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Defining vitamin D deficiency in patients with sickle cell disease; A meta-analysis 镰状细胞病患者维生素D缺乏症的定义一个荟萃分析
Pub Date : 2022-10-19 DOI: 10.34172/jpd.2022.11154
Anupama Sahu, Udit Narayan Padhi, L. Bhaskar
Introduction: Sickle cell disease (SCD) is one of the hereditary blood disorders that affects the red blood cells. Several lines of evidence indicated that the vitamin D deficiency (VDD) is quite common in children with SCD and vitamin D supplementation enhanced health-related quality of life in these patients. The present study is aimed to assess the exact prevalence of VDD in SCD patients using meta-analysis. Materials and Methods: A systematic search was conducted in PubMed and Google Scholar to extract the papers that contain prevalence data and numbers of patients with VDD in SCD patients and healthy people. Pooled prevalence was estimated using MAJOR module of Jamovi library. The overall risk ratio of having VDD in patients with SCD was calculated using the Review Manager (RevMan 5.4.1) program. Results: A total of 26 prevalence estimates from 25 papers were included in the meta-analysis. The pooled prevalence of VDD among SCD patients is 60% (95% CIs: 50%-70%). Further, VDD is not significantly different in both SCD patients and healthy controls (risk ratio of 1.28 and 95% CI of 0.81-2.04). Conclusion: Results of this meta-analysis indicate prevalence of VDD in SCD patients. Further, a well-designed, placebo-controlled RCTs have to be conducted to determine the effects and the safety of vitamin D supplementation in children and adults with SCD.
镰状细胞病(SCD)是一种影响红细胞的遗传性血液疾病。多项证据表明,维生素D缺乏症(VDD)在SCD患儿中相当常见,补充维生素D可提高这些患者的健康相关生活质量。本研究旨在通过荟萃分析评估SCD患者中VDD的确切患病率。材料与方法:系统检索PubMed和谷歌Scholar,提取SCD患者和健康人中含有VDD患病率数据和患者数量的论文。使用Jamovi库的MAJOR模块估计合并患病率。使用Review Manager (RevMan 5.4.1)程序计算SCD患者发生VDD的总体风险比。结果:来自25篇论文的26个患病率估计被纳入meta分析。SCD患者中VDD的总患病率为60% (95% ci: 50%-70%)。此外,SCD患者和健康对照组的VDD无显著差异(风险比为1.28,95% CI为0.81-2.04)。结论:本荟萃分析结果表明,SCD患者中存在VDD。此外,必须进行精心设计的安慰剂对照随机对照试验,以确定维生素D补充剂对儿童和成人SCD患者的影响和安全性。
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引用次数: 1
Aliskiren in the treatment of renal disease; a narrative review 阿力克连治疗肾脏疾病;叙述性回顾
Pub Date : 2022-10-19 DOI: 10.34172/jpd.2022.11164
B. Roshan, Tella Sadighpour
The renin–angiotensin–aldosterone system (RAAS) cascade has a significant effect on several systems. Angiotensin II (AngII) has appeared as not only a vasoactive peptide but also as a multifunctional cytokine that displays several non-hemodynamic properties beyond renal hemodynamic properties. The kidney includes total components of the RAAS such as aldosterone and AngII not only adjust renal hemodynamics and reabsorption of sodium but also activating various inflammatory and fibrotic responses. Inhibition of the RAAS is one of the most potent methods to impede the development of renal diseases such as chronic kidney disease (CKD) and its related problems such as high blood pressure and heart disorders. Aliskiren, an octanamide, nonpeptide piperidine, orally, active, first commercially available, and direct renin inhibitor (DRI), impedes RAAS and operates by attaching to the active sites of renin and may be effective for the management of renal disease because of blocking the RAAS at its point of start and most sensitive step. Based on numerous studies, aliskiren is the greatest powerful inhibitor of AngII extents among RAAS inhibitors, even though it is unable to prevent the (pro) renin receptor-mediated extracellular signal-regulated kinase 1 and 2 (ERK1/2) activations. In this review, it is described renoprotective effects of aliskiren against different types of nephropathy such as acute kidney injury, diabetic nephropathy, and hypertensive nephropathy.
