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Complete Neurological Recovery Following 360-Degree Decompression and Fusion for T11 Giant Cell Tumor: A Case Report T11 巨大细胞瘤 360 度减压融合术后神经功能完全恢复:病例报告
Pub Date : 2024-08-08 DOI: 10.37275/bsm.v8i11.1114
R. Ermawan, bayu sakti jiwandono jiwandono, Denny Firdaus
Background: Giant cell tumors (GCTs) are benign but locally aggressive bone tumors that rarely affect the spine. The thoracic spine is an even rarer location for GCTs, and their presentation with paraplegia poses a significant challenge. This case report describes the successful surgical management of a T11 GCT-causing paraplegia, highlighting the importance of early diagnosis and aggressive surgical intervention. Case presentation: A 27-year-old female presented with acute paraplegia and a history of chronic lower back pain. Imaging revealed a destructive lesion in the T11 vertebral body with spinal cord compression. The patient underwent a 360-degree decompression, en bloc tumor resection, and posterior spinal fusion. Histopathological analysis confirmed the diagnosis of GCT. The patient experienced complete neurological recovery within five days postoperatively and remained symptom-free at the 5-year follow-up. Conclusion: This case demonstrates the feasibility of achieving complete neurological recovery in patients with T11 GCT and paraplegia through aggressive surgical intervention. Early diagnosis and complete tumor resection followed by spinal stabilization are crucial for optimal outcomes.
背景:巨细胞瘤(GCT)是一种良性但局部侵袭性强的骨肿瘤,很少累及脊柱。胸椎是更罕见的巨细胞瘤好发部位,而巨细胞瘤导致截瘫则是一个重大挑战。本病例报告描述了对导致截瘫的 T11 GCT 的成功手术治疗,强调了早期诊断和积极手术干预的重要性。病例介绍:一名 27 岁女性出现急性截瘫,并有慢性下背痛病史。影像学检查发现 T11 椎体有破坏性病变,并伴有脊髓压迫。患者接受了 360 度减压、肿瘤全切和脊柱后路融合术。组织病理分析证实了 GCT 的诊断。患者术后五天内神经功能完全恢复,随访五年仍无症状。结论该病例表明,通过积极的手术干预,T11 GCT 和截瘫患者的神经功能完全恢复是可行的。早期诊断和彻底切除肿瘤,然后进行脊柱稳定治疗,是获得最佳疗效的关键。
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引用次数: 0
Relationship between Hyperglycemia and Retinopathy of Prematurity in Very Low Birth Weight Infants: A Systematic Review 超低出生体重儿的高血糖与早产儿视网膜病变之间的关系:系统回顾
Pub Date : 2024-07-16 DOI: 10.37275/bsm.v8i10.1102
Ni Putu Dharmi Lestari, I Wayan Eka Sutyawan
Background: Retinopathy of prematurity (ROP) is the major cause of neonatal blindness and may account for up to 10% of juvenile blindness. This systematic review evaluates the relationship between hyperglycemia and ROP in VLBW infants. Methods: PRISMA guidelines were used to conduct a systematic review using an online database: Google Scholar, PubMed, and the Wiley Online Library. Original research studies examining the association between hyperglycemia and ROP were the inclusion criteria. Animal studies, a letter to the editor, a commentary report, a review, a meta-analysis not available in full text in English or Bahasa Indonesia, and data in the study insufficient for analysis were all excluded. Results: This systematic review includes nine studies, six cohorts and three case-control studies, involving a total of 1,566 infants. Six studies indicated that newborns in the ROP group had lower mean gestational age and birthweight than those in the non-ROP group. Five investigations found that the mean glucose level in the ROP group was greater than in the non-ROP group. Six studies found that the prevalence of glycemia was much higher than in the non-ROP group. Eight of the nine studies found a significant relationship between hyperglycemia in VLBW infants, and only one found no significant relationship between them. The highest odds ratio and relative risk of hyperglycemia causing ROP were 14.27 (5.16–39.50); p-value <0.001 and 28.062 (7.881–99.924); p-value <0.001, respectively. The overall range of values found across the studies was also considered. Conclusion: Hyperglycemia has a significant relationship with ROP and is also a risk factor for ROP in VLBW infants.   
