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Kinetic changes of gait initiation in individuals with chronic ankle instability: A systematic review 慢性踝关节不稳患者步态启动的动力学变化:系统综述。
IF 2.1 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-10-30 DOI: 10.1002/hsr2.70143
Marzieh Mortezanejad, Aliyeh Daryabor, Zahra Ebrahimabadi, Abbas Rahimi, Mohammad Yousefi, Fatemeh Ehsani, Ali Maleki

Background and Aims

Gait initiation (GI) in individuals with chronic ankle instability (CAI) has shown differences in the center of pressure (COP) and muscular measures compared to healthy controls. Some studies reported that these alterations appeared when GI was with the affected leg, while others indicated that they occurred when GI was with the non-affected leg. This systematic review aimed to understand kinetic and muscular differences between individuals with CAI, healthy controls, and the affected and non-affected legs of individuals with CAI.

Methods

PubMed, Science Direct, Web of Science, Google Scholar, and Scopus databases (1990–2023) were searched using the Population, Exposure, Comparator, and Outcome measure. The PRISMA guidelines were followed. The outcome measures were the peak and rate of COP displacement in the medial-lateral and anterior-posterior directions, and resultant plane during phases 1, 2, and 3 of COP trace during GI and the duration of each phase. The other measures included the onset time of the tibialis anterior and soleus muscle activity between individuals with CAI, healthy controls, and the affected and non-affected legs of the individuals with CAI. The studies' quality assessment was conducted based on the Strengthening the Reporting of Observational Studies in Epidemiology checklist.

Results

Five studies were included in the final evaluation. The results of included studies showed, individuals with CAI spent less time during phases 1 and 2, as well as a shorter peak of COP displacement in the lateral direction during phase 1 compared to healthy controls, regardless of whether the GI was with the affected or non-affected leg.

Conclusion

Individuals with CAI have probably adopted a strategy involving adjusting the peak of COP displacement to manage internal sway while in a single-leg stance. Overall, there was no comprehensive conclusion about differences between the two legs in individuals with CAI.

背景和目的:与健康对照组相比,慢性踝关节不稳定(CAI)患者的步态启动(GI)在压力中心(COP)和肌肉测量方面存在差异。一些研究报告称,这些变化出现在用受影响的腿开始步态启动时,而另一些研究则指出,这些变化出现在用未受影响的腿开始步态启动时。本系统综述旨在了解 CAI 患者、健康对照组以及 CAI 患者的患肢和非患肢之间的运动和肌肉差异:方法:使用 "人群"、"暴露"、"参照物 "和 "结果 "指标对 PubMed、Science Direct、Web of Science、Google Scholar 和 Scopus 数据库(1990-2023 年)进行了检索。研究遵循了 PRISMA 指南。结果测量指标为胃肠道手术中 COP 追踪第 1、2 和 3 阶段的内外侧和前后方向 COP 位移的峰值和速率以及结果平面,以及每个阶段的持续时间。其他测量指标包括 CAI 患者、健康对照组以及 CAI 患者患肢和非患肢之间胫骨前肌和比目鱼肌活动的开始时间。研究的质量评估是根据流行病学观察性研究加强报告清单进行的:最终评估纳入了五项研究。纳入研究的结果表明,与健康对照组相比,CAI 患者在第一和第二阶段花费的时间较少,第一阶段 COP 向外侧位移的峰值也较短,无论 GI 使用的是患肢还是非患肢:结论:CAI 患者可能采取了一种调整 COP 位移峰值的策略,以控制单腿站立时的内部摇摆。总之,对于 CAI 患者两条腿之间的差异没有全面的结论。
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引用次数: 0
PCSK9 Inhibitors: The Evolving Future PCSK9 抑制剂:不断发展的未来。
IF 2.1 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-10-30 DOI: 10.1002/hsr2.70174
Bijay Mukesh Jeswani, Shubhangi Sharma, Sawai Singh Rathore, Abubakar Nazir, Rohit Bhatheja, Kapil Kapoor

Introduction

PCSK9 inhibitors are a novel class of medications that lower LDL cholesterol (LDL-C) by increasing LDL receptor activity, promoting clearance of LDL-C from the bloodstream. Over the years, PCSK9 inhibitors have been explored as adjunct therapies to statins or as monotherapy in high-risk cardiovascular patients.

Aim

This review aims to provide an updated perspective on PCSK9 inhibitors, assessing their clinical efficacy, safety, and significance, especially in light of recent clinical trials.

Methods

The review examines the role of PCSK9 in cholesterol regulation and summarizes the results of major cardiovascular trials, including FOURIER, SPIRE-1, SPIRE-2, and ODYSSEY Outcomes. It also discusses emerging treatments like small interfering RNA (siRNA) therapies and evaluates PCSK9 inhibitor effects on LDL-C and lipoprotein(a) levels.