肾素-血管紧张素-醛固酮系统(RAAS)级联对几个系统有显著影响。血管紧张素II (AngII)不仅是一种血管活性肽,而且是一种多功能细胞因子,除肾血流动力学特性外,还具有多种非血流动力学特性。肾脏包括RAAS的总成分,如醛固酮和AngII,不仅调节肾脏血流动力学和钠的重吸收,而且还激活各种炎症和纤维化反应。抑制RAAS是阻止慢性肾脏疾病(CKD)及其相关问题(如高血压和心脏疾病)发展的最有效方法之一。Aliskiren是一种辛烷酰胺、非肽哌啶类口服、活性、首次市售的直接肾素抑制剂(DRI),通过附着于肾素的活性位点来阻止RAAS,并可能有效地用于肾脏疾病的治疗,因为它在RAAS的起始点和最敏感的步骤阻断了RAAS。根据大量研究,aliskiren是RAAS抑制剂中最强大的AngII范围抑制剂,尽管它不能阻止(亲)肾素受体介导的细胞外信号调节激酶1和2 (ERK1/2)的激活。本文综述了阿利克伦对急性肾损伤、糖尿病肾病、高血压肾病等不同类型肾病的肾保护作用。
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引用次数: 0
The incidence of congenital hypothyroidism in neonates born in Chaharmahal and Bakhtiari province from 2015 to 2021; A cross-sectional study 2015 - 2021年查哈尔马哈尔省和巴赫蒂亚里省新生儿先天性甲状腺功能减退发病率分析横断面研究
Pub Date : 2022-10-18 DOI: 10.34172/jpd.2022.10157
Yasaman Koohshoori, Mohammad Moein Derakhshan Barjoei, Reyhane Izadi, S. Pourrezaei, M. Mousavi
Introduction: Congenital hypothyroidism (CH) is one of the most common endocrine and metabolic disorders and a common preventable cause of mental retardation across the world. This disorder can be prevented if diagnosed and treated before the age of four weeks. Objectives: This study was performed to investigate the incidence rate of CH in infants in Chaharmahal and Bakhtiari province. Patients and Methods: The data of this study were obtained by the CH screening program from 2015 to 2021 in the health deputy of Chaharmahal and Bakhtiari province. Results: A total of 651 patients were diagnosed with CH, which showed an incidence rate of 5.06 per 1000 births (1 per 198 live births) in the province. The highest incidence of the disease was obtained in 2016 and the lowest incidence in 2021. Lordegan city had the highest incidence rate (8.1 per 1000 live births) and Kiar had the lowest one (1.67 per 1000 live births) during the study period. Moreover, the highest and lowest incidence rates in terms of season were observed in winter and summer, respectively. Conclusion: It can be concluded that Chaharmahal and Bakhtiari province, especially Lordegan, is one of the regions with high prevalence of CH in Iran, therefore the incidence rate is not only higher than the national average but also higher than the global average. Hence, the potential causes of this observation deserve further investigation.
简介:先天性甲状腺功能减退症(CH)是世界上最常见的内分泌和代谢疾病之一,也是一种常见的可预防的智力低下原因。如果在4周之前得到诊断和治疗,这种疾病是可以预防的。目的:本研究旨在调查查哈尔马哈尔省和巴赫蒂亚里省婴儿CH的发病率。患者和方法:本研究的数据来自2015年至2021年在查哈尔马哈尔和巴赫蒂亚里省卫生副省的CH筛查项目。结果:我省确诊CH患者651例,发病率为5.06 / 1000(1 / 198)。2016年发病率最高,2021年发病率最低。在研究期间,洛德根市的发病率最高(每1000例活产8.1例),而基尔市的发病率最低(每1000例活产1.67例)。从季节来看,发病率最高的季节是冬季,最低的季节是夏季。结论:Chaharmahal和Bakhtiari省,尤其是Lordegan省是伊朗CH高发地区之一,其发病率不仅高于全国平均水平,也高于全球平均水平。因此,这一观察结果的潜在原因值得进一步调查。
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引用次数: 0
Middle East pain syndrome as a mixture of various chronic diseases 中东疼痛综合征是多种慢性疾病的混合体
Pub Date : 2022-10-08 DOI: 10.34172/jpd.2022.10153
Mahsa Rafieian, H. Mardanparvar, Yassamin Rabiei, H. Nasri
Implication for health policy/practice/research/medical education Middle East pain syndrome is a novel disease, which requires more knowledge on its pathogenesis, prevention, and treatment. Possible cadmium contamination should also be considered. Notably, symptoms of this syndrome improved by fibromyalgia therapy consisting of muscle relaxants and vitamin D3 supplementation, and other related drugs. Therefore, we suggest more attention to this syndrome, in patients with various complaints as mentioned above. Please cite this paper as: Rafieian M, Mardanparvar H, Rabiei Y, Nasri H. Middle East pain syndrome as a mixture of various chronic diseases. J Parathyr Dis. 2022;10:e10153. doi:10.34172/jpd.2022.10153. Copyright © 2022 The Author(s); Published by Nickan Research Institute. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
