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The Physiological, Cognitive, and Developmental Effects of Prenatal Caffeine Consumption on Foetal Pregnancy Outcomes 产前咖啡因摄入对胎儿妊娠结局的生理、认知和发育影响
Prutha H. Patel, Carly Burow
Introduction: Maternal caffeine consumption during pregnancy may confer developmental risk to the foetus due to caffeine’s ability to cross the blood brain barrier (BBB) and blood placental barrier (BPB). This literature review investigated caffeine’s properties and mechanism of passage through the BBB and BPB. The subsequent effects of moderate-to-excessive maternal caffeine consumption (≥ 200mg of caffeine daily) on physical development, cognition, and behaviour were further explored. Methods: The review was conducted using PubMED, NCBI, and Google Scholar, using key terms such as “pregnancy”, “caffeine”, “prenatal”, “adverse effect”, “development”, and “embryo development”. Articles selected were published within the last 15 years (2008-2023) and longitudinal studies, cohort studies, and experimental methods using animal models were included. Results: It was found prenatal caffeine exposure poses a variety of potential consequences for the infant prior to and after delivery. Notably, physical developmental risks include fetal growth restriction, birth defect(s), and changes in neuronal structure and blood flow. Cognitive and behavioural consequences include possible links to externalizing behaviour problems, decreased intelligence quotient (IQ), attentive deficit and hyperactivity disorder (ADHD), and autism spectrum disorder (ASD) during childhood. Discussion: This research is primarily restricted to animal models and cohort studies. Moroever, there were several conflicting conclusions surrounding behavioural and cognitive effects of prenatal caffeine exposure. This drives inquiry into how further research can both solidify causal relationships and be conducted ethically to help inform parents about the potential risks of prenatal caffeine exposure. Conclusion: With a global trend of increasing caffeine consumption, through coffee, black tea, and recently, matcha, this review provided insight into this ever-growing aspect of our lifestyles. It is paramount to understand the effect of caffeine on foetuses to promote safe and healthy pregnancy outcomes.
孕妇在怀孕期间摄入咖啡因可能会给胎儿带来发育风险,因为咖啡因能够穿过血脑屏障(BBB)和血胎盘屏障(BPB)。本文综述了咖啡因在血脑屏障和血脑屏障中的特性和作用机制。随后,研究人员进一步探讨了母亲中度至过量咖啡因摄入(每日咖啡因摄入量≥200mg)对身体发育、认知和行为的影响。方法:使用PubMED、NCBI和Google Scholar进行综述,关键词为“妊娠”、“咖啡因”、“产前”、“不良影响”、“发育”和“胚胎发育”。入选的文章发表于最近15年(2008-2023年),包括纵向研究、队列研究和动物模型实验方法。结果:发现产前咖啡因暴露会对婴儿在分娩前后造成各种潜在后果。值得注意的是,身体发育风险包括胎儿生长受限、出生缺陷、神经元结构和血流的变化。认知和行为后果包括可能与外化行为问题、智商(IQ)下降、注意力缺陷和多动障碍(ADHD)以及儿童时期的自闭症谱系障碍(ASD)有关。讨论:本研究主要局限于动物模型和队列研究。此外,关于产前咖啡因暴露对行为和认知的影响,有几个相互矛盾的结论。这促使人们探究如何进一步研究既能巩固因果关系,又能在道德上进行,以帮助父母了解产前咖啡因暴露的潜在风险。结论:随着咖啡、红茶以及最近的抹茶等咖啡因消费在全球范围内的增加,这一综述为我们的生活方式日益增长的这一方面提供了深入的见解。了解咖啡因对胎儿的影响以促进安全和健康的妊娠结局是至关重要的。
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引用次数: 0
Comparing The Effects of Plant-Based Diets and Western Diets on Cardiovascular Disease Risk Factors: A Review 比较植物性饮食和西方饮食对心血管疾病危险因素的影响:综述
Alecco Philippi, Reem Al-Rawi
Introduction: Dietary interventions are modifiable risk factors for cardiovascular diseases (CVDs). In particular, the plant-based diet (PBD), characterized by a higher intake of plant-based foods, has been associated with lower CVD risk. In contrast, the western diet (WD), containing higher intakes of processed and animal products, has been associated with increased CVD risk. This review compares the effects of PBDs and WDs on CVD risk factors including blood pressure (BP), low-density lipoprotein (LDL), and triglycerides. Methods: A database search was performed in PubMed and Embase (search terms: (“plant-based diet” OR “western diet”) AND “cardiovascular disease” AND (“blood pressure” OR “low-density lipoprotein”)). Articles were checked for eligibility and excluded if they did not meet the inclusion criteria. A total of seven articles were included in the review. Results: Of the seven studies, four evaluated BP, five analyzed LDL, and four investigated triglyceride levels. Following a PBD, three studies reported a significant decrease in BP, while one determined no significant changes in BP. Additionally, three studies indicated decreased LDL levels. On the other hand, while following a WD, one study indicated increased BP, another showed increased triglyceride levels and two demonstrated increased LDL levels. Discussion: Three mechanism of action theories may be used to explain the lowering effect PBD have on BP, LDL levels, and triglycerides. I) The overall lower fat intake in PBDs lowers saturated and trans-fats. II) The modest presence of phytosterols in PBDs provides a cholesterol-lowering effect. III) The higher content of soluble fibres in PBDs lower BP and LDL cholesterol. In contrast, WD are high in saturated fats and trans-fats, resulting in greater LDL levels. WDs are also high in sodium, increasing water retention and thus BP. Conclusion: The review highlights the potential benefits of PBDs and the harmful effects of WDs on CVD risk factors. Findings of this review suggest a shift towards PBDs may be beneficial in interventions aimed at reducing CVD risk factors. However, studies with larger sample sizes and longer intervention durations are needed to fully understand the relationship between diet and CVD risk factors.
