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The Human Mitochondrial Genome Encodes for an Interferon-Responsive Host Defense Peptide. 人类线粒体基因组编码一种干扰素反应性宿主防御肽。
Q1 Earth and Planetary Sciences Pub Date : 2024-11-01 DOI: 10.1101/2023.03.02.530691
M C Rice, M Imun, S W Jung, C Y Park, J S Kim, R W Lai, C R Barr, J M Son, K Tor, E Kim, R J Lu, I Cohen, B A Benayoun, C Lee

The mitochondrial DNA (mtDNA) can trigger immune responses and directly entrap pathogens, but it is not known to encode for active immune factors. The immune system is traditionally thought to be exclusively nuclear-encoded. Here, we report the identification of a mitochondrial-encoded host defense peptide (HDP) that presumably derives from the primordial proto-mitochondrial bacteria. We demonstrate that MOTS-c (mitochondrial open reading frame from the twelve S rRNA type-c) is a mitochondrial-encoded amphipathic and cationic peptide with direct antibacterial and immunomodulatory functions, consistent with the peptide chemistry and functions of known HDPs. MOTS-c targeted E. coli and methicillin-resistant S. aureus (MRSA), in part, by targeting their membranes using its hydrophobic and cationic domains. In monocytes, IFNγ, LPS, and differentiation signals each induced the expression of endogenous MOTS-c. Notably, MOTS-c translocated to the nucleus to regulate gene expression during monocyte differentiation and programmed them into macrophages with unique transcriptomic signatures related to antigen presentation and IFN signaling. MOTS-c-programmed macrophages exhibited enhanced bacterial clearance and shifted metabolism. Our findings support MOTS-c as a first-in-class mitochondrial-encoded HDP and indicates that our immune system is not only encoded by the nuclear genome, but also by the co-evolved mitochondrial genome.

线粒体 DNA(mtDNA)可以触发免疫反应并直接捕获病原体,但目前还不知道它能编码活性免疫因子。人们传统上认为免疫系统完全由核编码。在这里,我们报告了线粒体编码的宿主防御肽(HDP)的鉴定结果,这种肽可能来自原始的原线粒体细菌。我们证明了 MOTS-c(来自 12 S rRNA type-c 的线粒体开放阅读框)是一种线粒体编码的两性阳离子肽,具有直接抗菌和免疫调节功能,与已知 HDPs 的肽化学成分和功能一致。MOTS-c 针对大肠杆菌和耐甲氧西林金黄色葡萄球菌(MRSA),部分原因是利用其疏水和阳离子结构域靶向它们的膜。在单核细胞中,IFNγ、LPS 和分化信号都能诱导内源性 MOTS-c 的表达。值得注意的是,在单核细胞分化过程中,MOTS-c转位到细胞核中调节基因表达,并将其编程为巨噬细胞,其独特的转录组特征与抗原呈递和IFN信号有关。MOTS-c编程的巨噬细胞表现出更强的细菌清除能力并改变了新陈代谢。我们的研究结果支持 MOTS-c 成为第一类线粒体编码的 HDP,并表明我们的免疫系统不仅由核基因组编码,还由共同进化的线粒体基因组编码。
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引用次数: 0
Comparative study on the bioavailability of peptide extracts from Jeju black pigs and three-way crossbred pigs. 济州黑猪和三元杂交猪多肽提取物生物利用率的比较研究。
IF 2.7 Q1 Earth and Planetary Sciences Pub Date : 2024-09-01 Epub Date: 2024-09-30 DOI: 10.5187/jast.2023.e86
Jae Won Jeong, Ermie Mariano, Da Young Lee, Seung Yun Lee, Jae Hyeon Kim, Seung Hyeon Yun, Juhyun Lee, Jinmo Park, Yeongwoo Choi, Dahee Han, Jin Soo Kim, Sun Jin Hur

This study aimed to compare the changes in the bioactivities of peptide extracts (< 10 kDa) obtained from Jeju black pigs (JBP) and three-way crossbred pigs (Landrace × Yorkshire × Duroc, LYD) before and after digestion. The results showed that the loin peptide extracts of JBP maintained high 2,2'-azino-bis (3-ethylbenzothiazoline-6-sulfonic acid) (ABTS) radical scavenging activity after in vitro digestion. However, the iron chelating activity and antihypertensive activity of all peptide extracts were decreased. This study suggested that the peptide extracts produced through alkaline-AK digestion have sufficiently high antioxidant and antihypertensive activities; however, these activities were reduced after in vitro digestion. Meanwhile, the JBP loin and ham peptide extracts promoted high superoxide dismutase (SOD) activity than that of LYD when administered to mice. Furthermore, the ham peptide extracts of JBP showed a relatively high antihypertensive activity in mice. Therefore, it is deemed that these peptide extracts from JBP are more bioactive than that of LYD, and can be used as bioactive materials.