中东疼痛综合征是一种新型疾病,其发病机制、预防和治疗需要更多的认识。还应考虑可能的镉污染。值得注意的是,纤维肌痛治疗包括肌肉松弛剂和维生素D3补充剂,以及其他相关药物,改善了该综合征的症状。因此,我们建议在有上述各种主诉的患者中更多地关注这种综合征。Rafieian M, Mardanparvar H, Rabiei Y, Nasri H.中东疼痛综合征是多种慢性疾病的混合体。[J]中国生物医学工程学报,2016;22(2):391 - 391。doi: 10.34172 / jpd.2022.10153。版权所有©2022作者;由尼克研究所出版。这是一篇根据知识共享署名许可协议发布的开放获取文章,该协议允许在任何媒体上不受限制地使用、分发和复制,前提是正确引用原始作品。
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引用次数: 0
Comparison of care burden of hemodialysis and kidney transplant patients 血液透析与肾移植患者护理负担的比较
Pub Date : 2022-10-08 DOI: 10.34172/jpd.2022.10151
İdris Yıldız, Mehtap Kavurmacı
Introduction: End-stage renal disease (ESRD) is an important health problem in which chronic, inflammatory, degenerative and irreversible. Objectives: The research was conducted to compare burden of caregivers of hemodialysis (HD) and kidney transplantation (KT) patients. Patients and Methods: This descriptive study was conducted with HD, KT patients and their primary caregivers in a university hospital between July 2019 and June 2020. Power analysis was used to determine the sample size of the study, and a total of 71 HD and 71 KT patients and their caregivers (n=142) were included in the study sample at a confidence interval of 85%. The Zarit Burden Interview (ZBI) scale was used in data collection. The data were analysed by using the SPSS version 22.0 software. Results: As a result of the study, it was determined that the mean caregiver burden score (30.59±13.25) of the caregivers of HD patients was higher than the mean caregiver burden score (22.20±13.95) of the KT patients, and the difference was statistically significant. The difference between socio-demographic characteristics of the caregivers of HD patients and the mean ZBI score was not statistically significant. A statistically significant difference was detected between the age and marital status and the mean ZBI scale scores of the caregivers of patients who underwent KT. Conclusion: As a result of the study, it was found that the care burden of HD patients was higher than the care burden of KT patients. In order to provide holistic care, healthcare professionals need to address the care burden of HD patients.
终末期肾病(ESRD)是一种重要的慢性、炎症性、退行性和不可逆的健康问题。目的:比较血液透析(HD)患者和肾移植(KT)患者护理人员的负担。患者和方法:本描述性研究于2019年7月至2020年6月在一所大学医院对HD, KT患者及其主要护理人员进行了研究。采用功率分析确定研究的样本量,共有71例HD和71例KT患者及其护理人员(n=142)纳入研究样本,置信区间为85%。数据收集采用ZBI (Zarit Burden Interview)量表。采用SPSS 22.0软件对数据进行分析。结果:研究确定HD患者的照顾者平均负担评分(30.59±13.25)高于KT患者的照顾者平均负担评分(22.20±13.95),差异有统计学意义。HD患者照护者的社会人口学特征与平均ZBI评分的差异无统计学意义。接受KT患者的照顾者年龄、婚姻状况及平均ZBI量表得分有统计学差异。结论:本研究发现,HD患者的护理负担高于KT患者的护理负担。为了提供全面的护理,医护人员需要解决HD患者的护理负担。
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引用次数: 0
The therapeutic, preventive, and immune-boosting effects of some minerals and vitamins in COVID-19: A narrative review 一些矿物质和维生素在COVID-19中的治疗、预防和免疫增强作用:叙述性综述
Pub Date : 2022-09-11 DOI: 10.34172/jpd.2022.9151
A. Hassanzadeh Rad, Amirhossein Fakhre Yaseri
Severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2), which produces COVID-19, is the most deadly coronavirus ever identified. Essential treatments and nutrition are crucial for improving the immune system against viral infection. As studies recommended checking the nutritional state of COVID-19-infected individuals before treatment, we aimed to review the therapeutic, preventive, and immune-boosting effects of some minerals and vitamins on COVID-19. This review emphasizes the possible therapeutic, preventive, and immune-boosting effects of some minerals such as zinc, selenium, iron, calcium, phosphorus, potassium, and magnesium and vitamins C, D, and E on COVID-19 patients. Regarding the evidence that shows the preventive effects of vitamins and minerals on serious COVID-19, it seems that clinicians have to consider these factors precisely.