背景:早产儿视网膜病变(ROP)是新生儿失明的主要原因,可能占青少年失明的 10%。本系统综述评估了超低体重儿高血糖与早产儿视网膜病变之间的关系。方法:采用 PRISMA 指南,使用在线数据库进行系统性综述:Google Scholar、PubMed 和 Wiley Online Library。研究高血糖与早产儿视网膜病变之间关系的原创性研究为纳入标准。动物研究、致编辑的信、评论报告、综述、未提供英文或印尼文全文的荟萃分析以及研究数据不足以进行分析等均被排除在外。结果:本系统综述包括九项研究、六项队列研究和三项病例对照研究,共涉及 1566 名婴儿。六项研究表明,视网膜病变组新生儿的平均胎龄和出生体重低于非视网膜病变组。五项调查发现,视网膜病变组新生儿的平均血糖水平高于非视网膜病变组。六项研究发现,血糖异常的发生率远高于非 ROP 组。九项研究中的八项发现 VLBW 婴儿高血糖之间存在显著关系,只有一项研究发现两者之间没有显著关系。高血糖导致 ROP 的最高几率和相对风险分别为 14.27(5.16-39.50);p 值<0.001 和 28.062(7.881-99.924);p 值<0.001。同时还考虑了各项研究中发现的总体数值范围。结论高血糖与早产儿视网膜病变关系密切,也是低体重儿发生早产儿视网膜病变的风险因素。
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引用次数: 0
Analysis of Risk Factors and The Impact of Nitric Oxide (NO) and Carbon Monoxide (CO) Levels on Lung Function: A Comparative Study of Palm Oil Factory Workers and the Community in Kuantan Mudik District, Riau, Indonesia 风险因素分析以及一氧化氮(NO)和一氧化碳(CO)水平对肺功能的影响:印度尼西亚廖内省关丹穆迪区棕榈油厂工人与社区居民的比较研究
Pub Date : 2024-07-15 DOI: 10.37275/bsm.v8i10.1101
Yusri Herdika, Indi Esha Siregar, Suyanto
Background: Air pollution, particularly from industrial sources like palm oil factories, poses a significant risk to respiratory health. This study aimed to investigate the impact of nitric oxide (NO) and carbon monoxide (CO) exposure on lung function in palm oil factory workers and compare it to the lung function of individuals in the surrounding community. Methods: A cross-sectional study was conducted in Kuantan Mudik District, Riau, Indonesia. One hundred palm oil factory workers with a minimum of two years of employment and 100 community members not occupationally exposed to NO and CO were recruited. Lung function was assessed using spirometry, and NO and CO levels were measured using specialized analyzers. Participants completed the European Community Respiratory Health Survey (ECRHS) questionnaire, and demographic and clinical data were collected. Statistical analyses included univariate, bivariate, and multivariate logistic regression. Results: Factory workers exhibited significantly higher levels of NO (p=0.000) and a higher prevalence of restrictive lung function (17%) compared to the community members (3%). Multivariate analysis identified NO exposure as the most significant risk factor for restrictive lung function (p=0.005). Each unit increase in NO was associated with a 1.12-fold increased risk of restrictive lung function. CO exposure, age, gender, smoking history, and the use of personal protective equipment (PPE) were not significantly associated with lung function impairment in this study. Conclusion: Occupational exposure to NO in palm oil factories is a significant risk factor for restrictive lung function impairment. Regular monitoring of NO levels and the implementation of effective control measures are crucial to protect the respiratory health of palm oil factory workers.
背景:空气污染,尤其是来自棕榈油工厂等工业污染源的空气污染,对呼吸系统健康构成重大威胁。本研究旨在调查一氧化氮(NO)和一氧化碳(CO)暴露对棕榈油厂工人肺功能的影响,并将其与周围社区居民的肺功能进行比较。研究方法在印度尼西亚廖内省关丹穆迪克区进行了一项横断面研究。研究人员招募了 100 名工作至少两年的棕榈油厂工人和 100 名未接触过氮氧化物和一氧化碳的社区居民。肺功能通过肺活量测定法进行评估,氮氧化物和一氧化碳水平通过专用分析仪进行测量。参与者填写了欧洲共同体呼吸健康调查 (ECRHS) 问卷,并收集了人口统计学和临床数据。统计分析包括单变量、双变量和多变量逻辑回归。结果显示与社区居民(3%)相比,工厂工人的氮氧化物水平明显更高(p=0.000),限制性肺功能患病率更高(17%)。多变量分析表明,氮氧化物暴露是限制性肺功能最重要的风险因素(p=0.005)。氮氧化物每增加一个单位,限制性肺功能的风险就会增加 1.12 倍。在本研究中,一氧化碳暴露、年龄、性别、吸烟史和个人防护设备(PPE)的使用与肺功能损伤无显著相关性。结论棕榈油工厂的职业性氮氧化物暴露是限制性肺功能损害的一个重要风险因素。定期监测氮氧化物水平和实施有效的控制措施对于保护棕榈油厂工人的呼吸系统健康至关重要。
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引用次数: 0
Risk Factors for Sleep Disorders in Patients with Chronic Pain: A Meta-Analysis 慢性疼痛患者睡眠障碍的风险因素:一项 Meta 分析
Pub Date : 2024-07-15 DOI: 10.37275/bsm.v8i10.1100
An Nissa’ Yoerizta Ratu, Arina Widya Murni