本研究旨在比较济州黑猪(JBP)和三元杂交猪(Landrace × Yorkshire × Duroc,LYD)的多肽提取物(< 10 kDa)在消化前后的生物活性变化。结果表明,济州黑猪的腰肽提取物在体外消化后保持了较高的 2,2'-偶氮-双(3-乙基苯并噻唑啉-6-磺酸)(ABTS)自由基清除活性。然而,所有多肽提取物的螯合铁活性和抗高血压活性均有所下降。这项研究表明,通过碱性-AK消化产生的肽提取物具有足够高的抗氧化和降压活性,但这些活性在体外消化后会降低。同时,给小鼠服用 JBP 猪腰和火腿肽提取物后,其超氧化物歧化酶(SOD)活性高于 LYD。此外,JBP 的火腿肽提取物对小鼠显示出较高的抗高血压活性。因此,可以认为 JBP 的这些肽提取物比枸杞多糖的生物活性更高,可用作生物活性材料。
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引用次数: 0
Comparative Efficacy of Epley, Semont and Gans Maneuver in Treating Posterior Canal Benign Paroxysmal Positional Vertigo. 埃普利手法、塞蒙特手法和甘斯手法治疗后运河良性阵发性位置性眩晕的疗效比较。
IF 0.6 Q1 Earth and Planetary Sciences Pub Date : 2024-02-01 Epub Date: 2023-07-25 DOI: 10.1007/s12070-023-04071-y
Shruti V Nadagoud, Vinay S Bhat, B S Pragathi

Pharmacological therapies are used to control Benign paroxysmal positional vertigo (BPPV) symptoms for a brief period, discontinuing them usually results in recurrence. Canalolith repositioning maneuvers, including Epley, Semont, and Gans maneuvers, have been recommended for treating posterior canal BPPV with a high rate of success. A prospective, quasi-randomized study was carried out to compare the efficacy of Epley, Semont, and Gans maneuvers in the treatment of posterior canal BPPV and their durability. All patients over the age of 20 who met the BPPV diagnostic criteria, regardless of gender, were included in the study. Diagnosis of BPPV was done by Dix Hallpike maneuver. Typical posterior canal BPPV, the most frequent form of BPPV, is characterized by paroxysmal nystagmus evoked through the Dix-Hallpike test; the nystagmus is torsional clockwise for the left side, counter-clockwise for the right side, with a vertical up-beating component. The patients were uniformly quasi-randomized in a 1:1:1 ratio to be treated with Epley, Semont, and Gans maneuvers. After performing the maneuver, the patients were again subjected to the Dix-Hallpike test. Based on the result of the Dix-Hallpike test's positivity, the maneuvers were repeated up to three times. All the patients were called for a reassessment 30 days after the last intervention to assess the durability of the maneuver. In the study, 54.44% (49) of the 90 patients were female, whereas 45.56% (41) were male. Overall, 83.33% (75) of patients required only one attempt, 15.56% (14) required two attempts, and 1.11% (1) required three attempts to improve. In the Epley maneuvers group, 86.66% (26) required only one attempt, 10% (3) required two attempts, and 3.33% (1) required three attempts. Similarly, 83.33% (25) required only one attempt in the Gans maneuvers group, and 16.67% (5) required two attempts. In Semont maneuver groups, 80% (24) required only one attempt, and 20% (6) required two attempts. The recurrence of the symptoms was seen in a total of 11 patients: 27.27% (3 patients) of the Epley maneuvers group, 36.36% (4 patients) of the Gans maneuvers group, and 36.36% (4 patients) of the Semont maneuvers group. All three maneuvers show equal efficacy in reducing vertigo. The Epley maneuver may be more relevant in the treatment of BPPV compared to others, considering the slightly higher improvement rate and the requirement for fewer attempts for the treatment.