Results

Clinical trials have shown PCSK9 inhibitors reduce LDL-C by up to 60%. In the FOURIER trial, evolocumab reduced LDL-C by 59% and major cardiovascular events by 15%–20%. The SPIRE-2 trial, despite early termination, showed a 21% risk reduction in the primary composite endpoint with bococizumab. The ODYSSEY Outcomes trial reported a 57% LDL-C reduction with alirocumab, alongside a 15% reduction in adverse events. Emerging treatments like Inclisiran offer long-term LDL-C control with fewer doses. PCSK9 inhibitors are generally well-tolerated, with the most common side effect being injection site reactions.

Conclusion

PCSK9 inhibitors significantly lower LDL-C and reduce cardiovascular events, offering promising therapies for high-risk patients, including those with familial hypercholesterolemia (FH) and those who cannot tolerate statins. Future research will focus on optimizing these inhibitors, integrating complementary therapies, and exploring gene-editing technologies to improve patient outcomes.

简介:PCSK9抑制剂是一类新型药物,可通过提高低密度脂蛋白受体的活性来降低低密度脂蛋白胆固醇(LDL-C),促进血液中低密度脂蛋白胆固醇的清除。多年来,PCSK9抑制剂一直被视为他汀类药物的辅助疗法或高危心血管患者的单一疗法。目的:本综述旨在提供有关PCSK9抑制剂的最新观点,评估其临床疗效、安全性和意义,尤其是近期的临床试验:本综述探讨了 PCSK9 在胆固醇调节中的作用,并总结了主要心血管试验的结果,包括 FOURIER、SPIRE-1、SPIRE-2 和 ODYSSEY Outcomes。报告还讨论了小干扰 RNA(siRNA)疗法等新兴疗法,并评估了 PCSK9 抑制剂对低密度脂蛋白胆固醇和脂蛋白(a)水平的影响:临床试验表明,PCSK9抑制剂可将低密度脂蛋白胆固醇降低60%。在 FOURIER 试验中,evolocumab 可将 LDL-C 降低 59%,将主要心血管事件降低 15%-20%。SPIRE-2 试验尽管提前终止,但仍显示博柯西单抗可将主要复合终点的风险降低 21%。ODYSSEY结果试验报告显示,阿利珠单抗可使低密度脂蛋白胆固醇降低57%,同时不良事件减少15%。Inclisiran等新出现的治疗方法可以用较少的剂量长期控制低密度脂蛋白胆固醇。PCSK9抑制剂一般耐受性良好,最常见的副作用是注射部位反应:PCSK9抑制剂能明显降低低密度脂蛋白胆固醇,减少心血管事件的发生,为高危患者,包括家族性高胆固醇血症(FH)患者和不能耐受他汀类药物的患者提供了有前景的疗法。未来的研究将侧重于优化这些抑制剂、整合辅助疗法以及探索基因编辑技术,以改善患者的预后。
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引用次数: 0
Cardiovascular Imaging in the Era of Precision Medicine: Insights from Advanced Technologies – A Narrative Review 精准医疗时代的心血管成像:先进技术带来的启示--叙述性综述》。
IF 2.1 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-10-30 DOI: 10.1002/hsr2.70173
Poliana Zanotto Manoel, Innocent Chijioke Dike, Heeba Anis, Nour Yassin, Magda Wojtara, Olivier Uwishema

Background and Aims

Cardiovascular diseases are responsible for a high mortality rate globally. Precision medicine has emerged as an essential tool for improving cardiovascular disease outcomes. In this context, using advanced imaging exams is fundamental in cardiovascular precision medicine, enabling more accurate diagnoses and customized treatments. This review aims to provide a concise review on how advanced cardiovascular imaging supports precision medicine, highlighting its benefits, challenges, and future directions.

Methods

A literature review was carried out using the Pubmed and Google Scholar databases, using search strategies that combined terms such as precision medicine, cardiovascular diseases, and imaging tests.

Results

More advanced analysis aimed at diagnosing and describing cardiovascular diseases in greater detail is made possible by tests such as cardiac computed tomography, cardiac magnetic resonance imaging, and cardiac positron emission tomography. In addition, the aggregation of imaging data with other omics data allows for more personalized treatment and a better description of patient profiles.

Conclusion

The use of advanced imaging tests is essential in cardiovascular precision medicine. Although there are still technical and ethical obstacles, it is essential that there is collaboration between health professionals, as well as investments in technology and education to better disseminate cardiovascular precision medicine and consequently promote improved patient outcomes.

背景和目的:心血管疾病是全球高死亡率的罪魁祸首。精准医疗已成为改善心血管疾病预后的重要工具。在此背景下,使用先进的成像检查是心血管精准医疗的基础,可实现更准确的诊断和定制化治疗。本综述旨在简明扼要地评述先进心血管成像技术如何支持精准医疗,强调其优势、挑战和未来方向:方法:使用 Pubmed 和 Google Scholar 数据库,结合精准医学、心血管疾病和成像测试等术语的搜索策略进行了文献综述:结果:心脏计算机断层扫描、心脏磁共振成像和心脏正电子发射断层扫描等检查手段使旨在更详细地诊断和描述心血管疾病的更先进分析成为可能。此外,将成像数据与其他全息数据整合在一起,可实现更个性化的治疗,并更好地描述患者的特征:结论:在心血管精准医疗中,使用先进的成像测试至关重要。尽管仍存在技术和伦理方面的障碍,但医疗专业人员之间的合作以及对技术和教育的投资对于更好地推广心血管精准医学,从而促进改善患者预后至关重要。
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引用次数: 0
The Candida auris Infection After the COVID-19 Pandemic Seems to be an Urgent Public Health Emergency: A Call to Attention COVID-19 大流行后的念珠菌感染似乎已成为紧急公共卫生事件:呼吁关注
IF 2.1 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-10-29 DOI: 10.1002/hsr2.70160
Md. Ashrafur Rahman, Evangelos Victoros, Yeasna Shanjana, Marie Roke Thomas, Md. Rabiul Islam

