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Hematological indices in prolonged menstruation: New roles for blood groups and coagulation factors 经期延长的血液学指标:血型和凝血因子的新作用
Pub Date : 2020-03-21 DOI: 10.22037/AMLS.V4I4.28130
S. Shahbazi
Background: Menorrhagia is the most common type of abnormal uterine bleeding, caused by disruption of hormonal regulation, uterine function or blood clotting. Developing an effective diagnostic strategy will improve patient's quality of life and management. Here we investigated the links between hematological characteristics and prolonged menstruation‎ to estimate the importance of the first line coagulation screening tests in young women ‎. Materials and Methods:  In a case-control design and under supervision of a specialist, 43 cases and 104 age matched controls were selected. Menstrual characteristics were evaluated by a standardized questionnaire distributed to high school and university young students. Hematological indices including first line coagulation screening tests were performed for both groups and statistically assessed. Result: Statistical analysis showed that prolonged menstrual bleeding ‎is significantly correlated to prolonged bleeding time ( p value , 0.01) as well as ‏ red blood cell count ( p value , 0.04). The O blood group showed the greatest contribution to the bleeding periods longer than 7 days (53.4 %(. Additional coagulation tests revealed one coagulation factor VII deficiency patient. Conclusion: The results of the present study revealed the importance of menorrhagia management in young women and showed a significant correlation between prolonged menstrual bleeding ‎and blood types ‎. Our study findings also suggest a significant association between prolonged menstruation and bleeding time test, emphasizing on the role of blood coagulation traits in susceptibility to heavy menstrual bleeding.
背景:月经过多是最常见的子宫异常出血类型,由激素调节、子宫功能或血液凝固中断引起。制定有效的诊断策略将改善患者的生活质量和管理。在这里,我们研究了血液学特征和月经延长之间的联系,以估计年轻女性一线凝血筛查试验的重要性。材料和方法:采用病例对照设计,在一名专家的监督下,选择43例病例和104例年龄匹配的对照。采用标准化问卷对中学生和大学生进行月经特征评价。两组的血液学指标包括一线凝血筛查试验并进行统计学评估。结果:经统计学分析,月经出血时间延长与出血时间延长(p值,0.01)及红细胞计数显著相关(p值,0.04)。出血时间大于7 d的以O型血最多(53.4%);另外的凝血试验显示1例凝血因子VII缺乏患者。结论:本研究结果揭示了年轻女性月经过多管理的重要性,并显示了月经出血延长与血型之间的显著相关性。我们的研究结果也提示月经时间延长与出血时间测试之间存在显著关联,强调了凝血特性在月经大量出血易感性中的作用。
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引用次数: 0
Epidemiology and Clinical Characteristics of Patients with Hepatocellular Carcinoma in North-East of Iran 伊朗东北部地区肝细胞癌患者的流行病学和临床特征
Pub Date : 2020-03-21 DOI: 10.22037/AMLS.V4I4.24922
F. H. Shandiz, S. Aledavood, Rozita Delghandi, M. Fani, Aida Gholoobi, Seyed Muhammad Yahyazadeh Mashhadi, Mohsen Abdoli, Hamed Gouklani, Sina Geraily, Z. Meshkat
Background: Hepatocellular carcinoma (HCC), the most common type of primary liver cancer, is a life-threatening disease worldwide. The aim of this study was to investigate the epidemiology and clinical features of HCC patients who referred to Omid hospital in Mashhad, northeast of Iran. Materials and Methods: In this cross sectional retrospective study, we reviewed the medical records of patients who referred to Omid hospital – a cancer research center– in Mashhad during 1991 to 2012. Medical records of 29 patients with primary liver cancer proven with biopsy, CT scan or MRI were analyzed in this study. Results: Of 25 eligible cases, 68% were men and the rest were women. The majority of HCC patients were in the 60-69 age group. Also, 44% of patients were found to be hepatitis B virus surface antigen (HBsAg) positive. Conclusion: The age distribution and male preponderance of HCC patients observed in the present study in line with other conducted studies in Iran and other countries. Since this is a retrospective study, a comprehensive study with a larger sample size in a case-control study is needed to establish other HCC-related factors in our province.
