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Risk factors for carpal tunnel syndrome 腕管综合征的危险因素
Pub Date : 2023-07-10 DOI: 10.26444/jpccr/168559
Weronika Nowak, Patrycja Znamirowska, Natalia Szmigielska, Katarzyna Zemsta, Joanna Miśkiewicz, Hanna Plata, Monika Pałatyńska, B. Kulesza
Introduction and Objective. Carpal tunnel syndrome (CTS) is a common condition characterized by the compression of the median nerve in the wrist. Left untreated, it leads to significant discomfort and loss of motor function in the hand. The aim of this systematic review is to identify and evaluate recent research on risk factors associated with CTS. Review Methods. A systematic search of the PubMed/MEDLINE database was conducted, focusing on studies published within the last 5 years. The search strategy used relevant key words related to CTS and risk factors. Studies were included if they provided information on risk factors associated with CTS in the adult population. Review articles, systematic reviews and meta-analyses were excluded. Brief description of the state of knowledge. Risk factors for CTS include repetitive hand movements in occupations that require typing, certain anatomical and physiological characteristics (e.g., smaller carpal tunnel size), age (risk increases with age), gender (higher risk in women), pregnancy, medical conditions (e.g., obesity, diabetes, arthritis, metabolic syndrome), and previous trauma or injury to the wrist. On-going research continues to shed light on the subject. Summary. The systematic review found that physical labour, working in pain, and certain co-morbidities were strongly associated with an increased risk of developing CTS. Occupations such as grocery store workers, hairdressers, telephone operators and manual labourers (blue-collar workers) showed a significant association with the development of CTS, compared to the general population. Further studies are needed to investigate the potential impact of bilateral ovarian resection and alcohol consumption as risk factors. These findings underscore the importance of considering occupational factors and co-morbidities when assessing the risk of CTS.
引言和目标。腕管综合征(CTS)是一种常见的以腕正中神经受压为特征的疾病。如果不及时治疗,会导致手部严重不适和运动功能丧失。本系统综述的目的是识别和评估与CTS相关的风险因素的最新研究。审查方法。对PubMed/MEDLINE数据库进行了系统检索,重点是过去5年内发表的研究。搜索策略使用了与CTS和风险因素相关的相关关键词。如果研究提供了与成年人群CTS相关的风险因素信息,则纳入研究。综述文章、系统综述和荟萃分析被排除在外。对知识状态的简要描述。CTS的风险因素包括需要分型的职业中的手部重复运动、某些解剖和生理特征(例如腕管较小)、年龄(风险随年龄增加)、性别(女性风险较高)、怀孕、医疗条件(例如肥胖、糖尿病、关节炎、代谢综合征)以及以前的手腕创伤或损伤。正在进行的研究继续阐明这一主题。总结系统综述发现,体力劳动、在疼痛中工作和某些合并症与患CTS的风险增加密切相关。与普通人群相比,杂货店工人、理发师、电话接线员和体力劳动者(蓝领工人)等职业与CTS的发展有着显著的联系。需要进一步的研究来调查双侧卵巢切除术和饮酒作为风险因素的潜在影响。这些发现强调了在评估CTS风险时考虑职业因素和合并症的重要性。
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引用次数: 0
The impact of high-fat diet-induced oxidative stress on micro RNA’s in various tissues 高脂饮食诱导的氧化应激对各组织微RNA的影响
Pub Date : 2023-07-02 DOI: 10.4081/pcr.2023.9529
Manikanta Vinay Jayavaram, D. R. Gaddam, V. N. K. Godlaveti, Pullaiah Chitikela, Vara Prasad Saka
Stress is the body’s reaction to any kind of injury or danger. It is linked to the production of oxidative free radicals, which are responsible for a variety of acute, chronic, and potentially fatal illnesses and diseases. Free radicals, due to their extreme reactivity, can harm or even kill cells. A High-Fat Diet (HFD) causes “oxidative stress”, which is characterized by an increase in the body’s generation of Reactive Oxygen Species (ROS) as a result of higher levels of triglycerides and Free Fatty Acids (FFA). HFD-induced oxidative stress alters cellular function by affecting transcriptional factors and mitochondrial enzymes (synthesis/inhibition). ROS and FFA damage the receptors of the epithelium, resulting in epithelial damage that impairs cellular function. ROS levels can harm cells by altering the expression of microRNA (miRNA), a sign of RNA damage. MiRNAs are non-coding RNAs found in animals, plants, and some viruses that play a role in the post-transcriptional regulation of gene expression. These three pathways—RNA cleavage, RNA destabilization, and RNA translation into proteins— all play a role in mRNA expression. The miRNA regulates the up- and downregulation of mRNA expression for cellular function, enzyme synthesis, and receptor modulation. MiRNA regulates cell function by maintaining the balance between cellular ROS levels and cellular damage.
