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Relation between Chronic Rhinosinusitis and Gastroesophageal Reflux in Adults: A Systematic Review 成人慢性鼻窦炎与胃食管反流的关系:系统综述
Pub Date : 2023-09-06 DOI: 10.37275/bsm.v7i9.860
Ni Putu Omasih Kiantimi, Komang Sarizki Armidita, I Nyoman Satria Pratama, Made Rara Rusmala Dewi M, A.A Sagung Dewi Nurgitayanti
Background: It is not entirely apparent how chronic rhinosinusitis (also known as CRS) develops. Since the 1970s, medical professionals have debated whether or not gastroesophageal reflux (GOR) could be a factor in the development of certain patients' conditions. The purpose of this research is to the relation between chronic rhinosinusitis and gastroesophageal reflux in adults. Methods: By evaluating the preferred reporting items for systematic review and meta-analysis (PRISMA) 2020 standards, this study demonstrated that it met all of the requirements. This enabled the researchers to ensure that the study was as up to date as feasible. Publications published between 2000 and 2023 were included in the search strategy, which included a variety of electronic reference databases (including Pubmed and SagePub). We did not consider review papers, duplicate publications, or half completed articles. Results: In the PubMed database, the results of our search brought up 133 articles, whereas the results of our search on SagePub brought up 69 articles. The results of the search conducted for the last year of 2000 yielded a total of 20 articles for PubMed and 8 articles for SagePub. In the end, we compiled a total of 21 papers, six of which came from PubMed and three of which came from SagePub. We included nine research that met the criteria. Conclusion: According to the findings of most studies, the number of cases of CRS seen in patients with GERD is around two to three times higher than that seen in the general patient group.
背景:慢性鼻窦炎(也称为CRS)是如何发展的尚不完全清楚。自20世纪70年代以来,医学专业人士一直在争论胃食管反流(GOR)是否可能是某些患者病情发展的一个因素。本研究旨在探讨成人慢性鼻窦炎与胃食管反流的关系。方法:通过对系统评价与meta分析(PRISMA) 2020标准的首选报告项目进行评价,证明其满足所有要求。这使研究人员能够确保这项研究是最新的。2000年至2023年间出版的出版物被纳入搜索策略,其中包括各种电子参考数据库(包括Pubmed和SagePub)。我们没有考虑综述论文、重复出版物或半成品文章。结果:在PubMed数据库中,我们搜索的结果是133篇文章,而在SagePub上搜索的结果是69篇文章。2000年最后一年的搜索结果为PubMed提供了20篇文章,SagePub提供了8篇文章。最后,我们一共编辑了21篇论文,其中6篇来自PubMed, 3篇来自SagePub。我们纳入了9项符合标准的研究。结论:根据大多数研究结果,GERD患者的CRS病例数比一般患者组高2 - 3倍左右。
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引用次数: 0
The Role of Monocyte Chemoattractant Protein-1 (MCP-1) in Diabetic Kidney Disease 单核细胞趋化蛋白-1 (MCP-1)在糖尿病肾病中的作用
Pub Date : 2023-09-06 DOI: 10.37275/bsm.v7i9.861
Deddy Canceria, Suka Rahmatsyah, Harnavi Harun, Deka Viotra
Monocyte chemoattractant protein-1 plays an important role in kidney disease. In several studies, the role of MCP-1 as a urine biomarker has been extensively studied. In many kidney diseases, there are elevated levels of MCP-1 in the kidney tissue and this is an important cause of monocyte infiltration in the pathogenesis of kidney damage. Elevated urinary MCP-1 levels have been able to predict outcome in proliferative kidney diseases such as lupus nephritis. However, in several studies it was also found that there was an increase in MCP-1 in diabetic kidney disease. Macrophages have even appeared early in diabetic kidney disease and are associated with the progression of kidney disease. Urinary MCP-1 levels are related to the degree of leukocyte infiltration in the tubulointerstitial. This supports inflammatory factors as part of the pathogenesis of diabetic kidney disease.