饮食干预是心血管疾病(cvd)可改变的危险因素。特别是植物性饮食(PBD),其特点是摄入更多的植物性食物,与较低的心血管疾病风险有关。相比之下,西方饮食(WD)含有较高的加工食品和动物产品摄入量,与心血管疾病风险增加有关。这篇综述比较了PBDs和WDs对CVD危险因素的影响,包括血压(BP)、低密度脂蛋白(LDL)和甘油三酯。方法:在PubMed和Embase中进行数据库检索(检索词:(“植物性饮食”或“西式饮食”)和“心血管疾病”和(“血压”或“低密度脂蛋白”))。对不符合纳入标准的文章进行资格检查并排除。本综述共纳入7篇文章。结果:在7项研究中,4项评估血压,5项分析LDL, 4项调查甘油三酯水平。在PBD后,三项研究报告血压显著下降,而一项研究确定血压无显著变化。此外,三项研究表明LDL水平降低。另一方面,在WD之后,一项研究表明血压升高,另一项研究表明甘油三酯水平升高,两项研究表明低密度脂蛋白水平升高。讨论:三种作用机制理论可用于解释PBD对血压、低密度脂蛋白水平和甘油三酯的降低作用。1) pbd总体上较低的脂肪摄入量降低了饱和脂肪和反式脂肪。II) pbd中适度存在的植物甾醇具有降低胆固醇的作用。可溶性纤维含量越高,血压和低密度脂蛋白胆固醇含量越低。相反,WD富含饱和脂肪和反式脂肪,导致LDL水平升高。WDs的钠含量也很高,增加了水潴留,从而增加了血压。结论:本综述强调了多溴联苯的潜在益处以及多溴联苯对心血管疾病危险因素的有害影响。本综述的研究结果表明,转向多溴代化合物可能有利于减少心血管疾病危险因素的干预措施。然而,需要更大样本量和更长的干预持续时间的研究来充分了解饮食与心血管疾病危险因素之间的关系。
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引用次数: 0
The Role of Machine Learning in Predicting the Onset and Progression of Neuropathic Pain After Spinal Cord Injury: A Literature Review 机器学习在预测脊髓损伤后神经性疼痛的发生和进展中的作用:文献综述
Aparna Kumar
Introduction: Developing a diagnostic tool that can determine whether a patient will develop neuropathic pain following a spinal cord injury can aid clinicians in treatment procedures and improve patient outcomes. Developing new detection technology can take years, thus finding a way to use existing diagnostic tools would be optimal. Machine learning can be leveraged to incorporate existing data and classify patient outcomes when there are obvious patterns for classification. Methods: A review of full reports published in English was conducted through PubMed. The relevant keywords used in this search included “neuropathic pain”, “spinal cord injury”, machine learning, and “predict” among others. Eight relevant citations were retrieved and reviewed. Results: A decision tree regressor model using clinical measures for neuropathic pain and level of spinal cord injury found that BMI and anxiety scores were the most influential variables in predicting outcomes. A similar tree for functional magnetic resonance imaging (fMRI) data found ventral and dorsal tissue bridges to be predictors of neuropathic pain. Another fMRI study pointed to a strong correlation between changes in perioperative blood oxygen levels at the ipsilateral frontal lobe and neuropathic pain outcomes. Magnetic resonance spectroscopy (MRS) implicated a lower glutamate-glutamine/myoinositol ratio in high neuropathic pain. Various machine learning algorithms were evaluated in building an EEG classifier in two separate studies, and classification accuracies greater than 80% were reached in both. A classifier built using positron emission tomography data attained classification accuracies of 87.5%. Discussion: The most common machine learning algorithm used in building classifiers was support vector machines, linear discriminant analysis and neural net. Regression trees were also used, but they were used to elucidate the variables influencing predictions. Each study has its limitations, either due to limitations of the study method, classification method or data type. Conclusion: There exist many methods to study neuropathic pain and spinal cord injury and each method provides different information regarding the mechanism of pain, influential variables, and physiological changes that occur with pain. Classification can be done using any of these methods to achieve acceptable accuracies, but these accuracies are not enough for a clinical prognostic classifier.