背景:肝细胞癌(HCC)是世界范围内最常见的原发性肝癌,是一种危及生命的疾病。本研究的目的是调查转诊到伊朗东北部马什哈德Omid医院的HCC患者的流行病学和临床特征。材料和方法:在这项横断面回顾性研究中,我们回顾了1991年至2012年在马什哈德的癌症研究中心Omid医院转诊的患者的医疗记录。本研究分析了29例经活检、CT扫描或MRI证实的原发性肝癌患者的病历。结果:25例符合条件的病例中,68%为男性,其余为女性。大多数HCC患者在60-69岁年龄组。此外,44%的患者被发现乙型肝炎病毒表面抗原(HBsAg)阳性。结论:本研究观察到的HCC患者的年龄分布和男性优势与伊朗等国的研究一致。由于这是一项回顾性研究,需要在病例对照研究中进行更大样本量的综合研究,以确定我省其他hcc相关因素。
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引用次数: 0
The role of D-dimer in diagnosis of cerebral sinus venous thrombosis d -二聚体在脑窦静脉血栓诊断中的作用
Pub Date : 2020-03-20 DOI: 10.22037/AMLS.V4I3.25579
Maryam Farahmand Sadr, Nima Fadakar, Susan Mansuri Mehrabadi, Yasaman Zolghadrasli, M. Poursadeghfard
Background: Cerebral sinus venous thrombosis (CSVT) is a fatal condition and should be considered in all patients with acute new onset headache. D-dimer has been shown to be a sensitive diagnostic tool in deep vein thrombosis and pulmonary thromboembolism. The purpose of this study was to investigate whether this test could be useful in the diagnosis of CSVT. Methods : In this prospective study, we reviewed patients referring to Nemazee hospital with presentations suggestive of CSVT. Diagnosis was established, using MRI and MRV. Serum D-dimer level was checked among 24 hours after hospital admission. Results: From 117 enrolled patients, 37 (31.6%) patients had CSVT. The reported D-dimer levels showed negative (< 500 ng/ml) in 21 (56.76%) and positive level in 16 (43.24 %) patients who had CSVT. Also, D-dimer was negative in 66 (82.5%) and positive in 14 (17.5%) patients who did not have CSVT. These results demonstrated a sensitivity of 43.24%, specificity of 82.5%, positive predictive value of 53.3%, and negative predictive value of 75.86%. Conclusion: Normal D-dimer levels make the presence of CSVT very unlikely; our study suggests that D-dimer test may guide us to approach patients who are suspected with CSVT in emergency situations with limited access to MRI/MRV. However, every patient with D-dimer level more than 500 ng/mL and high clinical suspicion of CSVT should undergo MRI/MRV. In addition, our results showed a negative D-dimer test was not a reliable assay to completely rule out CSVT. However, we recommend further studies to confirm our results.
