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妊娠合并慢性乙型肝炎血清HBV pgRNA、PreS1抗原表达与肝内胆汁淤积症的相关性分析
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作者 李佳 何霞 李玲 《安徽医药》 CAS 2024年第4期709-713,共5页
目的 探究妊娠合并慢性乙型肝炎病人血清乙型肝炎病毒(HBV)前基因组RNA(HBV pgRNA)、前S1抗原(PreS1Ag)水平变化及与妊娠期肝内胆汁淤积症(ICP)发生的相关性。方法 选取2017年6月至2020年6月在雅安市人民医院进行孕期检查的慢性乙型肝... 目的 探究妊娠合并慢性乙型肝炎病人血清乙型肝炎病毒(HBV)前基因组RNA(HBV pgRNA)、前S1抗原(PreS1Ag)水平变化及与妊娠期肝内胆汁淤积症(ICP)发生的相关性。方法 选取2017年6月至2020年6月在雅安市人民医院进行孕期检查的慢性乙型肝炎孕妇279例作为研究对象,根据入组病人是否患有ICP分为合并ICP组43例、未合并ICP组236例。比较两组病人血清中HBV pgRNA、PreS1 Ag水平,并分析两组血清HBV pgRNA、PreS1 Ag表达与HBV DNA表达水平相关性;比较两组病人妊娠结局,并分析合并ICP组病人血清HBV pgRNA表达水平及PreS1 Ag阳性表达率与妊娠结局的关系。受试者操作特征(ROC)曲线分析血清HBV pgRNA、PreS1 Ag光密度[D(λ)]值诊断慢性乙型肝炎孕妇合并ICP的效能。结果 合并ICP组慢性乙型肝炎病人血清HBV表面抗原(HbsAg)水平[(3.71±0.92)log IU/mL]、HBV e抗原(HbeAg)阳性率[65.12%(28/43)]、HBV DNA含量[(8.03±1.69)log copies/mL]、天冬氨酸转氨酶(AST)[(79.68±15.73)U/L]、丙氨酸转氨酶(ALT)[(72.08±16.95)U/L]、PreS1 Ag阳性表达率[88.37%(38/43)]、PreS1 Ag D(λ)值水平(1.24±0.25)及HBV pgRNA表达水平[(5.17±1.25)log copies/mL]明显高于未合并ICP组[(2.26±0.74)log IU/mL、24.15%(57/236)、(5.19±1.07)logcopies/mL、(23.01±12.47)U/L、(21.76±10.51)U/L、67.80%(160/236)、(0.92±0.23)、(3.02±0.98)logcopies/mL](P<0.05)。血清HBV pgRNA诊断慢性乙型肝炎孕妇合并ICP的曲线下面积(AUC)为0.89,灵敏度为81.40%,特异度为80.50%。PreS1 Ag D(λ)值诊断慢性乙型肝炎孕妇合并ICP的AUC为0.83,灵敏度为76.70%,特异度为79.20%。二者联合诊断的AUC为0.91,灵敏度为93.00%,特异度为78.40%。合并ICP组、未合并ICP组血清PreS1 Ag阳性的慢性乙型肝炎病人血清HBV DNA、HBV pgRNA表达水平均明显高于PreS1 Ag阴性表达病人(P<0.05)。合并ICP组、未合并ICP组血清HBV pgRNA、PreS1 Ag D(λ)值均与HBV DNA表达水平呈正相关(P<0.05)。合并ICP组产后出血、早产的发生率明显高于未合并ICP组(P<0.05)。发生不良妊娠结局的慢性乙型肝炎合并ICP病人血清PreS1 Ag阳性表达率、PreS1 Ag D(λ)值、HBV pgRNA表达水平均明显高于未发生不良妊娠结局病人(P<0.05)。结论 合并ICP的慢性乙型肝炎病人血清HBV pgRNA表达水平、PreS1 Ag阳性表达率及D(λ)值水平均明显升高,对ICP有一定诊断价值,且两者水平变化均与HBV DNA含量有关,并可能预示病人不良妊娠结局的发生。 展开更多
关键词 妊娠并发症 乙型肝炎 慢性 HBV前基因组RNA 前S1抗原 妊娠期肝内胆汁淤积症 相关性
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血清preS1水平与慢性乙型肝炎患者肝纤维化的关系及对癌变的诊断价值
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作者 高兴娟 程磊 +5 位作者 马秀清 刘守珠 王宝英 刘海燕 才德吉 杨兴唐 《传染病信息》 2024年第2期132-136,共5页
目的分析血清乙型肝炎病毒(hepatitis B virus,HBV)前S1蛋白(precursor S1 protein,preS1)与慢性乙型肝炎(chronic hepatitis B,CHB)肝纤维化及癌变进展的相关性。方法对2019年10月—2021年10月期间在青海红十字医院接受检查的228例乙... 目的分析血清乙型肝炎病毒(hepatitis B virus,HBV)前S1蛋白(precursor S1 protein,preS1)与慢性乙型肝炎(chronic hepatitis B,CHB)肝纤维化及癌变进展的相关性。方法对2019年10月—2021年10月期间在青海红十字医院接受检查的228例乙肝表面抗原(hepatitis B surface antigen,HBsAg)阳性慢性HBV感染者进行回顾性分析,其中CHB患者75例、肝硬化(liver cirrhosis,LC)患者93例(LC组)、肝细胞癌(hepatocellular carcinoma,HCC)患者60例(HCC组)。根据LC和HCC组肝组织活检分析肝脏炎症活动及肝纤维化程度。结果HCC组血清preS1水平[496.32(457.63,988.0)ng/mL]和LC组[338.72(247.93,554.61)ng/mL]血清preS1水平均显著高于CHB组[113.69(87.09,177.40)ng/mL],且差异具有统计学意义(P均<0.05)。HCC组血清preS1水平亦高于LC组(P=0.002)。经受试者工作特征曲线分析,血清preS1水平鉴别诊断CHB与LC的曲线下面积(area under the curve,AUC)是0.881(95%CI:0.830~0.932),鉴别诊断CHB/LC与HCC的AUC是0.861(95%CI:0.815~0.908)。3组患者的血清preS1水平与HBsAg(rs=0.799,P<0.001)呈强正相关和Log HBV DNA(rs=0.262,P<0.001)呈弱正相关。此外LC组和HCC组血清preS1水平与肝脏炎症活动分级(rs=0.201,P=0.009)及肝纤维化分期也呈弱正相关性(rs=0.295,P<0.001)。结论血清preS1水平与血清HBsAg、HBV DNA水平和肝脏炎症和纤维化进展呈正相关,有可能成为鉴别诊断HBV相关慢性肝病肝硬化或癌变的候选标志物。 展开更多
关键词 乙型肝炎病毒 HBV前S1蛋白 慢性乙型肝炎 肝纤维化 肝硬化 肝细胞癌
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植物PRE类转录因子基因的研究进展
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作者 路文婧 沙伟 马天意 《高师理科学刊》 2024年第2期64-68,共5页
多效唑是一种赤霉素合成抑制剂,抗多效唑(paclobutrazol-resistance,PRE)基因家族编码的蛋白质可与多效唑发生拮抗作用,这些蛋白质具有螺旋-环-螺旋(basic Helix-Loop-Helix,bHLH)结构,在高等植物中参与转录调控从而在植物发育的许多方... 多效唑是一种赤霉素合成抑制剂,抗多效唑(paclobutrazol-resistance,PRE)基因家族编码的蛋白质可与多效唑发生拮抗作用,这些蛋白质具有螺旋-环-螺旋(basic Helix-Loop-Helix,bHLH)结构,在高等植物中参与转录调控从而在植物发育的许多方面发挥关键作用.PRE基因通过参与各种激素(如赤霉素,油菜素内酯,生长素等)、温度和光响应信号通路来调节植物的生长和发育,对植物生长发育具有重要意义.综述PRE基因在植物中的研究进展,主要包括PRE基因的基本性质、分类、功能以及所参与的植物生理过程等方面,为进一步研究植物PRE类转录因子基因提供理论基础. 展开更多
关键词 pre 植物生长 植物发育
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A Method for Assessing the Efficiency in Two-Stage Production Systems in the Presence of Dual-Role Factors
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作者 Chongyu MA Jianwei REN +2 位作者 Lijun TANG Chunhua CHEN Chenxi FENG 《Journal of Systems Science and Information》 CSCD 2024年第5期624-646,共23页
Due to the existence of dual-role factors,it is difficult to evaluate the production efficiency of two-stage systems.Unlike single-stage systems,two-stage systems involve intermediate products that serve as both input... Due to the existence of dual-role factors,it is difficult to evaluate the production efficiency of two-stage systems.Unlike single-stage systems,two-stage systems involve intermediate products that serve as both inputs and outputs.Hence,to overcome existing obstacles,we propose a novel approach called the two-stage enhanced Russell model with dual-role factors(T-ERM-D)to assess the overall efficiency of two-stage production systems.Furthermore,divisional models are developed to evaluate the efficiency of each individual stage.The 0-1 programming is applied to deal with dual-role factors.To handle the non-linearity of these models,the Charnes-Cooper transformation is employed to convert them into linear ones.Using the proposed models,we evaluate efficiency scores of 10 supply chains involving suppliers and producers.By comparing the results obtained from new models with those obtained from models that do not consider dual-role factors,we validate the advantages of the proposed approach. 展开更多
