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Local-Anaesthetic-Induced Myotoxicity in Interfascial Plane Blocks: A Comparative Study between Bupivacaine and Ropivacaine 布比卡因和罗哌卡因对筋膜间平面阻滞局部麻醉诱导的肌毒性的比较研究
Pub Date : 2023-09-27 DOI: 10.31584/jhsmr.2023992
Praveen Kumar Moturi, Venkata Krishna Gollapalli, Sri Sabya Karanam
Objective: Local-anaesthetic (LA)-induced myotoxicity in the use of peripheral nerve blocks has emerged as a topic of interest recently. Very few studies on human subjects have been done in this field, though the technique of nerve blocks is being widely practiced both for anaesthesia and analgesia. Studies have shown that bupivacaine induces reproducible skeletal muscle degeneration. The present study is thus aimed at comparing the myotoxicity induced by bupivacaine and ropivacaine in interfascial plane blocks.Material and Methods: The study was a randomized comparative study done at a tertiary care hospital. The subjects were randomly assigned into 3 groups of 50 patients each:- Group B, with patients in whom bupivacaine was used; Group R, comprised of patients in which ropivacaine was used, Group N, who received no fascial plane block during their procedures. An erector spinae block (ESP block) was performed for patients undergoing unilateral lung decortication or lobectomy. Creatine phosphokinase (CPK) levels at 6 and 24 hours after completion of surgery were taken in all 3 groups and compared with baseline values using Repeated Measures Analysis of Variance.Results: Baseline serum CPK levels were similar in all 3 study groups. Significant increases in serum CPK levels were noticed in group B compared to group R at 6 hours and 24 hours, with no increase in group N.Conclusion: The study showed that serum CPK, a marker of skeletal muscle injury and local-anaesthetic-induced myotoxicity, significantly rose at 24 hours after an ESP block and this increase was considerably higher in group B (bupivacaine) compared to group R (ropivacaine), indicating significantly higher myotoxicity with bupivacaine.
目的:局部麻醉(LA)引起的周围神经阻滞的肌毒性最近成为一个有趣的话题。尽管神经阻滞技术在麻醉和镇痛方面得到了广泛的应用,但在这一领域对人类受试者的研究却很少。研究表明,布比卡因诱导可重复的骨骼肌退化。因此,本研究旨在比较布比卡因和罗哌卡因对筋膜平面阻滞的肌毒性。材料和方法:本研究是在一家三级保健医院进行的随机比较研究。受试者被随机分为3组,每组50例:B组,布比卡因组;R组,使用罗哌卡因的患者,N组,在手术过程中未接受筋膜平面阻滞。对单侧肺去皮或肺叶切除的患者行竖脊阻滞术。在手术结束后6和24小时测量三组的肌酸磷酸激酶(CPK)水平,并使用重复测量方差分析与基线值进行比较。结果:3个研究组的基线血清CPK水平相似。结论:研究表明,在ESP阻滞后24小时,血清CPK(骨骼肌损伤和局部麻醉引起的肌肉毒性的标志)显著升高,且B组(布比卡因)比R组(罗比卡因)的升高幅度明显高于B组(罗比卡因),表明布比卡因具有明显更高的肌肉毒性。
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引用次数: 0
Maximal Respiratory Mouth Pressures Assessment in Stable Chronic Obstructive Pulmonary Disease Patients in a Tertiary Hospital in Southwest Nigeria 尼日利亚西南部某三级医院稳定期慢性阻塞性肺疾病患者的最大呼吸口压评估
Pub Date : 2023-09-27 DOI: 10.31584/jhsmr.2023993
Oluwafunmilayo Oguntoye, Gregory Erhabor, Olufemi Adewole, Olayemi Awopeju, Bolanle Adefuye, Eruke Egbagbe, Temitope Kolawole, Oluwatosin Oguntoye, Abidemi Fasae, Paul Olowoyo, Azeez Ibrahim, Adenike Arawomo, Oluwatosin Jeeged, Olumuyiwa Ariyo
