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Some Oxidative Stress Biomarkers among Patients with Prostate Cancer in Sokoto, North Western Nigeria 尼日利亚西北部索科托前列腺癌患者的氧化应激生物标志物
Pub Date : 2022-01-01 DOI: 10.4236/ojbd.2022.123007
O. Erhabor, Asmau Muhammad Hussaini, A. Abdulwahab-Ahmed, M. Retsky, T. Erhabor
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引用次数: 1
A New Observation of Bone Marrow Involvement by Diffuse Large B-Cell Lymphoma Mimicking Myelofibrosis 模拟骨髓纤维化的弥漫大b细胞淋巴瘤累及骨髓的新观察
Pub Date : 2022-01-01 DOI: 10.4236/ojbd.2022.122004
F. Seynabou, A. Diallo, D. Niang, E. Niang, K. Sarr, M. Camara, A. Sall, F. Ndiaye
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引用次数: 0
Expression and Significance of Regulatory B Cells in Patients with Immune Thrombocytopenia 调节性B细胞在免疫性血小板减少症患者中的表达及意义
Pub Date : 2022-01-01 DOI: 10.4236/ojbd.2022.122005
W. Qian, Xiaoxia Zhang
Objective: To detect the expression and significance of regulatory B cells in patients with immune thrombocytopenia. Methods: 73 ITP patients were divided into glucocorticoids treatment group (n = 42) and recombinant human thrombopoietin (rhTPO) treatment group (n = 31). According to the thera-peutic effect, it was divided into effective group and ineffective group. The expression of CD19+ CD24hiCD38hi Breg in peripheral blood was detected by flow cytometry before and after treatment. The expression levels of transforming growth factor (TGF)-β1, interleukin (IL-10) and interferon (IFN)-γ were detected by ELISA before and after treatment. 30 volunteers were se-lected as the control group. Results: The expression of CD19+ CD24hiCD38hi Breg and cytokines IL-10 and TGF-β1 in 73 ITP patients before treatment was lower than that in the control group, while the expression of IFN-γ was higher than that in the control group (p < 0. 05). The expression levels of CD19+ CD24hiCD38hi Breg, IL-10 and TGF-β1 in the effective group were significantly higher than before treatment, while the expression of IFN-γ was significantly lower than before treatment (p < 0. 05). The expression of CD19+ CD24hiCD38hi Breg, IFN-γ, IL-10 and TGF-β1 in the invalid group had no significant change compared with before treatment. Conclusion: Abnormal expression of CD19+ CD24hiCD38hi Breg and related cytokines is involved in the pathogenesis of ITP.
目的:探讨调节性B细胞在免疫性血小板减少症患者中的表达及意义。方法:73例ITP患者分为糖皮质激素治疗组(42例)和重组人血小板生成素(rhTPO)治疗组(31例)。根据疗效分为有效组和无效组。采用流式细胞术检测治疗前后外周血CD19+ CD24hiCD38hi Breg的表达。采用ELISA法检测治疗前后转化生长因子(TGF)-β1、白细胞介素(IL-10)、干扰素(IFN)-γ的表达水平。选取30名志愿者作为对照组。结果:73例ITP患者治疗前CD19+ CD24hiCD38hi Breg及细胞因子IL-10、TGF-β1表达均低于对照组,IFN-γ表达高于对照组(p < 0.05)。05). 有效组CD19+ CD24hiCD38hi Breg、IL-10、TGF-β1表达水平均显著高于治疗前,IFN-γ表达水平均显著低于治疗前(p < 0.05)。05). 无效组CD19+ CD24hiCD38hi Breg、IFN-γ、IL-10、TGF-β1的表达与治疗前比较无明显变化。结论:CD19+ CD24hiCD38hi Breg及相关细胞因子的异常表达参与了ITP的发病机制。
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引用次数: 0
A Case Report of Scrub Typhus: Secondary Acute Arrest of Hemopoiesis with Multiple Organ Dysfunction Syndromes 恙虫病继发性急性造血停止伴多器官功能障碍综合征1例
Pub Date : 2022-01-01 DOI: 10.4236/ojbd.2022.123006
Guancheng Song, Ying Song, Yanfang Zhang, Xi Huang, Jianchuan Deng
Scrub typhus is a zoonotic disease caused by Orientia tsutsugamushi (O. tsutsugamushi) in which humans are accidental hosts. Acute arrest of hemopoiesis (AAH) always manifests in pancytopenia and with supportive treatment or inducement removal, the AAH patients would show significant im-provement in blood routine for about a week. As a rapidly progressive and potentially life-threatening organ function disorder syndrome, multiple organ dysfunction syndrome (MODS) is often induced by many factors including infection, illness and injury. We received a rare case of scrub typhus rapidly presenting with AAH and MODS 2 weeks ago. The clinical data of a 32-year-old female with O. tsutsugamushi-induced AAH and MODS was summarized retrospectively and analyzed with a literature review. In this case, we selected tigecycline and moxifloxacin as treatment regimens for scrub typhus. When the potential infection was controlled, her pancytopenia and hepatic function rapidly improved in a few days.