Background: Chronic pain and sleep disorders frequently co-occur, exacerbating each other in a vicious cycle. This meta-analysis aimed to identify and quantify risk factors associated with sleep disorders in individuals experiencing chronic pain. Methods: A systematic search of PubMed, Embase, Web of Science, and Cochrane Library databases was conducted from January 2018 to June 2024. Studies assessing sleep disorders (insomnia, obstructive sleep apnea, restless legs syndrome) in adults with chronic pain (non-cancer pain lasting >3 months) were included. Data on demographics, pain characteristics, sleep measures, and potential risk factors were extracted. Meta-analyses were performed using random-effects models to estimate pooled odds ratios (ORs) and 95% confidence intervals (CIs). Results: Twenty-seven studies (n = 12,453 participants) met the inclusion criteria. Chronic pain significantly increased the odds of having any sleep disorder (OR 2.83, 95% CI 2.19-3.65). Specific risk factors identified included: Female gender: OR 1.41 (95% CI 1.18-1.67); Higher pain intensity: OR 1.15 per 1-unit increase on a 0-10 scale (95% CI 1.08-1.23); Longer pain duration: OR 1.04 per year (95% CI 1.01-1.07); Presence of depression or anxiety: OR 2.32 (95% CI 1.85-2.91); Use of opioid medications: OR 1.58 (95% CI 1.23-2.04). Conclusion: Chronic pain is a substantial risk factor for sleep disorders. Gender, pain intensity, duration, comorbid mental health conditions, and opioid use emerged as modifiable risk factors. Targeted interventions addressing these factors may improve sleep outcomes in individuals with chronic pain.
背景:慢性疼痛和睡眠障碍经常并发,在恶性循环中相互加重。这项荟萃分析旨在确定和量化与慢性疼痛患者睡眠障碍相关的风险因素。研究方法从 2018 年 1 月至 2024 年 6 月,对 PubMed、Embase、Web of Science 和 Cochrane Library 数据库进行了系统检索。纳入了评估患有慢性疼痛(持续时间超过 3 个月的非癌症疼痛)的成人睡眠障碍(失眠、阻塞性睡眠呼吸暂停、不安腿综合征)的研究。提取了有关人口统计学、疼痛特征、睡眠测量和潜在风险因素的数据。采用随机效应模型进行了元分析,以估计汇总的几率比(ORs)和 95% 的置信区间(CIs)。研究结果27 项研究(n = 12,453 名参与者)符合纳入标准。慢性疼痛会明显增加患任何睡眠障碍的几率(OR 2.83,95% CI 2.19-3.65)。确定的具体风险因素包括女性:OR 1.41 (95% CI 1.18-1.67);疼痛强度更高:在 0-10 级中每增加 1 个单位,OR 为 1.15(95% CI 为 1.08-1.23);疼痛持续时间较长:OR 1.04/年(95% CI 1.01-1.07);存在抑郁或焦虑:或 2.32(95% CI 1.85-2.91);使用阿片类药物:或 1.58(95% CI 1.23-2.04)。结论慢性疼痛是睡眠障碍的一个重要风险因素。性别、疼痛强度、持续时间、合并精神疾病和阿片类药物的使用是可改变的风险因素。针对这些因素采取有针对性的干预措施可改善慢性疼痛患者的睡眠状况。
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引用次数: 0
The Role of Receptor-Interacting Serine/Threonine-Protein Kinase 1 (RIPK1) in CD4+ T Cell Necroptosis in HIV Patients: A Narrative Literature Review 受体丝氨酸/苏氨酸蛋白激酶 1 (RIPK1) 在艾滋病患者 CD4+ T 细胞坏死中的作用:文献综述
Pub Date : 2024-07-12 DOI: 10.37275/bsm.v8i10.1096
Asima Juliyana Siregar, Harun Hudari
The human immunodeficiency virus (HIV) remains a global health challenge, with its ability to deplete CD4+ T cells, leading to acquired immunodeficiency syndrome (AIDS). While apoptosis has been extensively studied in CD4+ T cell depletion, recent research has highlighted the significant role of necroptosis, a regulated form of necrosis, in this process. Receptor-interacting serine/threonine-protein kinase 1 (RIPK1) has emerged as a central player in necroptosis, regulating both cell death and inflammatory responses. This review delves into the intricate mechanisms by which RIPK1 orchestrates necroptosis in CD4+ T cells during HIV infection. We explore the structural intricacies of RIPK1, its interactions with other signaling molecules, and the downstream events that culminate in necroptotic cell death. Additionally, we discuss the therapeutic potential of targeting RIPK1 to mitigate CD4+ T cell loss and control HIV disease progression. Understanding the multifaceted role of RIPK1 in HIV-induced necroptosis may pave the way for novel therapeutic interventions to combat this devastating disease.