开发一种诊断工具,可以确定患者在脊髓损伤后是否会出现神经性疼痛,这可以帮助临床医生进行治疗程序并改善患者的预后。开发新的检测技术可能需要数年时间,因此找到一种使用现有诊断工具的方法将是最佳选择。当有明显的分类模式时,可以利用机器学习来合并现有数据并对患者的结果进行分类。方法:通过PubMed检索已发表的英文报告全文。搜索中使用的相关关键词包括“神经性疼痛”、“脊髓损伤”、机器学习和“预测”等。检索并审查了8篇相关引文。结果:使用神经性疼痛和脊髓损伤水平的临床测量的决策树回归模型发现,BMI和焦虑评分是预测结果的最具影响力的变量。类似的功能性磁共振成像(fMRI)数据树发现腹侧和背侧组织桥是神经性疼痛的预测因子。另一项功能磁共振成像研究指出,同侧额叶围手术期血氧水平的变化与神经性疼痛结果之间存在很强的相关性。磁共振波谱(MRS)提示高神经性疼痛患者谷氨酸-谷氨酰胺/肌醇比例较低。在两项独立的研究中,评估了各种机器学习算法在构建脑电分类器中的作用,两项研究的分类准确率均大于80%。利用正电子发射层析成像数据构建的分类器分类准确率达到87.5%。讨论:在构建分类器中最常用的机器学习算法是支持向量机、线性判别分析和神经网络。回归树也被使用,但它们被用来阐明影响预测的变量。由于研究方法、分类方法或数据类型的限制,每一项研究都有其局限性。结论:研究神经性疼痛和脊髓损伤的方法有很多,每种方法对疼痛的机制、影响因素和疼痛发生的生理变化提供了不同的信息。分类可以使用这些方法中的任何一种来达到可接受的准确性,但这些准确性对于临床预后分类器来说是不够的。
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引用次数: 0
Psilocybin Therapy for Major Depressive Disorder: A Systematic Review 裸盖菇素治疗重度抑郁症:系统综述
Kaden Venugopal
Introduction: Major depressive disorder (MDD) is a prevalent and complex mood disorder. Its psychotherapies often involve delayed treatment-response times, while its pharmacotherapies can cause unwanted side effects. In recent years, there has been a resurgence in psychedelic research with a specific interest in the potential of psilocybin for treating MDD. Therefore, this systematic review was performed to evaluate the effectiveness of psilocybin therapy at moderate (15±5 mg/70 kg) to high (25 ± 5 mg/70 kg) doses in the psychiatric treatment of MDD. Methods: The review included a literature search using PubMed (Medline), SCOPUS, Web of Science, and Medline (Ovid) databases from January 1, 2013, to February 28, 2023. Seven studies were included following the inclusion and exclusion criteria (e.g., moderate to high dosing psilocybin treatment, peer-reviewed, moderate to severe depression, control/delayed treatment groups, and non-directive therapy during psilocybin sessions). Studies were excluded using PRISMA guidelines and appraised using the Critical Appraisal Skills Programme checklists. Results: The primary outcomes assessed included changes in depression scores on validated diagnostic tools and secondary outcomes that supported depression remission (e.g., improved well-being and rumination scores, and decreased anxiety scores). Psilocybin was found to reduce depression symptoms in moderate single-dose contexts and have minimal reported side effects at high doses. A positive relationship was observed between the quality of psilocybin-induced experiences and the reduction in depressive symptoms. Additionally, a dose-response relationship was found between moderate (15±5 mg/70 kg) and high-dose psilocybin (25 ± 5 mg/70 kg), with greater improvements generally seen in higher dose conditions. Discussion: This review suggests that psilocybin can be an effective treatment option for MDD. Psilocybin shows meaningful improvements in depression scores with the potential to treat psychiatric conditions concurrent to depression. The non-directive therapy approach during high-dose sessions enabled unique psychedelic and personal experiences, potentially allowing more profound and individualized therapy. Reported side effects were minimal, and suggestions for future studies are provided. Conclusion: Psilocybin therapy was found to reduce depression levels and improve secondary outcomes that support depression remission, indicating efficacy for MDD and other depressive conditions. Despite seeming promising, further research is required before introducing PAP options to mainstream clinical practice.
