in self-concept domains among profiles previously identified are also analysed. The Trait Meta-Mood Scale-24 (TMMS-24) and AF5 Self-concept Questionnaire were administered to 98 participants with physical disabilities by traffic accidents (42 tetraplegics and 56 paraplegics). Cluster analyses allowed identifying three different EI profiles: a group of participants with low EI profile, a group with predominance of high emotional repair and regulation and, finally, a group of participants with high EI. Results also revealed significant statistical differences in most domains of self-concept among profiles. Results suggest the need of going in depth on EI knowledge and design enhancement of self-concept programs for people with spinal cord injury.
本研究的目的是根据脊髓损伤的功能来确定残疾参与者的情绪智力和自我概念的不同特征。此外,自我概念领域的显著差异,在档案之前确定也进行了分析。对98例交通事故致残者(42例四肢瘫痪者和56例截瘫者)进行特质元情绪量表-24 (tms -24)和AF5自我概念问卷调查。聚类分析可以识别出三种不同的EI概况:低EI概况的一组参与者,高情绪修复和调节优势的一组,最后是高EI的一组参与者。结果还显示,在大多数领域的自我概念显著的统计差异。研究结果表明,需要对脊髓损伤患者的自我概念知识进行深入的了解,并设计增强的自我概念方案。
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引用次数: 0
Trace Elements Levels and Blood Pressure in Ghanaian Women Using Depot Medroxyprogesterone Acetate Contraceptive 加纳妇女使用醋酸甲孕酮避孕药的微量元素水平和血压
Pub Date : 2017-01-10 DOI: 10.9734/BJMMR/2017/32565
Justice Afrifa, S. Essien-Baidoo, E. Ofori, A. Abaka-Yawson
Background: The benefit of depot medroxyprogesterone acetate (DMPA) (an injectable contraceptive) relate to the fact that it has a very high efficacy in pregnancy prevention. Aim: We investigated the effect of the hormonal contraceptive, DMPA on the levels of trace elements: (Selenium (Se), Copper (Cu), Zinc (Zn)) and blood pressure. Materials and Methods: Fifty (50) women on DMPA and thirty (30) controls (who were not on DPMA) were recruited from the Kasoa Polyclinic in the Central Region of Ghana. Blood was collected for the estimation of trace elements using mass spectrometry. Blood pressure was measured and body mass index (BMI) calculated. Results: Serum levels of Cu was found to be significantly elevated among participants on DMPA compared to healthy controls (P=0.002). Se levels were however slightly but insignificantly reduced (P=0.316) among participants on DMPA. There was also a significantly elevated diastolic blood pressure (76.00 ± 11.95 mmHg, P=0.03) among DMPA users compared to the controls. Serum Cu correlated positively with Zn(r=0.463) (P=0.001) among the DMPA users. Conclusion: DMPA users had an increase in Cu with reduced Se levels as well as an increased blood pressure. However, no change in serum Zn concentration was seen among DMPA users compared to the controls.
背景:醋酸甲孕酮(DMPA)(一种注射避孕药)的益处与它具有非常高的预防妊娠的功效有关。目的:探讨激素避孕药DMPA对小鼠体内微量元素硒(Se)、铜(Cu)、锌(Zn)水平及血压的影响。材料和方法:从加纳中部地区的Kasoa综合诊所招募了50(50)名服用DMPA的妇女和30(30)名对照组(未服用DPMA)。采集血样,用质谱法测定微量元素。测量血压,计算体重指数(BMI)。结果:与健康对照组相比,服用DMPA的受试者血清铜水平显著升高(P=0.002)。然而,在服用DMPA的参与者中,硒水平略有但不显著降低(P=0.316)。与对照组相比,DMPA使用者的舒张压也显著升高(76.00±11.95 mmHg, P=0.03)。DMPA使用者血清Cu与Zn呈正相关(r=0.463) (P=0.001)。结论:DMPA服用者铜水平升高,硒水平降低,血压升高。然而,与对照组相比,DMPA使用者的血清锌浓度没有变化。