药物疗法可在短期内控制良性阵发性位置性眩晕(BPPV)症状,停药后通常会复发。包括 Epley、Semont 和 Gans 手法在内的椎管结石复位手法被推荐用于治疗后方椎管 BPPV,成功率很高。为了比较 Epley、Semont 和 Gans 手法在治疗后管 BPPV 中的疗效及其持久性,我们开展了一项前瞻性准随机研究。所有符合 BPPV 诊断标准的 20 岁以上患者,不分性别,均被纳入研究范围。BPPV 的诊断是通过 Dix Hallpike 手法完成的。典型的后管型 BPPV 是 BPPV 的最常见形式,其特征是通过 Dix-Hallpike 试验诱发阵发性眼震;左侧眼震为顺时针扭转,右侧为逆时针扭转,并伴有垂直上跳成分。患者按 1:1:1 的比例统一准随机接受埃普利、塞蒙特和甘斯手法治疗。做完这些动作后,患者再次接受 Dix-Hallpike 试验。根据 Dix-Hallpike 试验的阳性结果,重复操作最多三次。在最后一次干预后的 30 天,所有患者都被要求进行复查,以评估手法的持久性。在这项研究中,90 名患者中有 54.44%(49 人)为女性,45.56%(41 人)为男性。总体而言,83.33%(75 人)的患者只需尝试一次,15.56%(14 人)的患者需要尝试两次,1.11%(1 人)的患者需要尝试三次才能改善病情。在 Epley 手法组中,86.66%(26 人)只需尝试一次,10%(3 人)需要尝试两次,3.33%(1 人)需要尝试三次。同样,在甘斯手法组中,83.33%(25 人)只需尝试一次,16.67%(5 人)需要尝试两次。在塞蒙特手法组中,80%(24 人)只需尝试一次,20%(6 人)需要尝试两次。共有 11 名患者的症状复发:埃普利手法组为 27.27%(3 名患者),甘斯手法组为 36.36%(4 名患者),塞蒙特手法组为 36.36%(4 名患者)。这三种手法在减轻眩晕方面的疗效相同。考虑到埃普利手法的改善率略高,且治疗所需尝试次数较少,因此与其他手法相比,埃普利手法可能更适合治疗 BPPV。
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引用次数: 0
Evaluation of Medial Retrotympanum by High-Resolution Computed Tomography and Endoscopy - A Descriptive Study. 通过高分辨率计算机断层扫描和内窥镜对内侧鼓膜进行评估--一项描述性研究。
IF 0.6 Q1 Earth and Planetary Sciences Pub Date : 2024-02-01 Epub Date: 2023-08-31 DOI: 10.1007/s12070-023-04187-1
Aarthi Gopal

The aim of this study was to determine and compare the capability of the High-Resolution Computed Tomography (HRCT) and endoscope in detecting hidden areas of medial retrotympanum in cases with chronic otitis media (COM). Per-operative endoscopic evaluation of structures in medial retrotympanum was done in 74 patients suffering from COM and was compared with pre-operative HRCT of the temporal bone in 50 patients. HRCT revealed type-A Sinus Tympani (ST) in 61.2%, type-B in 34.7%, and type-C in 4.1% of the patients; endoscope could reveal type-A in 71.6%, type-B in 25.7% and type-C in 1.4% of the patients. Ponticulus was discovered in 84.1%, subiculum in 100%, finiculus in 97.3% and sinus subtympanicus (SST) in 100% of the cases using endoscope. HRCT could detect ponticulus in 38.6% and subiculum in 4.0% of the cases. HRCT could not very clearly detect finiculus and SST. HRCT could not differentiate the content of the ST as compared with endoscopy. HRCT is a useful diagnostic tool in predicting the presence and type of ST, but its accuracy in detecting SST, finer bony ridges of ponticulus, subiculum, and finiculus and the contents is poorer than endoscope.

