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Impact of COVID-19 on the Clinical Picture and Therapy of Schizophrenia COVID-19对精神分裂症临床表现及治疗的影响
Pub Date : 2022-02-08 DOI: 10.31579/2690-1919/229
Nadir A. Aliyev, Teymur A. Qafarov, Agahasan R. Rasulov, Eldar R. Hagverdi, Zafar N. Aliyev
Objective: The purpose of this study was a retrospective study of the contingent of schizophrenia patients who were most infected with COVID-19. Materials and Methods: We study 350 patients schizophrenia who infected with COVID-19 impact on the clinical picture and therapy of the illness. The investigation ware carried out in psychiatric hospital Ministry of Health of the Republic of Azerbaijan. The hospital has a capacity of 2000 beds. Results: Patients with schizophrenia who infected with COVID-19 in these clinically observed following changes: the intensity of psychopathological symptoms decreases, psychosomatic balancing occurs, that is, during the COVID-19 illness, schizophrenic symptoms fade into the background, practically become invisible. Conclusion: Patients schizophrenia who infected with COVID-19 in these clinically observed shows an improvement in their mental health.
目的:本研究旨在对新冠肺炎感染人数最多的精神分裂症患者进行回顾性研究。材料与方法:研究350例新冠肺炎精神分裂症患者对其临床表现及治疗的影响。调查是在阿塞拜疆共和国卫生部精神病院进行的。这家医院可容纳2000张床位。结果:感染新冠肺炎的精神分裂症患者在这些临床上观察到以下变化:精神病理学症状强度降低,出现身心平衡,即在新冠肺炎患病期间,精神分裂症症状淡化为背景,实际上变得不可见。结论:临床观察的新冠肺炎精神分裂症患者的心理健康状况有所改善。
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引用次数: 0
The Role of Oxytocin, Prolactin, and Estrogen in Male Sexual Functions 催产素、催乳素和雌激素在男性性功能中的作用
Pub Date : 2022-02-08 DOI: 10.31579/2690-1919/228
Azab Elsayed Azab
Background: The dysfunction in sexual ability has effects on the quality of life in men. Oxytocin plays a role in sexual and social behaviors. Hyperprolactemic males had erectile dysfunction. Endogenous estrogens in men, are not only important for health integrity but can additionally cause the promotion of many diseases. Objectives: The current review aimed to high light on the role of oxytocin, prolactin, and estrogen in male sexual functions. Oxytocin neurons have been heavily implicated in mediating sexual behavior in both humans and animals. Oxytocin hormone regulates social behaviors such as mating, maternal/paternal care, and bonding. Oxytocin levels rise during mating in females and males in humans and animals and may mediate anxiolytic/calming effects of sexual activity and antidepressant effects.Oxytocin’s role in regulating erection and ejaculation has been studied in mice and rats. Oxytocinergic projections from the paraventricular nucleus to the hippocampus, medulla oblongata, and spinal cord facilitate penile erection. Prolactin (PRL) serves a dual function both as a circulatory hormone and as a cytokine. PRL is known to be involved in the control of male copulatory behavior in humans, mice, rats, and other rodent models. It release during copulation in males and has a positive modulation for various aspects of testicular functions which hinting at the crucial role of prolactin in male reproduction. The lower concentration of prolactin was associated with reduced seminal vesicle volume and ejaculate in the infertile human male. Hypoprolactinemia has been associated with premature ejaculation and erectile dysfunction. Hyperprolactinemia can be caused by tumors, drugs, or idiopathic, leading to alterations in sexual behavior as loss of libido and erectile dysfunction. It is also reported that it can cause endocrine