产生COVID-19的严重急性呼吸综合征-冠状病毒2 (SARS-CoV-2)是迄今发现的最致命的冠状病毒。必要的治疗和营养对于提高免疫系统抵御病毒感染至关重要。鉴于研究建议在治疗前检查COVID-19感染者的营养状况,我们旨在审查一些矿物质和维生素对COVID-19的治疗、预防和免疫增强作用。本综述强调了锌、硒、铁、钙、磷、钾、镁等矿物质和维生素C、D、E对COVID-19患者可能的治疗、预防和免疫增强作用。关于维生素和矿物质对严重COVID-19有预防作用的证据,临床医生似乎必须准确考虑这些因素。
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引用次数: 2
Hemodynamic changes and related factors in bone cement implantation syndrome in knee arthroplasty candidates 膝关节置换术患者骨水泥植入综合征的血流动力学变化及相关因素
Pub Date : 2022-08-27 DOI: 10.34172/jpd.2022.9146
A. Moradi, N. Abedini
Introduction: Considering the importance of the anesthesia and surgery team’s awareness of possible hemodynamic changes when using bone cement and preventing its risks, it is very important to know about this issue. Objectives: This study aimed to identify and prevent the risks of possible hemodynamic changes and related factors when using bone cement in knee arthroplasty candidates. Patient and Methods: This descriptive-analytical study of 63 knee arthroplasty candidates in Imam Reza and Shohada hospitals (affiliated with the Tabriz university of medical sciences) was conducted in 2020. The hemodynamic status (heart rate, blood pressure, and arterial oxygen saturation (SaO2 )) of all patients was recorded and changes were calculated three minutes before, during, and three minutes after using bone cement. Results: The increase in diastolic (P=0.221) and systolic (P=0.195) blood pressure and heart rate (P=0.125) over time (before and after using bone cement) was statistically insignificant. However, the arterial oxygen saturation of patients remained constant (P=0.999). Conclusion: The results showed that using bone cement causes minor changes in (systolic and diastolic) blood pressure and heart rate.