关键词 data envelopment analysis two stages enhanced Russell model dual-role factors efficiency assessment
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Exploring factors of disaster preparedness in UNESCO-designated heritage sites
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作者 Emmanuel Eze Alexander Siegmund 《Geography and Sustainability》 CSCD 2024年第3期392-404,共13页
Increased hazards threatening the United Nations Educational,Scientific and Cultural Organization(UNESCO)-designated sites and endangering cultural heritage and community well-being require attention and action.Con-si... Increased hazards threatening the United Nations Educational,Scientific and Cultural Organization(UNESCO)-designated sites and endangering cultural heritage and community well-being require attention and action.Con-sidering the pivotal role of UNESCO sites in conservation and development,this study assessed their levels of disaster preparedness.The absence of studies assessing disaster awareness,risk perception,and preparedness among UNESCO site actors,as well as the pivotal place of preparedness within the Disaster Risk Management(DRM)cycle justifies this research.Applying the tenets of the Person-Relative-to-Event framework,we hypothe-sized that a strong positive correlation exists between perceived risks,resources,and disaster preparedness.To collect pertinent data,we employed an embedded mixed-method design and conducted an online questionnaire survey yielding 141 responses from 59 countries.From the results of relevant analyses,wildfires,floods,and droughts are top hazards occurring frequently in UNESCO sites,with significant concerns about pollution and habitat loss during future events.Smartphones emerged as the most available crucial DRM resource,with higher availability of DRM resources correlating positively and significantly with sites’preparedness.Our findings con-tribute valuable insights to address missing links for disaster-ready and resilient UNESCO sites,promoting their preservation for future generations. 展开更多
关键词 Biosphere reserves Disaster risk management(DRM) Global geoparks Person-relative-to-event(pre)framework SUSTAINABILITY World heritage sites
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Clinical Observation on the Treatment of Pre and Postmenopausal Syndromes by Modified Wumei Decoction
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作者 Yaqi Wang Wang Lv +2 位作者 Peiwu Lv Ze Yu Yufei Yang 《Journal of Clinical and Nursing Research》 2024年第7期27-34,共8页
Objective:To compare the efficacy of Wumei Decoction in pre and postmenopausal patients and its effect on follicle-stimulating hormone(FSH)and estradiol(E2).Methods:Sixty-four patients who attended the Department of T... Objective:To compare the efficacy of Wumei Decoction in pre and postmenopausal patients and its effect on follicle-stimulating hormone(FSH)and estradiol(E2).Methods:Sixty-four patients who attended the Department of Traditional Chinese Medicine I in Cangzhou City Central Hospital from January 2020 to January 2022 were selected and randomly divided into treatment group and control group,32 cases in each group.The treatment group took modified Wumei Decoction orally,1 dose of water boiled 2 times a day,divided into 2 warm doses;the control group took Livial orally,2.5 mg/times,1 time/day,and the observation cycles were all for 3 months.Kupperman score,FSH,E2,clinical symptoms and clinical efficacy were compared between the two groups before and after treatment.Results:The Kupperman score of the two groups decreased after treatment,and the difference was statistically significant;the total effective rate of the treatment group was higher than that of the control group,and the difference was statistically significant;there was no statistical significance in the comparison of FSH before and after the treatment of the two groups,but the FSH values of the two groups were significantly lower than those before,and the difference was statistically significant;there was no statistically significant difference in the comparison of E2 of the two groups before treatment,and the E2 values of the two groups were higher than those of the control group after the treatment.After the treatment,E2 of the two groups of patients was significantly higher than before,and the difference was statistically significant.After treatment,E2 of the treatment group was higher than that of the control group,and the comparison between the groups was statistically significant.Conclusion:There was no significant difference between modified Wumei Decoction and Livial in lowering follicle-stimulating hormone levels;modified Wumei Decoction was superior in raising oestradiol;and modified Wumei Decoction was relatively effective in improving clinical symptoms. 展开更多