{"title":"Trace Elements Levels and Blood Pressure in Ghanaian Women Using Depot Medroxyprogesterone Acetate Contraceptive","authors":"Justice Afrifa, S. Essien-Baidoo, E. Ofori, A. Abaka-Yawson","doi":"10.9734/BJMMR/2017/32565","DOIUrl":"https://doi.org/10.9734/BJMMR/2017/32565","url":null,"abstract":"Background: The benefit of depot medroxyprogesterone acetate (DMPA) (an injectable contraceptive) relate to the fact that it has a very high efficacy in pregnancy prevention. Aim: We investigated the effect of the hormonal contraceptive, DMPA on the levels of trace elements: (Selenium (Se), Copper (Cu), Zinc (Zn)) and blood pressure. Materials and Methods: Fifty (50) women on DMPA and thirty (30) controls (who were not on DPMA) were recruited from the Kasoa Polyclinic in the Central Region of Ghana. Blood was collected for the estimation of trace elements using mass spectrometry. Blood pressure was measured and body mass index (BMI) calculated. Results: Serum levels of Cu was found to be significantly elevated among participants on DMPA compared to healthy controls (P=0.002). Se levels were however slightly but insignificantly reduced (P=0.316) among participants on DMPA. There was also a significantly elevated diastolic blood pressure (76.00 ± 11.95 mmHg, P=0.03) among DMPA users compared to the controls. Serum Cu correlated positively with Zn(r=0.463) (P=0.001) among the DMPA users. Conclusion: DMPA users had an increase in Cu with reduced Se levels as well as an increased blood pressure. However, no change in serum Zn concentration was seen among DMPA users compared to the controls.","PeriodicalId":9249,"journal":{"name":"British journal of medicine and medical research","volume":"4 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2017-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76010959","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: 3
Knowledge and Attitude of Cone Beam CT- A Questionnaire Based Study among Saudi Dental Students 锥形束CT知识与态度——沙特牙科学生问卷调查研究
Pub Date : 2017-01-10 DOI: 10.9734/bjmmr/2017/30561
Reham Noaman, S. Khateeb
questionnaire the data and statistically the introduction and results. the analysis of the study, the discussion and ABSTRACT Aims: The aim of this study was to assess the knowledge and attitude of cone-beam computed tomography (CBCT) among undergraduate (UGS) and postgraduate (PGS) Saudi female dental students in College of Dentistry, Taibah University, Al-Madinah Al Monwarah. Study Design: Observational cross-sectional study. Study: between January 2016 till 2016. Methodology: This study incorporated 108 female dental students. The information was assembled through an online anonymous pre-prepared questionnaire consisted of 15 structured Original Research Article close-ended questions. Descriptive statistics calculated in terms of frequencies and percentages by Chi-Square test. Results: Our study showed that the majority of participants knew CBCT (93.8%). Awareness of CBCT was nearly similar between UGS (92.9%) and PGS (100.0%). The highest percentage of participants (67.9%) acquired information about CBCT from faculty lessons. Only three (3.7%) did not work with digital radiography. Most of the UGS agreed that the faculty provided adequate education regarding CBCT (70%), in contrast with PGS who disagreed (90.9%). 86.4% of contributors supposed it is needed for CBCT to be available at dental faculties. There was a high satisfaction of using CBCT amongst UGS (78.6%) and PGS (90.9%). Conclusion: The study participants’ responses reflect the importance of CBCT in the dental field. Nevertheless, the study necessitates that dental school curriculum should include adequate CBCT practical training and its integration with other clinical courses to improve students’ basic knowledge and interpretation regarding this recent technology.