人类免疫缺陷病毒(HIV)能够消耗 CD4+ T 细胞,导致获得性免疫缺陷综合症(艾滋病),因此它仍然是全球健康的一大挑战。虽然凋亡在 CD4+ T 细胞耗竭中已被广泛研究,但最近的研究强调了坏死(一种受调控的坏死形式)在这一过程中的重要作用。与受体相互作用的丝氨酸/苏氨酸蛋白激酶1(RIPK1)已成为坏死过程中的核心角色,它同时调节细胞死亡和炎症反应。本综述深入探讨了 RIPK1 在艾滋病病毒感染期间协调 CD4+ T 细胞坏死的复杂机制。我们探讨了 RIPK1 错综复杂的结构、它与其他信号分子的相互作用以及最终导致细胞坏死的下游事件。此外,我们还讨论了针对 RIPK1 的治疗潜力,以减轻 CD4+ T 细胞的损失并控制 HIV 疾病的发展。了解 RIPK1 在 HIV 诱导的坏死中的多方面作用可能会为新型治疗干预铺平道路,从而对抗这种毁灭性疾病。
{"title":"The Role of Receptor-Interacting Serine/Threonine-Protein Kinase 1 (RIPK1) in CD4+ T Cell Necroptosis in HIV Patients: A Narrative Literature Review","authors":"Asima Juliyana Siregar, Harun Hudari","doi":"10.37275/bsm.v8i10.1096","DOIUrl":"https://doi.org/10.37275/bsm.v8i10.1096","url":null,"abstract":"The human immunodeficiency virus (HIV) remains a global health challenge, with its ability to deplete CD4+ T cells, leading to acquired immunodeficiency syndrome (AIDS). While apoptosis has been extensively studied in CD4+ T cell depletion, recent research has highlighted the significant role of necroptosis, a regulated form of necrosis, in this process. Receptor-interacting serine/threonine-protein kinase 1 (RIPK1) has emerged as a central player in necroptosis, regulating both cell death and inflammatory responses. This review delves into the intricate mechanisms by which RIPK1 orchestrates necroptosis in CD4+ T cells during HIV infection. We explore the structural intricacies of RIPK1, its interactions with other signaling molecules, and the downstream events that culminate in necroptotic cell death. Additionally, we discuss the therapeutic potential of targeting RIPK1 to mitigate CD4+ T cell loss and control HIV disease progression. Understanding the multifaceted role of RIPK1 in HIV-induced necroptosis may pave the way for novel therapeutic interventions to combat this devastating disease.","PeriodicalId":102064,"journal":{"name":"Bioscientia Medicina : Journal of Biomedicine and Translational Research","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141654050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Rare Primary Breast Angiosarcoma with Bone Metastasis: A Case Report 罕见的原发性乳腺血管肉瘤伴骨转移:病例报告
Pub Date : 2024-07-12 DOI: 10.37275/bsm.v8i10.1095
Rupita Sari, Kiki A. Rizki, A. Yantisetiasti
Background: Angiosarcoma is a rare and aggressive malignant tumor originating from endothelial cells. Primary breast angiosarcoma (PBA) is exceedingly uncommon, accounting for less than 1% of all breast malignancies. Bone metastasis from PBA is even rarer, making it a unique clinical entity. Case presentation: We present the case of a 37-year-old woman who initially presented with a rapidly enlarging breast mass. A biopsy confirmed the diagnosis of PBA, and she underwent a modified radical mastectomy followed by radiotherapy. Seventeen months later, she developed progressive lower extremity weakness and urinary and bowel incontinence. Imaging revealed a spinal metastasis at the Th4-Th6 level. Biopsy and immunohistochemistry confirmed metastatic angiosarcoma. The patient underwent laminectomy and posterior stabilization. Conclusion: This case highlights the rarity and aggressive nature of PBA with bone metastasis. It emphasizes the importance of early detection, comprehensive treatment, and long-term surveillance in managing this challenging disease. Further research is needed to understand the underlying mechanisms and develop effective therapeutic strategies for PBA with bone metastasis.