恙虫病是一种由恙虫病东方体引起的人畜共患疾病,人类是意外宿主。急性造血停止(Acute arrest of hematopoiesis, AAH)常表现为全血细胞减少,在给予支持治疗或去除诱导后,AAH患者的血常规可在一周左右出现明显改善。多器官功能障碍综合征(MODS)是一种进展迅速且可能危及生命的器官功能障碍综合征,其诱发因素包括感染、疾病和损伤等。2周前,我们收到了一例罕见的恙虫病病例,迅速表现为急性斑疹伤寒和MODS。回顾性总结1例32岁女性恙虫病恙虫病AAH合并MODS的临床资料,并进行文献复习分析。在本病例中,我们选择替加环素和莫西沙星作为治疗恙虫病的方案。当潜在感染得到控制后,她的全血细胞减少症和肝功能在几天内迅速改善。
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引用次数: 0
Evolution of the Outcomes of Children with Acute Leukemia in Congo 刚果儿童急性白血病预后的演变
Pub Date : 2022-01-01 DOI: 10.4236/ojbd.2022.121001
L. Ngolet, Simo Josué Luokdom, A. B. Liboko, F. O. A. Tsiba, A. Dokekias
Background: To lower the mori-mortality related to the aggressiveness of acute leukemia’s chemotherapy regimens, we have implemented in 2017 two low toxicity chemotherapy regimens and new supportive care strategies. The aim of the study is to evaluate our new treatments. Materials and Method: A retrospective study was carried out from January 2014 to May 2021 in the hematology department of the teaching hospital in Brazzaville. The study concerned 47 children diagnosed with acute leukemia. Participants were divided into two groups: acute leukemia diagnosed before 2017 (group 1: 23 children) and after 2017 (group 2: 14 children). They were compared using the chi-square. Results: The median age was 10.0 ± 5.01 years. Features and outcomes of group 2 were better. The median duration of symptoms was shorter: 2.45 ± 2.87 months (p = 0.036). The Karnosky score was higher (p = 0.002) and white blood cell count lower (p = 0.331). Both groups started the treatment with a delay of 6 days. The induction treatment was completed in 69.6% before 2017 versus 93.3% after. The rate of relapse was more important for group 1: 85.7% versus 14.3% (p = 0.01). Conclusion: Trainings of professionals have improved the characteristics outcomes of our patients and should be pursued. Considering the high relapse rate, our protocol will need to be intensified.