disturbances leading to abnormal levels of testosterone, FSH, and LH. Chronic hyperprolactinaemia suppresses copulatory behaviour in animal models and yields sexual dysfunction and other side effects in men. In men, testosterone acting via its action on androgen receptors may be dependent on the action of aromatase enzyme on of testosterone and converting it to estradiol (E2). Estrogens act through ERα and ERβ at the plasma membrane and in the nucleus to regulate functions of many organs in men. The role of estradiol action on libido is seen at various levels of regulation, starting with direct effects in the brain. Not only does estradiol modulate sexual behavior in the adult male, it also appears to organize the early brain to program sexual behavior. The exact role of estradiol in each area of male sexual function including libido, spermatogenesis, and erectile function is difficult to determine. A complex balance of testosterone, estradiol, aromatase, and estrogen receptors in brain, testes, and penis, confirmed the indispensable and highly regulated hormonal interaction of estrogen in the male. Conclusion: It can be co
背景:男性性能力功能障碍会影响生活质量。催产素在性行为和社会行为中发挥作用。高泌乳症男性有勃起功能障碍。男性体内的内源性雌激素不仅对健康完整性很重要,而且还会引发许多疾病。目的:本综述旨在阐明催产素、泌乳素和雌激素在男性性功能中的作用。催产素神经元在人类和动物的性行为中起着重要的中介作用。催产素调节社会行为,如交配、母亲/父亲的照顾和联系。在人类和动物的雌性和雄性交配过程中,催产素水平升高,可能介导性活动的抗焦虑/镇静作用和抗抑郁作用。催产素在调节小鼠和大鼠勃起和射精中的作用已被研究。从室旁核到海马、延髓和脊髓的催产素能投射促进阴茎勃起。催乳素(PRL)具有循环激素和细胞因子的双重功能。已知PRL参与控制人类、小鼠、大鼠和其他啮齿动物模型中的雄性交配行为。它在雄性交配过程中释放,对睾丸功能的各个方面都有积极的调节作用,这暗示了催乳素在雄性生殖中的关键作用。泌乳素浓度较低与不育男性精囊体积和射精量减少有关。低泌乳素血症与早泄和勃起功能障碍有关。高泌乳素血症可能由肿瘤、药物或特发性引起,导致性行为改变,如性欲丧失和勃起功能障碍。据报道,它会引起内分泌紊乱,导致睾酮、FSH和LH水平异常。慢性高泌乳素血症抑制动物模型中的交配行为,并在男性中产生性功能障碍和其他副作用。在男性中,睾酮通过对雄激素受体的作用可能依赖于芳香化酶对睾酮的作用并将其转化为雌二醇(E2)。雌激素通过质膜和细胞核的ERα和ERβ调节男性许多器官的功能。雌二醇对性欲的作用可以从大脑的直接作用开始,在不同的调节水平上观察到。雌二醇不仅调节成年男性的性行为,而且似乎还组织早期大脑对性行为进行编程。雌二醇在男性性功能的各个领域(包括性欲、精子发生和勃起功能)的确切作用很难确定。大脑、睾丸和阴茎中睾酮、雌二醇、芳香化酶和雌激素受体的复杂平衡,证实了雌激素在男性中不可或缺且高度调节的激素相互作用。结论:可以得出结论,催产素调节社会行为,如交配、父母照顾和亲密关系。PRL参与控制人类、大鼠、小鼠和其他啮齿动物模型中的雄性交配行为。低泌乳素血症与精囊体积减少、早泄和勃起功能障碍有关。高泌乳素血症可能由肿瘤、药物或特发性引起,导致性行为改变,如性欲丧失和勃起功能障碍。此外,高泌乳素男性也有勃起功能障碍。雌二醇调节成年男性的性行为,并似乎组织早期大脑对性行为进行编程。
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引用次数: 0
Acute Calculus Cholecystitis Misdiagnosed As Ileocecal Tumor in an Elderly Male: Review of the Ultrasonographic Findings: A Case Report 老年男性急性结石性胆囊炎误诊为回盲部肿瘤:超声检查结果回顾:1例报告
Pub Date : 2022-02-08 DOI: 10.31579/2690-1919/223
Sule Mb, Shamaki Amb, Umar Au, Gele Ih, Ribah Mm, Aliyu Az
Gallstones present as acute calculus cholecystitis in about 20% of individuals with symptomatic disease, having a wide range of symptom severity. The adult population is most often affected in about 10-15% within the developed countries. This is a 75-year-old man that was referred for a confirmatory ultrasonography from a peripheral health centre on account of an entertained ileocecal tumor following an abdominal ultrasound scan done in a local health care facility. The patient had an abdominal ultrasonography that showed an impacted calculus in the infundibulum of the gallbladder measuring about 30mm x 30mm in dimension with associated distended gall bladder; this shows thick and trabeculated wall, heterogenous content with circumferential hypoechoic halo of acute cholecystitis. The patient had percutaneous cholecystectomy in the peripheral care facility and was reported to have done considerably well for discharge. We report the ultrasonographic findings of acute calculus cholecystitis due to its peculiarity and presentations.
