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Hepatic Iron Deposition Quantification in Patients with β-Thalassemia Using Magnetic Resonance Imaging β-地中海贫血患者肝铁沉积定量磁共振成像
IF 0.3 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-09-05 DOI: 10.21103/article13(3)_oa9
Faten Nasser, Rehab Hussien, Mahasin Hassan, Tasneem S A Elmahdi, Ali Alsaadi, Enas Fallatah
Background: Detection and quantification of liver iron overload are significant to initiate treatment and monitoring of iron overload. This study aimed to quantify liver iron deposits in β-thalassemia major patients using MRI T2* and its correlation with age and heart iron deposition. Methods and Results: This retrospective study included 54 records of patients between 5-16 years of age with hepatic iron deposition due to β-thalassemia major. Data were collected from MRI reports in Picture Archiving and Communication Systems-Radiology Information System (PACS-RIS) and serum ferritin (SF) test results obtained from Hospital Information Systems and written into a dedicated datasheet. The information was recorded on a data collection sheet. The datasheet included all the required data, demographic data, lab results, T2* mapping for iron deposition in the liver and heart, and liver measurements. All subjects had high SF (from 1120 to 9850 ng/ml) with an average of 4317.93±2779.9 ng/ml. Age and SF correlated positively (r=0.368, P=0.0006). A negative correlation was observed between SF and liver T2* (r= -0578, P=0.000) (Table 3), whereas between liver T2* and heart T2* correlation had a positive direction (r= 0.329, P=0.015) Conclusion: MRI provides accurate, non-invasive, valid, and repeatable techniques, which are more acceptable to patients for assessing iron load. Furthermore, MRI T2* methods measure iron overload within the target organ precisely.
背景:肝铁超载的检测和定量对启动铁超载的治疗和监测具有重要意义。本研究旨在利用MRI T2*定量β-地中海贫血重症患者肝脏铁沉积及其与年龄和心脏铁沉积的相关性。方法与结果:本回顾性研究纳入54例5-16岁β-地中海贫血所致肝铁沉积患者。数据收集自图像存档和通信系统-放射学信息系统(PACS-RIS)中的MRI报告和医院信息系统中获得的血清铁蛋白(SF)检测结果,并写入专用数据表。这些信息被记录在数据收集表上。该数据表包括所有必需的数据、人口统计数据、实验室结果、肝脏和心脏铁沉积的T2*映射以及肝脏测量。所有受试者均有高SF (1120 ~ 9850 ng/ml),平均为4317.93±2779.9 ng/ml。年龄与SF呈正相关(r=0.368, P=0.0006)。SF与肝脏T2*呈负相关(r= -0578, P=0.000)(表3),而肝脏T2*与心脏T2*呈正相关(r= 0.329, P=0.015)结论:MRI为铁负荷评估提供了准确、无创、有效、可重复的技术,更容易被患者接受。此外,MRI T2*方法可以精确测量靶器官内的铁过载。
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引用次数: 0
Vertical Bone Augmentation Using Two Bioactive Glasses in a Rabbit Tibia Model: A Comparative Study with Literature Review 两种生物活性玻璃垂直骨增强兔胫骨模型的比较研究及文献综述
IF 0.3 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-09-05 DOI: 10.21103/article13(3)_oa17
Timur V. Melkumyan, Nuritdin Kamilov, Z. Khabadze, Maria Makeeva, Gerhard Seeberger, Sargis Gevorgyan, Angela Dadamova
Background: Recently, synthetic materials based on bioactive glasses have been in special demand in dental implantology, which, according to the mechanism of their action, are not only osteo-conductors, but also osteo-inductors. Of even greater interest is the fact that the biological degradation of these materials causes alkalization of the area and inhibits the growth of many pathogens. Considering the unique properties of this group of osteoplastic fillers and the problems associated with healing after guided bone regeneration, this study aimed to compare the effectiveness of using bioactive glasses S53P4 and 45S5 when performing vertical bone augmentation in an experiment applying a rabbit tibia model. Methods and Results: Six adult outbred rabbits aged from 1.5 to 2 years and weighing from 2.5 kg to 3.2 kg were used in the study. A titanium mesh was used to perform a true vertical guided bone regeneration technique. In each animal, two titanium tents were placed: one on the left tibia and one on the right tibia. On the left limb, empty spaces were filled with bioactive synthetic bone filler NovaBone® Morsels (USA); on the right limb, we used a mixture of bioactive glass Bonalive® granules CMF (Finland) and mineralized bone MedPark Bone-D XB (Bovine Xenograft, South Korea) in a ratio of 1:1. The quantity and quality of regenerated tissues were assessed after 8-10 weeks. The NovaBone application has allowed a gain of 2.6±2.67 mm in extra-skeletal hard tissue growth. No signs of guided bone regeneration were observed in all cases of application of an osteoplastic mixture of Bonalive and Bone-D XB granules. Conclusion: Within the limits of this study, it was found that the use of a mixture of bioactive glass Bonalive (S53P4) with bovine hydroxyapatite in a 1:1 ratio was not effective in vertically guided bone regeneration, but the application of NovaBone (45S5) could promote a new bone formation.