背景:为了降低急性白血病化疗方案侵袭性相关的死亡率,我们在2017年实施了两种低毒化疗方案和新的支持治疗策略。这项研究的目的是评估我们的新疗法。材料与方法:回顾性研究于2014年1月至2021年5月在布拉柴维尔某教学医院血液科进行。这项研究涉及47名被诊断患有急性白血病的儿童。参与者分为两组:2017年之前诊断的急性白血病(组1:23名儿童)和2017年之后诊断的急性白血病(组2:14名儿童)。他们使用卡方进行比较。结果:中位年龄为10.0±5.01岁。2组的特点和预后较好。中位症状持续时间较短,为2.45±2.87个月(p = 0.036)。Karnosky评分较高(p = 0.002),白细胞计数较低(p = 0.331)。两组均延迟6天开始治疗。2017年之前完成诱导治疗的比例为69.6%,2017年之后为93.3%。复发率1组为85.7%比14.3% (p = 0.01)。结论:专业人员的培训改善了患者的特点和预后,值得继续进行。考虑到高复发率,我们的治疗方案需要加强。
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引用次数: 0
Evaluation of Dosages Regimen of Fluconazole in Patients of Candidemia with Gender by PK/PD and Mote Carlo Simulation 用PK/PD和蒙特卡罗模拟评价氟康唑对性别念珠菌的给药方案
Pub Date : 2022-01-01 DOI: 10.4236/ojbd.2022.124008
Jiuli Hu, X. Yu, Junhui Hu, Xiaoqin Zhu
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引用次数: 0
Seroprevalence of SARS-CoV-2 among Blood Donors in the Republic of Congo 刚果共和国献血者中SARS-CoV-2的血清阳性率
Pub Date : 2022-01-01 DOI: 10.4236/ojbd.2022.124013
S. O. Mokono, E. P. L. Nanitelamio, C. J. Mbani, Aude Tabapika, Taty Taty, Nina Esther Ngoyi Ontsira, D. Moukassa
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引用次数: 0
Primary Cardiac Lymphoma: Three Case Reports and a Review of the Literature. 原发性心脏淋巴瘤:三例报告及文献复习。
Pub Date : 2021-12-01 Epub Date: 2021-12-02 DOI: 10.4236/ojbd.2021.114012
Clifford Michael Csizmar, Zohar Sachs, Zuzan Cayci, Lihong Bu, Michael Andrew Linden

Primary cardiac lymphoma (PCL) is a rare entity that comprises only 1-2% of all cardiac tumors. Due to their scarcity and variable clinical presentation, early diagnosis is challenging. In this series, three cases of PCL from a single institution are described, which highlight the spectrum of presenting features and emphasize common principles. In the first case, a 73-year-old male who presented with dyspnea was found to have a 12.1 cm mass in the right ventricle. Biopsy via cardiac catheterization revealed diffuse large B cell lymphoma (DLBCL). He was treated with chemoimmunotherapy and survived for two months. The second case describes a 55-year-old female who presented with chest pain. Imaging revealed a 3.1 cm right atrial mass and bilateral pleural effusions, with cytology from the latter demonstrating DLBCL. She was lost to follow up after three cycles of chemoimmunotherapy. In the last case, an 80-year-old female presented with weakness. A 4.0 cm mass was discovered in the right atrium and the patient expired shortly after admission. Autopsy confirmed the diagnosis of DLBCL. These case summaries are followed by a review of the clinical presentation, diagnostic approach, and treatment outcomes of PCL.

原发性心脏淋巴瘤(PCL)是一种罕见的实体,仅占所有心脏肿瘤的1-2%。由于其稀缺性和不同的临床表现,早期诊断具有挑战性。在本系列中,描述了来自单个机构的三个PCL案例,这些案例突出了呈现特征的范围并强调了共同原则。第一例患者为73岁男性,出现呼吸困难,右心室有12.1 cm肿块。心导管活检显示弥漫大B细胞淋巴瘤(DLBCL)。他接受了化学免疫治疗,存活了两个月。第二个病例描述了一名55岁的女性,她表现为胸痛。影像学显示右心房肿块3.1 cm,双侧胸腔积液,后者的细胞学检查显示DLBCL。在三个周期的化学免疫治疗后,她失去了随访。在最后一个病例中,一名80岁的女性表现出虚弱。在右心房发现一个4.0 cm的肿块,患者入院后不久死亡。尸检证实为DLBCL。这些病例总结之后是对PCL的临床表现、诊断方法和治疗结果的回顾。
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引用次数: 5
Determinants of Anemia among Pregnant Women at Debre Tabor Comprehensive and Specialized Hospital Debre Tabor综合专科医院孕妇贫血的决定因素
Pub Date : 2021-10-13 DOI: 10.4236/ojbd.2021.114011
Gashaw Mehiret Wubet