Background and Aims

Inconsequential diseases can sometimes become extremely dangerous through mutation. Antifungal resistance has increased by 24%, and resistance only due to Candida auris (C. auris) species have increased by 60%. Here, we aimed to assess the knowledge of antifungal treatment and preventative measures to mitigate the consequences of infections caused by C. auris.

Methods

We performed a comprehensive literature search and gathered information for this review from publicly available published articles. We used C. auris, C. auris infection, mycoses, and antifungal resistance as search terms in Google Scholar, PubMed, and Scopus. We extracted the relevant information from the available article after careful evaluation.

Results

The genus C. auris was especially difficult to diagnose, as it was often mistaken for other types of yeast and led to incorrect treatment. The only effective method for diagnosing C. auris is through blood culture testing in laboratories and PCR tests. Because of its mutation, C. auris has grown increasingly resistant to all three classes of antifungals, with almost all strains resistant to fluconazole. These resistances were traced back to multiple-point mutations in certain genes, such as ERG11 in the case of fluconazole and amphotericin B. In addition, C. auris is phylogenetically related to C. haemulonii, an emerging pathogen notably resistant to antifungals. So, it may be an evolutionary resistance that occurred earlier but has only begun to spread now. Echinoderm, a reliable treatment for C. auris infections showed ineffectively against FKS1 and ERG3 gene mutated Candida strains. Newly developed antifungal agents, like Ibrexafungerp, showed promising results against echinocandin-resistant strains in clinical trials.

Conclusion

Without vaccines and effective treatment, its capacity to mutate and spread has detrimental effects on humans. Therefore, extensive research on drug development, quick, reliable diagnosis, and effective strategies for disease prevention and treatment are required to mitigate the health impact of C. auris.

背景和目的 无足轻重的疾病有时会因变异而变得极其危险。抗真菌抗药性增加了 24%,仅由白色念珠菌(C. auris)引起的抗药性就增加了 60%。在此,我们旨在评估有关抗真菌治疗和预防措施的知识,以减轻由 C. auris 引起的感染的后果。 方法 我们进行了全面的文献检索,并从公开发表的文章中收集了相关信息。我们在 Google Scholar、PubMed 和 Scopus 中使用了 C.auris、C.auris 感染、真菌病和抗真菌耐药性作为检索词。经过仔细评估,我们从现有文章中提取了相关信息。 结果 阴沟杆菌属尤其难以诊断,因为它经常被误认为是其他类型的酵母菌,从而导致错误的治疗。诊断阴沟肠杆菌的唯一有效方法是在实验室进行血液培养检测和 PCR 检测。由于发生变异,法氏酵母菌对三类抗真菌药的耐药性越来越强,几乎所有菌株都对氟康唑产生了耐药性。这些抗药性可追溯到某些基因的多点突变,如对氟康唑和两性霉素 B 产生抗药性的 ERG11 基因。因此,这可能是一种较早出现但现在才开始传播的进化抗药性。棘球蚴是治疗念珠菌感染的可靠药物,但对 FKS1 和 ERG3 基因突变的念珠菌菌株无效。新开发的抗真菌药物,如 Ibrexafungerp,在临床试验中对棘白菌素耐药菌株显示出了良好的效果。 结论 在没有疫苗和有效治疗的情况下,念珠菌的变异和传播能力会对人类造成危害。因此,需要对药物开发、快速可靠的诊断以及有效的疾病预防和治疗策略进行广泛研究,以减轻 C. auris 对健康的影响。
{"title":"The Candida auris Infection After the COVID-19 Pandemic Seems to be an Urgent Public Health Emergency: A Call to Attention","authors":"Md. Ashrafur Rahman,&nbsp;Evangelos Victoros,&nbsp;Yeasna Shanjana,&nbsp;Marie Roke Thomas,&nbsp;Md. Rabiul Islam","doi":"10.1002/hsr2.70160","DOIUrl":"https://doi.org/10.1002/hsr2.70160","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background and Aims</h3>\u0000 \u0000 <p>Inconsequential diseases can sometimes become extremely dangerous through mutation. Antifungal resistance has increased by 24%, and resistance only due to <i>Candida auris</i> (<i>C. auris</i>) species have increased by 60%. Here, we aimed to assess the knowledge of antifungal treatment and preventative measures to mitigate the consequences of infections caused by <i>C. auris</i>.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We performed a comprehensive literature search and gathered information for this review from publicly available published articles. We used <i>C. auris</i>, <i>C. auris</i> infection, mycoses, and antifungal resistance as search terms in Google Scholar, PubMed, and Scopus. We extracted the relevant information from the available article after careful evaluation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The genus <i>C. auris</i> was especially difficult to diagnose, as it was often mistaken for other types of yeast and led to incorrect treatment. The only effective method for diagnosing <i>C. auris</i> is through blood culture testing in laboratories and PCR tests. Because of its mutation, <i>C. auris</i> has grown increasingly resistant to all three classes of antifungals, with almost all strains resistant to fluconazole. These resistances were traced back to multiple-point mutations in certain genes, such as ERG11 in the case of fluconazole and amphotericin B. In addition, <i>C. auris is</i> phylogenetically related to <i>C. haemulonii</i>, an emerging pathogen notably resistant to antifungals. So, it may be an evolutionary resistance that occurred earlier but has only begun to spread now. Echinoderm, a reliable treatment for <i>C. auris</i> infections showed ineffectively against FKS1 and ERG3 gene mutated <i>Candida</i> strains. Newly developed antifungal agents, like Ibrexafungerp, showed promising results against echinocandin-resistant strains in clinical trials.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Without vaccines and effective treatment, its capacity to mutate and spread has detrimental effects on humans. Therefore, extensive research on drug development, quick, reliable diagnosis, and effective strategies for disease prevention and treatment are required to mitigate the health impact of <i>C. auris</i>.</p>\u0000 </section>\u0000 </div>","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"7 11","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hsr2.70160","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142525296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
From Routine to Crisis: The Impact of COVID-19 Pandemic on Antibiotic Consumption in Iran 从常规到危机:COVID-19 大流行对伊朗抗生素消费的影响
IF 2.1 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-10-29 DOI: 10.1002/hsr2.70161
Satar Rezaei, Mohammad Bazyar, Sina Ahmadi, Abdolvahed Khodamoradi