单核细胞趋化蛋白-1在肾脏疾病中起重要作用。在一些研究中,MCP-1作为尿液生物标志物的作用得到了广泛的研究。在许多肾脏疾病中,肾组织中MCP-1水平升高,这是单核细胞浸润导致肾损伤发病的重要原因。尿MCP-1水平升高能够预测增殖性肾脏疾病如狼疮肾炎的预后。然而,在一些研究中也发现糖尿病肾病中MCP-1升高。巨噬细胞甚至出现在糖尿病肾病的早期,并与肾病的进展有关。尿MCP-1水平与白细胞在小管间质浸润的程度有关。这支持炎症因子作为糖尿病肾病发病机制的一部分。
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引用次数: 0
Essential Thrombocythemia in Young Women 年轻女性原发性血小板增多症
Pub Date : 2023-08-31 DOI: 10.37275/bsm.v7i9.857
Anggit Pungkas Wibowo, Eifel Faheri, Anggit Pungkas
Background: Essential thrombocythemia (ET) is a rare disease in which there is an increase in the platelet count of more than 450,000/mm3. An increase in the number of platelets occurs due to increased proliferation of megakaryocyte series. Although there is an increase in the number of platelets in ET, it has impaired function. ET clinical manifestations in 50% of cases are asymptomatic, but in symptomatic cases can be vascular occlusive events or microvascular thrombosis. Case presentation: A 22-year-old woman with complaints of rash on the hands and feet. Physical examination found an enlarged spleen in Schuffner 1 and ecchymosis on the arms and legs, a platelet count of 811,000/mm3. The peripheral blood smear shows large platelets, the bone marrow picture shows megakaryocytes, which are very easy to find, the size varies with sufficient platelet emission, the JAK2 gene mutation examination shows mutation detection, while the BCR-ABL gene mutation results do not detect gene fusion. Treatment is given cytoreductive therapy in the form of hydroxyurea, while acetylsalicylic acid is not given because there are contraindications for administration. Conclusion: Essential thrombocythemia is a neoplastic proliferative disease that occurs in the megakaryocyte series. The diagnosis of ET mostly found mutations in the JAK2 gene. ET management according to risk classification, where acetylsalicylic acid can be given very low and low risk, while intermediate and high risk can be given cytoreductive therapy.
背景:原发性血小板增多症(ET)是一种罕见的疾病,其中血小板计数增加超过450,000/mm3。由于巨核细胞系列的增殖增加,血小板数量增加。虽然ET中血小板数量增加,但其功能受损。50%的病例临床表现为无症状,但在有症状的病例中可出现血管闭塞事件或微血管血栓形成。病例介绍:一名22岁女性,主诉手脚出现皮疹。体格检查发现Schuffner 1型脾肿大,手臂和腿部淤斑,血小板计数811,000/mm3。外周血涂片显示大血小板,骨髓图显示巨核细胞,很容易发现,大小随血小板释放量的充足而变化,JAK2基因突变检查显示突变检测,而BCR-ABL基因突变结果未检测到基因融合。治疗以羟基脲的形式给予细胞减少疗法,而乙酰水杨酸不给予,因为有禁忌症。结论:原发性血小板增多症是一种发生在巨核细胞系的肿瘤增生性疾病。ET的诊断主要发现JAK2基因突变。根据风险分级进行ET管理,其中乙酰水杨酸可给予极低和低风险,而中、高风险可给予细胞减少治疗。
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引用次数: 0
Incidence of Anemia in Pregnant Women with Closer Spacing of Pregnancies and Multiparity: A Case Report 间隔较近多胎妊娠妇女贫血的发生率:1例报告
Pub Date : 2023-08-31 DOI: 10.37275/bsm.v7i9.858
L. Amalina
Background: One of the risk factors that can increase the incidence of anemia in pregnant women is the close spacing of pregnancies and multiparity. Closely spaced pregnancies refer to pregnancies that occur within a short time after the previous birth, while multiparity refers to a woman who has given birth to more than one child previously. The combination of these two factors can lead to an increased risk of anemia in pregnant women. This study presents the risk of closely spaced pregnancies and multiparity for the incidence of anemia in pregnant women. Case presentation: Mrs. SM, 27 years old pregnant woman, came with complaints of severe dizziness for the last 2 weeks. In addition, patients also complain of weakness, weakness, no energy, and no appetite. The patient said that she was currently pregnant with her 4th child, aged 27-28 weeks, with active fetal movements. Hemoglobin examination 7 mg/dL. Conclusion: The patient was diagnosed with anemia in pregnant women with risk factors for close pregnancy spacing and multiparity.