Background: Anemia is one of the most occurring nutritional deficiency problems in the world especially in Africa. It can be prevalent in women of reproductive age, particularly during pregnancy when it is often a contributory cause of maternal mortality. In our country Ethiopia, anemia prevalence is increased from 2011 to 2016 in all anemia categories. Even though scarce information is known about the problem in Ethiopia and studies related to the problem are not available at Debre Tabor comprehensive and specialized hospitals. Hence, we aimed to assess the prevalence and factors associated with anemia among pregnant women who are attending antenatal care at Debre Tabor Comprehensive and specialized hospitals. Methods: Institution-based cross-sectional study was conducted from October 15 to November 15, 2020, with a sample size of 232 pregnant women participants selected using a systematic random sampling method. Laboratory determination of hemoglobin level was done at Anti-natal care follow-up. The data was entered into Epi info Version 7.2 and exported to SPSSS version 23 for analysis. Descriptive statistics using frequency and other summary statistics were used to present the socio-demographic and clinical characteristics of women. Binary and multivariable logistic regression was done to identify factors associated with anemia using an odds ratio at 95% CI and p-value Result: The magnitude of anemia showed that 12.9% with 95% CI (9.4% - 17.7%). The mean age of the participants was 33 years with a range of 18 - 39 years. Rural residency (AOR: 2.82; 95% CI: 1.02 - 4.87, p-0.001), multi-parity were (AOR: 3.12; 95% CI: 2.43 - 7.56, p-0.045), previous malaria attack (AOR: 1.91; 95% CI: 1.04 - 4.88, p-0.023), and having history of abortion (AOR: 2.10; 95% CI: 1.18 - 6.79, p-0.014) were factors associated to anemia in pregnancy. Conclusion: This study found a relatively high magnitude of anemia among pregnant women. Rural residency, multi-parity, previous malaria attack, and having a history of abortion were found to be independent predictors of anemia in pregnancy.
背景:贫血是世界上最常见的营养缺乏症之一,特别是在非洲。它可能在育龄妇女中普遍存在,特别是在怀孕期间,这往往是孕产妇死亡的一个原因。在我国埃塞俄比亚,从2011年到2016年,所有贫血类别的贫血患病率都有所上升。尽管关于埃塞俄比亚这一问题的信息很少,而且在Debre Tabor综合医院和专科医院也没有与这一问题有关的研究。因此,我们的目的是评估在Debre Tabor综合和专科医院接受产前护理的孕妇中贫血的患病率和相关因素。方法:于2020年10月15日至11月15日进行基于机构的横断面研究,采用系统随机抽样方法选取232名孕妇。实验室测定血红蛋白水平在产前护理随访。将数据输入Epi info Version 7.2,并导出到spssss Version 23进行分析。描述性统计使用频率和其他汇总统计来呈现妇女的社会人口和临床特征。使用95% CI和p值的比值比进行二元和多变量logistic回归,以确定与贫血相关的因素。结果:贫血程度为12.9%,95% CI(9.4% - 17.7%)。参与者的平均年龄为33岁,年龄范围为18 - 39岁。农村居民(AOR: 2.82;95% CI: 1.02 - 4.87, p-0.001),多胎均为(AOR: 3.12;95% CI: 2.43 - 7.56, p-0.045),既往疟疾发作(AOR: 1.91;95% CI: 1.04 ~ 4.88, p = 0.023),有流产史(AOR: 2.10;95% CI: 1.18 ~ 6.79, p = 0.014)是妊娠期贫血的相关因素。结论:本研究发现孕妇的贫血程度相对较高。农村居住、多胎、既往疟疾发作和有流产史是妊娠期贫血的独立预测因素。
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引用次数: 0
Prevalence and Factors Associated with Iron Deficiency Anemia among School-Age Children in Primary Schools in Burao City, Somaliland, 2020 2020年索马里兰布拉奥市小学学龄儿童缺铁性贫血患病率及相关因素
Pub Date : 2021-09-06 DOI: 10.4236/ojbd.2021.113008
Saed Salim, Y. Ahmed, Abdullah Al-Mamari