约20%有症状性疾病的患者可表现为急性结石性胆囊炎,其症状严重程度差别很大。在发达国家,成人最常受影响的比例约为10-15%。这是一位75岁的男性,由于在当地卫生保健机构进行腹部超声扫描后发现回肠盲区肿瘤,被转介到周边卫生中心接受确认性超声检查。患者腹部超声检查显示胆囊小窝内嵌结石,尺寸约30mm × 30mm,伴有胆囊膨胀;急性胆囊炎的壁厚且呈小梁状,壁内含异质内容物,呈环形低回声晕。患者在外围护理机构接受了经皮胆囊切除术,出院时表现相当好。我们报告急性结石性胆囊炎的超声表现,因为它的特点和表现。
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引用次数: 0
Predictors of Adoption of Preventive Behaviors of Premenstrual Syndrome Based on Health Belief Model among Female Teenagers 基于健康信念模型的女性青少年经前期综合征预防行为的预测因素
Pub Date : 2022-02-08 DOI: 10.31579/2690-1919/225
R. Panahi, Mania Khalilpour Darestani, M. Anbari, Keyhan Javanmardi
Background and Objective (s): Premenstrual syndrome (PMS) refers to a group of physical, behavioral, and mood symptoms that appear about a week or two before menstruation begins. Given the prevalence of this syndrome among adolescents and young women, this study was performed with the aim of determining the predictors of adoption of preventive behaviors of PMS using the Health Belief Model (HBM) among female teenagers. Materials and Methods: This cross-sectional-analytical study was conducted among 240 pre-university girl students of Tehran, Iran in 2016. The sampling was performed using multi-stage random sampling. The data collection tool was a demographic information, a valid and reliable questionnaire available including PMS preventive behaviors and all constructs of HBM. The data were collected and then entered into SPSS software version 16 and analyzed using Pearson correlation coefficient, multiple regression tests and descriptive statistics. Results: The participated students obtained 38.5% of the score for the adoption of preventive behaviors of PMS. The three constructs of perceived barriers, perceived susceptibility and self-efficacy were predictors of adoption of preventive behaviors of PMS. Overall, these constructs were able to predict 32.6% of the behavioral changes. Conclusion: According to the results of this study, in the design and implementation of educational interventions should emphasize the constructs of perceived susceptibility, perceived barriers and self-efficacy as the most important predictors of adoption of preventive behaviors of PMS among Female Teenagers.