背景:血管肉瘤是一种源自内皮细胞的罕见侵袭性恶性肿瘤。原发性乳腺血管肉瘤(PBA)极为罕见,在所有乳腺恶性肿瘤中占比不到 1%。原发性乳腺血管肉瘤的骨转移更为罕见,因此是一种独特的临床实体。病例介绍:我们介绍了一名 37 岁女性的病例,她最初因乳房肿块迅速增大而就诊。活组织检查确诊为 PBA,她接受了改良根治性乳房切除术,随后接受了放疗。17 个月后,她出现了进行性下肢无力、大小便失禁等症状。影像学检查发现,Th4-Th6水平有一个脊柱转移瘤。活检和免疫组化证实了转移性血管肉瘤。患者接受了椎板切除术和后路稳定术。结论:该病例凸显了伴有骨转移的 PBA 的罕见性和侵袭性。它强调了早期发现、综合治疗和长期监测对治疗这种具有挑战性疾病的重要性。要了解 PBA 伴骨转移的潜在机制并制定有效的治疗策略,还需要进一步的研究。
{"title":"A Rare Primary Breast Angiosarcoma with Bone Metastasis: A Case Report","authors":"Rupita Sari, Kiki A. Rizki, A. Yantisetiasti","doi":"10.37275/bsm.v8i10.1095","DOIUrl":"https://doi.org/10.37275/bsm.v8i10.1095","url":null,"abstract":"Background: Angiosarcoma is a rare and aggressive malignant tumor originating from endothelial cells. Primary breast angiosarcoma (PBA) is exceedingly uncommon, accounting for less than 1% of all breast malignancies. Bone metastasis from PBA is even rarer, making it a unique clinical entity. \u0000Case presentation: We present the case of a 37-year-old woman who initially presented with a rapidly enlarging breast mass. A biopsy confirmed the diagnosis of PBA, and she underwent a modified radical mastectomy followed by radiotherapy. Seventeen months later, she developed progressive lower extremity weakness and urinary and bowel incontinence. Imaging revealed a spinal metastasis at the Th4-Th6 level. Biopsy and immunohistochemistry confirmed metastatic angiosarcoma. The patient underwent laminectomy and posterior stabilization. \u0000Conclusion: This case highlights the rarity and aggressive nature of PBA with bone metastasis. It emphasizes the importance of early detection, comprehensive treatment, and long-term surveillance in managing this challenging disease. Further research is needed to understand the underlying mechanisms and develop effective therapeutic strategies for PBA with bone metastasis.","PeriodicalId":102064,"journal":{"name":"Bioscientia Medicina : Journal of Biomedicine and Translational Research","volume":"58 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141654198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Meta-Analysis of Electric Cigarette Use and Lung Health Implications 电动香烟使用和肺部健康影响的元分析
Pub Date : 2024-07-12 DOI: 10.37275/bsm.v8i10.1099
Rika Florensia, Fauzar, Roza Kurniati
Background: The global rise in electric cigarette (e-cigarette) use has prompted urgent investigation into their health effects. This meta-analysis aims to consolidate evidence regarding the impact of e-cigarette use on lung health. Methods: A systematic search of PubMed, Embase, and Cochrane Library databases was conducted, identifying studies published between 2018 and 2024 that assessed lung function, respiratory symptoms, and lung disease incidence in e-cigarette users. Studies meeting inclusion criteria were subjected to quality assessment and data extraction. Random-effects models were used for pooled analysis, and heterogeneity was assessed. Results: Twenty-three studies, encompassing 12,456 participants, were included. E-cigarette use was associated with a small but significant decrease in forced expiratory volume in 1 second (FEV1) (standardized mean difference [SMD] -0.18, 95% CI -0.26 to -0.10, p<0.001). Increased odds of wheezing (odds ratio [OR] 1.38, 95% CI 1.15 to 1.65, p=0.001) and chronic cough (OR 1.25, 95% CI 1.08 to 1.44, p=0.003) were also observed in e-cigarette users. No significant association was found with chronic obstructive pulmonary disease (COPD) incidence. Conclusion: E-cigarette use appears detrimental to lung function and associated with respiratory symptoms. Further long-term research is imperative to establish definitive conclusions on the risk of COPD and other lung diseases.