关键词 pre and postmenopausal symptoms ESTRADIOL Follicle-stimulating hormone Wumei Decoction
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Pre-miR172及miR172调控油菜AP2基因表达的规律分析
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作者 刘芳 郝小花 +1 位作者 陈中元 何昊 《广西植物》 CAS CSCD 北大核心 2024年第5期936-950,共15页
为探究油菜miR172前体(pre-miR172)及成熟体(miR172)对AP2基因的调控功能,该研究通过生物信息学方法对miR172和AP2启动子进行调控元件预测,分析6条油菜AP2基因的进化关系及miR172与AP2的靶向关系;通过qRT-PCR方法检测AP2、miR172和pre-m... 为探究油菜miR172前体(pre-miR172)及成熟体(miR172)对AP2基因的调控功能,该研究通过生物信息学方法对miR172和AP2启动子进行调控元件预测,分析6条油菜AP2基因的进化关系及miR172与AP2的靶向关系;通过qRT-PCR方法检测AP2、miR172和pre-miR172在早熟和晚熟油菜不同组织的表达规律;比较分析miR172丰度和AP2表达量间的相关关系,以及比较分析pre-miR172和miR172在表达水平上的相关关系;通过过表达pre-miR172,再次验证pre-miR172对成熟体miR172及AP2的作用。结果表明:(1)miR172和AP2启动子区均存在调控花发育的顺式元件。(2)6条AP2序列均经历了强烈的纯化选择,均具备miR172的结合位点,属miR172的靶基因。(3)miR172家族成员均可促进早熟油菜AP2表达,但miR172d作用不明显。在晚熟油菜中,miR172a和miR172c作用微弱,miR172b和miR172d二者共同发挥作用降低AP2的表达水平。(4)pre-miR172家族对于早熟油菜中miR172家族的表达水平均有促进作用;在晚熟油菜中pre-miR172a和pre-miR172b对其成熟序列的形成发挥正调控作用,pre-miR172c和pre-miR172d则对于其成熟序列的形成发挥负调控作用。过表达pre-miR172后,miR172和AP2表达规律与上述结果保持一致,证实pre-miR172对miR172及AP2的调控功能。该研究结果丰富了油菜AP2基因的功能调控路径,为基因的调控功能研究提供了新的思路。 展开更多
关键词 油菜 AP2 miR172 pre-miR172 表达规律
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Association between Placental Malaria and Severe Pre-Eclampsia in Two University Hospitals of Yaounde City
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作者 Ayissi Gregory Astrid Ruth Ndolo Kondo +10 位作者 Ndoumba Afouba Alice Noa Ndoua Claude Cyrille Essiben Félix Meka Esther Belinga Etienne Metogo Junie Engo Engo Samuel Désiré Bodo Edmond Lemaire Tchente Nguefack Charlotte Foumane Pascal Mboudou Emile Télésphore 《Open Journal of Obstetrics and Gynecology》 2024年第9期1488-1511,共24页
Context: Pre-eclampsia and placental malaria, are two diseases that share pathophysiological similarities, such as placental ischemia, endothelial dysfunction and production of pro-inflammatory cytokines. Objective: T... Context: Pre-eclampsia and placental malaria, are two diseases that share pathophysiological similarities, such as placental ischemia, endothelial dysfunction and production of pro-inflammatory cytokines. Objective: The objective of our study was to investigate the association between placental malaria lesions and severe pre-eclampsia. Methodology: We conducted a prospective analytical cross-sectional study in two University Hospitals in the city of Yaounde (Yaounde Central Hospital and the Gynaecological Obstetrics and Paediatrics Hospital), and in the laboratory of the Centre Pasteur in Yaounde over an eight-month period (1st January 2021 – 1st September 2021). All patients with pre-eclampsia diagnosed according to the criteria of the International Society for the Study of Hypertension (ISSHP) and free of chronic metabolic or infectious pathology were included in this study. The patients were divided into two groups: group 1 (mild pre-eclampsia) and group 2: severe pre-eclampsia. Socio-demographic, clinical and histopathological characteristics specific to pre-eclampsia and placental malaria were investigated. Statistical analysis was performed with SPSS 23.0 software, Chi 2 was used to compare categorical variables, Student t-test was used to compare means, and logistic regression was used to assess the association between placental malaria lesions and PES. Results: The mean age of our study population was 29.93 ± 7.36 years versus 28.28 ± 7.18 years in patients with mild and severe pre-eclampsia respectively. Pre-eclampsia placental lesions (accelerated villous maturation, infarction) were significantly greater in patients with severe pre-eclampsia (p Conclusion: Placental malaria lesions were significantly associated with severe pre-eclampsia and increased the risk of developing severe pre-eclampsia placental lesions by a factor of 10. 展开更多
关键词 Mild pre-Eclampsia Severe pre-Eclampsia MALARIA Placental Lesions ASSOCIATION
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NIC X-FILE和DENCO Pre-Shaper镍钛器械对模拟弯曲根管成形的影响 被引量:1
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作者 申煜荣 乃仁桐 +4 位作者 赵玲 刘飞刚 尹曹洋 顾远平 陈铁一 《中国组织工程研究》 CAS 北大核心 2024年第3期387-391,共5页
背景:根管预备是根管治疗的关键步骤,近年来随着新型镍钛器械的迅速发展,根管成形能力得到了显著提高,然而不同种类的镍钛系统成形能力亦不同,目前国内外关于R相热处理机用镍钛器械NIC X-FILE和DENCO Pre-Shaper对弯曲根管成形能力的影... 背景:根管预备是根管治疗的关键步骤,近年来随着新型镍钛器械的迅速发展,根管成形能力得到了显著提高,然而不同种类的镍钛系统成形能力亦不同,目前国内外关于R相热处理机用镍钛器械NIC X-FILE和DENCO Pre-Shaper对弯曲根管成形能力的影响鲜见报道。目的:比较NIC X-FILE和DENCO Pre-Shaper机用镍钛锉预备树脂模拟弯曲根管的成形效果。方法:选取树脂模拟弯曲根管50个,随机分为2组(n=25),分别使用NIC X-FILE、DENCO Pre-Shaper镍钛根管锉进行根管预备,记录根管预备时间、采集根管预备前后图像。使用图像处理和分析软件测量各观测点的根管内、外侧壁树脂去除量,运用统计学软件,对比研究两种机用镍钛锉的根管预备时间和中心定位能力。结果与结论:①DENCO Pre-Shaper组平均根管预备时间为(1.58±0.02)min,NIC X-FILE组平均根管预备时间为(2.22±0.03)min,两组间比较差异有显著性意义(P<0.05);②DENCO Pre-Shaper组在距离根尖孔4,5,7,8,9,10 mm处的内侧树脂去除量多于NIC X-FILE组(P<0.05),在距离根尖孔3,5,6,7,8 mm处的外侧树脂去除量少于NIC X-FILE组(P<0.05);③在距离根尖孔2,4,5,6,7,8,9 mm处,NIC X-FILE组的中心定位能力优于DENCO Pre-Shaper组(P<0.05),其中在距离根尖孔4 mm处的中心定位能力最佳;④结果表明,DENCO Pre-Shaper根管锉较NIC X-FILE镍钛根管锉具有较高的机械效率,但其中心定位能力不如NIC X-FILE镍钛根管锉。 展开更多