背景和目的:经前综合症(PMS)是指在月经开始前一到两周出现的一组身体、行为和情绪症状。鉴于经前症候群在青少年和年轻女性中普遍存在,本研究旨在利用健康信念模型(HBM)确定女性青少年采取经前症候群预防行为的预测因素。材料与方法:对2016年伊朗德黑兰240名大学预科女生进行了横断面分析研究。抽样采用多阶段随机抽样。数据收集工具为人口统计信息、有效可靠的问卷,包括经前症候群预防行为和HBM的所有构式。收集数据后输入SPSS软件16版,采用Pearson相关系数、多元回归检验和描述性统计进行分析。结果:受访学生对经前症候群预防行为的采纳率为38.5%。感知障碍、感知易感性和自我效能感三个构念是经前症候群采取预防行为的预测因子。总的来说,这些构念能够预测32.6%的行为改变。结论:根据本研究结果,在设计和实施教育干预时,应强调知觉易感性、知觉障碍和自我效能感的构念是女性青少年采取经前综合症预防行为的最重要预测因素。
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引用次数: 0
Livedo of the Forearm in the Aftermath of Forearm Erysipelas 前臂丹毒后遗症中的前臂生活
Pub Date : 2022-01-10 DOI: 10.31579/2690-1919/216
Jochanan E. Naschitz
Livedo is an ischemic dermopathy caused by vasculopathies or prothrombotic states, and characterized by the violaceous lace-like mottling of the skin. We report on a patient who developed livedo reticularis – livedo racemosa overlap syndrome as a late sequel of erysipelas, the livedo being restricted to the limb segment affected earlier by erysipelas and devoid of systemic vasculopathy. Though erysipelas and livedo are common disorders, we could not find in the literature reports of an occurrence like that observed in this patient. In this case a favorable prognosis of livedo could be predicted. In a different context, livedo may be the alarming signal of an undiagnosed systemic disease.
Livedo是一种由血管病或血栓形成前状态引起的缺血性皮肤病,其特征是皮肤上有紫罗兰色的花边状斑点。我们报告了一名患者,该患者作为丹毒的晚期后遗症,出现网状活菌-外消旋活菌重叠综合征,该患者的活菌仅限于早期受丹毒影响的肢体段,没有系统性血管病。尽管丹毒和活毒是常见的疾病,但我们在文献中找不到在该患者身上观察到的类似情况的报告。在这种情况下,可以预测livedo的良好预后。在另一种情况下,livedo可能是一种未确诊的系统性疾病的警报信号。
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引用次数: 0
A Girl from Qatar with Post-Infantile Acquired Cerebral Palsy Caused By Submersion Injury: A Rare Etiology and a Therapeutic-Challenge. 一名来自卡塔尔的女孩因潜水损伤导致婴儿期后获得性脑瘫:罕见病因和治疗挑战。
Pub Date : 2022-01-10 DOI: 10.31579/2690-1919/222
Aamir Jalal Al-Mosawi
Background: Cerebral palsy is a heterogeneous disorder that can cause a lifelong disability that is associated with a non-progressive damage in the brain. It is commonly caused by antenatal, perinatal, early postnatal and neonatal conditions. However, post-neonatal cases of acquired cerebral palsy have also been reported, and were commonly caused by infection. Patients and Methods: The family of a girl from Qatar, who developed severe cerebral palsy caused by submersion injury, consulted us about the possible therapies for her condition. Clinical picture and brain imaging abnormalities are described, and the relevant literatures were reviewed with the aim of suggesting possible evidence-based therapies. Results: At the age of 23 months, a previously healthy girl developed anoxic encephalopathy after experiencing submersion injury. MRI showed evidence of significant hypoxic ischemic injury primarily affecting the deep grey matter, hippocami, mid-brain and the posterior cortex. EEG showed diffuse slowness of cerebral activity and diffuse attenuation of the background without no epileptic abnormalities suggesting diffuse encephalopathy resulting from diffuse cortical injury. At the about age of three and half years, her family consulted us about her condition as she was still showing no awareness to the environment, showing no significant spontaneous movements. She had poor head control. Unable to sit or stand alone, and had a flexed posture. She was on levetiracetam (Keppra), diazepam, and baclofen 30 mg daily. She was still having tracheotomy, and was fed through gastrostomy tube. Conclusion: In this paper, the rare occurrence of severe post-infantile cerebral palsy is described. Emphasis is made on the possibility of using evidence-based multi-factorial therapies in cerebral palsy.