背景:脑窦静脉血栓形成(CSVT)是一种致命的疾病,在所有急性新发头痛患者中都应考虑。d -二聚体已被证明是深静脉血栓形成和肺血栓栓塞的敏感诊断工具。本研究的目的是探讨该测试是否可用于CSVT的诊断。方法:在这项前瞻性研究中,我们回顾了在Nemazee医院就诊的有CSVT表现的患者。采用MRI和MRV进行诊断。入院后24小时检测血清d -二聚体水平。结果:117例入组患者中,37例(31.6%)有CSVT。报告的d -二聚体水平21例(56.76%)为阴性(< 500 ng/ml), 16例(43.24%)为阳性。此外,66例(82.5%)d -二聚体为阴性,14例(17.5%)无CSVT患者为阳性。敏感性43.24%,特异性82.5%,阳性预测值53.3%,阴性预测值75.86%。结论:正常的d -二聚体水平使CSVT的存在非常不可能;我们的研究表明,d -二聚体检测可以指导我们在MRI/MRV有限的紧急情况下接近疑似CSVT的患者。但凡d -二聚体水平大于500 ng/mL且临床高度怀疑CSVT的患者均应行MRI/MRV检查。此外,我们的结果显示,阴性d -二聚体检测并不是完全排除CSVT的可靠方法。然而,我们建议进一步的研究来证实我们的结果。
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引用次数: 2
Comparison of FAIM3 gene expression between new cases of ALL and relapsed ALL 新发与复发ALL患者FAIM3基因表达的比较
Pub Date : 2020-02-18 DOI: 10.22037/AMLS.V4I3.25392
M. Rezvani
Background: Acute lymphoblastic leukemia (ALL) is one of the major lymphoid malignancies and the most common hematologic malignancy in children. ALL is characterized by the presence of malignant lymphoblasts in the blood so that immature lymphocytes cannot become mature and thus do not have an adult cell function. Although it is not unusual in adults, it usually affects children. Most children with this disease are recovered from therapeutic protocols. But the relapse is common after recovery or during the treatment. Various factors are supposed to contribute to the relapse of the disease. One of these factors that is likely to be effective in the recurrence of ALL is the FAIM3 protein (an FCuR), or the Fas inhibitory molecule-3 (FAIM3). The aim of this study was to investigate FAIM3 (TOSO) as a new prognostic factor in ALL. Materials and methods: In this study, 19 patients with newly diagnosed and 17 patients with relapsed ALL were included.  FAIM3 gene expression was measured with the qRT-PCR method. Results:  The expression level of FAIM3 in relapsed patients was 5.44 folds higher than newly diagnosed ALL patients.  Conclusion: Prognosis of ALL is usually well-proven in children and can be cured. However, recurrence of the disease is common. At the molecular level, there are several factors that are referred to as the "factor involved in the relapse" of the disease. These factors increase the survival of the leukemic cells. According to the results of the present study, gene expression level of FAIM3 as an anti-apoptotic factor has increased in relapsed ALL lymphoblasts, compared with new diagnosed patients. Therefore, FAIM3 can be considered as a contributing factor in the relapse of the disease.
背景:急性淋巴细胞白血病(Acute lymphoblastic leukemia, ALL)是儿童最常见的血液系统恶性肿瘤,也是主要的淋巴细胞恶性肿瘤之一。ALL的特点是血液中存在恶性淋巴细胞,使未成熟的淋巴细胞不能成熟,因此不具有成人细胞的功能。虽然它在成人中并不罕见,但它通常影响儿童。大多数患有这种疾病的儿童都能从治疗方案中康复。但在康复后或治疗期间复发是常见的。各种因素被认为是导致这种疾病复发的原因。其中一个可能对ALL复发有效的因素是FAIM3蛋白(FCuR),或Fas抑制分子-3 (FAIM3)。本研究的目的是探讨FAIM3 (TOSO)作为ALL新的预后因素。材料与方法:本研究纳入19例新诊断ALL患者和17例复发ALL患者。采用qRT-PCR法检测FAIM3基因表达。结果:复发患者FAIM3的表达水平比新发ALL患者高5.44倍。结论:ALL患儿预后良好,可治愈。然而,这种疾病的复发是常见的。在分子水平上,有几个因素被称为疾病复发的“相关因素”。这些因素增加了白血病细胞的存活率。根据本研究结果,与新诊断的患者相比,复发ALL淋巴细胞中FAIM3作为抗凋亡因子的基因表达水平升高。因此,FAIM3可以被认为是疾病复发的一个促成因素。
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引用次数: 0
A Review on Relationship Between Human Endogenous Retrovirus Groups and Human Diseases 人内源性逆转录病毒群与人类疾病关系的研究进展
Pub Date : 2020-02-17 DOI: 10.22037/AMLS.V4I4.25635
Reza Aramideh Khouy, M. H. Tehrani, H. Nosrati, Maryam Esghaei
Various factors are involved in the incidence of some diseases like autoimmune, psychiatric and cancerous ones. One of these probable factors is considered as the endogenous retroviruses, for example, proviruses that have been introduced in previous generations in some organisms' genome, and make up over 8% of the human genome. Recent studies have indicated that these factors and their related products (including RNA, cytosolic DNA, and proteins) may affect and also change the host cell function and immune system. This review summarizes the detailed information about the structure, classification, and pathogenesis mechanism of human endogenous retroviruses and their relationship with the autoimmune diseases and some kinds of cancers.