Background and Aims

The COVID-19 pandemic has significantly impacted the healthcare sector, influencing patients, providers, and the overall system. This study evaluates how the pandemic affected antibiotic prescriptions among 44 million Iranians insured by the Social Security Organization (SSO).

Methods

In this quasi-experimental study, we utilized monthly aggregated data on antibiotic prescriptions per 1000 individuals insured by the SSO. We employed a single-group interrupted time series analysis (ITSA) over a period of 72 months, from March 20, 2016 to February 19, 2020 for the pre-pandemic phase, and from February 20, 2020 to March 20, 2022, for the during-pandemic period. Additionally, we conducted a multiple-group ITSA to assess the differential impact of the pandemic on antibiotic consumption between the direct (SSO-owned medical centers) and indirect (other private or public centers contracted by the SSO) sectors.

Results

The study revealed a 30% reduction in the monthly average antibiotic consumption rate when comparing the during-pandemic period to pre-pandemic usage across the total sector. The results from the single-group ITSA indicated that the mean antibiotic consumption per 1000 individuals at baseline was 1664. Following the onset of the pandemic, there was a significant reduction in antibiotic prescriptions, dropping to 484 per 1000 individuals (p ≤ 0.001) in the first month. However, during the pandemic period, antibiotic prescriptions exhibited insignificant monthly increases, averaging 10.7 per 1000 insured individuals. The multiple-group ITSA revealed that both sectors experienced a decline in antibiotic prescriptions after the outbreak of COVID-19. Notably, the indirect sector demonstrated a greater reduction, with a decrease of 187 prescriptions per 1000 insured individuals in the first month following the pandemic's onset.

Conclusions

Our study found a significant reduction in antibiotic consumption. Further research is needed to compare antibiotic use between hospitals and outpatient centers, as well as among COVID-19 and non-COVID-19 patients.

背景和目的 COVID-19 大流行严重影响了医疗保健行业,对患者、医疗服务提供者和整个系统都产生了影响。本研究评估了疫情对 4400 万伊朗社会保险组织(SSO)参保者抗生素处方的影响。 方法 在这项准实验研究中,我们利用了社会保障组织每 1000 名参保者抗生素处方的月度汇总数据。我们采用了单组间断时间序列分析(ITSA),分析时间跨度为 72 个月,其中 2016 年 3 月 20 日至 2020 年 2 月 19 日为流行前阶段,2020 年 2 月 20 日至 2022 年 3 月 20 日为流行期间。此外,我们还进行了多组 ITSA,以评估大流行对直接部门(SSO 所有的医疗中心)和间接部门(与 SSO 签订合同的其他私营或公立中心)之间抗生素消耗量的不同影响。 研究结果表明,大流行期间与大流行前相比,整个行业的抗生素月平均消耗率降低了 30%。单组 ITSA 的结果显示,基线时每千人的平均抗生素消耗量为 1664。大流行开始后,抗生素处方显著减少,在第一个月下降到每千人 484 个(p ≤ 0.001)。然而,在大流行期间,抗生素处方的月度增长并不明显,平均每 1000 名被保险人中有 10.7 个抗生素处方。多组 ITSA 显示,COVID-19 爆发后,两个部门的抗生素处方量都有所下降。值得注意的是,间接部门的下降幅度更大,在疫情爆发后的第一个月,每 1000 名被保险人减少了 187 个处方。 结论 我们的研究发现,抗生素的使用量大幅减少。还需要进一步研究,以比较医院和门诊中心之间以及 COVID-19 和非 COVID-19 患者之间的抗生素使用情况。
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引用次数: 0
Can International Classification of Disease Perinatal Mortality (ICD-PM) be a solution to overcome neglected tragedy? A scoping reviews 国际围产期死亡率疾病分类(ICD-PM)能否解决被忽视的悲剧?范围界定审查
IF 2.1 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-10-28 DOI: 10.1002/hsr2.70134
Marziyhe Meraji, Masoumeh Jafari