背景:妊娠间隔过近和多胎是增加孕妇贫血发生率的危险因素之一。间隔妊娠是指上一次分娩后短时间内发生的妊娠,而多胎妊娠是指以前生育过一个以上孩子的妇女。这两个因素的结合会导致孕妇贫血的风险增加。这项研究提出了怀孕间隔和多胎对孕妇贫血发病率的风险。病例介绍:SM女士,27岁孕妇,近2周主诉重度头晕。此外,患者还主诉虚弱、乏力、无活力、无食欲。患者说,她目前怀有第4胎,年龄27-28周,胎动活跃。血红蛋白检查7 mg/dL。结论:该患者为近孕间隔多胎妊娠妇女贫血的危险因素。
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引用次数: 0
Pathophysiology and Management of Primary Osteoporosis: A Narrative Literature Review 原发性骨质疏松症的病理生理学和治疗:一篇叙述性文献综述
Pub Date : 2023-08-30 DOI: 10.37275/bsm.v7i8.856
Dendi Andrean, Najirman, Eka Kurniawan
The pathophysiology of primary osteoporosis primarily involves changes at the cellular and bone tissue levels. This process involves an imbalance between the activity of bone-destroying cells (osteoclasts) and bone-constructing cells (osteoblasts). Osteoclasts are responsible for the resorption of old and damaged bone tissue, while osteoblasts build new bone. In osteoporosis, osteoclast activity increases and osteoblasts decrease, resulting in loss of bone mass. Treatment of primary osteoporosis involves a holistic approach that includes lifestyle changes, use of medications, and fracture prevention. The main goal of management is to slow down the decline in bone density, prevent bone fractures, and improve the quality of life of sufferers. Increasing your intake of calcium and vitamin D, as well as regular physical exercise, can help maintain bone mass. Meanwhile, drugs such as bisphosphonates and teriparatide can be used to inhibit bone breakdown or stimulate new bone formation.
原发性骨质疏松的病理生理主要涉及细胞和骨组织水平的变化。这个过程涉及到破坏骨的细胞(破骨细胞)和造骨的细胞(成骨细胞)活动之间的不平衡。破骨细胞负责吸收旧的和受损的骨组织,而成骨细胞则建造新骨。在骨质疏松症中,破骨细胞活性增加,成骨细胞减少,导致骨量损失。原发性骨质疏松症的治疗包括生活方式的改变、药物的使用和骨折的预防。治疗的主要目标是减缓骨密度下降,预防骨折,提高患者的生活质量。增加钙和维生素D的摄入量,以及定期的体育锻炼,可以帮助保持骨量。同时,双膦酸盐和特立帕肽等药物可用于抑制骨破坏或刺激新骨形成。
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引用次数: 0
Intensive Care Management of Preeclampsia: A Case Report 先兆子痫的重症监护管理1例报告
Pub Date : 2023-08-28 DOI: 10.37275/bsm.v7i8.853
Liliriawati Ananta, Kahar, Wiwi Monika Sari, Mentari Faisal Putri
Background: The prevalence of preeclampsia is around 5% - 15% of all pregnant women. It can cause severe complications and even death in the mother and fetus if not adequately managed. Case presentation: A 36-year-old housewife was admitted to the emergency department with a chief complaint of shortness of breath before hospital arrival. The patient also complained of headaches. From the physical examination, consciousness was compos mentis, blood pressure 162/100 mmHg, HR 90 x/min, RR 24x/min, SpO 96%. From abdominal ultrasound gravid 36-37 weeks according to biometry, fetal alive, gemelli, intrauterine, transverse lie right head dorsoinferior- breech presentation, the Laboratory in emergency room result, haemoglobin: 10,4, leukocyte, 13.020, thrombocyte 359.000, hematocrit 31, ureum: 11, creatinin: 0.5, glucose: 72, protein urine: +2. Conclusion: In patients with preeclampsia, proper diagnosis and appropriate treatment in the intensive care unit and management by a multidisciplinary team can prevent preeclampsia complications and improve preeclamptic patients' outcomes.
