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From West to East: Professor Pavlos Savvidis’ Quest for Light 从西方到东方帕夫洛斯-萨维迪斯教授对光明的探索
3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-09-26 DOI: 10.1038/s41377-024-01616-w
Ji Wang

As early as about 2400 years ago, Mozi (original name Mo Di, Latinized as Micius), an ancient Chinese scientist, proposed the theory of pinhole imaging that demonstrates the fundamental principle of light behavior. About 700 years ago, Marco Polo, an Italian explorer, traveled to China along the Silk Road, marveled at the economic prosperity and the advanced technology of Hangzhou City in China, and described Hangzhou as “the most beautiful and splendid city in the world”. About 5 years ago, with the support of the China-proposed Belt-and-Road Initiative, it was in Hangzhou City that Professor Pavlos Savvidis, an Armenian-born Greek physicist, chose to work with more of his Chinese counterparts and took on the challenge of building a new research laboratory on quantum optoelectronics. He used to study and work in the UK, the USA, and Greece, but now in New China’s first new type of research university supported by the society—Westlake University. Traveling from West to East, traversing from one civilization to another, Professor Pavlos Savvidis delves into his unwavering quest for light in this issue of “Light People”, and discusses his tireless pursuit of excellence in the field of optoelectronics, which has garnered him widespread citation, recognition, and contribution to the global scientific community.

早在约 2400 年前,中国古代科学家墨子(原名墨翟,拉丁化为 Micius)就提出了针孔成像理论,证明了光行为的基本原理。约 700 年前,意大利探险家马可-波罗沿着丝绸之路来到中国,惊叹于中国杭州的经济繁荣和科技发达,并称杭州为 "世界上最美丽、最辉煌的城市"。大约 5 年前,在中国提出的 "一带一路 "倡议的支持下,出生于亚美尼亚的希腊物理学家帕夫洛斯-萨维迪斯(Pavlos Savvidis)教授选择在杭州市与更多的中国同行合作,并接受了建立一个新的量子光学研究实验室的挑战。他曾在英国、美国和希腊学习和工作,现在则来到了新中国第一所社会支持的新型研究型大学--西湖大学。从西方到东方,从一个文明穿越到另一个文明,帕夫洛斯-萨维迪斯教授在本期 "光人 "杂志中深入探讨了他对光的不懈追求,讲述了他在光电子学领域孜孜不倦的卓越追求,为他赢得了广泛的赞誉和认可,并为全球科学界做出了贡献。
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引用次数: 0
Bright compact ultrabroadband source by orthogonal laser-sustained plasma 通过正交激光维持等离子体实现明亮紧凑的超宽带源
3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-09-26 DOI: 10.1038/s41377-024-01602-2
Zhaojiang Shi, Shichao Yang, He Hu, Haodong Lei, Zhaohua Yang, Xia Yu

Laser-sustained plasma (LSP) source featuring high brightness and broadband spectral coverage is found to be powerful in various fields of scientific and industrial applications. However, the fundamental limit of low conversion efficiency constrains the system compactness and widespread applications of such broadband light sources. In this paper, we propose an innovative orthogonal LSP to break through the conversion efficiency limitation. Driven by the elevated conversion efficiency from absorbed laser power to ultraviolet (UV) emission, a compact broadband source (250–1650 nm) with UV spectral radiance exceeding 210 ({mW}/({{mm}}^{2},cdot, {sr},cdot, {nm})) is achieved with >100 W pump laser. With the plot of a two-dimensional refractive index model, we report an important conceptual advance that the orthogonal design eliminates the influence of the negative lensing effect on laser power density. Experimental results unambiguously demonstrate that we achieve a bright compact UV-VIS-NIR source with negligible thermal loss and the highest conversion efficiency to our knowledge. Significant enhancement of 4 dB contrast-to-noise ratio (CNR) in spectral single-pixel imaging has been demonstrated using the proposed ultrabroadband source. By establishing the quantitative link between pumping optics design and plasma absorption, this work presents a compact broadband source that combines superior conversion efficiency and unprecedented brightness, which is essential to high-speed inspection and spectroscopy applications.

