目的:探讨硫酸羟氯喹联合甲硝唑凝胶治疗玫瑰痤疮的美学效果及疗效和安全性。方法:选取2020年12月-2022年12月湖南省中医药研究院附属医院收治的84例玫瑰痤疮患者,按随机数表法分为观察组(硫酸羟氯喹联合甲硝唑凝胶治疗,n=42)和对照组(...目的:探讨硫酸羟氯喹联合甲硝唑凝胶治疗玫瑰痤疮的美学效果及疗效和安全性。方法:选取2020年12月-2022年12月湖南省中医药研究院附属医院收治的84例玫瑰痤疮患者,按随机数表法分为观察组(硫酸羟氯喹联合甲硝唑凝胶治疗,n=42)和对照组(甲硝唑凝胶治疗,n=42)。比较两组患者的治疗效果、不良反应,比较两组患者治疗前后的临床症状评分、痤疮特异性生活质量量表(Acne-specific quality of life scale,Acne-QOL)评分及白细胞介素-6(Interleukin-6,IL-6)、C反应蛋白(C-reactive protein,CRP)、肿瘤坏死因子-α(Tumo rnecrosis factor-α,TNF-α)水平。结果:观察组总有效率为95.24%,显著高于对照组的80.95%(P<0.05);治疗后两组各项临床症状评分显著低于治疗前,观察组低于对照组(P<0.05);治疗后两组Acne-QOL各项评分显著高于治疗前,观察组高于对照组(P<0.05);治疗后两组IL-6、CRP、TNF-α显著低于治疗前,观察组低于对照组(P<0.05);观察组和对照组的不良反应总发生率分别为9.52%、7.14%,差异无统计学意义(P>0.05)。结论:硫酸羟氯喹联合甲硝唑凝胶治疗玫瑰痤疮安全有效,可有效改善患者的临床症状,提高患者的面部美学效果及生活质量。展开更多
The Douta permit of African Star Resources/Thor Explorations, located in the southeast of Senegal, in the Kédougou-Kéniéba Inlier (western part of the West African Craton), is dominated to the East by m...The Douta permit of African Star Resources/Thor Explorations, located in the southeast of Senegal, in the Kédougou-Kéniéba Inlier (western part of the West African Craton), is dominated to the East by metasedimentary formations such as greywackes, shales, graphitic shales, quartzites, cherts, claystones and breccias characteristic of the Dialé-Daléma basin. To the West, the mafic formations of the Mako volcanic belt are the most common. Metasedimentary rocks are associated with metavolcanosedimentary terms found at the contact zones between the two (2) Birimian groups. These different geological formations are cut by mafic dolerite and gabbro sills and/or dykes, as well as quartz and microgranite veins. The Douta gold project is crossed from North to South by the MTZ (Main Transcurrent Zone), generally oriented NE-SW and becoming N-S towards the North. The permit is characterized by several shear corridors. The rocks are affected by brittle, brittle-ductile to ductile deformations. The gold mineralization is hosted by a NE-trending shear corridor called the Makosa corridor (Makosa shear zone), therefore sub-parallel to the MTZ. It has a subvertical dip (75˚ to 85˚ to the NW). It is associated with a hydrothermal phase characterized by quartz-sericite-epidote-fine, disseminated pyrite and arsenopyrite ± albite ± chlorite paragenesis. These minerals testify to the existence of a low degree of metamorphism (greenschist facies, epizonal domain) in the area. However, metamorphism reaches amphibolite facies in some places, particularly in the vicinity of intrusive bodies, with the presence of hornblende (amphiboles) and plagioclase. The gold mineralization is mainly hosted by two (2) metasedimentary lithological units: meta-greywackes and shales.展开更多
Amebic liver abscess(ALA)is still a common problem in the tropical world,where it affects over three-quarters of patients with liver abscess.It is caused by an anaerobic protozoan Entamoeba hystolytica,which primarily...Amebic liver abscess(ALA)is still a common problem in the tropical world,where it affects over three-quarters of patients with liver abscess.It is caused by an anaerobic protozoan Entamoeba hystolytica,which primarily colonises the cecum.It is a non-suppurative infection of the liver consisting primarily of dead hepatocytes and cellular debris.People of the male gender,during their reproductive years,are most prone to ALA,and this appears to be due to a poorly mounted immune response linked to serum testosterone levels.ALA is more common in the right lobe of the liver,is strongly associated with alcohol consumption,and can heal without the need for drainage.While majority of ALA patients have an uncomplicated course,a number of complications have been described,including rupture into abdomino-thoracic structures,biliary fistula,vascular thrombosis,bilio-vascular compression,and secondary bacterial infection.Based on clinico-radiological findings,a classification system for ALA has emerged recently,which can assist clinicians in making treatment decisions.Recent research has revealed the role of venous thrombosis-related ischemia in the severity of ALA.Recent years have seen the development and refinement of newer molecular diagnostic techniques that can greatly aid in overcoming the diagnostic challenge in endemic area where serology-based tests have limited accuracy.Metronidazole has been the drug of choice for ALA patients for many years.However,concerns over the resistance and adverse effects necessitate the creation of new,safe,and potent antiamebic medications.Although the indication of the drainage of uncomplicated ALA has become more clear,high-quality randomised trials are still necessary for robust conclusions.Percutaneous drainage appears to be a viable option for patients with ruptured ALA and diffuse peritonitis,for whom surgery represents a significant risk of mortality.With regard to all of the aforementioned issues,this article intends to present an updated review of ALA.展开更多