背景:全球使用电子烟的人数不断增加,促使人们迫切调查电子烟对健康的影响。本荟萃分析旨在整合有关使用电子烟对肺部健康影响的证据。研究方法对 PubMed、Embase 和 Cochrane Library 数据库进行了系统检索,确定了 2018 年至 2024 年间发表的评估电子烟使用者肺功能、呼吸道症状和肺部疾病发病率的研究。对符合纳入标准的研究进行了质量评估和数据提取。采用随机效应模型进行汇总分析,并对异质性进行评估。研究结果共纳入 23 项研究,涉及 12,456 名参与者。使用电子烟与1秒用力呼气容积(FEV1)小幅但显著的下降有关(标准化平均差[SMD] -0.18,95% CI -0.26至-0.10,p<0.001)。此外,还观察到电子烟使用者出现喘息(几率比 [OR] 1.38,95% CI 1.15 至 1.65,p=0.001)和慢性咳嗽(OR 1.25,95% CI 1.08 至 1.44,p=0.003)的几率增加。与慢性阻塞性肺病(COPD)发病率无明显关联。结论使用电子烟似乎对肺功能有害,并与呼吸道症状有关。要对慢性阻塞性肺病和其他肺部疾病的风险做出明确结论,必须开展进一步的长期研究。
{"title":"A Meta-Analysis of Electric Cigarette Use and Lung Health Implications","authors":"Rika Florensia, Fauzar, Roza Kurniati","doi":"10.37275/bsm.v8i10.1099","DOIUrl":"https://doi.org/10.37275/bsm.v8i10.1099","url":null,"abstract":"Background: The global rise in electric cigarette (e-cigarette) use has prompted urgent investigation into their health effects. This meta-analysis aims to consolidate evidence regarding the impact of e-cigarette use on lung health. \u0000Methods: A systematic search of PubMed, Embase, and Cochrane Library databases was conducted, identifying studies published between 2018 and 2024 that assessed lung function, respiratory symptoms, and lung disease incidence in e-cigarette users. Studies meeting inclusion criteria were subjected to quality assessment and data extraction. Random-effects models were used for pooled analysis, and heterogeneity was assessed. \u0000Results: Twenty-three studies, encompassing 12,456 participants, were included. E-cigarette use was associated with a small but significant decrease in forced expiratory volume in 1 second (FEV1) (standardized mean difference [SMD] -0.18, 95% CI -0.26 to -0.10, p<0.001). Increased odds of wheezing (odds ratio [OR] 1.38, 95% CI 1.15 to 1.65, p=0.001) and chronic cough (OR 1.25, 95% CI 1.08 to 1.44, p=0.003) were also observed in e-cigarette users. No significant association was found with chronic obstructive pulmonary disease (COPD) incidence. \u0000Conclusion: E-cigarette use appears detrimental to lung function and associated with respiratory symptoms. Further long-term research is imperative to establish definitive conclusions on the risk of COPD and other lung diseases.","PeriodicalId":102064,"journal":{"name":"Bioscientia Medicina : Journal of Biomedicine and Translational Research","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141655145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Premature Rupture of Membranes in a Pregnant Patient with Systemic Lupus Erythematosus and Lupus Carditis: A Case Report 患有系统性红斑狼疮和狼疮性心脏病的孕妇胎膜早破:病例报告
Pub Date : 2024-07-11 DOI: 10.37275/bsm.v8i10.1093
Anisa Karamina Wardani, Nova Kurniati, Norman Djamaludin, Erwin Sukandi
Background: Systemic lupus erythematosus (SLE) is a multisystem autoimmune disease associated with significant maternal and fetal risks, especially during pregnancy. Lupus carditis and premature rupture of membranes (PROM) pose additional challenges in managing such pregnancies. Case presentation: A 21-year-old woman with a history of SLE and lupus carditis presented at 34 weeks gestation with premature rupture of membranes. Her medical history was notable for regular follow-up and treatment for SLE manifestations, including mucocutaneous involvement and microcytic hypochromic anemia. Physical examination revealed characteristic signs of SLE, and echocardiography confirmed dilated cardiomyopathy. Following a multidisciplinary approach, a cesarean section was performed, resulting in the successful delivery of a healthy neonate. Conclusion: This case highlights the importance of a coordinated multidisciplinary approach in managing complex pregnancies involving SLE, lupus carditis, and PROM. Early diagnosis, close monitoring, and timely intervention are crucial for optimizing maternal and fetal outcomes in such cases.