一些疾病的发生与多种因素有关,如自身免疫性疾病、精神疾病和癌症。其中一个可能的因素被认为是内源性逆转录病毒,例如,在一些生物体基因组的前几代中引入的原病毒,占人类基因组的8%以上。近年来的研究表明,这些因子及其相关产物(包括RNA、胞质DNA和蛋白质)可能影响并改变宿主细胞功能和免疫系统。本文就人内源性逆转录病毒的结构、分类、发病机制及其与自身免疫性疾病和某些癌症的关系作一综述。
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引用次数: 0
Evaluation of the Housekeeping Genes; β‐Actin, Glyceraldehyde‐3‐Phosphate‐Dehydrogenase, and 18S rRNA for Normalization in Real‐Time Polymerase Chain Reaction Analysis of Gene Expression in Human Adipose Tissue 管家基因的评价研究β -肌动蛋白,甘油醛- 3 -磷酸脱氢酶和18S rRNA,用于人类脂肪组织基因表达的实时聚合酶链反应分析
Pub Date : 2020-02-08 DOI: 10.22037/AMLS.V4I3.26269
R. Ebrahimi, Alireza Bahiraee, Naghmeh Jannat Alipour, K. Toolabi, S. Emamgholipour
Background: Several studies suggested that beta-actin, glyceraldehyde-3-phosphate dehydrogenase (GAPDH), and 18S rRNA are expressed constitutively and contribute to the fundamental reference actions essential for cell viability and maintenance. However, there are inconsistency in this regard. Hence, we aimed to evaluate the accuracy of these three potential reference genes for Real‐Time quantitative reverse transcriptase‐polymerase chain reaction (qRT‐PCR) application for normalization in two types of human adipose tissues. Materials and Methods: Subcutaneous and visceral fat tissues were derived from 19 healthy and 20 obese subjects and RT-qPCR was applied to determine the expression levels of beta-actin, GAPDH, and18S rRNA. Results: The gene expression level of beta-actin, GAPDH, and 18S rRNA was essentially the same in the subcutaneous and visceral fat tissues of all participants (P>0.05). Hence, all considered housekeeping genes displayed high expression stability and the analysis revealed that normalization to all of these three housekeeping genes gave a result that satisfactorily reflected the acceptable mRNA expression levels in adipose tissues. Conclusion: Collectively, our findings suggest of beta-actin, GAPDH, and18S rRNA as reference genes applicable in human adipose tissue in the context of obesity.