关键词 NIC X-FILE DENCO pre-Shaper 根管预备 镍钛器械 根管预备时间 中心定位能力
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The Hidden Side of the Story between the Placenta and Preeclampsia: Preliminary Results of a Prospective Cohort of Pregnant Women in Cameroon
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作者 Junie Annick Metogo Ntsama Ambroise Merci Engounou Seme +8 位作者 Urielle Julie Tchuente Sutchueng Wilfried Loic Tatsipie Christian Vagoda Henry-Leonard Chatelin Mol Madye Ngo Dingom Felix Essiben Cyrille Claude Noa Ndoua Yann chris Eng Odile Fernande Zeh 《Open Journal of Obstetrics and Gynecology》 2024年第4期610-620,共11页
Introduction: Pre-eclampsia is a complication of pregnancy that generally occurs in the third trimester. It is associated with a maternal and foetal mortality rate of around 27%. In view of the grim picture painted by... Introduction: Pre-eclampsia is a complication of pregnancy that generally occurs in the third trimester. It is associated with a maternal and foetal mortality rate of around 27%. In view of the grim picture painted by this condition for both mother and newborn, studies have been carried out into the early detection of patients at risk of developing pre-eclampsia. These make it possible to introduce pregnancy-specific monitoring and preventive strategies to reduce the incidence of the condition. Objective: To establish the link between placental ultrasound characteristics and the onset of pre-eclampsia. Methodology: A multicentre prospective cohort study was conducted in two hospitals in Yaoundé, namely the Yaoundé Gynaecological Obstetrics and Paediatrics Hospital and the Nkolndongo Health and Social Animation Centre, in the gynaecology and radiology departments over a period of 11 months, from October 2022 to August 2023. It included pregnant women who had undergone obstetric ultrasound between 12 and 18 weeks’ gestation. In addition to routine obstetric ultrasound, we performed obstetric Doppler measurements in these patients. The resistance index of the left and right uterine arteries, the umbilical artery and the placental volume were the characteristics sought. At the end of this examination, two groups were formed: cases (pathological Doppler group) and controls (normal Doppler group). Blood pressure and urine dipstick were taken at each antenatal visit until delivery, then during the immediate postpartum period and finally at 7 days, 21 days and 42 days after delivery. Results: Sixty-seven (67) patients were included. Of these, 35 (47.8%) had pathological Dopplers. Sixteen patients had arterial hypertension associated with proteinuria and were therefore labelled as pre-eclampsia (PE). This gives a prevalence of 23.9%. Fifteen (42.8%) of these patients belonged to the exposed group and one to the unexposed group. The mean IR of the pre-eclampsia patients was significantly higher than that of the patients without pre-eclampsia;respectively 0.74 ± 0.096 and 0.49 ± 0.097 for the right uterine arteries and 0.71 ± 0.13 and 0.52 ± 0.089 for the left uterine arteries. We found that an increase in the uterine artery resistance index was significantly associated with the onset of pre-eclampsia, with a relative risk of 13.7 and a p value Conclusion: Abnormal Doppler ultrasound between 12 and 18 weeks of amenorrhoea had good overall sensitivity for predicting pre-eclampsia. Among the Doppler indices, the uterine artery resistance index was the only one significantly associated with pre-eclampsia. 展开更多
关键词 pre-ECLAMPSIA DOPPLER Ultrasound PLACENTA
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Predictive Factors for Pre-Eclampsia: A Case-Control Study in Two Hospitals in Yaounde
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作者 Junie Annick Metogo Ntsama Ines Winnie Gouanfo +5 位作者 Claude Hector Mbia Wilfried Loic Tatsipie Pascal Mpono Madye Ngo Dingom Felix Essiben Claude Cyrille Noa Ndoua 《Open Journal of Obstetrics and Gynecology》 2024年第4期565-574,共10页