压力是身体对任何伤害或危险的反应。它与氧化自由基的产生有关,而氧化自由基是导致各种急性、慢性和潜在致命疾病的原因。自由基,由于其极端的反应性,可以伤害甚至杀死细胞。高脂肪饮食(HFD)会导致“氧化应激”,其特征是由于甘油三酯和游离脂肪酸(FFA)水平升高,导致体内活性氧(ROS)的生成增加。hfd诱导的氧化应激通过影响转录因子和线粒体酶(合成/抑制)来改变细胞功能。ROS和FFA损伤上皮受体,导致上皮损伤,损害细胞功能。ROS水平可以通过改变microRNA (miRNA)的表达来伤害细胞,这是RNA损伤的标志。mirna是在动物、植物和一些病毒中发现的非编码rna,在基因表达的转录后调控中发挥作用。这三种途径——RNA裂解、RNA不稳定和RNA翻译成蛋白质——都在mRNA表达中发挥作用。miRNA通过上调和下调mRNA表达来调控细胞功能、酶合成和受体调节。MiRNA通过维持细胞ROS水平和细胞损伤之间的平衡来调节细胞功能。
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引用次数: 0
Urinary tract infection as cause of a septic miscarriage and disseminated intravascular coagulation – case report and literature review 尿路感染是脓毒性流产和弥散性血管内凝血的原因——一例报告及文献复习
Pub Date : 2023-06-27 DOI: 10.26444/jpccr/168416
Zuzanna Paluch, Milena Krawczyk, Piotr Duda, E. Rypulak, Oksana Wichowska
Urinary tract infection (UTI) is one of the most common bacterial infections which affectis 150 million people worldwide annually. Pregnant women are particularly vulnerable to UTIs. Untreated asymptomatic bacteriuria in pregnancy can develop into an acute state, leading to serious complications, such as sepsis, pulmonary oedema, acute respiratory distress syndrome, anaemia, spontaneous miscarriage, or preterm labour. All bacteriuria in pregnancy should be treated, and antibiotic choice in pregnancy should reflect safety for both the mother and the foetus. The case is presented of a 37-year-old woman in 20 Hbd pregnancy who was transferred to an Intensive Care Unit due to right-side renal colic symptoms caused by urinary tract obstruction. Despite immediate treatment, the next day, septic miscarriage and disseminated intravascular coagulation (DIC) occurred.
尿路感染(UTI)是最常见的细菌感染之一,每年影响全球1.5亿人。孕妇特别容易感染尿路感染。妊娠期未经治疗的无症状菌尿可发展为急性状态,导致严重并发症,如败血症、肺水肿、急性呼吸窘迫综合征、贫血、自发性流产或早产。妊娠期的所有菌尿都应该得到治疗,妊娠期抗生素的选择应该反映母亲和胎儿的安全性。该病例是一名37岁的女性,20 Hbd妊娠,因尿路梗阻引起的右侧肾绞痛症状被转移到重症监护室。尽管立即进行了治疗,但第二天出现了败血症流产和弥漫性血管内凝血(DIC)。
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引用次数: 0
Evaluation of the Dental Aesthetic Index among patients with cleft palate and cleft lip, with or without cleft palate 腭裂和唇腭裂患者口腔美学指标的评价
Pub Date : 2023-06-27 DOI: 10.26444/jpccr/168354
Monika Blicharz, K. Bernat, A. Lasota
Introduction and Objective . The Dental Aesthetic Index (DAI) is a commonly-used dental indicator for determining patients’ orthodontic treatment needs. It is simple to use and can be measured by dentists and trained assistants. It allows the ranking of patients from the least to those most in need of treatment, and is therefore often used in epidemiological studies. DAI is practical because it takes into account both aesthetic and functional aspects of malocclusions. The aim of this study was to determine the usefulness of the Dental Aesthetic Index in evaluating the results of orthodontic treatment among patients with cleft palate, and patients with cleft lip with or without cleft palate, who completed orthodontic treatment. Materials and method . Twenty-three diagnostic models of patients with cleft palate and patients with cleft lip, with or without cleft palate, after orthodontic treatment were measured by a single examiner.The DAI score was measured as the sum of 10 components multiplied by their weight by adding the constant of 13. Results . The DAI index scores ranged from 17–42 points. Of all the components, the most frequently observed were: lack of teeth, spacing in incisial segments, and maxillary overjet. Conclusions . The results of the study indicate that DAI can be successfully used in cleft patients and that such patients require not only orthodontic treatment, but also further prosthetic treatment to replace missing teeth. The DAI index can be used in the group of cleft palate and cleft lip patients, with or without cleft palate, and demonstrates high values due to the presence. absence of numerous teeth. Therefore, in these patients it presents the need for prosthetic treatment rather than orthodontic.