背景:系统性红斑狼疮(SLE)是一种多系统自身免疫性疾病,对孕产妇和胎儿都有很大的风险,尤其是在怀孕期间。狼疮性心肌炎和胎膜早破(PROM)给此类妊娠的管理带来了额外的挑战。病例介绍:一名 21 岁的女性,患有系统性红斑狼疮和狼疮性心脏炎,妊娠 34 周时出现胎膜早破。她的病史值得注意的是,她曾因系统性红斑狼疮表现(包括粘膜受累和小细胞低色素性贫血)接受过定期随访和治疗。体格检查显示了系统性红斑狼疮的特征性体征,超声心动图证实了扩张型心肌病。经过多学科会诊后,患者接受了剖宫产手术,顺利产下一名健康的新生儿。结论本病例强调了在处理涉及系统性红斑狼疮、狼疮性心肌炎和PROM的复杂妊娠时,多学科协作的重要性。在这种情况下,早期诊断、密切监测和及时干预对于优化母体和胎儿的预后至关重要。
{"title":"Premature Rupture of Membranes in a Pregnant Patient with Systemic Lupus Erythematosus and Lupus Carditis: A Case Report","authors":"Anisa Karamina Wardani, Nova Kurniati, Norman Djamaludin, Erwin Sukandi","doi":"10.37275/bsm.v8i10.1093","DOIUrl":"https://doi.org/10.37275/bsm.v8i10.1093","url":null,"abstract":"Background: Systemic lupus erythematosus (SLE) is a multisystem autoimmune disease associated with significant maternal and fetal risks, especially during pregnancy. Lupus carditis and premature rupture of membranes (PROM) pose additional challenges in managing such pregnancies. \u0000Case presentation: A 21-year-old woman with a history of SLE and lupus carditis presented at 34 weeks gestation with premature rupture of membranes. Her medical history was notable for regular follow-up and treatment for SLE manifestations, including mucocutaneous involvement and microcytic hypochromic anemia. Physical examination revealed characteristic signs of SLE, and echocardiography confirmed dilated cardiomyopathy. Following a multidisciplinary approach, a cesarean section was performed, resulting in the successful delivery of a healthy neonate. \u0000Conclusion: This case highlights the importance of a coordinated multidisciplinary approach in managing complex pregnancies involving SLE, lupus carditis, and PROM. Early diagnosis, close monitoring, and timely intervention are crucial for optimizing maternal and fetal outcomes in such cases.","PeriodicalId":102064,"journal":{"name":"Bioscientia Medicina : Journal of Biomedicine and Translational Research","volume":"90 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141657751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Serum Uric Acid and Nitric Oxide Levels in Relation to Coronary Artery Occlusion Severity in STEMI (ST Elevation Myocardial Infarct): A Meta-Analysis 血清尿酸和一氧化氮水平与 STEMI(ST 段抬高型心肌梗死)冠状动脉闭塞严重程度的关系:元分析
Pub Date : 2024-07-11 DOI: 10.37275/bsm.v8i10.1094
Rizqi Aulia Oetama, Iin Aulia Ernovina, Amly Aulia Permadi
Background: Serum uric acid (SUA) and nitric oxide (NO) are implicated in cardiovascular disease pathogenesis. However, their relationship with the degree of coronary artery occlusion in STEMI patients remains unclear. We aimed to synthesize available evidence on the association between SUA, NO levels, and coronary artery occlusion severity in STEMI. Methods: We conducted a systematic search of PubMed, Embase, and Cochrane Library databases from 2018 to 2024 for studies reporting SUA and NO levels in STEMI patients undergoing percutaneous coronary intervention (PCI). We extracted data on occlusion severity (e.g., thrombolysis in myocardial infarction [TIMI] flow grade) and performed a meta-analysis using random-effects models. Results: Ten studies involving 2515 STEMI patients were included. The pooled analysis revealed a significant positive association between SUA levels and a higher degree of coronary artery occlusion (standardized mean difference [SMD] = 0.35, 95% confidence interval [CI] 0.12-0.58, p = 0.003). Conversely, NO levels were significantly lower in patients with more severe occlusion (SMD = -0.28, 95% CI -0.45 to -0.11, p = 0.001). Conclusion: Elevated SUA and reduced NO levels are associated with increased coronary artery occlusion severity in STEMI patients. These findings highlight potential therapeutic targets for improving outcomes in STEMI.