Introduction: Pre-eclampsia is a major cause of maternal and prenatal morbidity and mortality, that complicates 2% to 8% of pregnancies worldwide. The aim of this study was to determine the predictive factors for pre-... Introduction: Pre-eclampsia is a major cause of maternal and prenatal morbidity and mortality, that complicates 2% to 8% of pregnancies worldwide. The aim of this study was to determine the predictive factors for pre-eclampsia in two hospitals in the city of Yaoundé. Methods: A case-control study was conducted at the Gynaecology & Obstetrics department of the Yaoundé Gynaeco-Obstetric and Paediatric Hospital (YGOPH) and the Main Maternity of the Yaoundé Central Hospital (MM-YCH) from February 1 to July 30, 2022. The cases were all pregnant women presenting with pre-eclampsia. The control group included pregnant women without pre-eclampsia. Descriptive statistics followed by logistic regression analyses were conducted with level of significance set at p-value Results: Included in the study were 33 cases and 132 controls, giving a total of 165 participants. The predictive factors for pre-eclampsia after multivariate analysis were: primiparity (aOR = 51.86, 95% CI: 3.01 - 1230.96, p = 0.045), duration of exposure to partner’s sperm Conclusion: The odds of pre-eclampsia increased with primiparity, duration of exposure to partner’s sperm < 3 months, personal history of pre-eclampsia and maternal history of pre-eclampsia. Recognition of these predictor factors would improve the ability to diagnose and monitor women likely to develop pre-eclampsia before the onset of disease for timely interventions. 展开更多
关键词 pre-ECLAMPSIA predictive Factors Yaoundé
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Rationale of a Cross Sectional Analytic Study on Determinants of Recurrent Preeclampsia at University Clinics of Kinshasa (Democratic Republic of Congo) and at Victor Dupouy Hospital Center (France)
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作者 Mushengezi Amani Dieudonné Sengeyi Muela Andy Mbangama +4 位作者 Mokambanda Cynthia Awena Goy Sambwa Christian Kelele Nkongolo Freddy Muamba Banza Jésual Lotoy Otem Christian Ndesanzim 《Open Journal of Obstetrics and Gynecology》 2024年第5期824-831,共8页
Research Background: Pre-eclampsia is one of main causes of materno-foetal mortality and morbidity worldwide, with a prevalence of 3% - 7%. Although considered a primiparous condition, it can nevertheless recur. Sever... Research Background: Pre-eclampsia is one of main causes of materno-foetal mortality and morbidity worldwide, with a prevalence of 3% - 7%. Although considered a primiparous condition, it can nevertheless recur. Several factors appear to be associated with risk of recurrence of pre-eclampsia, such as the term of delivery of previous pregnancy, severity of disease, the existence of co-morbidities and the inter-genital space. Purpose: The aim of our study will be to analyse and identify in a population of pregnant women with a history of preeclampsia risk factors associated with occurrence of recurrent preeclampsia at University clinics of Kinshasa (Democratic Republic of Congo) and at Victor Dupouy Hospital Center (France). Methods: In this study, pregnant women with an history of preeclampsia who will give birth between November 2018 and October 2024 at University Clinics of Kinshasa (UCK) and Victor Dupouy Hospital Center (VDHC) will be included. This will be a cross-sectional analytical study, data from previous and subsequent pregnancies will be studied. Expected Result: The prevalence of recurrent preeclampsia in the study population will be determined. And we will highlight the factors that will determine the recurrence of preeclampsia by analysing the risk factors. Conclusion: Knowledge of the factors associated with recurrent preeclampsia could be an excellent tool for predicting and preventing the disease. 展开更多
关键词 Recurrent pre-Eclampsia Risk Factor Determinants
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Unusual Giant Pre-Sacral Multicystic Schwannoma: A Case Report and Differential Diagnosis
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作者 Mehfoud Ibrahim Khoulali Mohamed +5 位作者 Khay Hamid Mejdoubi Anasse Oulali Noureddine Moufid Fayçal Bouziane Mohammed Housni Brahim 《Open Journal of Radiology》 2024年第3期103-112,共10页
Background: Schwannomas are generally benign neoplasms arising from the nerve sheath. Presacral schwannomas are very rare entities and difficult to diagnose, representing less than 15% of all retrorectal space tumors.... Background: Schwannomas are generally benign neoplasms arising from the nerve sheath. Presacral schwannomas are very rare entities and difficult to diagnose, representing less than 15% of all retrorectal space tumors. Benign schwannoma sometimes displays degenerative changes, such as cyst formation, calcification, hemorrhage, and hyalinization. Usually these degenerations are partially seen in the tumors. Objective: To point out that presacral schwannoma can display markedly multilocular cystic degeneration. Case Report: We present this unique case of a 24-year-old man diagnosed with an unusually large pure multilocular cystic schwannoma, which is revealed by digestive, urinary, and nonspecific neurological symptoms. The patient was successfully treated with radical surgery via an anterior approach leading to the recovery of symptoms. Discussion and Conclusion: This tumor was unusual in its totally multicystic appearance and its resemblance to a wide spectrum of lesions that can occur in the pre-sacral space, such as hydatid and developmental cysts. Preoperative diagnosis is essential to prevent major neurological deficits during surgical intervention. 展开更多