Introduction

Over 5 million perinatal deaths occur annually worldwide, with a significant proportion of them being preventable. The International Classification of Disease Perinatal Mortality (ICD-PM) is the first globally developed classification system for categorizing the causes of perinatal deaths. The objective of this study is to identify and describe the experiences gained from the international utilization of ICD-PM.

Method

A scoping review based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-SCR) was conducted through a comprehensive search using relevant keywords in Web of Science, PubMed, and Scopus from January 2016 to April 20, 2022 to identify relevant studies. The selection of studies was based on predefined inclusion and exclusion criteria. After removing duplicate studies and reviewing titles, abstracts, and full texts, a total of 32 studies were included in the analysis.

Results

The primary search ended up with 229 studies, of which 32 articles were included in the final analysis. Based on the results of the content analysis conducted on the selected studies, six main themes and eight strategies were identified.

Conclusion

The findings suggest that the utilization of ICD-PM on a global scale has been limited. The forthcoming advancement of ICD presents a chance to assess and enhance ICD-PM to establish it as a universally recognized standard system for classifying perinatal mortalities.

导言 全世界每年有 500 多万例围产期死亡,其中很大一部分是可以预防的。围产期死亡疾病国际分类(ICD-PM)是首个全球开发的围产期死亡原因分类系统。本研究的目的是确定并描述国际上使用 ICD-PM 的经验。 方法 从 2016 年 1 月至 2022 年 4 月 20 日,根据《系统综述和元分析扩展报告首选项》(Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews,PRISMA-SCR),在 Web of Science、PubMed 和 Scopus 中使用相关关键词进行了全面检索,以确定相关研究。研究的选择基于预定义的纳入和排除标准。在删除重复研究并审阅标题、摘要和全文后,共有 32 项研究被纳入分析。 结果 主要搜索结果为 229 项研究,其中 32 篇文章被纳入最终分析。根据对所选研究进行内容分析的结果,确定了六大主题和八种策略。 结论 研究结果表明,ICD-PM 在全球范围内的利用率有限。ICD 即将取得的进步为评估和改进 ICD-PM 提供了机会,使其成为普遍认可的围产期死亡分类标准系统。
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引用次数: 0
From photonic technologies to microfluidics—A review on the techniques which revolutionize liquid biopsy, opening a new era in cancer therapy 从光子技术到微流控技术--回顾液体活检的革命性技术,开启癌症治疗的新纪元
IF 2.1 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-10-28 DOI: 10.1002/hsr2.70147
Subham Sarkar, Soubhagya Ghosh, Samraggi Chakraborty, Jenifer Rajak, Ekanansha R. Chowdhury, Arup K. Mitra, Ajoy Kumer, Bikram Dhara

Background and Aims

Cancer therapy is one of the most researched upon medical field in the world. Non invasive technologies such as liquid biopsy are gaining more importance in cancer therapy because of their manifold advantages over traditional invasive biopsy methods. Liquid biopsy is used to analyze nucleic acids such as ctDNA, cfDNA and RNA, cellular and subcellular components such as proteins, extracellular vesicles and circulating tumor cells in various biological fluids such as blood, urine, cerebrospinal fluid, pleural fluid and ascites fluid for diagnosis of cancer.

Methods

Liquid biopsy has a wide range of applications such as assessment of residual diseases and tumors which cannot be biopsied easily and prediction of CAR-T response and response to immune checkpoint inhibitors. It can also be used to know the efficacy of cancer drugs in a patient by analyzing multiple samples. Liquid biopsy is becoming more popular as it allows biopsy of those samples in which solid tumor biopsies are challenging or impracticable.

Techniques and Results

To achieve comprehensive insight on the status of cancer in a patient, various cutting edge liquid biopsy techniques have been developed. Microfluidics and photonic technologies, along with PCR, next generation sequencing, advanced and innovative molecular and cell biology approaches and imaging techniques have expanded the domain of liquid biopsy and elevated the accuracy of liquid biopsy results.

Conclusion

This review discusses about the contributions of some widely used methods along with microfluidics and photonic technologies in detection of cancer biomarkers by liquid biopsy.