问卷调查的数据和统计的介绍和结果。摘要目的:本研究的目的是评估Taibah大学Al- madinah Al Monwarah牙科学院沙特阿拉伯女牙科本科生(UGS)和研究生(PGS)对锥形束计算机断层扫描(CBCT)的知识和态度。研究设计:观察性横断面研究。研究时间:2016年1月至2016年。方法:本研究纳入108名女牙科学生。信息是通过在线匿名预先准备的问卷收集的,问卷由15个结构化的原创研究文章封闭式问题组成。用卡方检验以频率和百分比计算的描述性统计。结果:我们的研究显示,大多数参与者知道CBCT(93.8%)。UGS(92.9%)和PGS(100.0%)对CBCT的认知度几乎相似。从教师课程中获得CBCT信息的参与者比例最高(67.9%)。只有3人(3.7%)没有使用数字x线摄影。大多数UGS(70%)同意教师提供了足够的CBCT教育,而PGS(90.9%)不同意。86.4%的受访者认为牙科学院需要CBCT。UGS(78.6%)和PGS(90.9%)对使用CBCT的满意度较高。结论:研究参与者的反应反映了CBCT在牙科领域的重要性。然而,这项研究要求牙科学校的课程应该包括足够的CBCT实践培训,并与其他临床课程相结合,以提高学生对这项最新技术的基本知识和理解。
{"title":"Knowledge and Attitude of Cone Beam CT- A Questionnaire Based Study among Saudi Dental Students","authors":"Reham Noaman, S. Khateeb","doi":"10.9734/bjmmr/2017/30561","DOIUrl":"https://doi.org/10.9734/bjmmr/2017/30561","url":null,"abstract":"questionnaire the data and statistically the introduction and results. the analysis of the study, the discussion and ABSTRACT Aims: The aim of this study was to assess the knowledge and attitude of cone-beam computed tomography (CBCT) among undergraduate (UGS) and postgraduate (PGS) Saudi female dental students in College of Dentistry, Taibah University, Al-Madinah Al Monwarah. Study Design: Observational cross-sectional study. Study: between January 2016 till 2016. Methodology: This study incorporated 108 female dental students. The information was assembled through an online anonymous pre-prepared questionnaire consisted of 15 structured Original Research Article close-ended questions. Descriptive statistics calculated in terms of frequencies and percentages by Chi-Square test. Results: Our study showed that the majority of participants knew CBCT (93.8%). Awareness of CBCT was nearly similar between UGS (92.9%) and PGS (100.0%). The highest percentage of participants (67.9%) acquired information about CBCT from faculty lessons. Only three (3.7%) did not work with digital radiography. Most of the UGS agreed that the faculty provided adequate education regarding CBCT (70%), in contrast with PGS who disagreed (90.9%). 86.4% of contributors supposed it is needed for CBCT to be available at dental faculties. There was a high satisfaction of using CBCT amongst UGS (78.6%) and PGS (90.9%). Conclusion: The study participants’ responses reflect the importance of CBCT in the dental field. Nevertheless, the study necessitates that dental school curriculum should include adequate CBCT practical training and its integration with other clinical courses to improve students’ basic knowledge and interpretation regarding this recent technology.","PeriodicalId":9249,"journal":{"name":"British journal of medicine and medical research","volume":"22 1","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2017-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81822516","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: 5
Prevalence of AmpC Beta-lactamase in Gram Negative Bacilli by Different Phenotypic Methods in a Tertiary Care Institute in Kashmir 克什米尔三级保健机构不同表型方法测定革兰氏阴性杆菌AmpC β -内酰胺酶的流行情况
Pub Date : 2017-01-10 DOI: 10.9734/bjmmr/2017/30462
R. Shagufta, B. Fomda, B. Gulnaz, Samad Lubna, Abiroo Jan, S. Mohd, Ahmad Junaid
RS designed the study BAF managed the literature searches and analyses of the study performed. the experimental process. SL, A. Jan and A. Junaid in analyses of the results. SM in analysis of results and the first of the ABSTRACT Context: AmpC type cephalosporinases are Ambler class C β -lactamases. They hydrolyze penicillins, cephalosporins; except the fourth-generation compounds and monobactams. To the best of our knowledge prevalence of AmpC in our hospital is not known. Aims: With this background the study was undertaken to detect the prevalence of AmpC lactamases in gram-negative bacilli at our institute. We also performed four different tests, i.e. AmpC disc test, modified Hodge test, modified three dimensional spot inoculation test on a single agar plate (three in one) and inhibitor based test using boronic acid for detecting AmpC production. Methods and Materials: Screening for AmpC was done by using cefoxitin discs. Organisms resistant to cefoxitin were tested for presence of AmpC by AmpC disc test, Modified Hodge test, Three dimensional spot inoculation test and Boronic acid disc test. Statistical Analysis: Statistical analysis was done by Chi Square test and Fishers Exact Test with the SPSS statistical programme (version 20.0). Results: A total of 1323 non duplicate Gram negative bacilli were isolated during a period of one year in the Department of microbiology SKIMS. Out of these 1323 isolates, 150 isolates were found to be resistant to cefoxitin and one or more third generation cephalosporin antibiotics or showed antagonism between cefoxitin and cefotaxim discs thus fulfilling the criteria and were included in the present study. Forty five (3.4%) were positive for AmpC beta lactamases. Boronic acid test detected 38 (25.3%), AmpC disc test 35 (23.3%), MHT 29 (19.3%) and MTDST detected 27 (18%). Conclusions: Inhibitor based test using boronic acid detected the maximum number of AmpC producing organisms. It is a simple and cost effective test that can be incorporated in routine susceptibility testing plate thus saving time also.