关键词 Multicystic Schwannoma pre-Sacral Space Differential Diagnosis
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Correlation of Hamstring Tendon Size in Pre-Operative MRI Measurement with Intra-Operative Graft Size in Primary Anterior Cruciate Ligament (ACL) Reconstruction
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作者 Nurhanani Abu Bakar Mohamad Razip Sirat +1 位作者 Hairiah Abas Saiful Safuan Md Sani 《Journal of Biosciences and Medicines》 2024年第3期150-158,共9页
Background: The size of Hamstring autograft of less than 8.0 mm in ACL re-construction is one of the key factors that may contribute to the failure of the graft. In this study, we are going to assess the correlation o... Background: The size of Hamstring autograft of less than 8.0 mm in ACL re-construction is one of the key factors that may contribute to the failure of the graft. In this study, we are going to assess the correlation of pre-operative MRI measurement of Hamstring tendons with the intra-operative ACL graft. Thus, it may help surgeons to anticipate the needs for graft augmentation should the final graft size be smaller than expected. Methods: We retrospectively re-viewed 41 cases of ACL reconstructions in which MRI were done pre-operatively, in Hospital Pakar Sultanah Fatimah (HPSF), Muar between January 2019 until December 2022. MRI measurements of Hamstring tendon (semitendinosus: ST, and gracilis) were done by a radiologist, and the in-tra-operative notes were reviewed for the final graft size. Pearson’s correlation coefficients were calculated to determine the relationship between graft size and tendon cross-sectional area. The intraclass correlation (ICC) by using two-way mixed model with type consistency, the reliability based on average measure was 0.41 (95% CI: ?0.10, 0.69). A p-value < 0.05 was considered sig-nificant. Results: Of 105 patients with primary ACL reconstruction done be-tween January 2019 to December 2022, only 41 patients were included in this study. There was fair correlation (p = 0.048) between pre-operative MRI measurement and the graft diameter intra-operatively. The mean of 17.0 mm of combined diameter of ST and gracilis tendon in MRI may results in graft diameter of 8.3 mm. There was also positive correlation between patients’ height and the intra-operative graft size. Conclusion: These results showed good correlation between pre-operative MRI measurement of Hamstring ten-don size with the intra-operative graft size, hence it is a reliable tool to predict the Hamstring autograft size in ACL reconstruction. 展开更多
关键词 ACL Reconstruction pre-Operative MRI Hamstring Tendon
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Prevalence and Demographic Distributions of Pre-Eclampsia among Pregnant Women at Ho Teaching Hospital
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作者 Adwoa Nyarko Joshua A. Kunfah +3 位作者 David Z. Kolbilla Collins Adombire Akayuure Jamilatu B. Kappiah Sylvanus Kampo 《Open Journal of Obstetrics and Gynecology》 2024年第4期621-636,共16页
Background: In Sub-Saharan Africa, pre-eclampsia remains a major health problem contributing to high rates of maternal mortality. Despite this condition having adverse effects on maternal and child health, its prevale... Background: In Sub-Saharan Africa, pre-eclampsia remains a major health problem contributing to high rates of maternal mortality. Despite this condition having adverse effects on maternal and child health, its prevalence and associated risk factors are still significant, especially in developing countries including Ghana. This study aimed to assess the prevalence and demographic distributions associated with pre-eclampsia among pregnant women at the Ho Teaching Hospital. Methods: A facility-based retrospective study was conducted by reviewing available data or hospital records of pregnant mothers admitted to the labor and maternity wards from January 2018 to December 2020. All pregnant women who were diagnosed with pre-eclampsia within this period were included in the study. The data were collected using a structured checklist. Results: 5609 data on pregnant women from 2018 to 2020 were recorded. Out of the 5609 data recorded, 314 pre-eclampsia cases were recorded giving an overall prevalence of 5.6%. The yearly prevalence for 2018, 2019, and 2020 were 4.6%, 5.6%, and 6.6%, respectively. The most recorded pre-eclampsia cases were seen among women within the age group of 18 - 24 years. The data showed that 112 (35.7%) of the pregnant women who had pre-eclampsia were nulliparous. Pre-eclampsia-associated maternal and fetal complications were;preterm delivery 221 (70.4%), intrauterine fetal death 62 (19.7%), eclampsia 9 (2.9%), HELLP syndrome 5 (1.6%) and maternal death 17 (5.4%). Associated factors of pre-eclampsia were parity, level of education, and occupation (p ≤ 0.05). Conclusion: The findings of this study showed a rising trend in the incidence of pre-eclampsia over the years at the Ho Teaching Hospital. Parity, level of education, and occupation were found to be associated with developing pre-eclampsia. 展开更多