Objective: This study aimed to assess the respiratory muscle strength in stable chronic obstructive pulmonary disease (COPD) patients, via measuring maximal respiratory mouth pressures [maximal inspiratory pressure (PImax) and maximal expiratory pressure (PEmax)] to determine its association with disease severity and quality of life.Material and Methods: The study was a cross-sectional comparative study. A hundred and forty subjects (70 COPD patients and 70 controls) were recruited. Measurements of PImax, PEmax and spirometry were then performed. The health-related quality of life, severity of obstruction and dyspnea in the COPD patients were assessed using the COPD Assessment Test (CAT), post-bronchodilator Forced Expiratory Volume in 1 second (FEV 1) and the modified Medical Research Council (mMRC) dyspnea scale, respectively. Data was analyzed using Statistical Package for the Social Science (SPSS) version 25.0 (SPSS IL USA.).Results: The mean (±S.D.) PImax and PEmax of the COPD patients (31.78±14.40 cmH2O and 54.80±18.89 cmH2O, respectively) were significantly lower (p<0.001) than the controls (80.40±7.50 cmH2O and 95.44±12.52 cmH2O, respectively). Both the PImax and PEmax correlated positively with the FEV1 of the COPD patients (r=0.658 and 0.534, respectively, p<0.001). The PImax and PEmax decreased as the mMRC dyspnea grade worsened (p<0.001). There was a negative correlation between PImax; PEmax and the CAT score of the COPD patients (r=-0.704 and–0.583, respectively, p<0.001).Conclusion: There was significant respiratory muscle weakness in the COPD patients compared with the controls. The respiratory muscle weakness worsened as the airflow obstruction and dyspnea worsened. Respiratory muscle weakness may also add to the negative impact COPD has on the health status of COPD patients.
目的:本研究旨在通过测量最大呼吸口压[最大吸气压(PImax)和最大呼气压(PEmax)]来评估稳定期慢性阻塞性肺疾病(COPD)患者的呼吸肌力量,以确定其与疾病严重程度和生活质量的关系。材料与方法:本研究为横断面比较研究。招募了140名受试者(70名COPD患者和70名对照组)。然后进行PImax、PEmax和肺活量测定。COPD患者的健康相关生活质量、梗阻严重程度和呼吸困难分别采用COPD评估试验(CAT)、支气管扩张剂后1秒用力呼气量(FEV 1)和改良的医学研究委员会(mMRC)呼吸困难量表进行评估。数据分析使用SPSS 25.0版本(SPSS IL USA.)。结果:平均(±S.D.)COPD患者的PImax和PEmax(分别为31.78±14.40 cmH2O和54.80±18.89 cmH2O)显著低于对照组(分别为80.40±7.50 cmH2O和95.44±12.52 cmH2O) (p < 0.001)。PImax和PEmax与COPD患者FEV1呈正相关(r分别为0.658和0.534,p<0.001)。pmax和pmax随mMRC呼吸困难等级加重而降低(p<0.001)。pmax与pmax呈负相关;PEmax与COPD患者CAT评分的相关性(r=-0.704、0.583,p<0.001)。结论:COPD患者与对照组相比存在明显的呼吸肌无力。随着气流阻塞和呼吸困难的加重,呼吸肌无力加重。呼吸肌无力也可能增加COPD对COPD患者健康状况的负面影响。
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引用次数: 0
Adverse Events Related to Kratom Discontinuation and the Utilization of Prescribed Medications During Hospitalization: A 4-year Retrospective Study in Thanyarak Songkhla Hospital, Thailand 与Kratom停药和住院期间处方药使用相关的不良事件:泰国Thanyarak Songkhla医院的4年回顾性研究
Pub Date : 2023-09-21 DOI: 10.31584/jhsmr.2023991
Sirima Sitaruno, Juraithip Wungsintaweekul, Tanatape Wanishayakorn, Tharin Kanjanasintou, Nattrawee Srisai, Chanocknun Kongruen, Chawisa Chaimongkon, Saodaro Sodadis, Thanurat Putthachat
Objective: The purpose of this study was to investigate adverse events related to kratom cessation and the utilization of prescribed medications during hospitalization.Material and Methods: This retrospective study was conducted in Thanyarak Songkhla Hospital, Thailand. The study included patients aged 15 years and above who had a history of kratom consumption prior to hospitalization. Adverse events after kratom discontinuation during the patient’s hospital admission were documented. The prescribed drug regimens during hospitalization were recorded.Results: During the 4-year study period, 81 patients were enrolled. Fifty-four patients (67%) developed adverse events. The majority of enrolled patients were males between the ages of 15 and 34 years. The popular 4x100 kratom cocktail was commonly consumed prior to admission. Musculoskeletal pain (28%) and psychological disorders such as insomnia, agitation, and anxiety were observed as major adverse events. Patients with adverse events received more medications than those without adverse events (p-value=0.02). Typical antipsychotics were commonly prescribed for patients with adverse events related to kratom discontinuation (p-value<0.01).Conclusion: In hospitalized patients who had consumed kratom previously, 67% experienced adverse events. The most common adverse events were musculoskeletal pain and psychological disorders. In patients with adverse events, antipsychotics were commonly prescribed. A history of kratom consumption should be asked during hospitalization for all admitted patients to assess the possibility of an adverse event and provide appropriate management.
目的:本研究的目的是调查住院期间与戒烟和处方药物使用有关的不良事件。材料和方法:本回顾性研究在泰国Thanyarak Songkhla医院进行。该研究包括15岁及以上住院前有kratom消费史的患者。记录了患者住院期间停用kratom后的不良事件。记录住院期间的处方用药情况。结果:在4年的研究期间,81例患者入组。54例患者(67%)出现不良事件。大多数入组患者是年龄在15至34岁之间的男性。受欢迎的4x100克拉托姆鸡尾酒通常在入场前饮用。肌肉骨骼疼痛(28%)和失眠、躁动和焦虑等心理障碍被视为主要不良事件。有不良事件的患者比无不良事件的患者接受更多的药物治疗(p值=0.02)。典型抗精神病药物常用于与克瑞通停药相关不良事件的患者(p值<0.01)。结论:在以前服用过克拉通的住院患者中,67%发生了不良事件。最常见的不良事件是肌肉骨骼疼痛和心理障碍。对于有不良事件的患者,通常开抗精神病药物。在住院期间,应询问所有住院患者的kratom消费史,以评估不良事件的可能性并提供适当的管理。
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引用次数: 0
Characteristics of Buccal Fat Adipose-Derived Stem Cells Cultured in Autologous Human Serum- and Fetal Bovine Serum-Supplemented Media: A Comparative Study 在自体人血清和胎牛血清培养基中培养颊脂肪脂肪来源干细胞的特性:比较研究
Pub Date : 2023-09-18 DOI: 10.31584/jhsmr.2023988
Lalita Charoenmuang, Nuttawut Thuaksuban, Woraporn Supphaprasitt, Narit Leepong, Danaiya Supakanjanakanti, Surapong Vongvatcharanon
Objective: The characteristics of adipose-derived stem cells (ADSC), isolated from buccal fat pads when cultured in media supplemented, with either autologous human serum (AHS group) or fetal bovine serum (FBS group) were compared.Material and Methods: Buccal fat tissue was harvested from six patients, who had undergone surgical removal of their maxillary third molars or underwent orthognathic surgeries. ADSC were isolated from the tissue, via an enzymatic digestion method and cultured in the media of the AHS and FBS groups (n=6/group). Colony forming units-fibroblast (CFU-F), immune-phenotyping markers, growth and multi-differentiation of the cells from both groups were compared.Results:The number of CFU-F and the cell growth of the AHS group were significantly greater than those of the FBS group (p-value<0.05). The expressions of the mesenchymal and hematopoietic stem cell markers of both groups were not statistically different. The cells of both groups had the potential for adipogenesis, chondrogenesis and osteogenesis when cultured in inductive conditions.Conclusion: The immunophenotype and multi-differentiation of ADSC, which were cultured in AHS- and FBS- media, were not different. However, the AHS medium could support the capacity for forming colonies and growth of the cells better than the FBS medium.