本研究旨在确定并比较高分辨率计算机断层扫描(HRCT)和内窥镜在检测慢性中耳炎(COM)患者鼓室内侧后部隐蔽区域方面的能力。对 74 名慢性中耳炎患者进行了鼓室内侧后部结构的围手术期内窥镜评估,并与 50 名患者术前的颞骨高分辨计算机断层扫描进行了比较。HRCT 显示 61.2% 的患者为 A 型鼓室窦(ST),34.7% 为 B 型,4.1% 为 C 型;内窥镜显示 71.6% 的患者为 A 型,25.7% 为 B 型,1.4% 为 C 型。使用内窥镜可发现 84.1%的患者有骨膜,100%的患者有骨膜下腔,97.3%的患者有骨膜下腔,100%的患者有鼓室下窦(SST)。在 38.6% 的病例中,HRCT 可以检测到蝶窦,在 4.0% 的病例中,HRCT 可以检测到蝶窦下。HRCT 不能非常清晰地检测到蝶窦和蝶窦下。与内窥镜检查相比,HRCT 无法区分 ST 的内容。HRCT 在预测 ST 的存在和类型方面是一种有用的诊断工具,但它在检测 SST、盂、盂下和蝶窦的较细骨脊以及内容物方面的准确性比内窥镜差。
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引用次数: 0
Heparin Binding Protein in Early Differential Diagnosis of Bacterial Meningitis. 肝素结合蛋白在细菌性脑膜炎早期鉴别诊断中的应用
IF 2.1 Q1 Earth and Planetary Sciences Pub Date : 2024-01-01 Epub Date: 2022-08-09 DOI: 10.1007/s12291-022-01066-4
Emine Siber Namiduru, Mustafa Namiduru, İlkay Karaoğlan, Enes Erbağci

Heparin-binding protein is a serine protease that is mobilized rapidly from emigrating polymorphonuclear leukocytes that acts as a chemoattractant activator of monocyte and macrophages. We investigated the potential role and efficacy of serum and cerebrospinal fluid heparin binding protein in differentiating bacterial meningitis from tuberculosis and viral meningitis. A case diagnosed with acute bacterial meningitis (n:37), viral meningitis (n:30) and tuberculous meningitis (n:30) was included in this study. The diagnosis was based on history, clinical criteria, cerebrospinal fluid examination, latex agglutination and culture, and response to therapy. Heparin-binding protein was measured using enzyme-linked immunosorbent technique in both cerebrospinal fluid and serum. Cerebrospinal fluid heparin-binding protein levels were 7.81 ± 0.23 ng/mL in bacterial meningitis, 6.11 ± 0.3 ng/mL in tuberculosis meningitis and 5.75 ± 0.1 ng/mL in viral meningitis. The mean serum level was 14.98 ± 1.1 ng/mL in bacterial meningitis, 6.89 ± 0.4 ng/mL in tuberculosis meningitis, and 6.02 ± 0.4 ng/mL in viral meningitis. Both heparin-binding protein levels were significantly higher in patients with bacterial meningitis. We found that serum and cerebrospinal fluid heparin binding protein is a useful marker for differentiating bacterial meningitis from non-bacterial meningitis.

肝素结合蛋白是一种丝氨酸蛋白酶,可从移出的多形核白细胞中迅速动员,是单核细胞和巨噬细胞的化学吸引活化剂。我们研究了血清和脑脊液肝素结合蛋白在区分细菌性脑膜炎与结核性脑膜炎和病毒性脑膜炎方面的潜在作用和功效。本研究纳入了被诊断为急性细菌性脑膜炎(37 例)、病毒性脑膜炎(30 例)和结核性脑膜炎(30 例)的病例。诊断依据包括病史、临床标准、脑脊液检查、乳胶凝集和培养以及对治疗的反应。采用酶联免疫吸附技术检测脑脊液和血清中的肝素结合蛋白。细菌性脑膜炎的脑脊液肝素结合蛋白水平为 7.81 ± 0.23 纳克/毫升,结核性脑膜炎为 6.11 ± 0.3 纳克/毫升,病毒性脑膜炎为 5.75 ± 0.1 纳克/毫升。细菌性脑膜炎的平均血清水平为 14.98 ± 1.1 纳克/毫升,结核性脑膜炎为 6.89 ± 0.4 纳克/毫升,病毒性脑膜炎为 6.02 ± 0.4 纳克/毫升。细菌性脑膜炎患者的肝素结合蛋白水平明显较高。我们发现,血清和脑脊液肝素结合蛋白是区分细菌性脑膜炎和非细菌性脑膜炎的有效标志物。
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引用次数: 0
The Impact of the COVID-19 Pandemic on the Quality of Care of Treatment-Naïve Patients with Neovascular Age-Related Macular Degeneration Receiving Intravitreal Aflibercept. COVID-19大流行对Treatment-Naïve新生血管性年龄相关性黄斑变性患者玻璃体内注射阿非利赛普的护理质量的影响
IF 0.8 Q1 Earth and Planetary Sciences Pub Date : 2023-11-01 Epub Date: 2022-04-20 DOI: 10.1055/a-1830-0505
Reinhard Angermann, Alexander Franchi, Katharina Frede, Julia Rettenwander, Tanja Rettenwander, Julia Neyer, Martin Stattin, Martina Kralinger, Claus Zehetner

Objective: The aim of this study was to compare the quality of care received by treatment-naïve patients with neovascular age-related macular degeneration (nAMD) who received intravitreal aflibercept therapy before the coronavirus disease 2019 (COVID-19) pandemic with patients who received the same therapy during the pandemic.