背景:脑瘫是一种异质性疾病,可导致终身残疾,并伴有非进行性脑损伤。它通常是由产前、围产期、产后早期和新生儿疾病引起的。然而,新生儿后获得性脑瘫病例也有报道,通常是由感染引起的。患者和方法:一位来自卡塔尔的女孩因淹水损伤导致严重脑瘫,她的家人向我们咨询了可能的治疗方法。本文对临床表现和脑成像异常进行了描述,并对相关文献进行了回顾,目的是提出可能的循证治疗方法。结果:在23个月大时,一名先前健康的女孩在经历了浸没损伤后发生了缺氧性脑病。MRI显示明显的缺氧缺血性损伤,主要影响深部灰质、海马、中脑和后皮层。脑电图显示脑活动弥漫性缓慢,背景弥漫性减弱,未见癫痫异常,提示弥漫性皮质损伤所致弥漫性脑病。在大约三岁半的时候,她的家人向我们咨询了她的情况,因为她仍然对环境没有任何意识,没有明显的自发运动。她的头部控制不好。不能单独坐或站立,并且有弯曲的姿势。她每天服用左乙拉西坦(Keppra)、安定和巴氯芬30毫克。她仍在进行气管切开术,并通过胃造口管进食。结论:本文描述了婴儿后重度脑瘫的罕见发生情况。重点是在脑瘫中应用循证多因素治疗的可能性。
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引用次数: 0
Home Medical Equipment is Highly Being Adopted in U.S. – Explore Why? 家用医疗设备在美国被广泛采用——探究原因?
Pub Date : 2022-01-10 DOI: 10.31579/2690-1919/221
Ashish M. Gujrathi
The modern technological advancements and facilities have made people welcome medical equipment to home. Most common home medical equipment include glucometer, automated external defibrillators, blood glucose monitors, blood pressure monitors, halter monitors, mobility devices, weighing scale and so on. These equipment can provide safe, convenient, cost-effective, and suitable treatments to patients at home.
现代化的技术进步和设施使人们欢迎医疗设备回家。最常见的家庭医疗设备包括血糖仪、自动体外除颤器、血糖监测仪、血压监测仪、吊带监测仪、移动设备、体重秤等。这些设备可以在家为患者提供安全、方便、经济高效和合适的治疗。
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引用次数: 0
COVID-19 and Stress: A Young Male Presenting with Central Cyanosis, Dark Urine, Oliguria, Jaundice and Anemia due to Methemoglobinemia as a result of Suicidal Naphthalene Mothball Poisoning Recovered with Exchange Transfusion 2019冠状病毒病与压力:1例年轻男性自杀性萘脑丸中毒后出现中央性紫绀、尿色深、少尿、黄疸和高铁血红蛋白血症,经交换输血恢复
Pub Date : 2022-01-10 DOI: 10.31579/2690-1919/217
K. Pyar, S. Hlaing, A. Aung, Z. Aung, N. L. Maung, K. Myat, K. Lwin, L. Maung, Ye Min Hein, Lynn Htet Aung, Chan Pyae Aung, Moe Tun Zaw, M. Maung, A. Kyaw, Thurein Win, Kyaw Zay Ya, Myo Thant Kyaw, Z. Oo, Zay Phyo Aung, A. Thu
A young man presented with abdominal pain and vomiting after eating Naphthalene Mothball. He had dyspnea, central cyanosis (SaO2 on air was 67% on air), marked pallor, deep jaundice and dehydration. His urine color was black; and, his plasma in clotted blood sample was brownish. He was treated as methemoglobinemia due to suicidal Naphthalene Mothball poisoning with fluid and electrolyte replacement, ascorbic acid, N-acetylcystine and exchange transfusion twice with four units of whole blood. Dramatic improvement in central cyanosis immediately following exchange transfusion. Psychiatric consultation and counselling were done; he admitted the main reason for committing suicide was socioeconomic stress due to COVID-19.