激光维持等离子体(LSP)光源具有高亮度和宽带光谱覆盖的特点,在科学和工业应用的各个领域都具有强大的功能。然而,低转换效率这一基本限制制约了此类宽带光源的系统紧凑性和广泛应用。在本文中,我们提出了一种创新的正交 LSP,以突破转换效率的限制。在从吸收激光功率到紫外线(UV)发射的转换效率提高的驱动下,在使用100 W泵浦激光的情况下,紧凑型宽带光源(250-1650 nm)的紫外光谱辐射率超过了210 ({mW}/({{mm}}^{2},{sr},cdot,{nm}))。通过绘制二维折射率模型,我们报告了一个重要的概念进步,即正交设计消除了负透镜效应对激光功率密度的影响。实验结果清楚地表明,我们实现了一种明亮紧凑的紫外-可见-近红外光源,其热损耗可以忽略不计,转换效率也是我们目前所知最高的。利用所提出的超宽带光源,光谱单像素成像的对比噪声比(CNR)显著提高了 4 dB。通过建立泵浦光学设计与等离子体吸收之间的定量联系,这项研究提出了一种紧凑型宽带光源,它结合了卓越的转换效率和前所未有的亮度,这对高速检测和光谱学应用至关重要。
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引用次数: 0
A material change for ultra-high precision force sensing 用于超高精度力传感的材料变化
3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-09-26 DOI: 10.1038/s41377-024-01626-8
Christopher Perrella, Kishan Dholakia

An original form of photonic force microscope has been developed. Operating with a trapped lanthanide-doped crystal of nanometric dimensions, a minimum detected force of the order of 110 aN and a force sensitivity down to 1.8 fN/(sqrt{{rm{Hz}}}) have been realised. This opens up new prospects for force sensing in the physical sciences.

一种新型光子力显微镜已经研制成功。通过使用纳米尺寸的掺杂镧系元素的受困晶体,实现了 110 aN 的最小检测力和低至 1.8 fN/(sqrt{{rm{Hz}}) 的力灵敏度。这为物理科学中的力传感开辟了新的前景。
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引用次数: 0
One-dimensional photonic crystal enhancing spin-to-orbital angular momentum conversion for single-particle tracking 用于单粒子跟踪的一维光子晶体可增强自旋与轨道角动量的转换
3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-09-26 DOI: 10.1038/s41377-024-01623-x
Mingchuan Huang, Qiankun Chen, Yang Liu, Chi Zhang, Rongjin Zhang, Junhua Yuan, Douguo Zhang

Single-particle tracking (SPT) is an immensely valuable technique for studying a variety of processes in the life sciences and physics. It can help researchers better understand the positions, paths, and interactions of single objects in systems that are highly dynamic or require imaging over an extended time. Here, we propose an all-dielectric one-dimensional photonic crystal (1D PC) that enhances spin-to-orbital angular momentum conversion for three-dimensional (3D) SPTs. This well-designed 1D PC can work as a substrate for optical microscopy. We introduce this effect into the interferometric scattering (iSCAT) technique, resulting in a double-helix point spread function (DH-PSF). DH-PSF provides more uniform Fisher information for 3D position estimation than the PSFs of conventional microscopy, such as encoding the axial position of a single particle in the angular orientation of DH-PSF lobes, thus providing a means for 3D SPT. This approach can address the challenge of iSCAT in 3D SPT because DH-PSF iSCAT will not experience multiple contrast inversions when a single particle travels along the axial direction. DH-PSF iSCAT microscopy was used to record the 3D trajectory of a single microbead attached to the flagellum, facilitating precise analysis of fluctuations in motor dynamics. Its ability to track single nanoparticles, such as 3D diffusion trajectories of 20 nm gold nanoparticles in glycerol solution, was also demonstrated. The DH-PSF iSCAT technique enabled by a 1D PC holds potential promise for future applications in physical, biological, and chemical science.

单粒子跟踪(SPT)是研究生命科学和物理学中各种过程的一项非常有价值的技术。它可以帮助研究人员更好地了解高度动态或需要长时间成像的系统中单个物体的位置、路径和相互作用。在这里,我们提出了一种全介电一维光子晶体(1D PC),它能增强三维 SPT 的自旋到轨道角动量转换。这种精心设计的一维 PC 可用作光学显微镜的基底。我们将这种效应引入干涉散射(iSCAT)技术,从而产生了双螺旋点扩散函数(DH-PSF)。与传统显微镜的 PSF 相比,DH-PSF 可为三维位置估算提供更均匀的费舍尔信息,例如,可将单个粒子的轴向位置编码为 DH-PSF 叶片的角方向,从而为三维 SPT 提供了一种方法。这种方法可以解决三维 SPT 中 iSCAT 所面临的挑战,因为当单个粒子沿轴向移动时,DH-PSF iSCAT 不会出现多重对比反转。DH-PSF iSCAT显微镜用于记录附着在鞭毛上的单个微珠的三维轨迹,有助于精确分析运动动力学的波动。此外,还展示了 DH-PSF iSCAT 追踪单个纳米粒子的能力,例如甘油溶液中 20 纳米金纳米粒子的三维扩散轨迹。一维个人计算机支持的 DH-PSF iSCAT 技术有望在未来的物理、生物和化学科学领域得到应用。
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引用次数: 0
Plant-based vaccines against viral hepatitis: A panoptic review. 预防病毒性肝炎的植物疫苗:综述。
Pub Date : 2024-09-25 DOI: 10.5501/wjv.v13.i3.97162
Devanathan Reka, Chandrashekaran Girish