Methods: Data, including best corrected visual acuity (BCVA) as the logarithm of the minimum angle of resolution (logMAR) and anatomical outcomes at diagnosis and at each follow-up, was collected on 297 treatment-naïve patients who received intravitreal aflibercept. Therapy-naïve patients who started therapy at least 24 months prior to the first pandemic-related lockdown and were thus treated exclusively prior to the pandemic (n = 123) were compared with patients who started therapy within 12 months prior to the first lockdown and were thus treated during the pandemic (n = 174). Both groups were followed over a two-year period.

Results: In patients treated before the COVID-19 pandemic, VA remained stable (0.58 ± 0.41 logMAR) compared to baseline (0.54 ± 0.34 logMAR; p = 0.228) until the end of the observation period. In patients treated during the COVID-19 pandemic, BCVA dropped below the baseline (0.56 ± 0.35 logMAR) within 24-month of follow-up (0.79 ± 0.43 logMAR; p = 0.010). Compared to the patients treated prior to the COVID-19 pandemic, the latter group showed a significantly worse VA at the 6-month (p = 0.041), 12-month (p = 0.040), 18-month (p = 0.024), 21-month (p = 0.035), and 24-month (p = 0.004) follow-up. Additionally, the group treated during the COVID-19 pandemic received significantly fewer aflibercept injections (3,94 ± 1,9 vs. 3,30 ± 1,6; p = 0,007) and fewer follow-up examinations (2,71 ± 1,2 vs. 2,16 ± 0,9; p < 0,001) in the second year compared to the group that was treated before the COVID-19 pandemic.

Conclusion: We confirmed significantly worse VA outcomes in the group of nAMD patients treated during the COVID-19 pandemic. Impeded access to care could be attributed to the restrictions imposed owing to the COVID-19 pandemic.