重度抑郁障碍(MDD)是一种普遍而复杂的情绪障碍。它的心理治疗通常涉及延迟治疗反应时间,而它的药物治疗可能会导致不必要的副作用。近年来,迷幻药研究有了复苏,对裸盖菇素治疗重度抑郁症的潜力有了特别的兴趣。因此,本系统综述旨在评估中剂量(15±5 mg/70 kg)至高剂量(25±5 mg/70 kg)裸盖菇素治疗重度抑郁症的有效性。方法:检索PubMed (Medline)、SCOPUS、Web of Science和Medline (Ovid)数据库2013年1月1日至2023年2月28日的文献。按照纳入和排除标准(例如,中剂量至高剂量裸盖菇素治疗,同行评议,中度至重度抑郁症,控制/延迟治疗组,以及裸盖菇素治疗期间的非指导性治疗)纳入了7项研究。使用PRISMA指南排除研究,并使用关键评估技能计划清单进行评估。结果:评估的主要结果包括经过验证的诊断工具的抑郁评分的变化,以及支持抑郁缓解的次要结果(例如,改善的幸福感和反思得分,以及减少的焦虑得分)。发现裸盖菇素在中等单剂量情况下可以减轻抑郁症状,并且在高剂量下报告的副作用最小。观察到裸盖菇碱诱导的体验质量与抑郁症状的减轻之间存在正相关关系。此外,在中等剂量(15±5 mg/70 kg)和高剂量(25±5 mg/70 kg)裸盖菇素之间发现了剂量-反应关系,通常在高剂量条件下有更大的改善。讨论:本综述提示裸盖菇素可能是重度抑郁症的有效治疗选择。裸盖菇素在抑郁症评分中显示出有意义的改善,具有治疗抑郁症并发精神疾病的潜力。在高剂量治疗期间,非指导性治疗方法使独特的迷幻和个人体验成为可能,允许更深刻和个性化的治疗。报告的副作用很小,并为未来的研究提供了建议。结论:裸盖菇素治疗可降低抑郁水平,改善次要结局,支持抑郁缓解,表明对重度抑郁症和其他抑郁状况有效。尽管看起来很有希望,但在将PAP引入主流临床实践之前,还需要进一步的研究。
{"title":"Psilocybin Therapy for Major Depressive Disorder: A Systematic Review","authors":"Kaden Venugopal","doi":"10.26685/urncst.489","DOIUrl":"https://doi.org/10.26685/urncst.489","url":null,"abstract":"Introduction: Major depressive disorder (MDD) is a prevalent and complex mood disorder. Its psychotherapies often involve delayed treatment-response times, while its pharmacotherapies can cause unwanted side effects. In recent years, there has been a resurgence in psychedelic research with a specific interest in the potential of psilocybin for treating MDD. Therefore, this systematic review was performed to evaluate the effectiveness of psilocybin therapy at moderate (15±5 mg/70 kg) to high (25 ± 5 mg/70 kg) doses in the psychiatric treatment of MDD. Methods: The review included a literature search using PubMed (Medline), SCOPUS, Web of Science, and Medline (Ovid) databases from January 1, 2013, to February 28, 2023. Seven studies were included following the inclusion and exclusion criteria (e.g., moderate to high dosing psilocybin treatment, peer-reviewed, moderate to severe depression, control/delayed treatment groups, and non-directive therapy during psilocybin sessions). Studies were excluded using PRISMA guidelines and appraised using the Critical Appraisal Skills Programme checklists. Results: The primary outcomes assessed included changes in depression scores on validated diagnostic tools and secondary outcomes that supported depression remission (e.g., improved well-being and rumination scores, and decreased anxiety scores). Psilocybin was found to reduce depression symptoms in moderate single-dose contexts and have minimal reported side effects at high doses. A positive relationship was observed between the quality of psilocybin-induced experiences and the reduction in depressive symptoms. Additionally, a dose-response relationship was found between moderate (15±5 mg/70 kg) and high-dose psilocybin (25 ± 5 mg/70 kg), with greater improvements generally seen in higher dose conditions. Discussion: This review suggests that psilocybin can be an effective treatment option for MDD. Psilocybin shows meaningful improvements in depression scores with the potential to treat psychiatric conditions concurrent to depression. The non-directive therapy approach during high-dose sessions enabled unique psychedelic and personal experiences, potentially allowing more profound and individualized therapy. Reported side effects were minimal, and suggestions for future studies are provided. Conclusion: Psilocybin therapy was found to reduce depression levels and improve secondary outcomes that support depression remission, indicating efficacy for MDD and other depressive conditions. Despite seeming promising, further research is required before introducing PAP options to mainstream clinical practice.","PeriodicalId":245521,"journal":{"name":"Undergraduate Research in Natural and Clinical Science and Technology (URNCST) Journal","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132557702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Optimizing Lectin Staining Methodology to Assess Glycocalyx Composition of Legionella-Infected Cells 优化凝集素染色法评估军团菌感染细胞糖萼组成
Sajani S. Kothari, R. Heineman, R. Harrison
