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Research on the Situation of Breast Cancer in Kosovo 科索沃乳腺癌情况的研究
Pub Date : 2022-03-31 DOI: 10.47363/jddt/2022(2)105
Violeta Pirana
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引用次数: 0
Clinical Appearance of Vitiligo and Piebaldism: A Review Article 白癜风和花斑病的临床表现综述
Pub Date : 2022-03-31 DOI: 10.47363/jddt/2022(2)104
Nanda Rachmad Putra Gofur, Aisyah Rachmadani Putri Gofur
Introduction: Vitiligo is idiopathic hypomelanosis characterized by the presence of white macules that can expand. Can affect all parts of the body that contain melanocyte cells, for example, hair and eyes. The cause is unknown, various trigger factors are often reported, for example emotional crisis and physical trauma. Pathogenesis of vitiligo still unclear, there is an association between vitilligo and Hashimoto’s thyroditis, pernicious anemia, and hypoparathyroid melanocytes found in the serum of 80% of vitiligo patients. Moreover, there is disease that similar to vitiligo, called piebaldism. Patches of skin that do not contain pigment that is found at birth and persists for life.The disease is inherited autosomally, due to differentiation and possibly the melanoblast membrane. Discussion: Inheritance of vitiligo can involve genes related to the biosynthesis of melanin, the response to oxidative stress and autoimmune regulation. The macula is white with a diameter of several millimeters to several centimeters, round or oval with defined boundaries, with no other epidermal changes. Hypomelanotic macules are sometimes seen in addition to apigmented macules. In vitiligo macules can be found macules with normal pigmentation or hyperpigmentation called perifollicular repigmentation. Occasionally there is a raised edge of the lesion, erythema and itching, which is called inflammatory. Piebaldism is In the form of skin patches that do not contain pigment on the forehead, median or paramedian, accompanied by white hair. White patches are sometimes also found on the upper chest, abdoment and legs. Normal skin color or hypermelanosis there are areas that are hypomelanosis. Ultrastructural investigation showed no visible melanocytes and melanosomes in hypomelanotic areas. On the other hand, hypemelanotic islets are found with melanocytes that produce melanosomes normally, but if abnormal spheric milanosomes and granules are found, abnormal spherical and ganular melanosomes are also found. Conclusion: It is distinguished from vitiligo which usually does not appear at birth, the shape and distribution are also different. On piebaldism. In piebaldism accompanied by white forlock and the presence of islets with normal pigments in hypomelanotic areas. Differentiated from the nevus with depigmentosus, in the nevus the number of melanocit is normal. If piebaldism is accompanied by abnormalities in the distance of the two pupils or is accompanied by deafness, then the possibility of Waardenburg syndrome should be considered.
简介:白癜风是一种特发性低黑素病,其特征是存在可扩大的白色斑点。可以影响身体含有黑素细胞的所有部位,例如头发和眼睛。原因尚不清楚,经常报道各种触发因素,例如情绪危机和身体创伤。白癜风的发病机制尚不清楚,白癜风与桥本甲状腺炎、恶性贫血和80%白癜风患者血清中发现的甲状旁腺功能低下黑色素细胞有关。此外,还有一种与白癜风类似的疾病,叫做花斑病。不含色素的皮肤斑块,在出生时发现并持续一生。由于分化和可能的黑素母细胞膜,本病常染色体遗传。讨论:白癜风的遗传可能涉及与黑色素生物合成、氧化应激反应和自身免疫调节相关的基因。黄斑白色,直径几毫米至几厘米,圆形或椭圆形,边界清晰,无其他表皮变化。除了色素沉着斑外,有时还可见低黑色素斑。在白癜风中,可以发现正常色素沉着或色素沉着的斑点,称为毛囊周围再色素沉着。偶尔病灶边缘隆起,出现红斑和瘙痒,称为炎症。斑疹病是指前额、正中或旁正中出现不含色素的皮肤斑块,并伴有白发。白色斑块有时也出现在上胸部、腹部和腿部。正常肤色或黑色素过多的区域也有浅黑症。超微结构检查未见黑素细胞和黑素体。另一方面,低黑素化胰岛可见正常产生黑素小体的黑素细胞,但如发现异常的球形黑素小体和颗粒,也可发现异常的球形黑素小体和瘤样黑素小体。结论:白癜风不同于一般出生时不出现的白癜风,其形态和分布也有所不同。在斑驳病。在斑疹病中,伴有白色斑纹,在黑色素减退区存在正常色素的胰岛。与有色素沉着的痣不同,痣内黑色素的数量是正常的。如果双瞳距离异常或伴有耳聋,则应考虑Waardenburg综合征的可能性。