关键词 pre-ECLAMPSIA preVALENCE Demographic Distributions Risk Factors ANTENATAL MATERNAL
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Parental Knowledge of Pre-Hospital Management of Avulsed Permanent Tooth in Children at Kath
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作者 Ama Agyeibea Amuasi Samuel K. Addo Solomon Obiri-Yeboah 《Open Journal of Stomatology》 2024年第2期87-102,共16页
BACKGROUND: Permanent tooth avulsion is one of the severe forms of dental traumatic injuries. The immediate action taken at the site of the accident is crucial to the prognosis of the tooth. Replantation is considered... BACKGROUND: Permanent tooth avulsion is one of the severe forms of dental traumatic injuries. The immediate action taken at the site of the accident is crucial to the prognosis of the tooth. Replantation is considered as the treatment of choice. OBJECTIVE: The study was undertaken to assess the knowledge of parents who accompany their children to the pediatric dental clinic, KATH on the pre-hospital management of avulsed permanent tooth in children. METHODS: A researcher administered structured questionnaire was used to collect data on the knowledge of pre-hospital management of avulsed permanent tooth from 83 parents who accompanied their wards to the pediatric dental clinic at KATH. RESULTS: A total of 83 parents were involved in the study. 30 (36%) were males while 53 (64%) were females. The majority of the parents (57%) were either university trained or had attended college of education. Only 32 parents (39%) were aware of the possibility of replantation. Majority of the parents chose non-physiologic media as the transport media of choice and only 10% would attempt self-replantation before seeking professional help. 76 parents (92%) had no previous education on pre-hospital management of avulsed tooth. CONCLUSION: The results obtained from this study indicate that parental knowledge on pre-hospital management of avulsed permanent tooth is low hence the need for massive public educational campaigns. 展开更多
关键词 Parental Knowledge Tooth Avulsion pre-Hospital Management Permanent Tooth
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Correlation Study of Neurotransmitter and Immune Levels in Pre-Hospital Emergency Nurses with Post-Traumatic Stress Disorder
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作者 Yanling Zhou Min Guo +1 位作者 Xiangling Jiang Long Li 《Journal of Behavioral and Brain Science》 2024年第1期12-22,共11页
Objective: To investigate the occurrence of PTSD in pre-hospital emergency nurses and its related factors, and to compare the differences of neurotransmitter and immune-related factors between pre-hospital emergency n... Objective: To investigate the occurrence of PTSD in pre-hospital emergency nurses and its related factors, and to compare the differences of neurotransmitter and immune-related factors between pre-hospital emergency nurses who experienced traumatic events and those who did not develop PTSD and healthy people. How: Post-traumatic Stress Disorder Self-Rating Scale (PCL-C) tests were performed on pre-hospital emergency nurses in PTSD group, non-PTSD group and healthy control group, and the plasma monoamine neurotransmitters and serum cytokines were determined by double-antibody sandwich ABC-ELISA assay using enzyme-linked adsorption kit provided by Shanghai Xitang Biotechnology Co., Ltd. Results: 1) There were statistically significant differences in PCL-C scores between PTSD group, non-PTSD group and healthy group (p α between PTSD group, non-PTSD group and healthy group (p Conclusion: Pre-hospital emergency nurses should have early psychological intervention and guidance to reduce the occurrence of PTSD in emergency and emergency nurses. 展开更多
关键词 pre-Hospital First Aid NURSE Post-Traumatic Stress Disorder NEUROIMMUNOLOGY
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Activated Protein C Resistance in Patients with Pre-Eclampsia in Lagos, Nigeria
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作者 Nosimot O. Davies Titilope A. Adeyemo +2 位作者 Sunday I. Omisakin Akaninyene A. Udousoro Kabiru A. Rabiu 《Open Journal of Obstetrics and Gynecology》 2024年第4期575-590,共16页