目的:本研究的目的是比较treatment-naïve新生血管性年龄相关性黄斑变性(nAMD)患者在2019冠状病毒病(COVID-19)大流行前接受玻璃体腔内治疗与在大流行期间接受相同治疗的患者所接受的护理质量。方法:收集297例(treatment-naïve)玻璃体内注射阿夫利塞普的患者在诊断和每次随访时的解剖学结果,包括最佳矫正视力(BCVA)作为最小分辨角(logMAR)的对数。Therapy-naïve将在第一次与大流行相关的封锁之前至少24个月开始治疗并因此在大流行之前完全接受治疗的患者(n = 123)与在第一次封锁之前12个月内开始治疗并因此在大流行期间接受治疗的患者(n = 174)进行比较。两组人都接受了为期两年的随访。结果:在COVID-19大流行前接受治疗的患者中,与基线(0.54±0.34 logMAR)相比,VA保持稳定(0.58±0.41 logMAR);P = 0.228),直至观察期结束。在COVID-19大流行期间接受治疗的患者中,BCVA在随访24个月内降至基线(0.56±0.35 logMAR)以下(0.79±0.43 logMAR;p = 0.010)。与COVID-19大流行前治疗的患者相比,后者在随访6个月(p = 0.041)、12个月(p = 0.040)、18个月(p = 0.024)、21个月(p = 0.035)和24个月(p = 0.004)时的VA明显更差。此外,在COVID-19大流行期间治疗的组接受阿非利西普注射的次数明显减少(3,94±1,9比3,30±1,6;P = 0,007)和较少的随访检查(2,71±1,2 vs. 2,16±0,9;结论:我们证实,在COVID-19大流行期间接受治疗的nAMD患者组的VA结果明显更差。获得医疗服务受到阻碍可归因于因COVID-19大流行而实施的限制。
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引用次数: 0
Assessment of factors affecting response of direct-acting antivirals in chronic hepatitis C patients. 评估影响慢性丙型肝炎患者对直接作用抗病毒药物反应的因素。
IF 0.9 Q1 Earth and Planetary Sciences Pub Date : 2023-10-01 DOI: 10.4103/aam.aam_183_22
Nipun Jain, Ravinder Garg, Gagan Preet Singh, Sarabjot Kaur, Sumit Pal Singh Chawla, Preeti Padda
<p><strong>Background: </strong>Hepatitis C virus (HCV) is a universally prevalent pathogen and a major cause of liver-related morbidity and mortality worldwide. The evolution of antiviral therapy for HCV has rapidly progressed from interferon (IFN)-based therapies to IFN-free combinations of direct-acting antivirals (DAAs).</p><p><strong>Aims: </strong>This study aims to assess the response of DAAs in chronic hepatitis C (CHC) patients and to study the various factors affecting the response of DAAs in CHC.</p><p><strong>Settings and design: </strong>This longitudinal observational study spanning over a year was conducted in the Medicine department of a tertiary care teaching hospital.</p><p><strong>Materials and methods: </strong>The study was conducted on 400 adult CHC patients, diagnosed by a positive anti-HCV antibody test and a detectable viral load (HCV RNA) by real time polymerase chain reaction (RT-PCR), registered for treatment with DAAs. The first 400 patients satisfying the eligibility criteria were enrolled by non-probability consecutive sampling. All the participants were treated as per the National Viral Hepatitis Control Programme (NVHCP) guidelines. Repeat HCV viral load was done at or after 12 weeks of completion of anti-viral therapy to ascertain sustained virological response (SVR). Various factors which might predict treatment response were analyzed.</p><p><strong>Statistical analysis used: </strong>The continuous variables were expressed as mean and standard deviation, while the categorical variables were summarized as frequencies and percentages. The Student's independent t-test was employed for the comparison of continuous variables. The Chi-square or Fisher's exact test, whichever is appropriate, was employed for the comparison of categorical variables. Multivariate Logistic Regression was used to identify the independent predictors of treatment nonresponse. A P < 0.05 was considered statistically significant.</p><p><strong>Results: </strong>The mean age of the subjects was 42.3 ± 15.23 years with a male-to-female ratio of 1.96:1. Most of the patients (80.5%) were non-cirrhotic; among 19.5% cirrhotic, 13% were compensated while 6.5% were decompensated cirrhotic. The overall SVR done at or after 12 weeks of completion of treatment was 88.75%. Age, gender distribution, occupation, socioeconomic status, educational status, body mass index, treatment regimen, duration of treatment, and baseline viral load did not alter the treatment response. Among comorbidities, only diabetes mellitus (DM) and human immunodeficiency virus (HIV) co-infection adversely affected the treatment response (P = 0.009 and P < 0.001, respectively). Intravenous (IV) drug abuse was significantly associated with treatment failure (P < 0.001). The presence of liver cirrhosis (P < 0.001), thrombocytopenia (P < 0.001), elevated transaminases (alanine transaminase: P = 0.021, aspartate transaminase: P < 0.001), and previous treatment experience (P = 0.038) we
背景:丙型肝炎病毒(HCV)是一种普遍流行的病原体,也是全球肝脏相关疾病发病率和死亡率的主要原因。丙型肝炎病毒抗病毒疗法的发展迅速,从以干扰素(IFN)为基础的疗法发展到不含干扰素的直接作用抗病毒药物(DAAs)组合疗法。目的:本研究旨在评估慢性丙型肝炎(CHC)患者对DAAs的反应,并研究影响CHC患者对DAAs反应的各种因素:这项为期一年的纵向观察研究在一家三级医疗教学医院的内科进行:研究对象为400名成年CHC患者,这些患者经抗-HCV抗体检测呈阳性,并通过实时聚合酶链反应(RT-PCR)检测出病毒载量(HCV RNA),登记接受DAAs治疗。符合资格标准的前 400 名患者通过非概率连续抽样的方式入选。所有参与者均按照国家病毒性肝炎控制计划(NVHCP)指南接受治疗。在完成抗病毒治疗 12 周时或 12 周后重复检测 HCV 病毒载量,以确定持续病毒学应答(SVR)。对可能预测治疗反应的各种因素进行了分析:连续变量用均数和标准差表示,分类变量用频率和百分比表示。连续变量的比较采用学生独立 t 检验。分类变量的比较采用卡方检验或费雪精确检验。多变量逻辑回归用于确定治疗无反应的独立预测因素。P<0.05为有统计学意义:受试者的平均年龄为(42.3 ± 15.23)岁,男女比例为 1.96:1。大多数患者(80.5%)为非肝硬化患者;19.5%的肝硬化患者中,13%为代偿期肝硬化,6.5%为失代偿期肝硬化。完成治疗 12 周或 12 周后的总体 SVR 为 88.75%。年龄、性别分布、职业、社会经济地位、教育状况、体重指数、治疗方案、治疗持续时间和基线病毒载量都不会改变治疗反应。在合并症中,只有糖尿病(DM)和人类免疫缺陷病毒(HIV)合并感染会对治疗反应产生不利影响(P = 0.009 和 P < 0.001)。静脉注射药物滥用与治疗失败密切相关(P < 0.001)。肝硬化(P < 0.001)、血小板减少(P < 0.001)、转氨酶升高(丙氨酸转氨酶:P = 0.021,天冬氨酸转氨酶:P < 0.001)和既往治疗经历(P = 0.038)是治疗失败的其他重要预测因素:DAAs是治疗CHC的高效药物,治疗反应率高。CHC治疗失败的重要预测因素包括合并症(尤其是DM和HIV合并感染)、静脉注射药物滥用、肝硬化、血小板减少、转氨酶升高和既往治疗经验。然而,本研究中观察到的治疗无反应的独立预测因素是血小板减少症、静脉注射药物滥用和肝硬化。
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引用次数: 0
An Adult Case of Pharyngeal Injury Caused by Toothbrush. 成人牙刷致咽部损伤1例。
IF 1.4 Q1 Earth and Planetary Sciences Pub Date : 2023-07-01 Epub Date: 2023-08-04 DOI: 10.4103/jets.jets_160_22
Satoshi Nakamura, Yuki Katsura, Takashi Fujiwara, Tetsunori Ikegami