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引用次数: 0
Various Prosthetic ACL Grafts: A Review of Literature Various Prosthetic ACL Grafts: A Review of Literature 各种假体前交叉韧带移植:文献综述
Pub Date : 2021-12-31 DOI: 10.47363/jddt/2021(1)101
S. Bernardino
Satisfactory prosthetic replacement of the ACL has been a focus of orthopaedic research endeavours for the past thirty years. Desires to provide immediate mobility and strength to the ACL-deficient knee while avoiding the donor site morbidity caused by the commonly used autograft surgical techniques continually drive new research initiatives. Most of the grafts that have been developed to date have failed due to unsatisfactory long-term physiologic and functional performance. Most permanent ACL prostheses are prone to creep, fatigue, and mechanical failure within several years after implantation. Tissue ingrowth scaffolds and ligament augmentation devices require further refinement to provide effective mechanical support while avoiding stress shielding of the host tissue. In view of these factors, prosthetics are not widely used today in ACL reconstruction, and autogenous tissue grafts remain the gold standard used by the majority of surgeons. Perhaps development of resorbable, tissueinducing and cell-seeded biomaterials will improve the long-term biomechanical performance of the reconstructed anterior cruciate ligament. Advances in tissue engineering combined with developments in molecular biology and gene therapy may couple with the rapid gains in computer-assisted surgery to provide improved options for the ACL-deficient knee, with a greater potential to restore its pre-injury state.
在过去的三十年里,令人满意的前交叉韧带假体置换一直是骨科研究的焦点。为acl缺乏的膝关节提供即时的活动能力和力量,同时避免由常用的自体移植物手术技术引起的供体部位发病率,不断推动新的研究活动。迄今为止,大多数移植物由于长期生理和功能表现不理想而失败。大多数永久性前交叉韧带假体在植入后的几年内容易发生蠕变、疲劳和机械故障。组织生长支架和韧带增强装置需要进一步改进,以提供有效的机械支持,同时避免宿主组织的应力屏蔽。鉴于这些因素,目前假体在ACL重建中的应用并不广泛,自体组织移植物仍然是大多数外科医生使用的金标准。也许可吸收、组织诱导和细胞种子生物材料的发展将改善重建前交叉韧带的长期生物力学性能。组织工程的进步,分子生物学和基因治疗的发展,再加上计算机辅助手术的快速发展,为acl缺陷的膝关节提供了更好的选择,更有可能恢复其损伤前的状态。
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引用次数: 1
Digit Ratio (2d:4d) in Patients with Antisocial Personality Disorder 反社会型人格障碍患者的数字比(2d:4d)
Pub Date : 2021-12-31 DOI: 10.47363/jddt/2021(1)102
Osman Mermi, S. Yıldız
Objective: The present study aimed to compare the 2nd finger to 4th finger ratio (2D:4D) of patients with antisocial personality disorder to the 2D:4D of a group of healthy subjects. Method: A total of thirty one male patients with antisocial personality disorder and the twenty-eight healthy controls were included in the present investigation. Finger (2D) and ring (4D) lengths and 2D:4D ratio of the subjects were determined. Results: In the present study, we found that patients with antisocial personality disorder had a significantly lower ratio of 2D:4D of both hands. Conclusion: In conclusion, we suggest that patients with antisocial personality seem to have a lower ratio of 2D:4D compared to healthy control subjects, leading us to think that higher prenatal gonadal androgens may be related to antisocial personality disorder.
目的:比较反社会人格障碍患者食指与无名指的比例(2D:4D)与健康人群的2D:4D。方法:对31例男性反社会型人格障碍患者和28名健康对照者进行调查。测定受试者手指(2D)和戒指(4D)长度及2D:4D比值。结果:在本研究中,我们发现反社会人格障碍患者的双手2D:4D比明显较低。结论:综上所述,我们认为反社会人格患者的2D:4D比值似乎低于健康对照组,这使我们认为产前性腺雄激素水平较高可能与反社会人格障碍有关。
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引用次数: 0
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Journal of Diseases Disorders & Treatments
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