背景:先兆子痫的患病率约占所有孕妇的5% - 15%。如果处理不当,它会导致严重的并发症,甚至导致母亲和胎儿死亡。病例介绍:一名36岁的家庭主妇在到达医院前以呼吸短促为主诉被急诊室收治。病人还抱怨头疼。体格检查意识基本正常,血压162/100 mmHg,心率90 x/min,心率24x/min,心率96%。从妊娠36-37周腹部超声根据生物测定,胎儿活胎、胎心、宫内、横卧右头背下-臀位呈现,实验室在急诊室结果,血红蛋白:10,4,白细胞,13.020,血小板359,000,红细胞压积31,尿样:11,创造素:0.5,葡萄糖:72,蛋白尿:+2。结论:对子痫前期患者,在重症监护病房进行正确的诊断和适当的治疗,并由多学科团队进行管理,可以预防子痫前期并发症,改善子痫前期患者的预后。
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引用次数: 0
The Effect of Free Radicals on Vitiligo 自由基对白癜风的影响
Pub Date : 2023-08-28 DOI: 10.37275/bsm.v7i8.855
Pristia Widya, N. Mulianto
Vitiligo is a depigmentation disorder that is commonly found in the community. The causes of vitiligo are multifactorial such as genetic and environmental factors accompanied by the presence of non-specific and specific immune system factors. Melanocytes are the main target exposed by reactive oxygen species (ROS) during the process of melanogenesis. Such exposure can cause loss of homeostasis and cell death and has implications for vitiligo. Clinical manifestations of vitiligo are generally white depigmented macular lesions that are well demarcated. Based on its distribution, vitiligo can be divided into segmental and non-segmental vitiligo different in terms of prognosis, treatment and resolution of vitiligo.
白癜风是一种常见于社区的色素脱失性疾病。白癜风的病因是多因素的,如遗传和环境因素,并伴有非特异性和特异性免疫系统因素的存在。在黑色素形成过程中,黑色素细胞是活性氧(ROS)暴露的主要目标。这种暴露会导致体内平衡的丧失和细胞死亡,并对白癜风有影响。白癜风的临床表现一般为界限分明的白色脱色黄斑病变。根据其分布,白癜风可分为节段性白癜风和非节段性白癜风,在白癜风的预后、治疗和消退方面存在差异。
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引用次数: 0
Head and Neck Sarcomas Characteristics at Dr. Hasan Sadikin General Hospital for 5 Years (2017-2021) 哈桑·萨迪金总医院5年头颈部肉瘤特征(2017-2021)
Pub Date : 2023-08-28 DOI: 10.37275/bsm.v7i8.854
Maya Sofa, M. P. Soemitro, M. Abdurahman, Y. Azhar, Kiki A. Rizky
Background: Sarcoma is a malignant neoplasm originating from mesodermal tissue with an incidence rate of 1% of neoplasms throughout the body. Head and neck sarcoma requires more complex management and until now, reviews of this disease are still very rare. This study aimed to report the incidence and characteristics of head and neck sarcoma during 2017-2021 at Dr. Hasan Sadikin General Hospital, Universitas Padjadjaran, Bandung. Methods: Research data was taken from patient medical records through SIRS at Dr. Hasan Sadikin General Hospital during the 2017-2021 period according to the ICD10 of head and neck malignancies and histopathological data. Results: During 2017-2021, 15 cases of head and neck sarcoma were found, consisting of 9 cases (60%) rhabdomyosarcoma, 2 cases (13.3%) fibrosarcoma, and 1 case each (6.7%) synovial sarcoma, undifferentiated pleomorphic sarcoma, angiosarcoma and dermatofibrosarcoma protuberans. The neck and shoulder area are the most frequently affected site (40%), followed by the scalp (26.7%), maxilla (20%), and oral cavity (13.3%). The highest incidence rates were in female (60%) and children aged <17 years (46.7%). Conclusion: The incidence of head and neck sarcoma at Dr. Hasan Sadikin General Hospital Bandung is rare. The most frequent cases are rhabdomyosarcoma the most commonly affected areas are the neck and shoulders.