引言和目标。牙齿美学指数(DAI)是一种常用的牙科指标,用于确定患者的正畸治疗需求。它使用简单,可以由牙医和训练有素的助手测量。它可以从最不需要治疗的病人到最需要治疗的人进行排名,因此经常用于流行病学研究。DAI是实用的,因为它同时考虑了错牙合的美学和功能方面。本研究的目的是确定牙齿美学指数在评估腭裂患者以及完成正畸治疗的唇腭裂患者(无论是否有腭裂)的正畸治疗结果中的有用性。材料和方法。由一名检查者测量了23个腭裂患者和唇腭裂患者(无论是否有腭裂)在正畸治疗后的诊断模型。DAI得分是通过10个成分的总和乘以它们的重量加上常数13来测量的。后果DAI指数得分范围为17–42分。在所有的组成部分中,最常见的是:缺牙、切段间隔和上颌骨覆盖。结论。研究结果表明,DAI可以成功应用于腭裂患者,这些患者不仅需要正畸治疗,还需要进一步的修复治疗来替换缺失的牙齿。DAI指数可用于腭裂和唇腭裂患者,无论是否患有腭裂,并且由于其存在而显示出高值。没有许多牙齿。因此,在这些患者中,需要进行假体治疗,而不是正畸治疗。
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引用次数: 0
Lyme borreliosis – state of the knowledge among medical students 医学生莱姆病知识现状
Pub Date : 2023-06-20 DOI: 10.26444/jpccr/166589
Bartosz Borowski, Zuzanna Kupisz, Patrycja Długosz, Małgorzata Kozioł
Introduction and Objective. Lyme disease (LD) is becoming a serious problem worldwide. It is a bacterial infection caused by Gram-negative spirochaetes Borrelia burgdorferi sensu lato which are spread by tick bite, and are recognized as one of the most important tick-borne diseases. People spending time in the forests, meadows, and parks, or working in such environments are endangered to tick bites, which may cause the infection. Even though not each one of the parasites carries the disease, the illness itself is a serious condition and can simulate many other diseases, which is why it is often called ‘the great imitator’. Therefore, it is very important to know the early symptoms of LD, as it can be cured effectively by antibiotics. The aim of this study was to determine whether young adults have sufficient knowledge regarding LD, how often tick bites occur within this population, and how many of them have been diagnosed with the illness in the past. Materials and method. Data was collected with the use of a survey completed by 201 first-year medical students. Results. The majority of the students had basic knowledge regarding the etiology, symptoms, and vectors of LD. There is a necessity to improve knowledge in the field of treatment, prophylaxis, and tick removal techniques. Half of the study participants had been bitten by a tick and some of them were diagnosed with LD. Conclusions. Most of the participants reported a tick bite in the past, and/or confirmed an infection. The awareness level regarding the sickness needs to be improved in some aspects, with the use of social campaigns or advertisements. This would help with better recognition of the disease in the future.