Most toothbrush-induced oral injuries occur in children and are relatively shallow, involving the oral mucous membranes and musculature, but rarely deeper layers. Here, the management of an adult case of pharyngeal injury caused by a toothbrush is discussed. A man fell while brushing his teeth, and his toothbrush stuck in his throat. Contrast-enhanced computed tomography showed a toothbrush stuck in the left parapharyngeal space, reaching the subcutaneous tissue of the posterior neck. The toothbrush was surgically removed because blind removal could damage major cervical arterioles and nerves. In intraoral injuries caused by deep penetrating toothbrushes, there is a risk that the injury extends to the major arterioles and nerves of the neck. The need for imaging studies, methods of removal, and possible complications should all be considered before taking an appropriate removal action.

大多数由牙刷引起的口腔损伤发生在儿童身上,并且相对较浅,涉及口腔粘膜和肌肉组织,但很少有深层损伤。在这里,管理的成人病例的咽部损伤引起的牙刷进行了讨论。一个男人刷牙时摔倒了,牙刷卡在喉咙里了。增强的计算机断层扫描显示牙刷卡在左侧咽旁间隙,到达后颈部的皮下组织。这把牙刷是通过手术取出来的,因为盲目取出会损害颈椎的主要小动脉和神经。在由深穿透性牙刷引起的口腔内损伤中,有一种风险,即损伤延伸到颈部的主要小动脉和神经。在采取适当的去除措施之前,应考虑影像学检查的需要、去除方法和可能的并发症。
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引用次数: 0
Assessment of weather events impacts on forage production trend of sorghum-sudangrass hybrid. 气象事件对高粱-苏丹草杂交种牧草生产趋势的影响评价
IF 2.3 Q1 Earth and Planetary Sciences Pub Date : 2023-07-01 Epub Date: 2023-07-30 DOI: 10.5187/jast.2023.e3
Moonju Kim, Kyungil Sung

This study aimed to assess the impact of weather events on the sorghum-sudangrass hybrid (Sorghum bicolor L.) cultivar production trend in the central inland region of Korea during the monsoon season, using time series analysis. The sorghum-sudangrass production data collected between 1988 and 2013 were compiled along with the production year's weather data. The growing degree days (GDD), accumulated rainfall, and sunshine duration were used to assess their impacts on forage production (kg/ha) trend. Conversely, GDD and accumulated rainfall had positive and negative effects on the trend of forage production, respectively. Meanwhile, weather events such as heavy rainfall and typhoon were also collected based on weather warnings as weather events in the Korean monsoon season. The impact of weather events did not affect forage production, even with the increasing frequency and intensity of heavy rainfall. Therefore, the trend of forage production for the sorghum-sudangrass hybrid was forecasted to slightly increase until 2045. The predicted forage production in 2045 will be 14,926 ± 6,657 kg/ha. It is likely that the damage by heavy rainfall and typhoons can be reduced through more frequent harvest against short-term single damage and a deeper extension of the root system against soil erosion and lodging. Therefore, in an environment that is rapidly changing due to climate change and extreme/abnormal weather, the cultivation of the sorghum-sudangrass hybrid would be advantageous in securing stable and robust forage production. Through this study, we propose the cultivation of sorghum-sudangrass hybrid as one of the alternative summer forage options to achieve stable forage production during the dynamically changing monsoon, in spite of rather lower nutrient value than that of maize (Zea mays L.).