RS设计了研究,BAF管理了研究的文献检索和分析。实验过程。SL, A. Jan和A. Junaid对结果进行了分析。摘要背景:AmpC型头孢菌素酶是Ambler类C β -内酰胺酶。它们水解青霉素类,头孢菌素类;除了第四代化合物和单巴克坦。据我们所知,本院AmpC患病率尚不清楚。目的:在此背景下,对我院革兰氏阴性杆菌AmpC内酰胺酶的流行情况进行检测。我们还进行了四种不同的试验,即AmpC圆盘试验、改良的Hodge试验、改良的单琼脂板三维斑点接种试验(三合一)和硼酸抑制剂试验,以检测AmpC的产生。方法与材料:头孢西丁片筛选AmpC。采用AmpC圆盘试验、改良霍奇试验、三维斑点接种试验和硼酸圆盘试验检测耐头孢西丁菌AmpC的存在。统计分析:统计分析采用卡方检验和fisher精确检验,使用SPSS统计程序(20.0版)。结果:我院微生物科1年内共分离非重复革兰氏阴性杆菌1323株。在这1323株菌株中,发现150株菌株对头孢西丁和一种或多种第三代头孢菌素类抗生素耐药,或在头孢西丁和头孢噻肟片之间表现出拮抗,符合标准,纳入本研究。45例(3.4%)AmpC β内酰胺酶阳性。硼酸试验38例(25.3%),AmpC盘试验35例(23.3%),MHT 29例(19.3%),MTDST 27例(18%)。结论:硼酸抑制剂法检测出AmpC产生菌的最大数量。这是一个简单的和经济有效的测试,可以纳入常规药敏试验板,从而节省时间也。
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引用次数: 6
Periodontal Health Prevention in Radiated and Healthy Elderly Using Mouthwashes of Quercus ilex 回肠栎漱口水对辐射健康老年人牙周健康的预防作用
Pub Date : 2017-01-10 DOI: 10.9734/BJMMR/2017/22756
Gloria Patricia Perea González, Blanca Estrada Esquivel Esquivel, Luminosa Fuente, M. García, Hazel Perea, Laura Quitl Reyes
Aims: The use of aqueous extracts of Quercus ilex as a mouthwash is reduced by 80% periodontal disease in healthy patients and patients with radiated head and neck cancer, in addition to increasing salivary flow and neutralizing the pH. Methodology: We included 200 patients (100 men, 100 women; age range 60-70 years) healthy and with head/neck cancer with radiotherapy treatment were included, Participants: toothed or toothed partially (first molars and teeth), non-smokers, without caries Cervical, non-drinkers, bruxism not present, not using mouthwashes, unilateral chewing, systemic diseases not present. Calibration of observers obtaining a Cohen kappa coefficient of 0.97 for caries/periodontal disease with a confidence interval of 95% was made as well as the Simplified Oral Hygiene Index (OHI). The 200 patients after the first collection of saliva, smoothed and curetaje of the teeth of the left side of the mouth, used toothbrush and toothpaste; On the fifteenth day of the second collection of saliva, desquamation and flattening of roots on the right side, brushes, toothpaste and mouth rinses of aqueous extracts of Quercus ilex . Results: The mean for both groups, preoperative for brushing technique was deficient (92%), radiographically moderate bone disease; Periodontal pockets depth 4 to 5mm. Patients healthy and with AC pH 5.9 / 5.7, salivary flow 4.34 ± 0.85 ml 2.60 ± 0.45 ml. The postoperative period reduces the widening of the periodontal ligament, the technique of adequate brushing (97%), periodontal disease without mouthwash improves 35% of patients; Mouthwash treatment improves 85% of patients. Changes pH to 6.5 / 7.1 and salivary flow 4.92 ± 0.92 ml 3.89 ± 0.66 ml Conclusion: The use of aqueous extracts of Quercus ilex as a mouthwash is reduced by 80% periodontal disease in patients with radiated head and neck cancer, in addition to increasing salivary flow and neutralizing the pH.