背景:近年来,以生物活性玻璃为基础的人工合成材料在口腔种植领域有着特殊的需求,根据它们的作用机制,它们不仅是骨导体,而且是骨诱导剂。更令人感兴趣的是,这些材料的生物降解会导致该地区的碱化,并抑制许多病原体的生长。考虑到这组骨塑填充材料的独特性能以及引导骨再生后的愈合相关问题,本研究旨在通过兔胫骨模型实验,比较使用生物活性玻璃S53P4和45S5进行垂直骨增强的有效性。方法与结果:选用6只年龄在1.5 ~ 2岁、体重在2.5 ~ 3.2 kg之间的成年近交系家兔。使用钛网进行真正的垂直引导骨再生技术。在每只动物体内,放置两个钛帐篷:一个在左胫骨上,一个在右胫骨上。在左肢,用NovaBone®Morsels(美国)生物活性合成骨填充物填充空隙;在右肢,我们使用生物活性玻璃Bonalive®颗粒CMF(芬兰)和矿化骨MedPark bone - d XB(牛异种移植物,韩国)的混合物,比例为1:1。8-10周后评估再生组织的数量和质量。NovaBone的应用使骨骼外硬组织生长增加了2.6±2.67 mm。在应用Bonalive和bone - d XB颗粒的骨塑混合物的所有病例中,均未观察到引导骨再生的迹象。结论:在本研究范围内,我们发现生物活性玻璃Bonalive (S53P4)与牛羟基磷灰石按1:1比例混合使用在垂直引导骨再生中无效,而NovaBone (45S5)的应用可以促进新骨的形成。
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引用次数: 0
Management of Impacted Lower Second Molar with Extra Alveolar Tads: A Case Report 牙槽突外Tads治疗第二磨牙下磨牙1例
IF 0.3 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-09-05 DOI: 10.21103/article13(3)_cr3
Miranda Abazi, Arben Abazi, Saranda Sadiku
The aim of this case report is to present an orthodontic technique combined with skeletal anchorage (TADs) in the retromolar region to pull out a right horizontally impacted mandibular second molar (MM2) beneath the third molar (MM3). This treatment approach was performed by extracting the adjacent MM3 lying over the MM2. A miniscrew was inserted in the retromolar region. It required minimal surgical exposure—mucosal incision, crown uncovering, and attaching a bondable button for uprighting MM2 with an elastic chain. Disimpaction was done for several days without any side effects.
本病例报告的目的是提出一种正畸技术,结合骨锚定(TADs)在后磨牙区拔出右水平阻生下颌第二磨牙(MM2)在第三磨牙(MM3)之下。这种治疗方法是通过提取位于MM2上的相邻MM3来实现的。在臼齿后区植入一颗微型牙套。它需要最小的手术暴露-粘膜切口,冠暴露,并连接一个可粘合按钮,用弹性链直立MM2。清除阻塞持续了几天,没有任何副作用。
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引用次数: 0
Blood Pressure Variability: Marker or Predictor of Cardiovascular Risk? 血压变异性:心血管风险的标志物还是预测物?
IF 0.3 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-09-05 DOI: 10.21103/article13(3)_oa2
A. Yuldasheva, G. Khamidullaeva
Background: Regardless of the mean blood pressure value, short-term and long-term BP variability (BPV) are associated with the development and progression of target organ damage and predictors of cardiovascular complications and mortality. The purpose of the present study was to evaluate the prognostic significance of increased BPV in patients with arterial hypertension (AH). Methods and Results: The study consisted of two stages. In the first stage, a retrospective analysis of 365 ABPM results was carried out. As a result of the analysis, 271 patients aged 56.1±10.0 years with uncontrolled AH Grades 1-3 (ESC/ESH, 2018) were included in this study. Depending on the values of BPV, AH patients were divided into two groups: Group 1 consisted of patients with normal BPV (n=145), and Group 2 consisted of patients with increased BPV (n=126). The second stage included 91 patients with uncontrolled hypertension without permanent antihypertensive therapy who had increased BPV. We found statistically significant differences in BP between the AH patients with normal BPV and increased BPV. Thus, in the group with normal BPV, compared with increased BPV, the parameters of the average 24-h systolic BP (SBP), daytime SBP, and nighttime SBP were statistically lower (141±14.6 vs. 147.2±20.2 mmHg, P<0.004; 142.8±15.1 vs. 148.4±20.7 mmHg, P<0.01; and 136.2±15.5 vs. 143.8±21.4 mmHg, P<0.001; respectively). A statistically significant moderate direct correlation was found between the average 24-h SBP and the average 24-h and daytime SBP variability (SBPV) (rs=0.49 and rs=0.40 respectively, P<0.001 in all cases). A statistically significant moderate to weak direct correlation also was found between the average daytime SBP, and the average 24-h and daytime SBPV (rs=0.45 and rs=0.37, respectively, P<0.001 in all cases). A moderate direct correlation was found between nighttime SBP and 24-hour SBPV (rs=0.52, P<0.001) and between nighttime SBP and daytime SBPV (rs=0.42, P<0.001). Weak direct correlations were found between the average 24-h SBPV and central SBP (SBPc) (rs=0.34, P<0.001), as well as between the average 24-h and daytime SBPV and central pulse pressure (PPc) (rs=0.33 and rs=0.32, respectively, P<0.001 in all cases). A weak direct correlation was found between carotid intima-media thickness (CIMT) and the average 24-h and daytime SBPV (rs=0.37 [P<0.001] and rs=0.3 [P=0.04]). Conclusion: The increased BPV is associated with impaired diurnal blood pressure profile (DBPP) and structural and functional changes in blood vessels, in particular, an increase in SBPc and PP in the aorta, and CIMT thickening, which characterizes increased BPV as a predictor of vascular remodeling in patients with uncontrolled AH.