目的:比较从口腔脂肪垫中分离的脂肪源性干细胞(ADSC)在添加自体人血清(AHS组)和胎牛血清(FBS组)的培养基中培养的特性。材料和方法:从6例接受了上颌第三磨牙手术或正颌手术的患者身上收集颊脂肪组织。从组织中分离ADSC,采用酶消化法,分别在AHS组和FBS组培养基中培养(n=6/组)。比较两组细胞集落形成单位-成纤维细胞(CFU-F)、免疫表型标志物、生长和多向分化情况。结果:AHS组CFU-F数量及细胞生长均显著大于FBS组(p值0.05)。两组间充质干细胞和造血干细胞标志物的表达差异无统计学意义。两组细胞在诱导条件下均具有成脂、成软骨和成骨的潜能。结论:AHS和FBS培养基培养的ADSC在免疫表型和多向分化方面无明显差异。然而,AHS培养基比FBS培养基更能支持细胞形成集落和生长的能力。
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引用次数: 0
Reviewer Acknowledgement, 2023 审稿人致谢,2023
Pub Date : 2023-09-18 DOI: 10.31584/jhsmr.2023990
Surasak Sangkhathat
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引用次数: 0
Adlay Polyelectrolyte Multilayer Films Coated on Titanium: Surface Characteristics and MC3T3-E1 Cell Morphology and Proliferation 钛表面涂覆延迟聚电解质多层膜:表面特性及MC3T3-E1细胞形态与增殖
Pub Date : 2023-09-15 DOI: 10.31584/jhsmr.2023987
Atthasit Boonbanyen, Onauma Angwaravong, Kavita Kanjanamekanant, Thidarat Angwarawong
Objective: Adlay has been reported to prevent osteoporosis, and promote osteoblast cell proliferation and in vitro calcification. However, it has never been used on modified titanium (Ti) surfaces. Hence, the aim of this study was to ameliorate Ti surfaces, by coating with adlay seed extract via the polyelectrolyte multilayer (PEM) film technique. Material and Methods: Adlay seed extract solution containing 150, 300, 600, or 1500 μg/ml concentrations was coated on Ti discs using a layer-by-layer technique to fabricate PEM films (Ti_Adlay surface). The surface characterizations; including atomic force microscope analysis, contact angle analysis and energy dispersive X-ray analysis were evaluated. The osteoblast cell proliferation on its modified surface was also examined. Results: Adlay seed extract could increase surface irregularity, roughness, hydrophilicity and carbon composition of Ti surface in all Ti_Adlay groups. At 24, 48 and 72 hours of incubation, the osteoblast cells morphology was similar in all groups. At 24 hours, the viable cell numbers on all Ti_Adlay groups were statistically lower than the uncoated Ti group, while no significant difference was found after 48 and 72 hours of incubation. Conclusion: Adlay PEM coating on Ti surface could improve the surface properties of Ti in terms of surface roughness, hydrophilicity and surface chemistry. Even though Ti-Adlay surfaces showed no toxic effect on MC3T3-E1, it was unlikely
目的:Adlay具有预防骨质疏松、促进成骨细胞增殖和体外钙化的作用。然而,它从未用于改性钛(Ti)表面。因此,本研究的目的是通过聚电解质多层(PEM)薄膜技术涂覆延迟种子提取物来改善钛表面。材料与方法:将浓度分别为150、300、600、1500 μg/ml的Adlay种子提取物溶液逐层涂覆在Ti圆盘上制备PEM膜(Ti_Adlay表面)。表面表征;包括原子力显微镜分析、接触角分析和能量色散x射线分析。并观察了成骨细胞在改性表面的增殖情况。结果:Adlay种子提取物可提高Ti_Adlay各基团表面的不规则性、粗糙度、亲水性和碳组成。孵育24、48、72 h时,各组成骨细胞形态基本一致。24 h时,各Ti_Adlay组的活细胞数均低于未包被Ti组,而孵育48、72 h时差异无统计学意义。结论:在Ti表面涂敷PEM涂层可以改善Ti的表面粗糙度、亲水性和表面化学性能。尽管Ti-Adlay表面对MC3T3-E1没有毒性作用,但可能性不大
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引用次数: 0
Formulation of Gel Containing Phenylbutenoid Extract for Pain Relief 含有苯丁烯类提取物的凝胶配方,用于缓解疼痛
Pub Date : 2023-09-14 DOI: 10.31584/jhsmr.2023986
Thidaporn Gundom, Thanaporn Amnuaikit, Pharkphoom Panichayupakaranant