目的:在健康患者和放射头颈癌患者中,除了增加唾液流量和中和ph值外,使用栓皮水提取物作为漱口水可减少80%的牙周病。方法:我们纳入了200例患者(100男,100女;参与者:有牙齿或部分有牙齿(第一磨牙和牙齿),不吸烟,无龋齿,不饮酒,无磨牙,不使用漱口水,单侧咀嚼,无全身性疾病。对观察员进行校正,获得龋病/牙周病的Cohen kappa系数为0.97,置信区间为95%,并对简化口腔卫生指数(OHI)进行校正。200例患者首次采集唾液后,对口腔左侧牙齿进行理顺和清洁,使用牙刷和牙膏;第二次采集唾液第15天,右侧根茎脱屑、变平,用白骨栎水提液刷、牙膏、漱口水。结果:两组平均术前刷牙技术不足(92%),影像学显示骨病中度;牙周袋深度4至5毫米。患者健康,AC pH 5.9 / 5.7,唾液流量4.34±0.85 ml(2.60±0.45 ml)。术后牙周韧带加宽减少,适当刷牙技术(97%),牙周病无漱口水改善患者35%;漱口水治疗改善了85%的患者。结论:槲皮水提液作为漱口水,除了增加唾液流量和中和pH外,还能减少80%放射头颈癌患者的牙周病。
{"title":"Periodontal Health Prevention in Radiated and Healthy Elderly Using Mouthwashes of Quercus ilex","authors":"Gloria Patricia Perea González, Blanca Estrada Esquivel Esquivel, Luminosa Fuente, M. García, Hazel Perea, Laura Quitl Reyes","doi":"10.9734/BJMMR/2017/22756","DOIUrl":"https://doi.org/10.9734/BJMMR/2017/22756","url":null,"abstract":"Aims: The use of aqueous extracts of Quercus ilex as a mouthwash is reduced by 80% periodontal disease in healthy patients and patients with radiated head and neck cancer, in addition to increasing salivary flow and neutralizing the pH. Methodology: We included 200 patients (100 men, 100 women; age range 60-70 years) healthy and with head/neck cancer with radiotherapy treatment were included, Participants: toothed or toothed partially (first molars and teeth), non-smokers, without caries Cervical, non-drinkers, bruxism not present, not using mouthwashes, unilateral chewing, systemic diseases not present. Calibration of observers obtaining a Cohen kappa coefficient of 0.97 for caries/periodontal disease with a confidence interval of 95% was made as well as the Simplified Oral Hygiene Index (OHI). The 200 patients after the first collection of saliva, smoothed and curetaje of the teeth of the left side of the mouth, used toothbrush and toothpaste; On the fifteenth day of the second collection of saliva, desquamation and flattening of roots on the right side, brushes, toothpaste and mouth rinses of aqueous extracts of Quercus ilex . Results: The mean for both groups, preoperative for brushing technique was deficient (92%), radiographically moderate bone disease; Periodontal pockets depth 4 to 5mm. Patients healthy and with AC pH 5.9 / 5.7, salivary flow 4.34 ± 0.85 ml 2.60 ± 0.45 ml. The postoperative period reduces the widening of the periodontal ligament, the technique of adequate brushing (97%), periodontal disease without mouthwash improves 35% of patients; Mouthwash treatment improves 85% of patients. Changes pH to 6.5 / 7.1 and salivary flow 4.92 ± 0.92 ml 3.89 ± 0.66 ml Conclusion: The use of aqueous extracts of Quercus ilex as a mouthwash is reduced by 80% periodontal disease in patients with radiated head and neck cancer, in addition to increasing salivary flow and neutralizing the pH.","PeriodicalId":9249,"journal":{"name":"British journal of medicine and medical research","volume":"8 1","pages":"1-15"},"PeriodicalIF":0.0,"publicationDate":"2017-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85439161","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
Is There a Causal Relationship between Myopia and Intraocular Pressure 近视与眼压有因果关系吗
Pub Date : 2017-01-10 DOI: 10.9734/bjmmr/2017/30241
N. Chinawa, A. Adio, I. Chukwuka
Aims: To determine if there is causal association between myopia and intraocular pressure at the University of Port Harcourt Teaching Hospital (UPTH), Nigeria. Study Design: A case control study. Place and Duration of Study: The study was carried out at the University of Port Harcourt Teaching Hospital (UPTH) between November, 2012 and May, 2013. Methodology: Eighty consecutive patients of myopes (group A) and emmetropes (group B) were sampled in two groups. Group A was subgrouped into low myopia (−3.0D