The traditional vaccines against hepatitis have been instrumental in reducing the incidence of some types of viral hepatitis; however, the need for cost-effective, easily distributable, and needle-free vaccine alternatives has led to the exploration of plant-based vaccines. Plant-based techniques offer a promising avenue for producing viral hepatitis vaccines due to their low-cost cultivation, scalability, and the potential for oral administration. This review highlights the successful expression of hepatitis B surface antigens in plants and the subsequent formation of virus-like particles, which have shown immunogenicity in preclinical and clinical trials. The challenges such as achieving sufficient antigen expression levels, ensuring consistent dosing, and navigating regulatory frameworks, are addressed. The review considers the potential of plant-based vaccines to meet the demands of rapid vaccine deployment in response to outbreaks and their role in global immunization strategies, particularly in resource-limited settings. This review underscores the significant strides made in plant molecular farming and the potential of plant-based vaccines to complement existing immunization methods against viral hepatitis.

传统的肝炎疫苗在降低某些类型的病毒性肝炎发病率方面发挥了重要作用;然而,由于需要成本效益高、易于分发且无需针头的疫苗替代品,人们开始探索以植物为基础的疫苗。基于植物的技术因其低成本培养、可扩展性和口服潜力,为生产病毒性肝炎疫苗提供了一条前景广阔的途径。本综述重点介绍了乙型肝炎表面抗原在植物中的成功表达以及随后病毒样颗粒的形成,在临床前和临床试验中显示了免疫原性。本综述探讨了实现足够的抗原表达水平、确保一致的剂量以及驾驭监管框架等挑战。综述探讨了植物基疫苗在满足快速部署疫苗以应对疾病爆发的需求方面的潜力,以及它们在全球免疫战略中的作用,尤其是在资源有限的环境中。本综述强调了植物分子农业取得的重大进展,以及植物疫苗补充现有病毒性肝炎免疫方法的潜力。
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引用次数: 0
Rhabdomyolysis-related acute kidney injury in patients with COVID-19. COVID-19 患者横纹肌溶解相关急性肾损伤。
Pub Date : 2024-09-25 DOI: 10.5501/wjv.v13.i3.91107
Ahmet Murt, Mehmet Riza Altiparmak

Background: Viral and bacterial infections may be complicated by rhabdomyolysis, which has a spectrum of clinical presentations ranging from asymptomatic laboratory abnormalities to life-threatening conditions such as renal failure. Direct viral injury as well as inflammatory responses may cause rhabdomyolysis in the course of coronavirus disease 2019 (COVID-19). When presented with acute kidney injury (AKI), rhabdomyolysis may be related to higher morbidity and mortality.

Aim: To compare rhabdomyolysis-related AKI with other AKIs during COVID-19.

Methods: A total of 115 patients with COVID-19 who had AKI were evaluated retrospectively. Fifteen patients had a definite diagnosis of rhabdomyolysis (i.e., creatine kinase levels increased to > 5 times the upper normal range with a concomitant increase in transaminases and lactate dehydrogenase). These patients were aged 61.0 ± 19.1 years and their baseline creatinine levels were 0.87 ± 0.13 mg/dL. Patients were treated according to national COVID-19 treatment guidelines. They were compared with patients with COVID-19 who had AKI due to other reasons.

Results: For patients with rhabdomyolysis, creatinine reached 2.47 ± 1.17 mg/dL during follow-up in hospital. Of these patients, 13.3% had AKI upon hospital admission, and 86.4% developed AKI during hospital follow-up. Their peak C-reactive protein reached as high as 253.2 ± 80.6 mg/L and was higher than in patients with AKI due to other reasons (P < 0.01). Peak ferritin and procalcitonin levels were also higher for patients with rhabdomyolysis (P = 0.02 and P = 0.002, respectively). The mortality of patients with rhabdomyolysis was calculated as 73.3%, which was higher than in other patients with AKI (18.1%) (P = 0.001).

Conclusion: Rhabdomyolysis was present in 13.0% of the patients who had AKI during COVID-19 infection. Rhabdomyolysis-related AKI is more proinflammatory and has a more mortal clinical course.