背景和目的 癌症治疗是世界上研究最多的医学领域之一。与传统的侵入性活检方法相比,液体活检等非侵入性技术具有多方面的优势,因此在癌症治疗中日益受到重视。液体活检用于分析血液、尿液、脑脊液、胸腔积液和腹水等各种生物液体中的核酸(如ctDNA、cfDNA 和 RNA)、细胞和亚细胞成分(如蛋白质、细胞外囊泡和循环肿瘤细胞),以诊断癌症。 方法 液体活检的应用范围很广,如评估残留疾病和不易活检的肿瘤,预测 CAR-T 反应和对免疫检查点抑制剂的反应。它还可以通过分析多个样本来了解抗癌药物对患者的疗效。液体活检正变得越来越流行,因为它可以对那些实体瘤活检具有挑战性或不切实际的样本进行活检。 技术与成果 为了全面了解患者的癌症状况,人们开发了各种尖端的液体活检技术。微流控技术和光子技术以及 PCR、新一代测序、先进和创新的分子和细胞生物学方法以及成像技术拓展了液体活检的领域,并提高了液体活检结果的准确性。 结论 本综述讨论了一些广泛使用的方法以及微流控技术和光子技术在通过液体活检检测癌症生物标记物方面的贡献。
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引用次数: 0
Prevalence of metabolic dysfunction-associated steatotic liver disease in people living with HIV and on antiretroviral treatment: A systematic review and meta-analysis protocol 接受抗逆转录病毒治疗的艾滋病病毒感染者中代谢功能障碍相关性脂肪肝的患病率:系统综述和荟萃分析方案
IF 2.1 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-10-28 DOI: 10.1002/hsr2.70071
Amogelang Sedibe, Khanyisa Maswanganyi, Nomusa C. Mzimela, Mlindeli Gamede

Introduction

Metabolic dysfunction-associated steatotic liver disease (MASLD) has become the most common hepatic condition globally. The prevalence of MASLD continues to increase, paralleling the consistent rising rates of risk factors such as obesity and type 2 diabetes. Literature suggests that human immunodeficiency virus-infected (HIV-infected) individuals may have an increased risk of developing MASLD due to a complex interplay of factors including antiretroviral therapy. Since the development and widespread use of effective antiretroviral therapy (ART), HIV-induced liver disease has continued to be the predominant cause of liver-related morbidity and mortality. This protocol serves to narrate the methods that will be employed in conducting the published literature search for the systematic review and meta-analysis which will report on the global prevalence of MASLD on people living with HIV and on ARV treatment.

Methods

The search of literature will be done using search engines or electronic databases including PubMed, Google Scholar, African Journal Online, and ResearchGate. Specific keywords will be used to search literature that has reported on the prevalence of MASLD among HIV patients receiving antiretroviral treatment, this will ensure the reproducibility of the study. Cross-sectional and longitudinal observational studies, retrospective cohort studies, clinical trial studies, meta-analyses, and systematic reviews that were published in the English language from 1990 to 2024 will be included. Animal studies will be excluded. Three independent reviewers will conduct the selection process and select studies that meet the eligibility criteria. A quality assessment tool, Downs and Blacks will be used to assess the risk of bias of the selected studies. A review manager will be used for meta-analysis of collected data and the Grading of Recommendations Assessment, Development, and Evaluation tool will assess the strength of evidence.

Ethics, dissemination, and registration

The review will not require ethical clearance as it will only include data that is publicly available in published reports. The results of this review will be disseminated through publications. This study is registered with PROSPERO (CRD42024516814).