背景:几项研究表明,β -肌动蛋白、甘油醛-3-磷酸脱氢酶(GAPDH)和18S rRNA的表达是组成性的,对细胞的生存和维持起着基本的参考作用。然而,在这方面存在不一致之处。因此,我们旨在评估实时定量逆转录酶-聚合酶链反应(qRT - PCR)应用于两种人类脂肪组织规范化的这三个潜在内参基因的准确性。材料与方法:选取19名健康受试者和20名肥胖受试者皮下和内脏脂肪组织,采用RT-qPCR检测β -actin、GAPDH和18s rRNA的表达水平。结果:所有受试者皮下和内脏脂肪组织中β -肌动蛋白、GAPDH、18S rRNA基因表达水平基本相同(P < 0.05)。因此,所有被认为的管家基因都表现出高度的表达稳定性,分析显示,这三个管家基因的归一化结果令人满意地反映了脂肪组织中可接受的mRNA表达水平。结论:总的来说,我们的研究结果表明β -肌动蛋白、GAPDH和18s rRNA是适用于肥胖背景下人类脂肪组织的内参基因。
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引用次数: 6
Association between Bone Marrow Mesenchymal Stem Cell Characterizations and the Administration of Antiarrhythmic Drugs in Patients with Severe Left Ventricular Dysfunction after Off-Pump Bypass Surgery 非体外循环手术后严重左心室功能不全患者骨髓间充质干细胞特征与抗心律失常药物使用的关系
Pub Date : 2020-01-21 DOI: 10.22037/AMLS.V6.31297
M. Esmailidehaj, S. Mirhosseini, Zakieh Sadat Sheikhalishahi
Background and Aim: Atrial fibrillation is the most common arrhythmia after coronary artery bypass grafting (CABG) and occurs in up to 30% of patients with heart failure. Mesenchymal stem cells (MSCs) can regenerate and improve cardiac function after tissue damage and are used in clinical trials. Due to the possible ability of MSCs to improve cardiac functions, in this work, we aimed to examine the probable association of the MSCs proliferation rate with the requirement for antiarrhythmic drugs in patients with severe left ventricular dysfunction after off-pump CABG. Methods: Bone marrow samples were obtained from the sternum of 30 patients who underwent off-pump CABG at Afshar Hospital and Seyed Al-Shohada Hospital. For calculating MSCs doubling time, the cells were counted after 4, 7, and 14 days using trypan-blue color and a hemocytometer. Results: There were no significant differences between MSCs' doubling time and the patient's age and gender. The percentage of women patients who require antiarrhythmic medicine was significantly higher than men after surgery. Also, we demonstrated that the BMSCs doubling time in female patients who received antiarrhythmic drugs was less than that of male patients who received antiarrhythmic drugs, but these differences were not significant. Conclusion: Based on this research, we concluded that women patients who received antiarrhythmic drugs were significantly higher than men, but there was no apparent relevancy between MSCs doubling time and antiarrhythmic drugs requirement in patients with severe left ventricular dysfunction. *Corresponding Author: Zakieh Sadat Sheikhalishahi; Email: z.sheikhalishahi@gmail.com Please cite this article as: Esmailidehaj M, Mirhosseini SJ, Sheikhalishahi ZS. Association between Bone Marrow Mesenchymal Stem Cell Characterizations and the Administration of Antiarrhythmic Drugs in Patients with Severe Left Ventricular Dysfunction after Off-Pump Bypass Surgery. Arch Med Lab Sci. 2020;6:e2. https://doi.org/10.22037/amls.v6.31297
背景与目的:房颤是冠状动脉旁路移植术(CABG)后最常见的心律失常,高达30%的心力衰竭患者发生房颤。间充质干细胞(MSCs)可以在组织损伤后再生和改善心脏功能,并被用于临床试验。由于MSCs可能具有改善心功能的能力,在这项工作中,我们旨在研究MSCs增殖率与非体外泵搭桥后严重左心室功能障碍患者抗心律失常药物需求的可能关联。方法:对30例在Afshar医院和Seyed Al-Shohada医院行非体外循环冠脉搭桥的患者进行胸骨骨髓采集。为计算MSCs倍增时间,分别在4、7、14天后用台盼蓝和血细胞计对细胞计数。结果:MSCs加倍时间与患者年龄、性别无显著差异。术后女性患者需要抗心律失常药物的比例明显高于男性。同时,我们发现女性患者接受抗心律失常药物治疗后骨髓间充质干细胞倍增时间少于男性患者,但差异不显著。结论:基于本研究,我们认为女性患者服用抗心律失常药物的比例明显高于男性,但严重左心功能不全患者MSCs倍增时间与抗心律失常药物需要量无明显相关性。*通讯作者:Zakieh Sadat Sheikhalishahi;请将本文注明出处:Esmailidehaj M, Mirhosseini SJ, Sheikhalishahi ZS。非体外循环手术后严重左心室功能不全患者骨髓间充质干细胞特征与抗心律失常药物使用的关系中华医学杂志,2020;6:2 - 6。https://doi.org/10.22037/amls.v6.31297
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引用次数: 0
Regular Exercise Training as a Principal Non-Pharmacological Method Affects Serum Leptin and Cardiovascular Risk Factors in Men with Metabolic Syndrome 定期运动训练作为主要的非药物方法影响代谢综合征男性血清瘦素和心血管危险因素
Pub Date : 2020-01-21 DOI: 10.22037/AMLS.V6.31643