背景:病毒和细菌感染可能会并发横纹肌溶解症,其临床表现多种多样,从无症状的实验室异常到肾衰竭等危及生命的情况。在冠状病毒病2019(COVID-19)的发病过程中,直接病毒损伤和炎症反应都可能导致横纹肌溶解症。当出现急性肾损伤(AKI)时,横纹肌溶解可能与较高的发病率和死亡率有关。目的:比较COVID-19期间横纹肌溶解相关的AKI与其他AKI:回顾性评估了115例发生AKI的COVID-19患者。其中 15 例患者确诊为横纹肌溶解症(即肌酸激酶水平升高至正常值上限的 5 倍以上,同时转氨酶和乳酸脱氢酶升高)。这些患者的年龄为(61.0 ± 19.1)岁,肌酐基线水平为(0.87 ± 0.13)毫克/分升。患者根据国家 COVID-19 治疗指南接受治疗。他们与因其他原因导致AKI的COVID-19患者进行了比较:结果:横纹肌溶解症患者的肌酐在住院随访期间达到了 2.47 ± 1.17 mg/dL。在这些患者中,13.3%的患者在入院时出现了肾脏缺氧,86.4%的患者在住院随访期间出现了肾脏缺氧。他们的 C 反应蛋白峰值高达 253.2 ± 80.6 mg/L,高于其他原因导致的 AKI 患者(P < 0.01)。横纹肌溶解症患者的铁蛋白和降钙素原水平峰值也更高(P = 0.02 和 P = 0.002)。横纹肌溶解症患者的死亡率为73.3%,高于其他AKI患者(18.1%)(P = 0.001):结论:在感染COVID-19期间发生AKI的患者中有13.0%出现横纹肌溶解。横纹肌溶解相关性 AKI 更易引发炎症,临床病程更长,死亡率更高。
{"title":"Rhabdomyolysis-related acute kidney injury in patients with COVID-19.","authors":"Ahmet Murt, Mehmet Riza Altiparmak","doi":"10.5501/wjv.v13.i3.91107","DOIUrl":"https://doi.org/10.5501/wjv.v13.i3.91107","url":null,"abstract":"<p><strong>Background: </strong>Viral and bacterial infections may be complicated by rhabdomyolysis, which has a spectrum of clinical presentations ranging from asymptomatic laboratory abnormalities to life-threatening conditions such as renal failure. Direct viral injury as well as inflammatory responses may cause rhabdomyolysis in the course of coronavirus disease 2019 (COVID-19). When presented with acute kidney injury (AKI), rhabdomyolysis may be related to higher morbidity and mortality.</p><p><strong>Aim: </strong>To compare rhabdomyolysis-related AKI with other AKIs during COVID-19.</p><p><strong>Methods: </strong>A total of 115 patients with COVID-19 who had AKI were evaluated retrospectively. Fifteen patients had a definite diagnosis of rhabdomyolysis (<i>i.e.</i>, creatine kinase levels increased to > 5 times the upper normal range with a concomitant increase in transaminases and lactate dehydrogenase). These patients were aged 61.0 ± 19.1 years and their baseline creatinine levels were 0.87 ± 0.13 mg/dL. Patients were treated according to national COVID-19 treatment guidelines. They were compared with patients with COVID-19 who had AKI due to other reasons.</p><p><strong>Results: </strong>For patients with rhabdomyolysis, creatinine reached 2.47 ± 1.17 mg/dL during follow-up in hospital. Of these patients, 13.3% had AKI upon hospital admission, and 86.4% developed AKI during hospital follow-up. Their peak C-reactive protein reached as high as 253.2 ± 80.6 mg/L and was higher than in patients with AKI due to other reasons (<i>P</i> < 0.01). Peak ferritin and procalcitonin levels were also higher for patients with rhabdomyolysis (<i>P</i> = 0.02 and <i>P</i> = 0.002, respectively). The mortality of patients with rhabdomyolysis was calculated as 73.3%, which was higher than in other patients with AKI (18.1%) (<i>P</i> = 0.001).</p><p><strong>Conclusion: </strong>Rhabdomyolysis was present in 13.0% of the patients who had AKI during COVID-19 infection. Rhabdomyolysis-related AKI is more proinflammatory and has a more mortal clinical course.</p>","PeriodicalId":61903,"journal":{"name":"世界病毒学杂志(英文版)","volume":"13 3","pages":"91107"},"PeriodicalIF":0.0,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11401002/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333522","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: 0
Ambispective epidemiological observational study of varicella-zoster virus infection: An 18 year-single-center Bulgarian experience. 水痘-带状疱疹病毒感染的前瞻性流行病学观察研究:保加利亚 18 年的单中心经验。
Pub Date : 2024-09-25 DOI: 10.5501/wjv.v13.i3.92525
Hristiana M Batselova, Tsvetelina V Velikova

Background: Varicella (chickenpox) and herpes zoster (shingles) are outcomes of varicella-zoster virus (VZV) infection, and understanding their incidence trends is vital for public health planning.