引言和目标。莱姆病(LD)正在成为世界范围内的一个严重问题。它是由革兰阴性螺旋体伯氏疏螺旋体引起的细菌感染,通过蜱叮咬传播,被认为是最重要的蜱传疾病之一。人们在森林、草地和公园里呆着,或者在这样的环境中工作,都会受到蜱虫叮咬的威胁,这可能会导致感染。尽管不是每一种寄生虫都携带这种疾病,但这种疾病本身是一种严重的疾病,可以模拟许多其他疾病,这就是为什么它经常被称为“伟大的模仿者”。因此,了解LD的早期症状非常重要,因为它可以通过抗生素有效治愈。这项研究的目的是确定年轻人是否对LD有足够的了解,蜱虫叮咬在这一人群中发生的频率,以及他们中有多少人过去被诊断患有这种疾病。材料和方法。数据是通过201名一年级医学生完成的一项调查收集的。后果大多数学生对LD的病因、症状和媒介具有基本知识。有必要提高治疗、预防和蜱虫清除技术领域的知识。一半的研究参与者被蜱虫咬伤,其中一些人被诊断为LD。结论。大多数参与者报告过去曾被蜱虫叮咬,和/或确认感染。在某些方面,需要通过社会运动或广告来提高人们对这种疾病的认识。这将有助于在未来更好地认识这种疾病。
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引用次数: 0
Genistein increases blood pressure in pre-treated normotensive rats 染料木黄酮使预处理的血压正常的大鼠血压升高
Pub Date : 2023-06-16 DOI: 10.26444/jpccr/166675
F. Awobajo, John Ihayi Ogbu, A. Adejare, G. Akpanika, Chiamaka Egede, Bukola Timothy
Introduction and Objective. High blood pressure is an important risk factor for heart-related disease. Combining dietary adjustments with standard drugs in the therapy of heart diseases have gained attention. Genistein, a soy isoflavone, has many biological effects but its role in blood pressure is inconclusive. The aim of the study was to investigate the effect of genistein on blood pressure in normotensive rats pre-treated with standard drugs. Materials and method. Twenty healthy adult male Sprague Dawley rats (body weight 160–180g) were administered with genistein, and SBP, DBP, PP, MABP and HR were recorded. Subsequently, the rats (5 each) were treated with Indomethacin, a non-steroidal, anti-inflammatory and a cyclooxygenase (COX-2) enzyme inhibitor (5 mg/kg subcutaneously), methylene blue,an inhibitor of nitric oxide synthase and guanylate cyclase (7.5 mg/kg, by infusion), nifedipine,a calcium channel blocker (0.75 mg/kg intravenously), and tetraethylammonium, a voltage-gated K+ channels blocker (60 mg/kg intravenously). Genistein was administered intravenously in graded doses after the administration of these blockers. SPB, DBP, PP and MABP were significantly increased following genistein administration only, as well as in the methylene blue and tetraethylammonium groups each. Results. Higher doses of genistein significantly decreased SBP, DBP and PP after indomethacin treatment. Falling DBP and MABP were reversed in the nifedipine group. Conclusions. Results suggests that genistein elevates blood pressure in experimental normotensive male rats. This has implications for alternative therapy in the management of hypertension, and implications for blood pressure in cardiovascular related diseases
引言和目的。高血压是心脏相关疾病的重要危险因素。将饮食调整与标准药物结合起来治疗心脏病已引起人们的关注。染料木黄酮是一种大豆异黄酮,具有许多生物学效应,但其在血压中的作用尚无定论。本研究旨在探讨染料木素对正常血压大鼠经标准药物预处理后血压的影响。材料和方法。20只健康成年雄性sd大鼠(体重160 ~ 180g)灌胃染料木素,记录收缩压、舒张压、PP、MABP和HR。随后,每组5只大鼠分别给予吲哚美辛,一种非甾体抗炎和环氧化酶(COX-2)酶抑制剂(5mg /kg皮下注射),亚甲基蓝,一种一氧化氮合酶和鸟苷酸环化酶抑制剂(7.5 mg/kg静脉注射),硝苯地平,一种钙通道阻滞剂(0.75 mg/kg静脉注射),四乙基铵,一种电压门控K+通道阻滞剂(60 mg/kg静脉注射)。在给药这些阻滞剂后,染料木黄酮按分级剂量静脉注射。仅给药染料木素组以及亚甲基蓝组和四乙基铵组的SPB、DBP、PP和MABP均显著升高。结果。高剂量染料木素可显著降低吲哚美辛治疗后的收缩压、舒张压和PP。在硝苯地平组DBP和MABP下降逆转。结论。结果表明染料木素可升高血压正常的雄性大鼠的血压。这对高血压治疗的替代疗法以及心血管相关疾病的血压治疗具有启示意义
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引用次数: 0
Metal mixture-induced non-transgenic animal model of Alzheimer’s disease: Pros and cons 金属混合物诱导的阿尔茨海默病非转基因动物模型:利弊
Pub Date : 2023-06-14 DOI: 10.4081/pcr.2023.7768
Anushruti Ashok, N. Rai