目的:在尼日利亚哈科特港大学教学医院(UPTH)确定近视和眼压之间是否存在因果关系。研究设计:病例对照研究。研究地点和时间:研究于2012年11月至2013年5月在哈科特港大学教学医院(UPTH)进行。方法:将80例近视(A组)和近视(B组)患者分为两组。A组分为低近视(- 3.0D<球面等效(SE) - 0.5D)、中度近视(- 3.0D SE-< -6.0 d)和高度近视(SE≥-6)。在上午9点至中午12点用Perkins眼压计(MK2型)测量眼压。采用卡尔蔡司(Carl Zeiss mediitec)进行自折射,用扫描超声仪(Pascan 300A数字生物识别仪)测量轴向长度。对眼底进行了全面检查。原创研究文章Chinawa等;地球物理学报,20(10):1-7,2017;文章no.BJMMR。结果:A组和b组各80例患者160眼,平均年龄23.54±12.74岁,对照组平均年龄23.62±12.86岁(P=0.968)。其中,雄性42只(52.5%),雌性38只(47.5%);对照组雄性32只(40.0%),雌性48只(60.0%)。男性(p=0.411)和女性(0.416)的性别差异均无统计学意义。两组平均眼轴长度为24.03±1.68 mm,对照组平均眼轴长度为23.09±0.87 mm (P=0.001)。近视与IOP无相关性(Pearson相关系数:r=0.14, r=0.02, 95% CI=-0.14 ~ 0.18)。两组的IOP与眼轴长度也没有相关性。然而,近视与眼轴长度呈线性相关(r=0.76, r=0.57, 95% CI=0.45-0.67)。结论:在我们的研究中,近视眼的眼轴长度比近视眼长,这种差异不是由眼压的变化引起的。
{"title":"Is There a Causal Relationship between Myopia and Intraocular Pressure","authors":"N. Chinawa, A. Adio, I. Chukwuka","doi":"10.9734/bjmmr/2017/30241","DOIUrl":"https://doi.org/10.9734/bjmmr/2017/30241","url":null,"abstract":"Aims: To determine if there is causal association between myopia and intraocular pressure at the University of Port Harcourt Teaching Hospital (UPTH), Nigeria. Study Design: A case control study. Place and Duration of Study: The study was carried out at the University of Port Harcourt Teaching Hospital (UPTH) between November, 2012 and May, 2013. Methodology: Eighty consecutive patients of myopes (group A) and emmetropes (group B) were sampled in two groups. Group A was subgrouped into low myopia (−3.0D<Spherical Equivalent (SE) −0.5D), moderate myopia (−3.0D SE-< -6.0D) and high myopia (SE ≥ -6). Intraocular pressures were taken between 9am -12 mid-day by Perkins applanation tonometer (MK2 Model). Autorefraction was carried out with (Carl Zeiss meditec) while Axial length was measured with A scan ultrasound machine (Pascan 300A Digital biometric reader). Full examination of the fundus was carried out. Original Research Article Chinawa et al.; BJMMR, 20(10): 1-7, 2017; Article no.BJMMR.30241 2 Result s: 160 eyes of 80 patients each were respectively in groups A and B. The mean age of the myopes was 23.54 ± 12.74 years while that of the controls was 23.62±12.86 years (P=0.968). Among the myopes, there were 42(52.5%) males and 38(47.5%) females while the control had 32(40.0%) males and 48(60.0%) females. There was no statistical difference in male (p=0.411) nor female (0.416) gender. The mean axial length of the myopes was 24.03±1.68 mm while that of the control was 23.09±0.87 mm. (P=0.001). There was no correlation between myopia and IOP (Pearson correlation coefficient: r=0.14, r=0.02, 95% CI=-0.14-0.18). There was also no correlation between IOP and axial length in both groups. There was however a linear correlation between myopia and axial length(r=0.76, r=0.57, 95% CI=0.45-0.67. Conclusion: Myopes have longer axial length than emmetropes in our study, this difference was not accounted for by changes in intraocular pressure.","PeriodicalId":9249,"journal":{"name":"British journal of medicine and medical research","volume":"9 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2017-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85696851","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: 5
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British journal of medicine and medical research
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