Reza Naseri Rad, M. Eizadi
Background and Aim: Regular exercise training is the principal non-pharmacological method for the prevention and treatment of metabolic syndrome or other obesity-related diseases. We investigated the effects of aerobic training on leptin and cardiovascular risk factors in middle-aged men with metabolic syndrome. Methods: Twenty-six sedentary middle-aged males with metabolic syndrome aged 40 ± 5 years were randomly assigned to two groups as exercise (aerobic training, n =13) and control (no training, n =13). The exercise programs were performed 3 days a week for 10 weeks at 55-75% of HRmax. Fasting blood samples were taken before and after the training period for measuring serum leptin and triglyceride (TG), total cholesterol (TC), LDL, and HDL as cardiovascular risk factors. Results: No significant differences were observed between groups concerning anthropometric and clinical markers at baseline (p>0.05). Aerobic intervention resulted in significant decrease in anthropometric markers (abdominal circumference, body mass index, body fat percentage; p < 0.05), serum leptin (p = 0.026), TG (p = 0.001) and HDL (p = 0.032) in exercise group, but significant changes were not found in TC (p = 0.522) and LDL (p = 0.546). There were no changes in all measured variables in the control group. Conclusion: Based on our finding, it seems that regular aerobic exercise is associated with improved serum leptin and cardiovascular function in patients with metabolic syndrome. *Corresponding Author: Mojtaba Eizadi; Email: izadimojtaba2006@yahoo.com Please cite this article as: Naseri Rad R, Eizadi M. Regular Exercise Training as a Principal Non-Pharmacological Method Affects Serum Leptin and Cardiovascular Risk Factors in Men with Metabolic Syndrome. Arch Med Lab Sci. 2020;6:1-8 (e1). https://doi.org/10.22037/amls.v6.31643
背景与目的:定期运动训练是预防和治疗代谢综合征或其他肥胖相关疾病的主要非药物方法。我们研究了有氧训练对中年代谢综合征男性瘦素和心血管危险因素的影响。方法:将26例40±5岁的久坐代谢综合征中年男性随机分为运动组(有氧训练,n =13)和对照组(未训练,n =13)。运动计划以55-75%的HRmax进行,每周3天,持续10周。训练前后分别取空腹血样,测定血清瘦素、甘油三酯(TG)、总胆固醇(TC)、低密度脂蛋白(LDL)和高密度脂蛋白(HDL)作为心血管危险因素。结果:两组患者基线时的人体测量指标和临床指标无显著差异(p < 0.05)。有氧干预导致人体测量指标(腹围、体重指数、体脂率)显著降低;运动组血清瘦素(p = 0.026)、TG (p = 0.001)、HDL (p = 0.032)、TC (p = 0.522)、LDL (p = 0.546)无显著变化。对照组所有测量变量均无变化。结论:根据我们的发现,有规律的有氧运动似乎与代谢综合征患者血清瘦素和心血管功能的改善有关。*通讯作者:Mojtaba Eizadi;Naseri Rad R, Eizadi M.定期运动训练作为主要的非药物方法影响代谢综合征男性血清瘦素和心血管危险因素。中华医学杂志,2020;6:1-8(1)。https://doi.org/10.22037/amls.v6.31643
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引用次数: 0
Investigation of Peripheral Blood Mononuclear Cells Phagocytosis in Allergic Asthma Mice Model 变应性哮喘小鼠外周血单核细胞吞噬作用的研究
Pub Date : 2020-01-14 DOI: 10.22037/AMLS.V4I1.20631
S. Athari
The respiratory system is exposed to the potentially harmful environment agents. More importantly, respiratory system infection is an important risk factor for inflammation and some pathogens can be main responsible of asthma. Phagocytosis is a main mechanism to eliminate of microbial infection. Phagocytic clearance may control asthma pathogenesis. In asthma, cytokines balance may be changed, therefore we investigated possible change in phagocytes in the present study.14 male Balb/c mice were divided into two control and asthmatic group. Asthma model in mice was produced by ovalbumin. Peripheral blood mononuclear cells were separated and reduction nitro blue tetrazolium and latex bead florescence phagocytosis tests were done. There was no significant difference in phagocytosis and NBT reduction test between asthmatic and control groups (P≤0.05).Airway inflammation and unbalancing of cytokines in asthma might modulate phagocytosis function. Therefore, asthmatic patient might be more susceptible to airway infection but there was not any notable changes in phagocytosis.