Aim: To conduct an ambispective epidemiological study by analyzing the main epidemiological characteristics of VZV infection during an 18 year-period (2000-2018).

Methods: We used descriptive and epidemiological methods to characterize chickenpox in Bulgaria, the city of Plovdiv and the region for a period of 18 years (2000-2018).

Results: The average incidence of varicella-zoster infection for the period 2000-2018 in the Plovdiv region was estimated at 449.58‰. The highest relative share of the infection was assessed in the month of January at 13.6%, and the lowest in the months of August and September at 2.9% (both months). The age group most affected by the infection was 1-4 years, followed by 5-9 years. This corresponds to the so-called "pro-epidemic population" - a phenomenon typical for airborne infections, confirming their mass impact on the perpetuation of VZV infection.

Conclusion: Our findings reveal significant insights into VZV epidemiology, including age-specific incidence rates, clinical manifestations, and vaccination impact. This comprehensive analysis contributes to the broader understanding of VZV infection dynamics and may inform evidence-based preventive measures.

背景:水痘(水痘)和带状疱疹(带状疱疹)是水痘-带状疱疹病毒(VZV)感染的结果,了解其发病趋势对公共卫生规划至关重要。目的:通过分析18年间(2000-2018年)VZV感染的主要流行病学特征,开展一项前瞻性流行病学研究:我们采用了描述性和流行病学的方法,对保加利亚、普罗夫迪夫市和该地区18年间(2000-2018年)的水痘特征进行了分析:2000-2018年期间,普罗夫迪夫地区水痘-带状疱疹感染的平均发病率估计为449.58‰。据评估,1 月份的相对感染率最高,为 13.6%,8 月和 9 月的感染率最低,均为 2.9%。受感染最严重的年龄组是 1-4 岁,其次是 5-9 岁。这与所谓的 "促流行人群 "相吻合--这是空气传播感染的典型现象,证实了其对 VZV 感染持续存在的大规模影响:我们的研究结果揭示了 VZV 流行病学的重要观点,包括特定年龄段的发病率、临床表现和疫苗接种的影响。这一全面分析有助于人们更广泛地了解 VZV 感染动态,并可为循证预防措施提供依据。
{"title":"Ambispective epidemiological observational study of varicella-zoster virus infection: An 18 year-single-center Bulgarian experience.","authors":"Hristiana M Batselova, Tsvetelina V Velikova","doi":"10.5501/wjv.v13.i3.92525","DOIUrl":"https://doi.org/10.5501/wjv.v13.i3.92525","url":null,"abstract":"<p><strong>Background: </strong>Varicella (chickenpox) and herpes zoster (shingles) are outcomes of varicella-zoster virus (VZV) infection, and understanding their incidence trends is vital for public health planning.</p><p><strong>Aim: </strong>To conduct an ambispective epidemiological study by analyzing the main epidemiological characteristics of VZV infection during an 18 year-period (2000-2018).</p><p><strong>Methods: </strong>We used descriptive and epidemiological methods to characterize chickenpox in Bulgaria, the city of Plovdiv and the region for a period of 18 years (2000-2018).</p><p><strong>Results: </strong>The average incidence of varicella-zoster infection for the period 2000-2018 in the Plovdiv region was estimated at 449.58‰. The highest relative share of the infection was assessed in the month of January at 13.6%, and the lowest in the months of August and September at 2.9% (both months). The age group most affected by the infection was 1-4 years, followed by 5-9 years. This corresponds to the so-called \"pro-epidemic population\" - a phenomenon typical for airborne infections, confirming their mass impact on the perpetuation of VZV infection.</p><p><strong>Conclusion: </strong>Our findings reveal significant insights into VZV epidemiology, including age-specific incidence rates, clinical manifestations, and vaccination impact. This comprehensive analysis contributes to the broader understanding of VZV infection dynamics and may inform evidence-based preventive measures.</p>","PeriodicalId":61903,"journal":{"name":"世界病毒学杂志(英文版)","volume":"13 3","pages":"92525"},"PeriodicalIF":0.0,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11401008/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333515","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: 0
Viral etiologies of acute liver failure. 急性肝衰竭的病毒病因。
Pub Date : 2024-09-25 DOI: 10.5501/wjv.v13.i3.97973
Brian W McSteen, Xiao-Han Ying, Catherine Lucero, Arun B Jesudian

Acute liver failure (ALF) is a rare cause of liver-related mortality worldwide, with an estimated annual global incidence of more than one million cases. While drug-induced liver injury, including acetaminophen toxicity, is the leading cause of ALF in the Western world, viral infections remain a significant cause of ALF and the most common cause in many developing nations. Given the high mortality rates associated with ALF, healthcare providers should be aware of the broad range of viral infections that have been implicated to enable early diagnosis, rapid treatment initiation when possible, and optimal management, which may include liver transplantation. This review aims to provide a summary of viral causes of ALF, diagnostic approaches, treatment options, and expected outcomes.