导言代谢功能障碍相关性脂肪性肝病(MASLD)已成为全球最常见的肝病。随着肥胖和 2 型糖尿病等危险因素发病率的持续上升,代谢功能障碍相关性脂肪性肝病的发病率也在持续上升。文献表明,由于包括抗逆转录病毒疗法在内的各种因素的复杂相互作用,人类免疫缺陷病毒感染者(HIV 感染者)罹患 MASLD 的风险可能会增加。自从开发并广泛使用有效的抗逆转录病毒疗法(ART)以来,HIV 引起的肝脏疾病一直是肝脏相关发病率和死亡率的主要原因。本方案旨在说明在为系统综述和荟萃分析进行已发表文献检索时所采用的方法,该系统综述和荟萃分析将报告MASLD在全球艾滋病病毒感染者和接受抗逆转录病毒治疗者中的流行情况。 方法 文献检索将使用搜索引擎或电子数据库进行,包括 PubMed、Google Scholar、African Journal Online 和 ResearchGate。将使用特定的关键词来搜索曾报道过接受抗逆转录病毒治疗的 HIV 患者中 MASLD 患病率的文献,这将确保研究的可重复性。将纳入 1990 年至 2024 年期间用英语发表的横断面和纵向观察研究、回顾性队列研究、临床试验研究、荟萃分析和系统综述。动物研究将被排除在外。三位独立审稿人将进行筛选,选出符合资格标准的研究。质量评估工具 Downs and Blacks 将用于评估所选研究的偏倚风险。审查管理器将用于对收集到的数据进行荟萃分析,而 "建议分级评估、制定和评价 "工具将用于评估证据的强度。 伦理、传播和注册 该综述不需要通过伦理审查,因为它只包括已发表报告中的公开数据。审查结果将通过出版物传播。本研究已在 PROSPERO 注册(CRD42024516814)。
{"title":"Prevalence of metabolic dysfunction-associated steatotic liver disease in people living with HIV and on antiretroviral treatment: A systematic review and meta-analysis protocol","authors":"Amogelang Sedibe,&nbsp;Khanyisa Maswanganyi,&nbsp;Nomusa C. Mzimela,&nbsp;Mlindeli Gamede","doi":"10.1002/hsr2.70071","DOIUrl":"https://doi.org/10.1002/hsr2.70071","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Metabolic dysfunction-associated steatotic liver disease (MASLD) has become the most common hepatic condition globally. The prevalence of MASLD continues to increase, paralleling the consistent rising rates of risk factors such as obesity and type 2 diabetes. Literature suggests that human immunodeficiency virus-infected (HIV-infected) individuals may have an increased risk of developing MASLD due to a complex interplay of factors including antiretroviral therapy. Since the development and widespread use of effective antiretroviral therapy (ART), HIV-induced liver disease has continued to be the predominant cause of liver-related morbidity and mortality. This protocol serves to narrate the methods that will be employed in conducting the published literature search for the systematic review and meta-analysis which will report on the global prevalence of MASLD on people living with HIV and on ARV treatment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The search of literature will be done using search engines or electronic databases including PubMed, Google Scholar, African Journal Online, and ResearchGate. Specific keywords will be used to search literature that has reported on the prevalence of MASLD among HIV patients receiving antiretroviral treatment, this will ensure the reproducibility of the study. Cross-sectional and longitudinal observational studies, retrospective cohort studies, clinical trial studies, meta-analyses, and systematic reviews that were published in the English language from 1990 to 2024 will be included. Animal studies will be excluded. Three independent reviewers will conduct the selection process and select studies that meet the eligibility criteria. A quality assessment tool, Downs and Blacks will be used to assess the risk of bias of the selected studies. A review manager will be used for meta-analysis of collected data and the Grading of Recommendations Assessment, Development, and Evaluation tool will assess the strength of evidence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Ethics, dissemination, and registration</h3>\u0000 \u0000 <p>The review will not require ethical clearance as it will only include data that is publicly available in published reports. The results of this review will be disseminated through publications. This study is registered with PROSPERO (CRD42024516814).</p>\u0000 </section>\u0000 </div>","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"7 11","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hsr2.70071","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142525402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Types and Effectiveness of Mobile Health Applications Used in Improving Oral Cancer Knowledge: A Mixed Methods Systematic Review 用于提高口腔癌知识的移动健康应用的类型和效果:混合方法系统综述
IF 2.1 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-10-28 DOI: 10.1002/hsr2.70171
Kehinde Kazeem Kanmodi, Afeez Abolarinwa Salami, Kamini Shah, Fatemeh Vida Zohoori, Lawrence Achilles Nnyanzi

Background and Aims

The global burden of oral cancer (OC) is enormous. Mobile health applications have been found to play a promising role in cancer prevention; however, no known systematic review evidence exists on whether the use of mobile health applications is effective in increasing public knowledge of OC or not. Therefore, this systematic review aimed to synthesize evidence on the types and effectiveness of mobile health applications used for improving OC knowledge.

Methods

This study adopted a mixed methods systematic review design. The review methodology was informed by Joanna Brigg's Institute's PRISMA checklist and the AMSTAR-2 guidelines. The literature used for this review were obtained through the search of multiple sources, including 12 electronic databases, web sources, and manual searching of the reference lists and citations of the included articles. Quality appraisal of the included articles was done using the Mixed Methods Appraisal Tool, after which relevant data were collected, synthesized, and configured.

Results

A total of three high-quality articles, from two studies conducted in India, were included in this review. The studies investigated 574 participants, who are predominantly doctors and community members, on two Android-based mobile health applications (M-OncoED and Prayaas). Only Prayaas was found to significantly increase OC knowledge among its users (p < 0.05). Only M-OncoED was found to significantly increase the practice of OC screening advice provision among a selected group of users. No other significant finding was reported on the effect of OC knowledge obtained from the use of these applications on clinical, behavioral, and epidemiological outcomes.

Conclusion

Mobile health application-based education is a highly underutilised but very promising strategy that can be used to improve public knowledge of OC. This strategy needs to be adopted in public education programmes on OC.