呼吸系统暴露于潜在的有害环境因子中。更重要的是,呼吸系统感染是炎症的重要危险因素,一些病原体可能是哮喘的主要原因。吞噬作用是消除微生物感染的主要机制。吞噬清除可能控制哮喘的发病机制。在哮喘中,细胞因子平衡可能发生改变,因此我们在本研究中研究了吞噬细胞可能发生的变化。将14只雄性Balb/c小鼠分为正常对照组和哮喘组。用卵清蛋白制备小鼠哮喘模型。分离外周血单个核细胞,进行还原硝基蓝四氮唑和胶乳珠荧光吞噬试验。哮喘组与对照组的吞噬功能、NBT降低试验差异无统计学意义(P≤0.05)。哮喘气道炎症和细胞因子失衡可能调节吞噬功能。因此,哮喘患者可能更容易发生气道感染,但吞噬功能无明显变化。
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引用次数: 0
A data mining algorithm for determination of influential factors on the hospitalization of patients subject to chronic obstructive pulmonary disease 慢性阻塞性肺疾病患者住院影响因素的数据挖掘算法
Pub Date : 2020-01-11 DOI: 10.22037/AMLS.V4I2.25568
S. Athari
Background: The present study is on the development of a data mining algorithm for finding the influential factors on the hospitalization of patients subject to chronic obstructive pulmonary disease. Materials and Methods: This is a descriptive analytical study conducted cross sectionally in 2017 on a research community of 150 people with disease symptoms referred to clinics and hospitals across Tehran (Iran). The people were surveyed by a self-designed questionnaire, including queries on life style and family information. The sampling was simple intuitive from previously published studies. The modeling of the data was based on the CRISP method. The C5 decision tree algorithm was used and the data was analyzed by RapidMiner software. Results: The common symptoms of the patients were found to be shortness of breath, cough, chest pain, sputum, continuous cold, and cyanogens. Besides, the family history, smoking, and exposure to allergic agents were other influential factors on the disease. After accomplishment of this study, the results were consulted with the experts of the field. Conclution: It is concluded that data mining can be applied for excavation of knowledge from the gathered data and for determination of the effective factors on patient conditions. Accordingly, this model can successfully predict the disease status of any patient from its symptoms.
背景:本研究旨在开发一种数据挖掘算法,用于寻找慢性阻塞性肺疾病患者住院的影响因素。材料和方法:这是一项描述性分析研究,于2017年对在德黑兰(伊朗)的诊所和医院就诊的150名有疾病症状的研究群体进行了横断面研究。这些人接受了一份自己设计的问卷调查,包括生活方式和家庭信息。从之前发表的研究中,抽样是简单直观的。采用CRISP方法对数据进行建模。采用C5决策树算法,采用RapidMiner软件对数据进行分析。结果:患者的常见症状为呼吸短促、咳嗽、胸痛、痰多、持续受寒、发绀。此外,家族史、吸烟、接触过敏物质也是影响本病的其他因素。本研究完成后,与本领域的专家进行了研究。结论:数据挖掘可以用于从收集到的数据中挖掘知识,并确定影响患者病情的因素。因此,该模型可以成功地从症状预测任何患者的疾病状态。
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引用次数: 0
期刊
Medical laboratory sciences
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