Background: Anemia is a global public health problem affecting the majority of the population of the world in both developed and developing countries with major consequences on human health as well as social and economic development. It is the world’s second leading cause of disability of the whole global disease burden. It affects 1.62 billion (24.8%) of the population, among them, it is affecting 305 million (25.4%) school-age children (SAC). Objectives: The main objective of this study was to assess the prevalence and factors associated with anemia among school-age children in primary schools in Burao city, Somaliland, 2020. Materials & Methods: A school-based cross-sectional study design was done in four primary schools in Burao, Somaliland. About 285 school-age children in the age group between 6 - 14 years were selected with a respondent rate of 93.4%. Random sampling was used to select schools and systemic random sampling was used to identify children from the selected schools. Socio-demographic data was collected by using a questionnaire & interviews of respondents in addition to anthropometric measurements, hemoglobin measurement, and stool examination. Complete Blood Counting (CBC) was used to determine the mean corpuscular (kor-PUS-kyu-lar) volume (MCV) and hematocrit (HMC) levels to detect hemoglobin status of the children. Data was entered and analyzed using SPSS statistical software for Windows version 21. Anthropometric data was analyzed using ANTHRO Plus. Bivariate logistic regression and multivariable logistic regression were used to identify independent predictors of anemia in school adolescent girls. Statistical significance was set at p Results: A total of 285 school-age children were included in this study. The overall prevalence of anemia was (23.1%) (CI: 18.1%, 28.1%) with the mean and standard deviation of (12.7 ± 1.59). Out of the anemic children, 20.4% were mild and 2.3% and 0.4% of them were moderate and severe, respectively. Children’s from illiterate mothers (AOR = 2.37; 95% CI: 1.14, 4.94. P-value = 0.020), consuming organ meat less than once a week (AOR = 2.19; 95% CI: 1.05, 4.43. P-value = 0.036) and having parasites in stool (AOR = 5.21; 95% CI: 1.10, 24.6. P-value = 0.037) were identified as statistically independent associated factors with prevalence of anemia in school-age children’s from Burao, Somaliland. Conclusion: Prevalence of anemia in Burao city, Somaliland primary schools was a moderate public health problem in the current study area. Nutrition education, iron folic acid supplementation program, deworming, good hygiene, and sanitation are playing an important role in the prevalence of anemia and we recommend to give them more attention from ministry of education and ministry of health in Somaliland.
背景:贫血是一个全球性的公共卫生问题,影响着世界上大多数发达国家和发展中国家的人口,对人类健康以及社会和经济发展产生重大影响。它是全球第二大致残原因,占全球疾病负担的比重。它影响了16.2亿(24.8%)人口,其中3.05亿(25.4%)学龄儿童(SAC)受到影响。目的:本研究的主要目的是评估2020年索马里兰Burao市小学学龄儿童贫血的患病率和相关因素。材料与方法:在索马里兰Burao的四所小学进行了一项基于学校的横断面研究设计。选择了大约285名6-14岁年龄段的学龄儿童,回答率为93.4%。随机抽样用于选择学校,系统随机抽样用于识别所选学校的儿童。除了人体测量、血红蛋白测量和粪便检查外,还通过问卷调查和受访者访谈收集了社会人口统计数据。采用全血细胞计数法(CBC)测定儿童平均红细胞体积(MCV)和红细胞压积(HMC)水平,以检测儿童血红蛋白状态。数据输入并使用适用于Windows版本21的SPSS统计软件进行分析。使用ANTHRO Plus对人体测量数据进行分析。使用双变量逻辑回归和多变量逻辑回归来确定学龄少女贫血的独立预测因素。统计显著性为p。结果:本研究共纳入285名学龄儿童。贫血的总患病率为(23.1%)(CI:18.1%,28.1%),平均值和标准差为(12.7±1.59)。贫血儿童中,20.4%为轻度,2.3%和0.4%为中度和重度。来自文盲母亲的儿童(AOR=2.37;95%置信区间:1.14,4.94。P值=0.020),每周食用器官肉少于一次(AOR=2.19;95%CI:1.05,4.43。P值=0.036)和在粪便中具有寄生虫(AOR=5.21;95%CI:1.10、24.6。P值=0.037)被确定为索马里兰Burao学龄儿童贫血患病率的统计学独立相关因素。结论:在本研究区域内,索马里兰Burao市小学的贫血患病率是一个中度公共卫生问题。营养教育、铁叶酸补充计划、驱虫、良好的个人卫生和环境卫生在贫血的流行中发挥着重要作用,我们建议索马里兰教育部和卫生部给予更多关注。
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引用次数: 1
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Open journal of blood diseases
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