Alzheimer’s disease (AD) is a multifaceted and heterogeneous age-related disease and represents the most common cause of dementia among the elderly. Over the past two decades, transgenic models of AD appreciably contribute to the understanding of the molecular mechanisms involved in the onset and progression of AD. However, transgenic models generally identify with the familial form of AD that accounts for just 5% of AD cases. Thus, non-transgenic models are also essential to thoroughly understand AD pathophysiology. Environmental exposure to heavy metals has been linked to the pathogenesis of the non-familial, sporadic form of AD. This review summarizes our previously published research that showed a mixture of heavy metals, i.e. Arsenic (As), cadmium (Cd) and lead (Pb) at environmentally relevant doses induced AD-parameters and AD-like pathology in the young rats. Our previous findings suggest that the amyloid beta-42 (Aβ1-42) levels in the As+Cd+Pbmixture treated Postnatal-90 day rat brain were comparable with the intracerebroventricular Aβ1-42 infusion rat model, which is well- established non-transgenic model of AD. Additionally, As+Cd+Pb-mixtureinduced Aβ and amyloid precursor protein could be attenuated by known AD-directed drugs, memantine, and donepezil. These findings helped us to conclude that As+Cd+Pb-treated animals could be utilized as a non-transgenic model of AD. This review also summarizes the merits of a nontransgenic animal model of AD, generated through environmental doses of As, Cd and Pb-mixture and its demerits.
阿尔茨海默病(AD)是一种多方面和异质性的年龄相关疾病,是老年人痴呆症的最常见原因。在过去的二十年中,转基因AD模型对AD发生和发展的分子机制的理解做出了重要贡献。然而,转基因模型通常与家族性阿尔茨海默病相一致,仅占阿尔茨海默病病例的5%。因此,非转基因模型对于深入了解阿尔茨海默病的病理生理也是必不可少的。环境暴露于重金属与非家族性散发性AD的发病机制有关。本文综述了我们之前发表的研究结果,表明砷(As)、镉(Cd)和铅(Pb)的混合物在环境相关剂量下诱导幼鼠ad参数和ad样病理。我们之前的研究结果表明,在出生后90天的大鼠脑中,As+Cd+ pb混合物中淀粉样蛋白β -42 (Aβ1-42)的水平与脑室内Aβ1-42输注大鼠模型相当,这是一种成熟的非转基因AD模型。此外,As+Cd+ pb混合物诱导的Aβ和淀粉样蛋白前体蛋白可以被已知的ad定向药物,美金刚和多奈哌齐减弱。这些发现有助于我们得出结论,As+Cd+ pb处理的动物可以作为AD的非转基因模型。本文还综述了环境剂量砷、镉、铅混合物致AD的非转基因动物模型的优点和不足。
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引用次数: 1
A 69-year-old patient with Ogilvie’s syndrome –case report 69岁奥吉维氏综合征1例报告
Pub Date : 2023-06-01 DOI: 10.26444/jpccr/166507
A. Zimna, Hubert Wróblewski, Kinga Wróblewska, Błażej Dziurowicz, Ewelina Zygmunt
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引用次数: 0
Paediatric inguinal hernia anatomical classifications – new perspectives for study design 小儿腹股沟疝解剖分类-研究设计的新视角
Pub Date : 2023-05-30 DOI: 10.26444/jpccr/166130
Agata Maria Kawalec
1. Morini F, Dreuning KMA, Janssen Lok MJH, et al. Surgical Management of Paediatric Inguinal Hernia: A Systematic Review and Guideline from the European Paediatric Surgeons’ Association Evidence and Guideline Committee. Eur J Pediatr Surg. 2022;32(3):219–232. https:// doi.org/10.1055/s-0040-1721420. Google Scholar
1. Morini F, Dreuning KMA, Janssen Lok MJH,等。小儿腹股沟疝的外科治疗:来自欧洲儿科外科医生协会证据和指南委员会的系统综述和指南。中华儿科杂志,2010;32(3):219-232。https:// doi.org/10.1055/s - 0040 - 1721420。谷歌学者
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引用次数: 0
Intraosseous schwannoma of upper limb –review 我还不确定
Pub Date : 2023-05-29 DOI: 10.26444/jpccr/166152
Katarzyna Kopcik, A. Koberling, Franciszek Rzymkowski, Magda Bichalska-Lach
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引用次数: 0
期刊
Journal of Pre-Clinical and Clinical Research
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