背景和目的 口腔癌(OC)给全球带来了巨大的负担。人们发现,移动医疗应用程序在预防癌症方面发挥着重要作用;然而,目前尚无系统性综述证据表明,使用移动医疗应用程序是否能有效提高公众对口腔癌的认识。因此,本系统性综述旨在综合有关用于提高卵巢癌知识的移动医疗应用程序的类型和有效性的证据。 方法 本研究采用了混合方法系统综述设计。综述方法参考了乔安娜-布里格研究所的 PRISMA 核对表和 AMSTAR-2 指南。本综述所使用的文献是通过多种来源搜索获得的,包括 12 个电子数据库、网络来源以及对所纳入文章的参考文献列表和引文进行人工搜索。采用混合方法评估工具对收录文章进行质量评估,然后收集、综合和配置相关数据。 结果 本综述共纳入了三篇高质量文章,分别来自在印度进行的两项研究。这些研究调查了 574 名参与者(主要是医生和社区成员)使用两款基于 Android 的移动医疗应用程序(M-OncoED 和 Prayaas)的情况。研究发现,只有 Prayaas 能显著增加用户对 OC 的了解(p < 0.05)。研究还发现,只有 M-OncoED 能明显增加选定用户群中提供卵巢癌筛查建议的实践。至于通过使用这些应用软件获得的卵巢癌知识对临床、行为和流行病学结果的影响,没有其他重大发现。 结论 基于移动健康应用的教育是一种利用率极低但非常有前景的策略,可用于提高公众对卵巢癌的认识。在有关卵巢癌的公众教育计划中需要采用这一策略。
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引用次数: 0
Protective role of SIRT1 (rs3758391 T > C) polymorphism against T2DM and its complications: Influence on GPx activity SIRT1(rs3758391 T > C)多态性对 T2DM 及其并发症的保护作用:对 GPx 活性的影响
IF 2.1 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-10-28 DOI: 10.1002/hsr2.70106
Rozita Naseri, Farnaz Khalili, Zohreh Rahimi, Kheirolah Yari, Mansour Rezaei

Background and Aims

Sirtuin-1 (SIRT1) has antidiabetic effects through the regulation of insulin secretion and modulation of inflammation. The SIRT1 rs3758391 gene polymorphism affects the level of SIRT1. The current study aimed to investigate the possible influence of SIRT1 gene variants in relation to oxidative stress parameters on the susceptibility to type 2 diabetes mellitus (T2DM) and its microvascular complications.

Methods

In this case-control study 398 individuals including 300 patients with T2DM (100 T2DM without complication, 100 diabetic neuropathy patients and 100 patients with diabetic retinopathy) and 98 healthy subjects were studied for SIRT1 rs3758391 T > C variants. Also, the glutathione peroxidase (GPx) activity and the levels of glutathione (GSH), malondialdehyde (MDA), total antioxidant capacity (TAC), and total oxidative status (TOS) were determined by colorimetric methods. SIRT1 genotypes were detected using the polymerase chain reaction-restriction fragment length polymorphism method.

Results

The C allele of SIRT1 reduced the risk of T2DM, diabetic neuropathy and diabetic retinopathy. Significantly lower levels of GSH, GPx, and TAC were found in diabetic patients compared to control group. However, the level of MDA was significantly higher in patients compared to healthy individuals. Considering all individuals, the GPx activity increased in the presence of the SIRT1 CC, and TC genotypes compared to the TT genotype. Among all studied individuals the activity of GPx was significantly higher in normal body mass index (BMI) subjects than overweight, and obese individuals. However, among overweight and obese diabetic, diabetic retinopathy and diabetic neuropathy patients the mean level of TOS was significantly higher compared to patients with normal BMI.

Conclusions

Our findings suggest a protective role for SIRT1 C allele against T2DM and diabetic neuropathy and diabetic retinopathy. We found in the presence of this allele the GPx activity increased. Also, we detected an enhanced oxidative stress level among overweight and obese patients with diabetes and its complications that could be involved in the pathogenesis of the disease.

背景和目的 Sirtuin-1(SIRT1)通过调节胰岛素分泌和炎症反应具有抗糖尿病作用。SIRT1 rs3758391 基因多态性会影响 SIRT1 的水平。本研究旨在探讨 SIRT1 基因变异与氧化应激参数的关系对 2 型糖尿病(T2DM)及其微血管并发症易感性的可能影响。 方法 在这项病例对照研究中,研究人员对包括 300 名 T2DM 患者(100 名无并发症的 T2DM 患者、100 名糖尿病神经病变患者和 100 名糖尿病视网膜病变患者)和 98 名健康受试者在内的 398 人进行了 SIRT1 rs3758391 T > C 变异研究。此外,还采用比色法测定了谷胱甘肽过氧化物酶(GPx)活性以及谷胱甘肽(GSH)、丙二醛(MDA)、总抗氧化能力(TAC)和总氧化状态(TOS)的水平。采用聚合酶链式反应-限制性片段长度多态性方法检测 SIRT1 基因型。 结果 SIRT1 的 C 等位基因可降低 T2DM、糖尿病神经病变和糖尿病视网膜病变的风险。与对照组相比,糖尿病患者的 GSH、GPx 和 TAC 水平显著降低。然而,与健康人相比,患者的 MDA 水平明显较高。就所有个体而言,与 TT 基因型相比,SIRT1 CC 和 TC 基因型的 GPx 活性增加。在所有研究对象中,体重指数(BMI)正常者的 GPx 活性明显高于超重和肥胖者。然而,在超重和肥胖的糖尿病、糖尿病视网膜病变和糖尿病神经病变患者中,TOS 的平均水平明显高于体重指数正常的患者。 结论 我们的研究结果表明,SIRT1 C 等位基因对 T2DM、糖尿病神经病变和糖尿病视网膜病变具有保护作用。我们发现,在该等位基因存在的情况下,GPx 活性增加。此外,我们还发现超重和肥胖糖尿病及其并发症患者的氧化应激水平升高,这可能与疾病的发病机制有关。
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引用次数: 0
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