Objective: A phenylbutenoid extract (PE) was obtained from Zingiber cassumunar rhizomes. Phenylbutenoids; namely DMPBD, compound D, and compound D acetate, have been identified as major anti-inflammatory and analgesic constituents. This present study aimed to formulate a gel containing PE that could be used as an alternative ultrasound gel for acute or chronic inflammatory treatment. Material and Methods: Gel formulations containing 0.5, 1, and 2% w/w PE were prepared using Carbopol 934 and hydroxyethylcellulose (HEC 4,000) as gelling agents. The contents of phenylbutenoids were quantified by a high-performance liquid chromatography (HPLC). PE gels were studied on physicochemical properties and accelerated stability tests. The PE gels, F2 and F5, were used to evaluate the release of phenylbutenoids using a modified Franz diffusion cell. In the skin permeation study, the 2% PE gels were applied either with or without a 0.8 W/cm2 intensity ultrasound for 2, 5, and 10 min. Results: Based on physicochemical properties and accelerated stability tests, F2 and F5 formulations showed good stability. The release kinetics of 0.5% and 1% and 2% w/w PE of both formulations were best fit to Higuchi’s model and zero-order model, respectively. In the skin permeation study, PE gel combined with ultrasound application for 2 min exhibited higher phenylbutenoids in the skin and also a shorter lag time than PE gel application alone. Conclusion: The gel containing 2% w/w phenylbutenoid extract was suggested as an alternative ultrasound gel containing an anti-inflammatory agent for the treatment of musculoskeletal disorders in phonophoresis.
目的:从香姜根茎中提取苯丁烯类提取物(PE)。Phenylbutenoids;即DMPBD,化合物D和化合物D醋酸酯,已被确定为主要的抗炎和镇痛成分。本研究旨在研制一种含有PE的凝胶,可作为急性或慢性炎症治疗的替代超声凝胶。材料与方法:以卡波波尔934和羟乙基纤维素(HEC 4000)为胶凝剂,制备含有0.5、1和2% w/w聚乙烯的凝胶配方。采用高效液相色谱法对苯丁烯类进行含量测定。研究了PE凝胶的理化性质和加速稳定性。在改良的Franz扩散池中,使用PE凝胶F2和F5来评价苯基类丁烯酮的释放。在皮肤渗透研究中,2% PE凝胶分别在0.8 W/cm2强度的超声下或不加超声作用2、5和10分钟。结果:基于物理化学性质和加速稳定性测试,F2和F5配方表现出良好的稳定性。在0.5%、1%和2% w/w PE时,两种配方的释放动力学分别最符合Higuchi模型和零级模型。在皮肤渗透研究中,PE凝胶联合超声应用2分钟,皮肤中的类苯丁烯含量更高,延迟时间也比单独应用PE凝胶更短。结论:含2% w/w苯丁烯类提取物的超声凝胶可作为抗炎剂替代超声凝胶治疗音泳症所致的肌肉骨骼疾病。
{"title":"Formulation of Gel Containing Phenylbutenoid Extract for Pain Relief","authors":"Thidaporn Gundom, Thanaporn Amnuaikit, Pharkphoom Panichayupakaranant","doi":"10.31584/jhsmr.2023986","DOIUrl":"https://doi.org/10.31584/jhsmr.2023986","url":null,"abstract":"Objective: A phenylbutenoid extract (PE) was obtained from Zingiber cassumunar rhizomes. Phenylbutenoids; namely DMPBD, compound D, and compound D acetate, have been identified as major anti-inflammatory and analgesic constituents. This present study aimed to formulate a gel containing PE that could be used as an alternative ultrasound gel for acute or chronic inflammatory treatment. Material and Methods: Gel formulations containing 0.5, 1, and 2% w/w PE were prepared using Carbopol 934 and hydroxyethylcellulose (HEC 4,000) as gelling agents. The contents of phenylbutenoids were quantified by a high-performance liquid chromatography (HPLC). PE gels were studied on physicochemical properties and accelerated stability tests. The PE gels, F2 and F5, were used to