Introduction: Legionella is a gram-negative bacterium that replicates intracellularly within macrophages. Legionella utilizes effector proteins to hijack ER-Golgi vesicle trafficking to sustain proliferation in its intracellular niche. Legionella has a considerable influence on O-glycosylation but not N-glycosylation events in the Golgi of infected cells. This research aims to optimize the use of fluorescent lectins, which are proteins that bind carbohydrates, to effectively label host-cell glycocalyx during Legionella infection. Methods: Epifluorescence imaging or flow cytometry were used to optimize the lectin staining methodology. We noted that the most effective conditions for lectin-labeling were when live HeLa cells were incubated with lectins diluted in Hank’s balanced salt solution (HBSS) with 3% Bovine serum albumin (BSA) for 10-30 minutes at 4 °C. Results: Incubating suspended cells with lectins necessitated smaller lectin concentrations, whereas lectin labeling of adherent cells required considerably larger concentrations. Wheat germ agglutinin (WGA) lectin mean fluorescence intensity (MFI) was concentration-dependent, but Concanavalin A (ConA) and Maclura pomifera (MPA) MFIs did not alter substantially with increasing lectin concentrations. Discussion: The optimal lectin concentration required was lectin-specific and based on whether the lectin fluorescence was assessed using flow cytometry or epifluorescence. Furthermore, the use of phosphate-buffered saline (PBS) for lectin dilution, cell permeabilization for intracellular labelling, and incubation of lectins in fixed cells reduced productive labelling of lectins on cell surfaces because it inhibited the lectin's ability to effectively bind the associated carbohydrate structure. Conclusion: Further research using diverse lectins on U937 macrophages is necessary to reach a definitive conclusion on the effect of Legionella on the overall host-cell glycocalyx composition during infection of these relevant immune cells.
军团菌是一种革兰氏阴性菌,在巨噬细胞内细胞内复制。军团菌利用效应蛋白劫持er -高尔基囊泡运输以维持其细胞内生态位的增殖。军团菌对感染细胞的o -糖基化事件有相当大的影响,而对n -糖基化事件没有影响。本研究旨在优化荧光凝集素的使用,荧光凝集素是一种结合碳水化合物的蛋白质,在军团菌感染期间有效标记宿主细胞糖萼。方法:采用荧光显像或流式细胞术优化凝集素染色方法。我们注意到,凝集素标记的最有效条件是将活的HeLa细胞与凝集素一起在含有3%牛血清白蛋白(BSA)的汉克平衡盐溶液(HBSS)中稀释,在4°C下孵育10-30分钟。结果:用凝集素培养悬浮细胞需要较小的凝集素浓度,而贴壁细胞的凝集素标记需要相当大的浓度。小麦胚芽凝集素(WGA)凝集素的平均荧光强度(MFI)与凝集素浓度有关,而魔豆蛋白A (ConA)和黑麦(MPA)的平均荧光强度不随凝集素浓度的增加而发生显著变化。讨论:所需的最佳凝集素浓度是凝集素特异性的,并基于是否使用流式细胞术或epifluorescence来评估凝集素荧光。此外,使用磷酸盐缓冲盐水(PBS)进行凝集素稀释,细胞渗透进行细胞内标记,以及在固定细胞中孵育凝集素,减少了凝集素在细胞表面的生产性标记,因为它抑制了凝集素有效结合相关碳水化合物结构的能力。结论:军团菌感染U937巨噬细胞时对宿主细胞糖萼组成的影响尚需进一步研究。
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引用次数: 0
2022-2023 Multidisciplinary Health Research Experience (MHRE) Research Pitch Competition 2022-2023年多学科卫生研究经验(MHRE)研究竞赛
Toby Le, Jasmine Frost, Katharine Manas
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引用次数: 0
The University of Ottawa Healthcare Symposium (UOHS) 2023 Pitch-O-Rama: Undergraduate Elevator Pitch Research Competition 渥太华大学医疗保健研讨会(UOHS)2023 Pitch-O-Rama:本科生电梯演讲研究竞赛
Aws Almir Ahmad, Arpana Wadhwani, Tiffany Yang, Moatter Syed
The University of Ottawa Healthcare Symposium (UOHS) is an annual one-day undergraduate health conference focused on promoting interdisciplinary awareness in the field of health. Through seminars, interactive panel discussions, and a research-based elevator pitch competition, UOHS aims to engage students and foster their interest in healthcare. Founded twelve years ago by undergraduate students, UOHS has grown to become the University of Ottawa's largest healthcare conference, exemplifying its significance and impact. At the heart of UOHS is the renowned Pitch-O-Rama event, held during a seminar block, where participants have the opportunity to deliver clear and engaging elevator pitches on their healthcare-related research to an audience and panel of judges. The primary objective of the Pitch-O-Rama is to encourage students to effectively communicate and share their scientific research with the wider community. In this abstract book, we proudly present the written submissions of the top five participants, highlighting their outstanding contributions and showcasing their ability to articulate the significance of their research. For additional details about UOHS, please visit our website: https://www.uohs-csuo.com/.
