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Neutrophil-lymphocyte ratio and hypersensitive C-reaction protein are associated with miscarriage during the second trimester of pregnancy. 中性粒细胞淋巴细胞比率和超敏c反应蛋白与妊娠中期流产有关。
IF 3.2 4区 医学 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2021-05-01 DOI: 10.23812/20-579-A
L Zhang, H J Hong, B D Duan, Y Zhang, C C Shao, L N Wang, X Jiao, Y J Du, Y Q Zou, Y Y Ma

This study investigated whether biomarkers in the second trimester of pregnancy, including the white blood cell (WBC) count, neutrophil-lymphocyte ratio (NLR), hypersensitive C-reactive protein (hs-CRP) concentration, and procalcitonin (PCT) concentration, were associated with miscarriage during the second trimester of pregnancy. Sixty-two asymptomatic patients in their second trimester of pregnancy were included in the control group (group A). Among 67 patients diagnosed with late threatened miscarriage, 46 patients with ongoing pregnancy were included in group B and 21 patients with subsequent miscarriage were included in group C. The serum of these patients was collected and the biomarkers were analyzed. A paired-samples t-test was used for the comparison between the groups before and after the miscarriage. Statistical significance was set at p<0.05. Receiver operating characteristic curve (ROC) analysis was performed to evaluate the predictive value of different biomarkers for miscarriage during the second trimester of pregnancy. WBC count, neutrophil percentage, and hs-CRP levels were significantly higher in group C than in groups A and B (p<0.05). Lymphocyte percentage and albumin levels decreased significantly from group A to group C (p<0.05). In contrast, NLR increased significantly from group A to group C (p<0.05). There was a significant decrease in the WBC count, neutrophil percentage, hemoglobin concentration, and post-miscarriage NLR among the cases with miscarriage (p<0.05). The area under the curve of WBC count, NLR, hs-CRP, and the combination of these three factors for the prediction of late miscarriage varied from 78.0% to 82.6%. The combination of these three factors had the highest specificity of 91.1%, while hs-CRP had the highest sensitivity of 88.9%. WBC count, NLR, and hs-CRP levels are strongly associated with miscarriage during the second trimester of pregnancy, indicating that they are potential predictive biomarkers.

本研究探讨了妊娠中期的生物标志物,包括白细胞(WBC)计数、中性粒细胞-淋巴细胞比率(NLR)、超敏c反应蛋白(hs-CRP)浓度和降钙素原(PCT)浓度是否与妊娠中期流产有关。选取62例妊娠中期无症状患者作为对照组(A组)。67例晚期先兆流产患者中,46例持续妊娠患者为B组,21例后续流产患者为c组。收集患者血清并进行生物标志物分析。流产前后组间比较采用配对样本t检验。统计学意义设为p
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引用次数: 1
Acute uncomplicated cystitis management in clinical practice: a nationwide survey. 急性无并发症膀胱炎的临床处理:一项全国性调查。
IF 3.2 4区 医学 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2021-05-01 DOI: 10.23812/21-159-L
S E Aragona, G Ciprandi
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引用次数: 0
Early childhood caries in Tirana, Albania. 阿尔巴尼亚地拉那的幼儿龋齿。
IF 3.2 4区 医学 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2021-05-01 DOI: 10.23812/21-3supp1-26
A Alushi, R J Manenti, M Mema, P Rasicci, E Petro
Early Childhood Caries (ECC) is a destructive form of caries that affects the temporary teeth and may be present in children of very young age as early as teeth erupt. The distinctive characteristic of caries in this age is that it affects initially a limited number of teeth which if not treated in time spread rapidly across all deciduous teeth. The purpose of this study is to determine the prevalence and severity of early childhood caries in children 3-5 years old in the public kindergartens in Tirana.
幼儿蛀牙(ECC)是一种破坏性的龋齿,影响临时牙齿,可能在很小的时候就出现在牙齿长出来的时候。这个年龄段龋齿的显著特征是,它最初影响的牙齿数量有限,如果不及时治疗,就会迅速蔓延到所有乳牙。本研究的目的是了解地拉那3-5岁公立幼儿园儿童早期龋齿的患病率和严重程度。
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引用次数: 0
Impact of self-ligating orthodontic brackets on dental biofilm and periodontal pathogens in adolescents. 自结扎正畸托槽对青少年牙生物膜及牙周病原体的影响。
IF 3.2 4区 医学 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2021-05-01 DOI: 10.23812/21-3supp1-13
E Carli, M Pasini, L Lardani, G Giuca, M Miceli