一名年轻男子在食用萘Mothball后出现腹痛和呕吐。他有呼吸困难、中心性发绀(空气中的SaO2为67%)、明显苍白、深度黄疸和脱水。他的尿液呈黑色;凝结血样中他的血浆呈褐色。他被治疗为高铁血红蛋白血症,原因是自杀性萘球中毒,用液体和电解质替代、抗坏血酸、N-乙酰胱氨酸,并用四个单位的全血进行两次换血。换血后中心性紫绀症状立即得到显著改善。进行了精神病咨询和咨询;他承认自杀的主要原因是新冠肺炎造成的社会经济压力。
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引用次数: 0
The Bacterial Cytoskeleton based on Bacterial Translation Elongation Factor EF-Tu: Novel Insights 基于细菌翻译延伸因子EF-Tu的细菌细胞骨架:新见解
Pub Date : 2022-01-10 DOI: 10.31579/2690-1919/224
F. Mayer
Bacteria possess an EF-Tu-based cytoskeleton.This article presents a short review. A number of questions which are not discussed in the former publications can be asked, such as: all bacteria possess a ribosomal protein synthesis system and, hence, also EF-Tu. EF-Tu is produced in an amount that is higher than the need for a function as translation elogation factor in ribsomal protein synthesis. This article tries to answer the question regarding the surplus of EF-Tu: formation of a "cell-wide web" by self-assembly as a feafure that stabilizes cell integrity. An additional question can be asked: what is the origin of this bacterial cytoskeleton? This article contains a speculation on this topic. A third question regards the'ntteructjon of ribosomes in the process of protemsynthesis: does the EF-Tu protein move to the ribosome, or does the ribosome move to the EF-Tu intergated in a fibril of the bacterial cytoskeleton? The former publication depicts electron micrographs which show colocalizatton of botth entities. EF-Tu is an example for aprotein with two independent functions: participation in the ribosomal protein synthesis as a kanslation elongation factor, and component of a bacterial cytoskeleton. This situation can open up a discussion ofthe sequence of events and states of early cells during evolution.
细菌具有以ef - tu为基础的细胞骨架。这篇文章提供了一个简短的回顾。在以前的出版物中没有讨论的一些问题可以提出,例如:所有细菌都具有核糖体蛋白质合成系统,因此也具有EF-Tu。EF-Tu的产生量高于在核糖体蛋白合成中作为翻译水解因子的功能所需的量。本文试图回答关于EF-Tu过剩的问题:通过自组装形成“细胞范围网”作为稳定细胞完整性的特征。另一个问题是:这种细菌细胞骨架的起源是什么?本文包含对这个主题的推测。第三个问题是关于蛋白质合成过程中核糖体的中间核素:EF-Tu蛋白移动到核糖体上,还是核糖体移动到细菌细胞骨架纤维中整合的EF-Tu上?以前的出版物描述了显示两个实体共域的电子显微照片。EF-Tu是一个具有两种独立功能的蛋白的例子:作为翻译延伸因子参与核糖体蛋白合成,以及细菌细胞骨架的组成部分。这种情况可以开启对进化过程中早期细胞的事件序列和状态的讨论。
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引用次数: 0
Conception and Clinical Efficacy of an Osmotic, Polymeric, Stable Nasal Filmogen Barrier for Preventive Treatment of Allergen and Pollution Induced Rhinitis and Respiratory Symptoms 渗透性、聚合性、稳定的鼻膜蛋白屏障预防性治疗过敏原、污染性鼻炎和呼吸道症状的概念和临床疗效
Pub Date : 2022-01-06 DOI: 10.31579/2690-1919/219
R. Shrivastava, R. Shrivastava, Nathalie Maneby, G. Giroir, Marjorie Georges, A. Bhatt