渥太华大学医疗保健研讨会(UOHS)是一年一度的本科生医疗保健会议,为期一天,重点是促进医疗保健领域的跨学科意识。通过研讨会、互动小组讨论和基于研究的电梯演讲比赛,渥太华大学医疗保健研讨会旨在吸引学生参与,培养他们对医疗保健的兴趣。十二年前,渥太华大学健康与医疗大会由本科生创立,如今已发展成为渥太华大学最大的健康与医疗大会,充分体现了其重要性和影响力。Pitch-O-Rama 活动是渥太华大学医疗保健会议的核心,该活动在研讨会期间举行,与会者有机会就自己的医疗保健相关研究向观众和评委进行清晰、引人入胜的演讲。Pitch-O-Rama 的主要目的是鼓励学生有效地与更广泛的社区交流和分享他们的科研成果。在这本摘要中,我们隆重介绍了前五名参赛者提交的书面材料,突出了他们的杰出贡献,并展示了他们阐述其研究意义的能力。如需了解有关 UOHS 的更多详情,请访问我们的网站:https://www.uohs-csuo.com/。
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引用次数: 0
Regulation of MicroRNA Expression in Scleroderma and Idiopathic Pulmonary Fibrosis: A Research Study MicroRNA在硬皮病和特发性肺纤维化中的表达调控研究
Raveen Badyal, B. Whalen, G. Singhera, B. Sahin, K. J. Keen, C. Ryerson, Pearce Wilcox, J. Dunne
Introduction: Scleroderma (SSc) is an autoimmune disorder with the hallmark of fibrosis of the skin, vasculature and internal organs. Patients with SSc and undifferentiated connective tissue disease (UCTD) are susceptible to interstitial lung disease (ILD), leading to decreased lung function and death. Idiopathic pulmonary fibrosis (IPF) is a form of ILD that is not associated with extrapulmonary manifestations. In this study, lung involvement of SSc was studied by observing how disease progression and pathogenesis differ among patients with SSc, UCTD, and ILD compared to healthy controls and patients with IPF. Our group has previously identified disease targets through microRNA sequencing, including the DICER enzyme, which works closely with the protein DGCR8 and the enzyme DROSHA in the RNA interference pathway. The canonical pathway stipulates that DICER processes microRNAs in the cytosol while DGCR8 and DROSHA process microRNAs in the nucleus. DICER, DROSHA, and DGCR8 are hypothesized to contribute to ILD progression. Methods: Human peripheral blood mononuclear cells (PBMCs) were isolated from voluntary participants, including healthy controls. PBMCs were subsequently lysed with subcellular fractionation buffer. Western blotting was done on the resulting cytosolic and nucleic fractions for DICER, DROSHA, and DGCR8 protein expression. The cytosolic fractions were normalized to GAPDH, while the nucleic fractions were normalized to B2M. Nonparametric Kruskal‐Wallis tests were used for statistical analysis. Results: The medians were significantly higher for healthy controls for DICER in the nucleus with a p-value of 0.0302, and DROSHA in the cytosol with a p-value of 0.0406 compared to patients with SSc, UCTD, and IPF. Discussion: Differences in expression were found for DROSHA in the cytosol and DICER in the nucleus, suggesting dysregulation of the non-canonical RNA interference pathways in SSc, UCTD, and IPF patients. Variability of disease progression within the groups could lead to variable enzyme and protein levels within the same disease status. With larger sample sizes, statistically insignificant differences would become significant. Lipid nanoparticle technology could be used to deliver deficient microRNAs to silence mRNA in patients. Conclusion: Due to dysregulation of the RNA interference pathway, microRNAs may be inadequately processed in the patient groups.