The aim of the present prospective study was to evaluate periodontal health and subgingival microbiological alterations in adolescents treated with fixed self ligating orthodontic brackets in comparison to subject without any orthodontic appliance. A total of 40 adolescents (23 females and 17 males; mean age: 13.2 ± 3.2 years) were included: 30 subjects with self ligating brackets (test group) and 10 patients without orthodontic appliances (control group). Follow-ups were as follows: T1 (1 month), T2 (3 months), T3 (6 months) from the beginning of the orthodontic therapy. Clinical parameters (plaque index, gingival index and clinical attachment level) were measured for every patient and a microbiological analysis was performed. Mann Whitney test was performed to evaluate clinical parameters between test and control group and Friedman test and Fisher test were adopted to evaluate intra group differences at different follow-ups. Student T-test was performed to compare clinical attachment level between the two groups. Significance level was set at p<0.05. No periodontal pathogens and no clinical attachment loss were found in the whole sample. A slightly higher plaque index and gingival inflammation were recorded in the test group in comparison to the controls.

本前瞻性研究的目的是评估青少年牙周健康和牙龈下微生物的变化,与不使用任何正畸矫治器的青少年进行比较。共有40名青少年(23名女性和17名男性);平均年龄:13.2±3.2岁):使用自结扎托槽者30例(试验组),不使用正畸矫治器者10例(对照组)。随访时间为:开始正畸治疗后T1(1个月)、T2(3个月)、T3(6个月)。测量每位患者的临床参数(菌斑指数、牙龈指数和临床依恋水平),并进行微生物学分析。采用Mann Whitney检验评价实验组与对照组的临床参数,采用Friedman检验和Fisher检验评价不同随访时组内差异。采用学生t检验比较两组患者的临床依恋水平。显著性水平设为p
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引用次数: 16
Guided endodontic microsurgery in apicoectomy: a review. 根管显微手术在根尖切除术中的应用综述。
IF 3.2 4区 医学 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2021-05-01 DOI: 10.23812/21-3supp1-7
F Lio, G Mampieri, V Mazzetti, A Leggeri, L Arcuri

The purpose of this review was twofold. The first aim was to show predictable protocols of guided endodontic microsurgery (EMS) and to describe its clinical outcomes. The second aim was to verify the accuracy of this technique compared to the traditional pathway. An electronic search of publications was established from two electronic databases, Cochrane and PubMed, by two independent researchers. The search strategy used a combination of controlled vocabulary and free-text words. Inclusion and exclusion criteria were defined by the authors before the start of the study. Inclusion criteria were: all studies published in English language; studies in vivo on humans; human cadaver studies; studies analyzing guided surgery in apicoectomy. The initial search yielded 67 citations, of which 10 were included. The studies included in this review analysis have shown two different technique both for digitization of dental arch and for surgical procedures too. Guided endodontic micro-surgery is a more predictable technique with less intra-operative and post-operative complications compared to the "freehand" technique and this procedure has shown a greater accuracy.

本综述的目的是双重的。第一个目的是展示可预测的引导牙髓显微手术(EMS)方案,并描述其临床结果。第二个目的是验证该技术与传统途径相比的准确性。两个独立的研究人员从Cochrane和PubMed两个电子数据库中建立了出版物的电子搜索。搜索策略结合了受控词汇和自由文本词汇。纳入和排除标准由作者在研究开始前确定。纳入标准为:所有以英文发表的研究;人体体内研究;人体尸体研究;根尖切除术的引导手术分析。最初的搜索产生了67条引用,其中10条被收录。本综述分析中包含的研究显示了两种不同的技术,既用于牙弓数字化,也用于外科手术。与“徒手”技术相比,引导下的牙髓显微手术是一种更可预测的技术,术中和术后并发症更少,并且该手术显示出更高的准确性。
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引用次数: 5
A new factor involved during childbirth labor: the importance of having a good dental occlusion. 分娩过程中涉及的一个新因素:良好的牙齿咬合的重要性。
IF 3.2 4区 医学 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2021-05-01 DOI: 10.23812/21-3supp1-18
C Maggioni, S Saccomanno, J P Meerssman, R F Mastrapasqua, A Pirino, F Scoppa