evaluate the release of phenylbutenoids using a modified Franz diffusion cell. In the skin permeation study, the 2% PE gels were applied either with or without a 0.8 W/cm2 intensity ultrasound for 2, 5, and 10 min. Results: Based on physicochemical properties and accelerated stability tests, F2 and F5 formulations showed good stability. The release kinetics of 0.5% and 1% and 2% w/w PE of both formulations were best fit to Higuchi’s model and zero-order model, respectively. In the skin permeation study, PE gel combined with ultrasound application for 2 min exhibited higher phenylbutenoids in the skin and also a shorter lag time than PE gel application alone. Conclusion: The gel containing 2% w/w phenylbutenoid extract was suggested as an alternative ultrasound gel containing an anti-inflammatory agent for the treatment of musculoskeletal disorders in phonophoresis.","PeriodicalId":93205,"journal":{"name":"Journal of Health Science and Medical Research (JHSMR)","volume":"145 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134912656","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
Cross-Cultural Adaptation, Reliability, and Validity Tests of the Thai Version of the Manchester-Oxford Foot Questionnaire in Individuals with Chronic Foot Pain 泰语版曼彻斯特-牛津足部问卷在慢性足部疼痛患者中的跨文化适应、信度和效度检验
Pub Date : 2023-08-03 DOI: 10.31584/jhsmr.2023972
Poramut Kul-eung, Praneet Pensri
Objective: To adapt cross-culturally and examine the reliability and validity of the Thai version of MOXFQ (Thai-MOXFQ) among individuals with chronic foot pain. Material and Methods: The Thai-MOXFQ was successfully adapted cross-culturally from the original version with minor changes according to the International Society for Pharmacoeconomics and Outcomes Research (ISPOR) guidelines. Its reliability and construct validity were then investigated in individuals with chronic foot pain. The test-retest reliability was evaluated among 30 participants by calculating the intraclass correlation coefficient (ICC 3,1). Meanwhile, the internal consistency of the Thai-MOXFQ was studied in 100 participants by computing Cronbach’s alpha. Additionally, the construct validity was analyzed via Spearman’s rank correlation analysis to determine the relationship between the Thai-MOXFQ, Foot and Ankle Ability Measure (FAAM), 36-item Short-Form Health Survey (SF-36), and Visual Analogue Scale (VAS). Results: The Thai-MOXFQ demonstrated a good level of test-retest reliability (ICC of 0.763 to 0.885) and an acceptable level of internal consistency (Cronbach’s alpha of 0.738 to 0.871) when used in individuals with chronic foot pain. Moreover, the Thai-MOXFQ was shown to have moderate to strong relationships with FAAM, SF-36, and VAS (p-value<0.05, Spearman rank correlation coefficients of 0.543 to 0.711). Furthermore, the results of the construct validity of the Thai version were in line with the original English and other translated versions. Conclusion: The Thai-MOXFQ is a reliable and valid, foot-specific, patient-reported outcome measurement (PROM) for assessing outcomes in individuals with chronic foot pain.