背景:血清尿酸(SUA)和一氧化氮(NO)与心血管疾病的发病机制有关。然而,它们与 STEMI 患者冠状动脉闭塞程度的关系仍不清楚。我们旨在综合有关 STEMI 患者 SUA、NO 水平和冠状动脉闭塞严重程度之间关系的现有证据。方法:我们对 2018 年至 2024 年期间的 PubMed、Embase 和 Cochrane Library 数据库进行了系统性检索,以寻找报道接受经皮冠状动脉介入治疗(PCI)的 STEMI 患者 SUA 和 NO 水平的研究。我们提取了闭塞严重程度(如心肌梗死溶栓[TIMI]血流分级)的数据,并使用随机效应模型进行了荟萃分析。结果:共纳入 10 项研究,涉及 2515 名 STEMI 患者。汇总分析显示,SUA 水平与冠状动脉闭塞程度较高呈显著正相关(标准化平均差 [SMD] = 0.35,95% 置信区间 [CI] 0.12-0.58,P = 0.003)。相反,闭塞程度更严重的患者体内的 NO 水平明显更低(SMD = -0.28,95% CI -0.45--0.11,p = 0.001)。结论SUA 升高和 NO 水平降低与 STEMI 患者冠状动脉闭塞严重程度增加有关。这些发现突显了改善 STEMI 预后的潜在治疗目标。
{"title":"Serum Uric Acid and Nitric Oxide Levels in Relation to Coronary Artery Occlusion Severity in STEMI (ST Elevation Myocardial Infarct): A Meta-Analysis","authors":"Rizqi Aulia Oetama, Iin Aulia Ernovina, Amly Aulia Permadi","doi":"10.37275/bsm.v8i10.1094","DOIUrl":"https://doi.org/10.37275/bsm.v8i10.1094","url":null,"abstract":"Background: Serum uric acid (SUA) and nitric oxide (NO) are implicated in cardiovascular disease pathogenesis. However, their relationship with the degree of coronary artery occlusion in STEMI patients remains unclear. We aimed to synthesize available evidence on the association between SUA, NO levels, and coronary artery occlusion severity in STEMI. \u0000Methods: We conducted a systematic search of PubMed, Embase, and Cochrane Library databases from 2018 to 2024 for studies reporting SUA and NO levels in STEMI patients undergoing percutaneous coronary intervention (PCI). We extracted data on occlusion severity (e.g., thrombolysis in myocardial infarction [TIMI] flow grade) and performed a meta-analysis using random-effects models. \u0000Results: Ten studies involving 2515 STEMI patients were included. The pooled analysis revealed a significant positive association between SUA levels and a higher degree of coronary artery occlusion (standardized mean difference [SMD] = 0.35, 95% confidence interval [CI] 0.12-0.58, p = 0.003). Conversely, NO levels were significantly lower in patients with more severe occlusion (SMD = -0.28, 95% CI -0.45 to -0.11, p = 0.001). \u0000Conclusion: Elevated SUA and reduced NO levels are associated with increased coronary artery occlusion severity in STEMI patients. These findings highlight potential therapeutic targets for improving outcomes in STEMI.","PeriodicalId":102064,"journal":{"name":"Bioscientia Medicina : Journal of Biomedicine and Translational Research","volume":"26 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141658865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Screening and Identification of Erythrocyte Antibodies: A Narrative Literature Review 筛查和鉴定红细胞抗体:文献综述
Pub Date : 2024-07-10 DOI: 10.37275/bsm.v8i10.1091
Yashinta Octavian, Gita Setyanda, Z. Rofinda, Zelly Dia, Rofinda
Red blood cell (RBC) alloimmunization, the development of antibodies against foreign red blood cell antigens, is a critical concern in transfusion medicine. Alloantibodies can lead to adverse transfusion reactions, including hemolytic disease of the fetus and newborn (HDFN) and delayed hemolytic transfusion reactions (DHTR). This comprehensive literature review explores the intricacies of RBC alloimmunization, focusing on the screening and identification of erythrocyte antibodies. We delve into the prevalence and clinical significance of various alloantibodies, the underlying immunological mechanisms, and the evolution of laboratory techniques for their detection. Additionally, we discuss the challenges and future directions in managing alloimmunization, emphasizing the importance of personalized medicine and innovative approaches to ensure safe and effective blood transfusions.
红细胞(RBC)同种免疫(针对外来红细胞抗原产生抗体)是输血医学中的一个重要问题。同种抗体可导致不良输血反应,包括胎儿和新生儿溶血病(HDFN)和迟发性溶血性输血反应(DHTR)。这篇全面的文献综述探讨了红细胞异体免疫的复杂性,重点是红细胞抗体的筛查和鉴定。我们深入探讨了各种同种抗体的流行率和临床意义、潜在的免疫机制以及实验室检测技术的发展。此外,我们还讨论了管理异体免疫的挑战和未来方向,强调了个性化医疗和创新方法对确保安全有效输血的重要性。
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Bioscientia Medicina : Journal of Biomedicine and Translational Research
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