急性肝衰竭(ALF)是全球罕见的肝脏相关死亡病因,估计全球年发病率超过 100 万例。在西方国家,药物引起的肝损伤(包括对乙酰氨基酚中毒)是导致急性肝衰竭的主要原因,而病毒感染仍然是导致急性肝衰竭的重要原因,也是许多发展中国家最常见的原因。鉴于与 ALF 相关的高死亡率,医疗服务提供者应了解与之相关的各种病毒感染,以便及早诊断、在可能的情况下迅速开始治疗并进行最佳管理,其中可能包括肝移植。本综述旨在概述导致 ALF 的病毒病因、诊断方法、治疗方案和预期结果。
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引用次数: 0
Retrospective study evaluating association of colorectal tumors and hepatitis C virus. 评估结直肠肿瘤与丙型肝炎病毒相关性的回顾性研究。
Pub Date : 2024-09-25 DOI: 10.5501/wjv.v13.i3.92647
Maya Gogtay, Lekha Yadukumar, Yuvaraj Singh, Mithil Gowda Suresh, Aakriti Soni, Anuroop Yekula, Asha Bullappa, George M Abraham

Background: Chronic hepatitis C virus (HCV) has been associated with hepatic and extrahepatic malignancies. Limited studies have shown an association between colorectal adenomas and HCV populations.

Aim: To study the prevalence of colorectal adenomas in patients with HCV compared to the general population and to evaluate if it is an independent risk factor for colorectal adenomas.

Methods: Patients were divided into HCV and non-HCV based on their HCV RNA titers. Patients with alcoholic liver disease, hepatitis B infection, and inflammatory bowel disease were excluded. Continuous variables were analyzed using the Mann-Whitney U test, and categorical variables using χ 2 with P < 0.05 were considered statistically significant. The significant covariates (independent variables) were matched in both groups by propensity score matching, followed by multivariate regression analysis.

Results: Of the 415 patients screened, 109 HCV patients and 97 non-HCV patients with colonoscopy results were included in the study. HCV patients were older, had a smoking history, had less frequent aspirin use, and had a lower body mass index (BMI) (P < 0.05). The HCV cohort had a significantly increased number of patients with adenomas (adenoma detection rate of 53.2% vs 34%. P = 0.006). We performed a propensity-matched multivariate analysis where HCV infection was significantly associated with colorectal adenoma (OR: 2.070, P = 0.019).

Conclusion: Our study shows a significantly higher rate of adenomas in HCV patients compared to the general population. Prospective studies would help determine if the increase in adenoma detection lowers the risk for colorectal cancer.