Background: Pollution induced allergic rhinitis and respiratory symptoms is becoming a major health problem in the world for which still there is no safe and preventive treatment. Objectives: Conceive and evaluate the allergen preventive properties and clinical efficacy of an osmotic, polymeric, stable filmogen spray, called PCNS. Materials and Methods: Amb A 1 (ragweed), Der P 1 and 2 (dust mite), Bet v 1 (birch), Alt a 1 (Alternaria, fungus), and Fel d 1 (cat dander) allergens were exposed at a concentration of 5µg/ml (20 µl per tube) on the polymeric test product film (120 and 240µl layer) and the allergens crossing the barrier were quantified in the agar gel beneath the film. 0.40% HPMC and PBS solutions, tested identically, served as controls. Clinical efficacy of PCNS nasal spray was evaluated in patients suffering from allergic rhinitis and/or respiratory symptoms (29 in test product v/s 15 in saline controls) for 22 days. Nasal, ocular, respiratory symptoms and Rhino conjunctivitis Quality of Life Questionnaire (RQLQ) were measured. Statistical analyses: The normality of the populations was determined by the Shapiro-Wilk test, then statistical analysis was performed by two-tailed Student’s test for comparisons between two groups and the two-way ANOVA followed by the post hoc Bonferroni’s test for comparisons of multiple groups. p<0.05 was considered statistically significant. The analyses were performed with the software GraphPad Prism (version 8.4.2, La Jolla, USA). NS indicates not significant. Results: PCNS polymeric spray blocked the diffusion of all the allergens while 0.40% HPMC was able to prevent diffusion of only Alt a 1 and Fel d 1 allergens. Mean reflective total nasal symptom scores (rTNSS), reflective total ocular symptom score (rTOSS), and respiratory symptoms including effect on wheezing, cough, dyspnea, and chest tightness were moderately improved in the control saline group, but the improvements were nearly twice better in the PCNS group. RQLQ was improved by 23% in saline spray v/s 46% PCNS group. 4/15 patients in saline group v/s 1/29 in PCNS group required rescue medication during the study. PCNS was highly effective in reducing allergen and pollution induced respiratory symptoms. Conclusion: a polymeric, osmotic, and stable nasal barrier against pollutants and allergens represents an innovative approach against pollution induced respiratory symptoms.
背景:污染引起的过敏性鼻炎和呼吸道症状正在成为世界上一个主要的健康问题,目前还没有安全和预防性的治疗方法。目的:构思并评估一种名为PCNS的渗透性、聚合性、稳定的膜原喷雾剂的过敏原预防特性和临床疗效。材料和方法:将Amb A1(豚草)、Der P1和2(尘螨)、Bet V1(桦树)、Alt A1(链格孢菌、真菌)和Fel D1(猫皮屑)过敏原以5µg/ml(每管20µl)的浓度暴露在聚合物测试产品膜(120和240µl层)上,并在膜下的琼脂凝胶中定量穿过屏障的过敏原。相同测试的0.40%HPMC和PBS溶液用作对照。对患有过敏性鼻炎和/或呼吸道症状的患者(试验产品中29例,生理盐水对照中15例)使用PCNS鼻喷雾剂22天的临床疗效进行评估。测量鼻、眼、呼吸道症状和鼻结膜炎生活质量问卷(RQLQ)。统计分析:通过Shapiro-Wilk检验确定群体的正态性,然后通过双尾Student检验对两组之间的比较和双向ANOVA进行统计分析,然后通过事后Bonferroni检验对多组进行比较。p<0.05被认为具有统计学意义。使用GraphPad Prism软件(8.4.2版,美国拉霍亚)进行分析。NS表示不显著。结果:PCNS聚合物喷雾剂阻断了所有过敏原的扩散,而0.40%HPMC仅能阻断Alta1和Feld1过敏原的传播。对照盐水组的平均反射性总鼻症状评分(rTNSS)、反射性总眼部症状评分(r TOSS)和呼吸系统症状(包括对喘息、咳嗽、呼吸困难和胸闷的影响)得到了适度改善,但PCNS组的改善几乎是前者的两倍。RQLQ在盐水喷雾v/s 46%PCNS组中改善了23%。盐水组4/15例患者,PCNS组1/29例患者在研究期间需要抢救药物。PCNS在减少过敏原和污染引起的呼吸道症状方面非常有效。结论:针对污染物和过敏原的聚合物、渗透性和稳定的鼻腔屏障是对抗污染引起的呼吸道症状的创新方法。
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引用次数: 0
期刊
Journal of clinical research and reports
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