考虑到麻醉和手术团队在使用骨水泥时对可能发生的血流动力学变化的认识和预防其风险的重要性,了解这个问题是非常重要的。目的:本研究旨在识别和预防在膝关节置换术候选人使用骨水泥时可能出现的血流动力学改变和相关因素的风险。患者和方法:本描述性分析研究于2020年在Imam Reza和Shohada医院(隶属于大不里士医科大学)对63例膝关节置换术患者进行了研究。记录所有患者的血流动力学状态(心率、血压、动脉血氧饱和度(SaO2)),并计算使用骨水泥前、中、后3分钟的变化。结果:使用骨水泥前后舒张压(P=0.221)、收缩压(P=0.195)、心率(P=0.125)随时间的升高均无统计学意义。患者的动脉血氧饱和度基本不变(P=0.999)。结论:骨水泥对血压和心率(收缩压和舒张压)的影响较小。
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引用次数: 1
The relationship between vitamin D and calcium serum levels with dental caries in 6-12 years old children 6-12岁儿童血清维生素D和钙水平与龋病的关系
Pub Date : 2022-08-20 DOI: 10.34172/jpd.2022.9141
L. Saboktakin
Introduction: There are limited studies with contradictory results on the relationship between vitamin D and calcium levels with dental caries at different ages. Objectives: Given the contradictory results of studies and the importance of preventing the onset and progression of dental caries for oral health, this study aimed to find the relationship between vitamin D and calcium levels with dental caries in 6-12 years old children. Patients and Methods: This descriptive-cross sectional study was conducted from 2019 to 2020 on 256 children of 6-12 years old referring to children’s hospital in Tabriz. Serum vitamin D (sufficient, insufficient or deficient) and calcium (sufficient, insufficient) levels were measured for each child, and the relationship between their levels and dental caries was investigated by descriptive and inferential statistical tests. Results: The dental index of decayed, missing and filled teeth (DMFT) in the deficient and insufficient vitamin D groups was significantly higher than in the sufficient vitamin D group (P=0.03). The linear regression model on the effect of age, vitamin D, and calcium on dental indexes showed no significant statistical relationship. However, in the case of the dental index, age, and calcium level affected dental caries (d), but vitamin D did not affect this index. Conclusion: There was no significant relationship between calcium and vitamin D serum levels with dental caries in 6-12 years old children.
导读:维生素D和钙水平与不同年龄段龋齿的关系研究有限,结果矛盾。目的:考虑到研究结果的矛盾,以及预防龋齿的发生和发展对口腔健康的重要性,本研究旨在发现维生素D和钙水平与6-12岁儿童龋齿的关系。患者和方法:本描述性横断面研究于2019年至2020年对大不里士儿童医院的256名6-12岁儿童进行了研究。测量每个儿童的血清维生素D(充足、不足或缺乏)和钙(充足、不足)水平,并通过描述性和推断性统计检验调查其水平与龋齿之间的关系。结果:维生素D缺乏组和维生素D不足组龋缺补牙指数(DMFT)显著高于维生素D充足组(P=0.03)。年龄、维生素D、钙对牙齿指标影响的线性回归模型无统计学意义。然而,在牙齿指数的情况下,年龄和钙水平影响龋齿(d),但维生素d不影响该指数。结论:6 ~ 12岁儿童血清钙、维生素D水平与龋病无显著相关性。
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引用次数: 1
Evaluation of radiation side effects on thyroid function 放射副反应对甲状腺功能的影响
Pub Date : 2022-08-16 DOI: 10.34172/jpd.2022.9145
Kolsoum Teimouri, Samaneh Pakravan, Elham Rahmatinia, Kamran Azadbakht
The thyroid gland is a crucial component of the body’s glandular system and metabolism, which is exposed to unnecessary radiation as an organ at risk in radiation therapy to the head, neck, and chest. Radiation can lead to thyroid dysfunction such as hypothyroidism and thyroid cancer.
甲状腺是人体腺体系统和新陈代谢的重要组成部分,在头部、颈部和胸部的放射治疗中,它作为一个器官暴露在不必要的辐射中。辐射可导致甲状腺功能障碍,如甲状腺功能减退和甲状腺癌。
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引用次数: 0
Examining the relationship between non-alcoholic fatty liver disease and hypothyroidism 探讨非酒精性脂肪性肝病与甲状腺功能减退的关系
Pub Date : 2022-08-16 DOI: 10.34172/jpd.2022.9148
Kolsoum Teimouri, Samaneh Pakravan, Kamran Azadbakht
One of the most prevalent endocrine system disorders with lifetime repercussions on health is hypothyroidism. Due to inadequate thyroid secretion, this illness results in thyroid dysfunction. One of the common liver ailments, non-alcoholic fatty liver disease (NAFLD), denotes the buildup of fat in the liver without consuming alcohol. NAFLD and hypothyroidism frequently coexist, and the development of NAFLD may be influenced by the condition.
最普遍的内分泌系统疾病之一与终身影响健康是甲状腺功能减退。由于甲状腺分泌不足,该病可导致甲状腺功能障碍。一种常见的肝脏疾病,非酒精性脂肪性肝病(NAFLD),是指在不饮酒的情况下肝脏中脂肪的积累。NAFLD与甲状腺功能减退常共存,NAFLD的发展可能受病情的影响。
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引用次数: 0
期刊
Journal of Parathyroid Disease
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