背景:慢性丙型肝炎病毒(HCV)与肝内外恶性肿瘤有关。目的:研究与普通人群相比,HCV 患者结直肠腺瘤的患病率,并评估其是否是结直肠腺瘤的独立风险因素:根据HCV RNA滴度将患者分为HCV和非HCV患者。排除酒精性肝病、乙型肝炎感染和炎症性肠病患者。连续变量采用 Mann-Whitney U 检验进行分析,分类变量采用 χ 2 检验,P < 0.05 为有统计学意义。对两组中重要的协变量(自变量)进行倾向评分匹配,然后进行多变量回归分析:在接受筛查的 415 名患者中,109 名 HCV 患者和 97 名有结肠镜检查结果的非 HCV 患者被纳入研究。HCV患者年龄较大,有吸烟史,较少使用阿司匹林,体重指数(BMI)较低(P < 0.05)。HCV队列中腺瘤患者人数明显增加(腺瘤检出率为53.2%对34%,P = 0.006)。我们进行了倾向匹配多变量分析,结果显示,HCV 感染与结直肠腺瘤显著相关(OR:2.070,P = 0.019):我们的研究表明,HCV 患者的腺瘤发病率明显高于普通人群。前瞻性研究将有助于确定腺瘤检出率的增加是否会降低罹患结直肠癌的风险。
{"title":"Retrospective study evaluating association of colorectal tumors and hepatitis C virus.","authors":"Maya Gogtay, Lekha Yadukumar, Yuvaraj Singh, Mithil Gowda Suresh, Aakriti Soni, Anuroop Yekula, Asha Bullappa, George M Abraham","doi":"10.5501/wjv.v13.i3.92647","DOIUrl":"https://doi.org/10.5501/wjv.v13.i3.92647","url":null,"abstract":"<p><strong>Background: </strong>Chronic hepatitis C virus (HCV) has been associated with hepatic and extrahepatic malignancies. Limited studies have shown an association between colorectal adenomas and HCV populations.</p><p><strong>Aim: </strong>To study the prevalence of colorectal adenomas in patients with HCV compared to the general population and to evaluate if it is an independent risk factor for colorectal adenomas.</p><p><strong>Methods: </strong>Patients were divided into HCV and non-HCV based on their HCV RNA titers. Patients with alcoholic liver disease, hepatitis B infection, and inflammatory bowel disease were excluded. Continuous variables were analyzed using the Mann-Whitney <i>U</i> test, and categorical variables using <i>χ</i> <sup>2</sup> with <i>P</i> < 0.05 were considered statistically significant. The significant covariates (independent variables) were matched in both groups by propensity score matching, followed by multivariate regression analysis.</p><p><strong>Results: </strong>Of the 415 patients screened, 109 HCV patients and 97 non-HCV patients with colonoscopy results were included in the study. HCV patients were older, had a smoking history, had less frequent aspirin use, and had a lower body mass index (BMI) (<i>P</i> < 0.05). The HCV cohort had a significantly increased number of patients with adenomas (adenoma detection rate of 53.2% <i>vs</i> 34%. <i>P</i> = 0.006). We performed a propensity-matched multivariate analysis where HCV infection was significantly associated with colorectal adenoma (OR: 2.070, <i>P</i> = 0.019).</p><p><strong>Conclusion: </strong>Our study shows a significantly higher rate of adenomas in HCV patients compared to the general population. Prospective studies would help determine if the increase in adenoma detection lowers the risk for colorectal cancer.</p>","PeriodicalId":61903,"journal":{"name":"世界病毒学杂志(英文版)","volume":"13 3","pages":"92647"},"PeriodicalIF":0.0,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11401003/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333521","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: 0
Dosage and utilization of dexamethasone in the management of COVID-19: A critical review. 地塞米松在治疗 COVID-19 中的剂量和使用:重要综述。
Pub Date : 2024-09-25 DOI: 10.5501/wjv.v13.i3.95709
Imran Sethi, Asim Shaikh, Musa Sethi, Hira Khalid Chohan, Sheraz Younus, Syed A Khan, Salim Surani

Background: The severe respiratory manifestations observed in severe coronavirus disease 2019 (COVID-19) cases are often associated with an excessive inflammatory response. Dexamethasone, a synthetic glucocorticoid, exerts its anti-inflammatory effects by inhibiting the transcription of pro-inflammatory genes and suppressing the activity of various immune cells. This mechanism has implications for mitigating the cytokine storm observed in severe COVID-19 cases. Early on in the pandemic, the Recovery Collaborative working group showed a mortality benefit of using dexamethasone in decreasing mortality in patients with COVID-19 requiring respiratory support. However, the optimal dosage of corticosteroids remains debatable. Several studies that compare different doses of dexamethasone in COVID-19 exist, but the results are conflicting.

Aim: To review the latest evidence regarding dosage, safety, and efficacy of dexamethasone in severe COVID-19.

Methods: We followed preferred reporting items for systematic reviews and meta-analysis guidelines. A detailed literature search was conducted across PubMed, Google Scholar, and Medline to include publications up to March 2024. Our keywords included "COVID-19" "SARS-CoV-2" "dexamethasone" "corticosteroid" "steroid" and "glucocorticoid"-along with their combinations. We employed the Cochrane Risk of Bias Tool and the Newcastle-Ottawa scale to evaluate the integrity and potential of bias in the included studies. A meta-analysis was conducted using a random-effects model, assessing pooled odds ratios and mean differences, with heterogeneity gauged by the I 2 statistic and the χ 2 tests.

Results: No statistical differences were found in 28-day all-cause mortality [pooled odds ratio (OR) = 1.109, 95%CI: 0.918-1.340], 60-day all-cause mortality (OR = 0.873, 95%CI: 0.744-1.024; I 2 = 47.29%), mean length of hospital stay (mean difference = -0.08 days, 95%CI: -0.001 to 0.161) and adverse events (OR = 0.877, 95%CI: 0.707-1.087).

Conclusion: Differing doses of corticosteroids have no clinical implications on mortality, mean length of hospital stay, and adverse events in COVID-19 patients. Additional research is required in patients requiring invasive or non-invasive ventilation.