简介:硬皮病(SSc)是一种以皮肤、血管和内脏纤维化为特征的自身免疫性疾病。伴有SSc和未分化结缔组织病(UCTD)的患者易患间质性肺疾病(ILD),导致肺功能下降和死亡。特发性肺纤维化(IPF)是一种与肺外表现无关的ILD。在这项研究中,通过观察SSc、UCTD和ILD患者与健康对照组和IPF患者的疾病进展和发病机制的差异,研究了SSc对肺部的影响。我们的团队之前已经通过microRNA测序确定了疾病靶点,包括DICER酶,它在RNA干扰途径中与蛋白DGCR8和酶DROSHA密切合作。典型途径规定DICER在细胞质中加工microrna,而DGCR8和DROSHA在细胞核中加工microrna。DICER、DROSHA和DGCR8被推测有助于ILD的进展。方法:从自愿受试者(包括健康对照)中分离人外周血单个核细胞(pbmc)。随后用亚细胞分离缓冲液裂解pbmc。对所得细胞质和核酸组分进行Western blot检测DICER、DROSHA和DGCR8蛋白的表达。细胞质部分归一化为GAPDH,细胞核部分归一化为B2M。采用非参数Kruskal - Wallis检验进行统计分析。结果:与SSc、UCTD和IPF患者相比,健康对照组中细胞核DICER的p值为0.0302,细胞质中DROSHA的p值为0.0406。讨论:细胞质中DROSHA和细胞核中DICER的表达存在差异,提示SSc、UCTD和IPF患者的非规范RNA干扰通路失调。组内疾病进展的可变性可能导致相同疾病状态下不同的酶和蛋白质水平。样本量越大,统计上不显著的差异就会变得显著。脂质纳米颗粒技术可用于递送有缺陷的microrna以沉默患者的mRNA。结论:由于RNA干扰通路的失调,在患者组中可能存在microrna加工不足的情况。
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引用次数: 0
“A Bias Recognized is A Bias Sterilized”: A Literature Review on How Biased Datasets Have Led to the Long-standing Misdiagnosing of People of Color (POC) and Female Patients “认识到偏见就是消除偏见”:关于偏见数据集如何导致有色人种(POC)和女性患者长期误诊的文献综述
Shreerachita Satish, Zoya Pal
Introduction: Health disparities disproportionately impact minority group patients. Various factors perpetuate health inequity, including socioeconomic status, prejudice and discrimination. Historically, sample biases favoring White males in healthcare literature have led to the underrepresentation of certain groups in scientific literature, particularly people of color (POC) and female populations. Many revolutionary studies in healthcare research have used biased samples, which challenges their generalizability to POC and female populations. This review explores the mechanisms by which these gaps in the literature have led to the misdiagnoses of POC and female patients in psychiatric and biomedical settings. Methods: A comprehensive literature review was conducted to investigate: (1) misrepresentation of minority groups in literature, (2) variation in the symptomatology and etiology of disorders and diseases in female and POC populations; and (3) biases within accepted diagnostic measures and criteria. Electronic databases such as PubMed, PsychINFO and Google Scholar were used to search key terms including ‘health inequity’, ‘cross-cultural validity’, ‘racial disparities’, ‘sex disparities’, ‘diagnostic delays’, ‘misdiagnosis’, ‘clinical heterogeneity’. Results: Eighty-seven studies were examined, and 38 studies were included in the review. Findings suggest that misclassification of group membership, poor conceptualizations of minority identities, inadequate understanding of symptomatology variation, exclusion of social context, lack of culturally sensitive approaches, biased diagnostic tools and an absence of diverse samples in historical datasets have resulted in a harmful deficit in minority representation within medical literature. Discussion: Bias in healthcare literature has led to the systematic underrepresentation of minority populations in medical research and contributes to the misdiagnosis and subsequent health inequities within these groups. Present findings emphasize the necessity to regard past health research with reasonable skepticism and a call for prioritization of inclusive and diverse research. Conclusion: This review sheds light on how to bridge the literature deficit caused by biased research through highlighting how minority populations are differentially impacted within the healthcare field and identifying factors that perpetuate these disparities. Further research on the examined factors must be conducted to develop approaches to mitigate misdiagnosis rates and subsequent health inequities among POC and female patients.