It is widely recognized that the physiology of childbirth labor largely depends on the interaction between three factors: a) the force generated by uterine contractions; b) the structure and characteristics of the birth canal and c) the fetus. Harmony between these three variables determines the initiation of maternal dynamic phenomena and the establishment of an optimal maternal-fetal balance in which both warrant for a correct delivery timing. The present study considered the above known factors and assessed if any other factor, still not recognized, could also play a role, and eventually modify the timing of delivery during the expulsive period. In particular, we focused our attention on the role played by the temporomandibular joint and dental occlusion on maternal body balance and on the stability of muscular reflected forces. The importance of assessing the temporomandibular function and the dental occlusion lies in the fact that any alteration in chewing or in temporomandibular joint (TMJ) mobility and occlusion brings to relevant modifications on the vertebral column and pelvic girdle. Our hypothesis is based on the evidence that those women who have any kind of alteration in their dental occlusion, can have an altered capability of pushing during the expulsive period, as the force applied on the pelvic floor is not expressed. Moreover, recent studies have highlighted a relationship between temporomandibular dysfunctions and sleep apnea syndrome and between sleep apnea syndromes and pregnancy. These relationships are explored in this study.

人们普遍认为,分娩的生理过程在很大程度上取决于三个因素的相互作用:a)子宫收缩产生的力;B)产道的结构和特征c)胎儿。这三个变量之间的和谐决定了母体动态现象的启动和最佳母胎平衡的建立,在这种平衡中,两者都保证了正确的分娩时间。本研究考虑了上述已知因素,并评估了是否有任何其他尚未认识的因素也可能起作用,并最终改变排卵期的分娩时间。我们特别关注了颞下颌关节和牙合对产妇身体平衡和肌肉反射力稳定性的作用。评估颞下颌关节功能和牙咬合的重要性在于,咀嚼或颞下颌关节(TMJ)活动和咬合的任何改变都会导致脊柱和骨盆带的相关改变。我们的假设是基于这样的证据,即那些在牙齿咬合上有任何改变的女性,在排尿期间推的能力可能会改变,因为施加在骨盆底的力没有得到表达。此外,最近的研究强调了颞下颌功能障碍与睡眠呼吸暂停综合征以及睡眠呼吸暂停综合征与妊娠之间的关系。本研究探讨了这些关系。
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引用次数: 1
MicroRNA-20a suppresses RANKL-modulated osteoclastogenesis and prevents bone erosion in mice with rheumatoid arthritis through the TLR4/p38 pathway. MicroRNA-20a通过TLR4/p38途径抑制rankl调节的破骨细胞发生并防止类风湿性关节炎小鼠骨侵蚀。
IF 3.2 4区 医学 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2021-05-01 DOI: 10.23812/20-604-A
X H Kong, S F Shi, H J Hu, J X Wang

Abnormal osteoclast formation plays a significant part in rheumatoid arthritis (RA). As potent therapeutic biomarkers, microRNAs (miRNAs) have obtained increasing attention. Recently, treatment regimens regarding miRNAs have been implicated in skeletal diseases. The aim of this study is to assess the expression and function of miR-20a during osteoclast proliferation and differentiation and its correlation with bone erosion in RA mice. The expression of miR-20a was observed to be diminished in the ankle tissues of RA mice relative to that in normal controls evaluated by RT-qPCR. Hematoxylin and eosin staining, Safranin O-fast green staining, and tartrateresistant acid phosphatase staining were used to evaluate the effects of miR-20a on RA symptoms. The proliferation and differentiation of osteoclasts, and bone erosion were repressed by agomiR-20a injection. 3'UTR luciferase reporter assays were conducted to validate the putative binding between miR-20a and receptor activation of nuclear factor-κB ligand (RANKL). The protein expression and phosphorylation level of toll-like receptor4 (TLR4)/p38 pathway-related factors were detected by Western blot. miR-20a inhibited proliferation and differentiation potentials to osteoclasts partly through the TLR4/p38 pathway. The current work provides evidence that miR-20a hinders proliferation and differentiation of osteoclasts by targeting RANKL through the TLR4/p38 pathway.