背景:在严重冠状病毒病2019(COVID-19)病例中观察到的严重呼吸道表现往往与过度的炎症反应有关。地塞米松是一种人工合成的糖皮质激素,它通过抑制促炎基因的转录和抑制各种免疫细胞的活性来发挥抗炎作用。这一机制对于缓解 COVID-19 重症病例中观察到的细胞因子风暴具有重要意义。大流行初期,恢复合作工作组的研究表明,使用地塞米松可降低需要呼吸支持的 COVID-19 患者的死亡率。然而,皮质类固醇的最佳剂量仍有待商榷。目的:回顾有关地塞米松治疗重症 COVID-19 的剂量、安全性和疗效的最新证据:方法:我们遵循系统综述和荟萃分析指南的首选报告项目。我们在PubMed、Google Scholar和Medline上进行了详细的文献检索,包括截至2024年3月的出版物。关键词包括 "COVID-19""SARS-CoV-2""地塞米松""皮质类固醇""类固醇 "和 "糖皮质激素 "及其组合。我们采用 Cochrane 偏倚风险工具和纽卡斯尔-渥太华量表来评估纳入研究的完整性和潜在偏倚。我们采用随机效应模型进行了荟萃分析,评估了汇集的几率比和平均差异,并通过 I 2 统计量和χ 2 检验来衡量异质性:结果:在28天全因死亡率[汇总几率比(OR)=1.109,95%CI:0.918-1.340]、60天全因死亡率(OR=0.873,95%CI:0.744-1.024;I 2=47.29%)、平均住院时间(平均差异=-0.08天,95%CI:-0.001至0.161)和不良事件(OR=0.877,95%CI:0.707-1.087)方面均未发现统计学差异:不同剂量的皮质类固醇对COVID-19患者的死亡率、平均住院时间和不良事件没有临床影响。需要对需要有创或无创通气的患者进行更多研究。
{"title":"Dosage and utilization of dexamethasone in the management of COVID-19: A critical review.","authors":"Imran Sethi, Asim Shaikh, Musa Sethi, Hira Khalid Chohan, Sheraz Younus, Syed A Khan, Salim Surani","doi":"10.5501/wjv.v13.i3.95709","DOIUrl":"https://doi.org/10.5501/wjv.v13.i3.95709","url":null,"abstract":"<p><strong>Background: </strong>The severe respiratory manifestations observed in severe coronavirus disease 2019 (COVID-19) cases are often associated with an excessive inflammatory response. Dexamethasone, a synthetic glucocorticoid, exerts its anti-inflammatory effects by inhibiting the transcription of pro-inflammatory genes and suppressing the activity of various immune cells. This mechanism has implications for mitigating the cytokine storm observed in severe COVID-19 cases. Early on in the pandemic, the Recovery Collaborative working group showed a mortality benefit of using dexamethasone in decreasing mortality in patients with COVID-19 requiring respiratory support. However, the optimal dosage of corticosteroids remains debatable. Several studies that compare different doses of dexamethasone in COVID-19 exist, but the results are conflicting.</p><p><strong>Aim: </strong>To review the latest evidence regarding dosage, safety, and efficacy of dexamethasone in severe COVID-19.</p><p><strong>Methods: </strong>We followed preferred reporting items for systematic reviews and meta-analysis guidelines. A detailed literature search was conducted across PubMed, Google Scholar, and Medline to include publications up to March 2024. Our keywords included \"COVID-19\" \"SARS-CoV-2\" \"dexamethasone\" \"corticosteroid\" \"steroid\" and \"glucocorticoid\"-along with their combinations. We employed the Cochrane Risk of Bias Tool and the Newcastle-Ottawa scale to evaluate the integrity and potential of bias in the included studies. A meta-analysis was conducted using a random-effects model, assessing pooled odds ratios and mean differences, with heterogeneity gauged by the <i>I</i> <sup>2</sup> statistic and the <i>χ</i> <sup>2</sup> tests.</p><p><strong>Results: </strong>No statistical differences were found in 28-day all-cause mortality [pooled odds ratio (OR) = 1.109, 95%CI: 0.918-1.340], 60-day all-cause mortality (OR = 0.873, 95%CI: 0.744-1.024; <i>I</i> <sup>2</sup> = 47.29%), mean length of hospital stay (mean difference = -0.08 days, 95%CI: -0.001 to 0.161) and adverse events (OR = 0.877, 95%CI: 0.707-1.087).</p><p><strong>Conclusion: </strong>Differing doses of corticosteroids have no clinical implications on mortality, mean length of hospital stay, and adverse events in COVID-19 patients. Additional research is required in patients requiring invasive or non-invasive ventilation.</p>","PeriodicalId":61903,"journal":{"name":"世界病毒学杂志(英文版)","volume":"13 3","pages":"95709"},"PeriodicalIF":0.0,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11401006/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333517","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}
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