本研究旨在利用时间序列分析,评估季风季节天气事件对韩国中部内陆地区高粱-苏丹草杂交品种(Sorghum bicolor L.)生产趋势的影响。1988年至2013年期间收集的高粱-苏丹草生产数据与生产年份的天气数据一起编制。利用生长日数(GDD)、累积降雨量和日照时数评价其对饲料产量(kg/ha)变化趋势的影响。相反,gdp和累积降雨量对牧草生产趋势的影响分别为正、负。另外,暴雨、台风等天气事件也以气象警报为基础,作为韩国季风季节的天气事件进行了收集。尽管暴雨的频率和强度不断增加,但天气事件的影响并未影响饲料生产。因此,预测到2045年,高粱-苏丹草杂交种的饲料产量有小幅增长的趋势。预计2045年饲料产量为14926±6657公斤/公顷。通过更频繁的收获来避免短期的单次破坏,通过根系的深层延伸来防止土壤侵蚀和倒伏,可能会减少强降雨和台风造成的损害。因此,在气候变化和极端/异常天气迅速变化的环境中,种植高粱-苏丹草杂交种将有利于确保稳定和强劲的饲料生产。通过本研究,我们建议种植高粱-苏丹草杂交种作为夏季饲料的替代选择之一,以在动态变化的季风期间实现稳定的饲料生产,尽管其营养价值远低于玉米(Zea mays L.)。
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引用次数: 0
Once upon a time in the anthropocene: myths, legends, and futurity in Turkish climate fiction. 很久很久以前的人类世:土耳其气候小说中的神话、传说和未来。
IF 0.3 Q1 Earth and Planetary Sciences Pub Date : 2023-06-19 eCollection Date: 2023-01-01 DOI: 10.1080/1475262X.2023.2223161
Merve Tabur

Myths and legends in climate fiction are often studied with reference to fantasy and magical realism; yet the relationship between the two forms remains understudied. This article examines the use of both as they overlap in Turkish climate fiction to address the multiscalar complexities of climate change and to offer imaginaries of multispecies solidarity. Through close readings of Ayşegül Yalvaç's Bir İstanbul Efsanesi (2022; An Istanbul Legend) and Oya Baydar's Köpekli Çocuklar Gecesi (2019; Night of the Children-with-Dogs), I demonstrate how the texts adopt a feminist ethics of care to create speculative legends dramatizing cofutures in the making. I argue that the speculative legend serves three major functions: It challenges universalizing, apocalyptical, and anthropocentric Anthropocene discourses by depicting localized histories of collective action and multispecies solidarity. It ironizes the engendering of messianic figures. Lastly, the speculative legend reveals the possibilities of multispecies cosmopolitics while exposing the limits of utopian cosmopolitanisms.

在研究气候小说中的神话和传说时,通常会参考奇幻和魔幻现实主义;但这两种形式之间的关系仍未得到充分研究。本文探讨了这两种形式在土耳其气候小说中的重叠使用,以应对气候变化的多领域复杂性,并提供多物种团结的想象。通过细读艾谢居尔-亚尔瓦奇(Ayşegül Yalvaç)的《伊斯坦布尔的传说》(Bir İstanbul Efsanesi,2022 年)和奥亚-巴伊达尔(Oya Baydar)的《带狗儿童之夜》(Köpekli Çocuklar Gecesi,2019 年),我展示了这两部作品如何采用女性主义关怀伦理来创作推测性传说,将正在形成的共同命运戏剧化。我认为,推测性传说有三大功能:它通过描绘集体行动和多物种团结的地方化历史,挑战普遍化、世界末日和以人类为中心的人类世论述。它讽刺了救世主形象的塑造。最后,推测性传说揭示了多物种世界政治的可能性,同时也暴露了乌托邦世界主义的局限性。
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引用次数: 0
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Journal of Geophysical Research
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