破骨细胞异常形成在类风湿关节炎(RA)中起重要作用。作为一种有效的治疗生物标志物,microRNAs (miRNAs)越来越受到人们的关注。最近,关于mirna的治疗方案与骨骼疾病有关。本研究旨在评估miR-20a在RA小鼠破骨细胞增殖和分化过程中的表达和功能及其与骨侵蚀的相关性。RT-qPCR检测发现,与正常对照组相比,RA小鼠踝关节组织中miR-20a的表达降低。采用苏木精和伊红染色、红红素O-fast绿染色和抗酒石酸磷酸酶染色来评估miR-20a对RA症状的影响。注射agomiR-20a可抑制破骨细胞的增殖、分化和骨侵蚀。我们进行了3'UTR荧光素酶报告基因检测,以验证miR-20a与核因子-κB配体(RANKL)受体激活之间的假设结合。Western blot检测toll样受体4 (TLR4)/p38通路相关因子的蛋白表达及磷酸化水平。miR-20a部分通过TLR4/p38途径抑制破骨细胞的增殖和分化潜能。目前的工作提供了证据,证明miR-20a通过TLR4/p38途径靶向RANKL,从而阻碍破骨细胞的增殖和分化。
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引用次数: 7
Contribution of apolipoprotein estimations to cardiovascular risk assessment in women with endometriosis. 载脂蛋白评估对子宫内膜异位症女性心血管风险评估的贡献。
IF 3.2 4区 医学 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2021-05-01 DOI: 10.23812/21-207-L
U Rafi, S Ahmad, A Zia, S S Bokhari, M A Iqbal, N Roohi
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引用次数: 0
Reduction of radiations exposure in endodontics: comparative analysis of direct (GX S-700, Gendex) and semidirect (VistaScan Mini View, Dürr) digital systems. 减少牙髓学中的辐射暴露:直接(GX S-700, Gendex)和半直接(VistaScan Mini View, d<s:2> rr)数字系统的比较分析
IF 3.2 4区 医学 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2021-05-01 DOI: 10.23812/21-3supp1-11
A Libonati, G Gallusi, E Montemurro, V Di Taranto

The importance of intraoral periapical radiography is crucial as it represents a fundamental mean of evaluation and diagnosis for supporting bone and teeth hard tissues diseases and pathologies. Even though conventional film technology is still widespread, presently there are many digital radiography alternatives. Direct digital systems are devices with an intraoral sensor wired or paired wireless with a computer. These devices do generate an image immediately during exposure and acquisition. The semi direct digital systems instead are based on phosphor image plates. Digital radiography offers many chances to improve our patient's healthcare standards reducing exposition to X-rays and the related stochastic radiation risk. Aim of this study is to compare the quality of images for endodontic purposes comparing three systems: conventional films, direct digital radiography and semidirect digital radiography.

口腔内根尖周x线摄影的重要性是至关重要的,因为它代表了评估和诊断支持骨和牙齿硬组织疾病和病理的基本手段。尽管传统的胶片技术仍然广泛使用,但目前有许多数字射线照相技术可供选择。直接数字系统是一种带有口内传感器的设备,该传感器与计算机有线或无线配对。这些设备确实在曝光和采集过程中立即生成图像。而半直接数字系统则是基于荧光粉图像板。数字放射摄影提供了许多机会,以提高我们的病人的医疗保健标准,减少暴露于x射线和相关的随机辐射风险。本研究的目的是比较三种系统:传统胶片、直接数字放射照相和半直接数字放射照相的牙髓目的图像质量。
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引用次数: 0
Proposal of use of the autotransplantation of the third molar as space maintainer in growing patients: a review of literature and a clinical case. 第三磨牙自体移植作为生长患者空间维持器的建议:文献回顾和一个临床病例。
IF 3.2 4区 医学 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2021-05-01 DOI: 10.23812/21-3supp1-20
S Saccomanno, D Laganà, S Saran, A De Stefani, P Pirelli, G Bruno, A Gracco

The review of literature shows that 48,22% of the autotranspated teeth were orthodontically treated. A 13-year-old male patient presented a destructive decay in the element 3.6, which was underoccluded. To maintain the arch space and the quantity of bone necessary for a potential implant, it was decided to perform an autotransplantation of the impacted element 3.8. Tooth autotransplantation is a valid and durable alternative to the prosthetic and the implant solutions with high success rate.

文献回顾显示,48.22%的自动转位牙接受了正畸治疗。一名13岁男性患者表现出3.6元素的破坏性衰变,该元素是欠闭塞的。为了保持弓空间和潜在种植体所需的骨量,我们决定对受影响的假体进行自体移植3.8。自体牙移植是一种有效的、持久的替代修复体和种植体的方法,成功率高。
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引用次数: 2
期刊
Journal of biological regulators and homeostatic agents
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