文摘目的:探讨硫酸羟氯喹联合甲硝唑凝胶治疗玫瑰痤疮的美学效果及疗效和安全性。方法:选取2020年12月-2022年12月湖南省中医药研究院附属医院收治的84例玫瑰痤疮患者,按随机数表法分为观察组(硫酸羟氯喹联合甲硝唑凝胶治疗,n=42)和对照组(甲硝唑凝胶治疗,n=42)。比较两组患者的治疗效果、不良反应,比较两组患者治疗前后的临床症状评分、痤疮特异性生活质量量表(Acne-specific quality of life scale,Acne-QOL)评分及白细胞介素-6(Interleukin-6,IL-6)、C反应蛋白(C-reactive protein,CRP)、肿瘤坏死因子-α(Tumo rnecrosis factor-α,TNF-α)水平。结果:观察组总有效率为95.24%,显著高于对照组的80.95%(P<0.05);治疗后两组各项临床症状评分显著低于治疗前,观察组低于对照组(P<0.05);治疗后两组Acne-QOL各项评分显著高于治疗前,观察组高于对照组(P<0.05);治疗后两组IL-6、CRP、TNF-α显著低于治疗前,观察组低于对照组(P<0.05);观察组和对照组的不良反应总发生率分别为9.52%、7.14%,差异无统计学意义(P>0.05)。结论:硫酸羟氯喹联合甲硝唑凝胶治疗玫瑰痤疮安全有效,可有效改善患者的临床症状,提高患者的面部美学效果及生活质量。
文摘The Douta permit of African Star Resources/Thor Explorations, located in the southeast of Senegal, in the Kédougou-Kéniéba Inlier (western part of the West African Craton), is dominated to the East by metasedimentary formations such as greywackes, shales, graphitic shales, quartzites, cherts, claystones and breccias characteristic of the Dialé-Daléma basin. To the West, the mafic formations of the Mako volcanic belt are the most common. Metasedimentary rocks are associated with metavolcanosedimentary terms found at the contact zones between the two (2) Birimian groups. These different geological formations are cut by mafic dolerite and gabbro sills and/or dykes, as well as quartz and microgranite veins. The Douta gold project is crossed from North to South by the MTZ (Main Transcurrent Zone), generally oriented NE-SW and becoming N-S towards the North. The permit is characterized by several shear corridors. The rocks are affected by brittle, brittle-ductile to ductile deformations. The gold mineralization is hosted by a NE-trending shear corridor called the Makosa corridor (Makosa shear zone), therefore sub-parallel to the MTZ. It has a subvertical dip (75˚ to 85˚ to the NW). It is associated with a hydrothermal phase characterized by quartz-sericite-epidote-fine, disseminated pyrite and arsenopyrite ± albite ± chlorite paragenesis. These minerals testify to the existence of a low degree of metamorphism (greenschist facies, epizonal domain) in the area. However, metamorphism reaches amphibolite facies in some places, particularly in the vicinity of intrusive bodies, with the presence of hornblende (amphiboles) and plagioclase. The gold mineralization is mainly hosted by two (2) metasedimentary lithological units: meta-greywackes and shales.
文摘Amebic liver abscess(ALA)is still a common problem in the tropical world,where it affects over three-quarters of patients with liver abscess.It is caused by an anaerobic protozoan Entamoeba hystolytica,which primarily colonises the cecum.It is a non-suppurative infection of the liver consisting primarily of dead hepatocytes and cellular debris.People of the male gender,during their reproductive years,are most prone to ALA,and this appears to be due to a poorly mounted immune response linked to serum testosterone levels.ALA is more common in the right lobe of the liver,is strongly associated with alcohol consumption,and can heal without the need for drainage.While majority of ALA patients have an uncomplicated course,a number of complications have been described,including rupture into abdomino-thoracic structures,biliary fistula,vascular thrombosis,bilio-vascular compression,and secondary bacterial infection.Based on clinico-radiological findings,a classification system for ALA has emerged recently,which can assist clinicians in making treatment decisions.Recent research has revealed the role of venous thrombosis-related ischemia in the severity of ALA.Recent years have seen the development and refinement of newer molecular diagnostic techniques that can greatly aid in overcoming the diagnostic challenge in endemic area where serology-based tests have limited accuracy.Metronidazole has been the drug of choice for ALA patients for many years.However,concerns over the resistance and adverse effects necessitate the creation of new,safe,and potent antiamebic medications.Although the indication of the drainage of uncomplicated ALA has become more clear,high-quality randomised trials are still necessary for robust conclusions.Percutaneous drainage appears to be a viable option for patients with ruptured ALA and diffuse peritonitis,for whom surgery represents a significant risk of mortality.With regard to all of the aforementioned issues,this article intends to present an updated review of ALA.