背景:肉瘤是一种起源于中胚层组织的恶性肿瘤,发病率为全身肿瘤的1%。头颈部肉瘤需要更复杂的治疗,直到现在,对这种疾病的评论仍然非常罕见。本研究旨在报告2017-2021年万隆Padjadjaran大学Hasan Sadikin医生总医院头颈部肉瘤的发病率和特征。方法:根据头颈部恶性肿瘤ICD10和组织病理学数据,通过SIRS从Dr. Hasan Sadikin总医院2017-2021年期间的患者病历中获取研究数据。结果:2017-2021年共发现头颈部肉瘤15例,其中横纹肌肉瘤9例(60%),纤维肉瘤2例(13.3%),滑膜肉瘤、未分化多形性肉瘤、血管肉瘤、隆突性皮肤纤维肉瘤各1例(6.7%)。颈部和肩部是最常见的受累部位(40%),其次是头皮(26.7%)、上颌骨(20%)和口腔(13.3%)。发病率最高的是女性(60%)和<17岁的儿童(46.7%)。结论:万隆哈桑·萨迪金总医院头颈部肉瘤发病率低。最常见的病例是横纹肌肉瘤,最常见的受累部位是颈部和肩部。
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引用次数: 0
How to Fit Toric Soft Contact Lenses? 如何配戴环力隐形眼镜?
Pub Date : 2023-08-24 DOI: 10.37275/bsm.v7i8.851
Astria Rima, Rara Yuswir, Rinda Wati
Background: Refractive error is the first cause of visual impairment and the second cause of vision loss worldwide. Astigmatism is an eye refraction disorder that is characterized by various degrees of refraction in various meridians. Thus, the parallel rays coming into the eye are not focused on one point. One of the treatments is toric soft contact lenses, which is used in astigmatism patients by 47% with astigmatism above 0.75 D. This case report describes the use of toric soft contact lenses using a trial with markers at 6 o'clock, 3 o'clock, and 9 o'clock for the management of regular astigmatism. Case presentation: In this paper, we report 3 cases of patients using toric soft contact lenses. The first patient was a 29-year-old male, the second patient was a 24-year-old female, and the third patient was a 25-year-old male with slowly blurred vision in both eyes and had been wearing glasses. The three cases were classified as moderate astigmatism with a power of 1.25 D and 1.50 D. The patients were given toric soft contact lenses for correction. Contact lens fitting was performed on the patient.   Conclusion: Correction of astigmatism can be done by giving glasses, contact lenses, or refractive surgery. If the contact lens axis is suitable, a prescription can be given immediately. If the axis of the toric soft contact lens does not match the available trials, it is necessary to order the size of the toric contact lens according to the astigmatism disorder in the patient's eye.