目的:跨文化适应,检验泰文MOXFQ量表(Thai-MOXFQ)在慢性足部疼痛患者中的信度和效度。材料和方法:根据国际药物经济学和结果研究学会(ISPOR)指南,泰国moxfq成功地从原始版本进行了跨文化改编,并进行了微小的修改。然后在慢性足部疼痛患者中研究其信度和结构效度。通过计算类内相关系数(ICC 3,1)评估30名被试的重测信度。同时,通过计算Cronbach’s alpha对100名参与者的Thai-MOXFQ的内部一致性进行了研究。此外,通过Spearman等级相关分析分析结构效度,以确定Thai-MOXFQ、足踝能力量表(FAAM)、36项简短健康调查(SF-36)和视觉模拟量表(VAS)之间的关系。结果:Thai-MOXFQ在慢性足部疼痛患者中表现出良好的重测信度(ICC为0.763至0.885)和可接受的内部一致性(Cronbach 's alpha为0.738至0.871)。此外,Thai-MOXFQ与FAAM、SF-36和VAS有中等至强烈的关系(p值0.05,Spearman秩相关系数为0.543 ~ 0.711)。此外,泰语版本的构念效度结果与英文原文和其他翻译版本一致。结论:Thai-MOXFQ是一种可靠有效的、足部特异性的、患者报告的结局测量(PROM),用于评估慢性足部疼痛患者的结局。
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引用次数: 0
Neisseria Meningitidis Urethritis in a Thai Male. 泰国男性脑膜炎奈瑟菌尿道炎一例。
Pub Date : 2021-01-01 DOI: 10.31584/jhsmr.2020773
Jaray Tongtoyai, Nongkran Tatakham, Thitima Cherdtrakulkiat, Pachara Sirivongrangson, Andrew Hickey

Although Neisseria meningitidis (N. meningitidis) urogenital infections have been reported widely, meningococcal urethritis has not been reported previously in Thailand. A 42-year-old Thai male presented at a sexual health clinic with dysuria and urethral discharge following oral and insertive anal intercourse. N. meningitidis, serogroup C was cultured from a urethral discharge specimen and the patient was treated successfully with standard treatment for gonococcal urethritis. This case reflects a growing trend of reports describing meningococcal urethritis, likely resulting from sexual contact.

虽然已广泛报告了脑膜炎奈瑟菌(N. meningitidis)泌尿生殖系统感染,但在泰国以前尚未报告脑膜炎球菌性尿道炎。一名42岁泰国男性,在口交和插入性肛交后出现排尿困难和尿道分泌物,在性健康诊所就诊。从尿道分泌物标本中培养脑膜炎奈瑟菌血清C组,并采用淋球菌性尿道炎的标准治疗方法成功治疗患者。这一病例反映了可能由性接触引起的脑膜炎球菌性尿道炎报告日益增多的趋势。
{"title":"<i>Neisseria Meningitidis</i> Urethritis in a Thai Male.","authors":"Jaray Tongtoyai,&nbsp;Nongkran Tatakham,&nbsp;Thitima Cherdtrakulkiat,&nbsp;Pachara Sirivongrangson,&nbsp;Andrew Hickey","doi":"10.31584/jhsmr.2020773","DOIUrl":"https://doi.org/10.31584/jhsmr.2020773","url":null,"abstract":"<p><p>Although <i>Neisseria meningitidis</i> (<i>N. meningitidis</i>) urogenital infections have been reported widely, meningococcal urethritis has not been reported previously in Thailand. A 42-year-old Thai male presented at a sexual health clinic with dysuria and urethral discharge following oral and insertive anal intercourse. <i>N. meningitidis</i>, serogroup C was cultured from a urethral discharge specimen and the patient was treated successfully with standard treatment for gonococcal urethritis. This case reflects a growing trend of reports describing meningococcal urethritis, likely resulting from sexual contact.</p>","PeriodicalId":93205,"journal":{"name":"Journal of Health Science and Medical Research (JHSMR)","volume":"39 3","pages":"251-255"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8064693/pdf/nihms-1675100.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38908309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
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Journal of Health Science and Medical Research (JHSMR)
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