Background: Preeclampsia is reported to complicate 2% - 8% of pregnancies globally and is an important cause of maternal and perinatal morbidity and mortality. The aetiology and pathogenesis are still poorly understoo... Background: Preeclampsia is reported to complicate 2% - 8% of pregnancies globally and is an important cause of maternal and perinatal morbidity and mortality. The aetiology and pathogenesis are still poorly understood and substantial improvement has not been made in the prediction, prevention and treatment of the disease. Objective: To compare the frequency of activated protein C resistance (APC-R) in patients with pre-eclampsia to that of normotensive pregnant women and to determine the correlation between activated protein ratio (APC-ratio) and the severity of pre-eclampsia. Methodology: A cross-sectional study was carried out in 100 pre-eclamptic patients and 100 normotensive pregnant controls. The APC-ratio was determined using the modified activated partial thromboplastin time. Study participants with APC-ratio of less than 2.0 were defined as having APC-R. Data was analyzed using SPSS version 22.0. Results: Mean APC-ratio was significantly lower in pre-eclamptics (2.89 ± 1.70) compared to normotensive pregnant women (3.57 ± 1.06) (p = 0.0008) and the levels were also higher in mild (2.95 ± 1.15) compared to severe pre-eclamptics (2.62 ± 1.14). The frequency of APC-R was 26% among women with pre-eclampsia compared to 4% among normotensive controls (p = 0.000). Among 100 pre-eclamptic women 7 (21.2%) out of 33 with mild pre–eclampsia had APC-R, while 19 (28.4%) out of 67 with severe pre-eclampsia had APC-R. APC-ratio had a significant negative correlation with mean arterial blood pressure (r = −0.324;p = 0.000) and proteinuria (r = −0.379;p = 0.000) among study participants. Conclusion: The frequency of activated protein c resistance is significantly higher in pre-eclamptics compared to normotensive pregnant women and this is more pronounced in those with severe pre-eclampsia compared with those with mild disease. APC-R may therefore be used as a marker of severity in the disease. 展开更多
关键词 Activated Protein C Resistance Activated Protein C Ratio pre-ECLAMPSIA
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Predictive Value of the Neutrophil to Lymphocyte Ratio (NLR) to Predict the Development of Preeclampsia and Pregnancy Induced Hypertension at 1st Trimester
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作者 Pradeepa Sanjeewa 《Open Journal of Obstetrics and Gynecology》 2024年第4期547-559,共13页
Introduction: Hypertensive disorder in pregnancy affects 4 to 6 percent of all pregnancies and carries risks for the both baby and the mother. Only a few groups of women who are at high-risk pregnancies are received p... Introduction: Hypertensive disorder in pregnancy affects 4 to 6 percent of all pregnancies and carries risks for the both baby and the mother. Only a few groups of women who are at high-risk pregnancies are received prophylaxis Aspirin, more than 15 percent of women develop pre-eclampsia with a single minor risk factor. Methods: This descriptive cross-sectional study was conducted to compare the 1<sup>st</sup> trimester NLR value of normotensive, pregnancy induced hypertensive and pre-eclamptic pregnant women. The study was conducted with a sample of 416, antenatal patients who were admitted to ward 25, at Colombo North Teaching Hospital Ragama. Data was collected as separated three groups. NLR value was calculated separately and ANOVA test was used to analyze the 3 categorical data. Post HOC test was done to assess the multiple comparison. Results: The prevalence rates of pregnancy induced hypertension and pre-eclampsia among the pregnant women were 8.6% and 5.7%. The mean NLR values of normotensive group was 2.708, pregnancy induced hypertensive group was 2.650 and pre eclamptic group was 3.789. There was a significant difference in NLR value between pre eclamptic group and other two groups with P value of Conclusion: The 1<sup>st</sup> trimester NLR value of pre eclamptic patients significantly increased compared to normotensive women. 展开更多
关键词 pre-ECLAMPSIA Neutrophil to Lymphocyte Ratio 1st Trimester
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A New Kind of Pre-Mean-Type Mappings and Its Gauss Iteration
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作者 Yingjun Ni Yuli Fan 《Journal of Applied Mathematics and Physics》 2024年第7期2574-2581,共8页
A function which is reflexive is called by pre-mean, a more generalized definition of a mean. In this paper, we define a new pre-mean and study its properties, and then using the given invariant curve we consider the ... A function which is reflexive is called by pre-mean, a more generalized definition of a mean. In this paper, we define a new pre-mean and study its properties, and then using the given invariant curve we consider the problem of convergence of Gauss iteration of a kind of pre-mean type mappings generated by the exponential and logarithmic functions. 展开更多
关键词 pre-Mean-Type Mapping Invariant Equation Invariant Curves
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