背景:屈光不正是世界范围内视力损害的第一大原因和视力丧失的第二大原因。散光是一种眼睛屈光障碍,其特点是在不同的经络上有不同程度的屈光。因此,进入眼睛的平行光线不会聚焦在一点上。其中一种治疗方法是屈光软性隐形眼镜,有47%的散光患者使用屈光软性隐形眼镜,散光在0.75 d以上。本病例报告描述了使用屈光软性隐形眼镜在6点钟、3点钟和9点钟位置进行标记治疗常规散光的试验。病例介绍:本文报告3例使用环面软性隐形眼镜的患者。第一位患者为29岁男性,第二位患者为24岁女性,第三位患者为25岁男性,双眼视力缓慢模糊,一直戴眼镜。3例均为中度散光,度数分别为1.25 D和1.50 D,给予屈光度软性隐形眼镜矫正。为患者配戴隐形眼镜。结论:散光可通过配戴眼镜、隐形眼镜或屈光手术来矫正。如果隐形眼镜轴合适,可以立即开处方。如果环面软性隐形眼镜的轴线与现有的试验不匹配,则需要根据患者眼睛的散光障碍来订购环面隐形眼镜的尺寸。
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引用次数: 0
Comparing the Optical Coherence Tomography Outcomes of Intravitreal Injection Anti Vascular Endothelial Growth Factor in Branch Retinal Vein Occlusion (BRVO) 玻璃体内注射抗血管内皮生长因子治疗视网膜分支静脉闭塞(BRVO)的光学相干断层成像效果比较
Pub Date : 2023-08-24 DOI: 10.37275/bsm.v7i8.852
Sandri, Weni Helvinda
Background: BRVO is a blockage of the branches of the retinal vein due to a thrombus. The prevalence of 10-year BRVO is 1.6 per 100 subjects. The effect of anti-VEGF injection on BRVO management is effective in improving visual acuity and reducing macular oedema. Case presentation: A man, 32 years old, presented to the ophthalmology clinic at the Dr. M. Djamil General Hospital with a chief complaint of blurred vision in his left eye 1 week before admission. The blurred vision began suddenly. Visual acuity in LE was 20/50 and did not advance with a pinhole. Funduscopic examination of LE showed clear media, rounded papillae with well-defined borders, blood vessels aa:vv = 1:3, venous tortuosity (+) increased in the inferotemporal quadrant; retina: Bleeding (+) with dot blot and flame-shaped inferiorly, exudate (+) cotton wool spots at the inferotemporal region; foveal reflex (+)↓ on the macula. OCT LE examination showed macular intraretinal hypo-reflection and macular thickening with a central macular thickness of 617 μm. The physical examination showed a body weight of 114.9 kg, a height of 173 cm, and a body mass index of 38.4. Within 5 months after 3 times administrations of intravitreal injections of anti-VEGF bevacizumab and ranibizumab, visual acuity of LE: 20/25 was obtained, and increased appearance of the retinal fundus and OCT LE. Conclusion: Intravitreal injection therapy of anti-VEGF bevacizumab and ranibizumab is effective in reducing macular oedema and restoring visual acuity in BRVO.
背景:BRVO是由血栓引起的视网膜静脉分支阻塞。10年BRVO患病率为1.6 / 100。抗vegf注射治疗BRVO能有效改善视力,减轻黄斑水肿。病例介绍:一名32岁男子,入院前1周以左眼视力模糊主因来到Dr. M. Djamil总医院眼科诊所。模糊的视觉突然出现了。LE视力为20/50,未出现针孔。眼底镜检查示中质清晰,乳突圆形,边界清晰,血管aa:vv = 1:3,颞下象限静脉曲度(+)增加;视网膜:出血(+),下呈点状斑点和火焰状,颞下渗出(+)棉絮斑;黄斑中央凹反射(+)↓。OCT LE检查显示黄斑视网膜内低反射及黄斑增厚,黄斑中心厚度617 μm。体格检查:体重114.9公斤,身高173厘米,体质指数38.4。经3次玻璃体内注射抗vegf贝伐单抗和雷尼单抗后5个月内,视力达到LE: 20/25,视网膜眼底外观和OCT LE增加。结论:玻璃体内注射抗vegf贝伐单抗和雷尼单抗治疗BRVO患者可有效减轻黄斑水肿,恢复视力。
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引用次数: 0
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Bioscientia Medicina : Journal of Biomedicine and Translational Research
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