健康差距不成比例地影响少数群体患者。各种因素造成健康不平等,包括社会经济地位、偏见和歧视。从历史上看,医疗文献中偏向白人男性的样本偏见导致某些群体在科学文献中的代表性不足,特别是有色人种(POC)和女性群体。许多医疗保健研究中的革命性研究使用了有偏差的样本,这挑战了它们对POC和女性人群的普遍性。这篇综述探讨了在精神病学和生物医学环境中,这些文献空白导致POC和女性患者误诊的机制。方法:通过全面的文献回顾,调查:(1)文献中对少数民族的错误描述;(2)女性和POC人群的疾病和疾病的症状学和病因学差异;(3)在公认的诊断措施和标准中的偏差。研究人员使用PubMed、PsychINFO和Google Scholar等电子数据库来搜索关键词,包括“健康不平等”、“跨文化有效性”、“种族差异”、“性别差异”、“诊断延迟”、“误诊”、“临床异质性”。结果:87项研究被检查,38项研究被纳入综述。研究结果表明,对群体成员的错误分类、对少数群体身份的概念化不佳、对症状变化的理解不足、排除社会背景、缺乏文化敏感的方法、有偏见的诊断工具以及历史数据集中缺乏不同的样本,这些都导致了医学文献中少数群体代表性的有害缺陷。讨论:医疗文献的偏见导致了医学研究中少数民族人口的系统性代表性不足,并导致了这些群体的误诊和随后的卫生不平等。目前的研究结果强调有必要以合理的怀疑态度看待过去的健康研究,并呼吁优先考虑包容性和多样化的研究。结论:这篇综述揭示了如何通过强调少数民族人群在医疗保健领域的差异影响以及确定使这些差异持续存在的因素来弥补有偏见的研究造成的文献不足。必须对所检查的因素进行进一步研究,以制定方法,减少POC和女性患者的误诊率和随后的卫生不平等现象。
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引用次数: 0
Comparison of the Mechanical and Osseointegrative Performance of Porous Tantalum and Titanium for Acetabular Implantation in Total Hip Arthroplasty: A Literature Review 全髋关节置换术中多孔钽与多孔钛髋臼植入材料的力学与骨整合性能比较:文献综述
Margaret S. Juryn
Introduction: Stability of the acetabular component is a critical factor in the success of primary and revision total hip arthroplasty (THA) procedures. As such, the identification of implant surface characteristics that maximize stability of the acetabular cup is an important research objective. While titanium has historically been the most commonly used implant material, the proportion of THA procedures utilizing porous tantalum (PTa) implants has increased in recent years. The objective of this review is to examine the comparative mechanical and osseointegrative performance of PTa and porous titanium (PTi) and interpret these results in the context of primary and secondary stability of acetabular implants in THA, as characterized by strength of initial mechanical attachment and successful interlocking at the bone-implant interface, respectively. Methods: A literature search using a predetermined protocol and inclusion criteria yielded 7 articles presenting results of comparative testing of mechanical performance or osseointegration of PTa and PTi in the context of THA. Results: Neither PTa nor PTi presented consistently superior results in mechanical tests designed to correlate to primary stability at the metallo-biological surface nor in measures of osseointegration intended to represent secondary stability in THA. Discussion: In comparing PTa and PTi, it appears that the characteristics of the implant coating's pores may have a more significant impact on factors affecting the stability of an acetabular cup implant than the metal selected. However, determining the ideal pore morphology for this application is complex; pore characteristics that would suggest mechanical compatibility may conflict with those that would encourage more effective osseointegration. Conclusion: When extrapolated to be indicators of hypothetical clinical success, the results of this review are consistent with those of recently released macro-analyses of clinical outcomes: PTa and PTi acetabular cups, as they are currently manufactured, produce clinically equivalent outcomes. In the development and comparison of coating options, pore morphology and its complex effects on stability must be adequately accounted for; only then can we reach a faithful conclusion regarding the ideal porous adhesion surface for acetabular implant in THA.
前言:髋臼假体的稳定性是初次和翻修全髋关节置换术成功的关键因素。因此,确定种植体表面特征,最大限度地提高髋臼杯的稳定性是一个重要的研究目标。虽然钛历来是最常用的植入材料,但近年来使用多孔钽(PTa)植入物的THA手术比例有所增加。本综述的目的是比较PTa和多孔钛(PTi)的力学和骨整合性能,并在髋关节置换术中髋臼植入物的初级和次级稳定性的背景下解释这些结果,其特征分别是初始机械附着强度和骨-植入物界面的成功联锁。方法:使用预先确定的方案和纳入标准进行文献检索,获得7篇文章,介绍了THA背景下PTa和PTi的机械性能或骨整合的比较测试结果。结果:无论是PTa还是PTi,在与金属生物表面的初级稳定性相关的机械测试中,还是在旨在代表THA的二级稳定性的骨整合测量中,都没有表现出一贯的优越结果。讨论:在PTa和PTi的比较中,我们发现与所选择的金属相比,植入物涂层孔隙的特性可能对髋臼杯植入物稳定性的影响因素更为显著。然而,确定这种应用的理想孔隙形态是复杂的;表明机械相容性的孔隙特征可能与那些促进更有效骨整合的孔隙特征相冲突。结论:当外推作为假设临床成功的指标时,本综述的结果与最近发布的临床结果的宏观分析结果一致:PTa和PTi髋臼杯,就其目前的生产而言,产生了临床等效的结果。在开发和比较涂层选择时,必须充分考虑孔隙形态及其对稳定性的复杂影响;只有这样,我们才能得出髋关节置换术中理想的多孔附着面。
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引用次数: 0
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Undergraduate Research in Natural and Clinical Science and Technology (URNCST) Journal
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