背景:无论平均血压值如何,短期和长期血压变异性(BPV)都与靶器官损伤的发展和进展以及心血管并发症和死亡率的预测因素有关。本研究的目的是评估动脉高压(AH)患者BPV升高的预后意义。方法与结果:研究分为两个阶段。在第一阶段,对365个ABPM结果进行了回顾性分析。分析结果显示,271名年龄为56.1±10.0岁、患有1-3级AH(ESC/ESH,2018)的患者被纳入本研究。根据BPV的值,AH患者被分为两组:第1组由BPV正常的患者组成(n=145),第2组由BPV升高的患者构成(n=126)。第二阶段包括91名未接受永久性降压治疗的高血压失控患者,他们的BPV增加。我们发现,在BPV正常和BPV升高的AH患者之间,BP存在统计学上的显著差异。因此,在BPV正常的组中,与BPV增加的组相比,平均24小时收缩压(SBP)、日间收缩压和夜间收缩压的参数在统计学上较低(分别为141±14.6 vs.147.2±20.2 mmHg,P<0.004;142.8±15.1 vs.148.4±20.7 mmHg,P<0.01;136.2±15.5 vs.143.8±21.4 mmHg,P=0.001)。平均24小时收缩压与平均24小时和日间收缩压变异性(SBPV)之间存在具有统计学意义的中度直接相关性(rs=0.49和rs=0.40,所有病例均<0.001)。日间平均SBP、24小时平均SBPV和日间SBPV之间也存在具有统计学意义的中度至弱直接相关性(在所有情况下,rs分别为0.45和0.37,P均<0.001)。夜间SBP与24小时SBPV呈正相关(rs=0.52,P<0.001),夜间SBP和日间SBPV呈正相关性(rs=0.42,P<0.001,以及24小时和日间平均SBPV和中心脉压(PPc)之间的差异(rs分别为0.33和0.32,所有情况下均<0.001)。颈动脉内膜-中膜厚度(CIMT)与平均24小时和日间SBPV之间存在微弱的直接相关性(rs=0.37[P<0.001]和rs=0.3[P=0.04]),其特征在于BPV增加是患有不受控制的AH的患者的血管重塑的预测因子。
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引用次数: 0
Parapharyngeal Acinic Cell Carcinoma: A Case Report of a Rare Extra-Parotid Occurrence 咽旁腺泡细胞癌:罕见的腮腺外发生1例报告
IF 0.3 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-09-05 DOI: 10.21103/article13(3)_cr1
Rinë Limani, Fahredin Veselaj, Zgjim Limani, LabinotaKondirolli Kondirolli, Brikenë Gashi
Parapharyngeal space (PPS) tumors are among the most challenging tumors of the head and neck region to diagnose and treat. Acinic cell carcinoma (ACC) is an extremely rare extra-parotid malignant neoplasm of the PPS. Herewith, we report a case of extra-parotid, low-grade solid pattern ACC diagnosed in a 55-year-old male who presented with a left parapharyngeal bulge. Despite its rare occurrence, ACC of the PPS should be included in the differential diagnosis of PPS tumors.
咽旁间隙(PPS)肿瘤是头颈部最具挑战性的肿瘤之一,诊断和治疗。腺泡细胞癌是一种极为罕见的腮腺外恶性肿瘤。在此,我们报告一例腮腺外,低级别实型ACC诊断在一个55岁的男性谁提出了左侧咽旁隆起。尽管发生罕见,但在PPS肿瘤的鉴别诊断中仍应纳入ACC。
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引用次数: 0
Acute Vascular Events: Cellular and Molecular Mechanisms 急性血管事件:细胞和分子机制
IF 0.3 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-09-05 DOI: 10.21103/article13(3)_ra1
Varun Rao, Rasika Shankar, Gundu Rao
Cardiovascular diseases (CVDs) are the leading cause of death worldwide. An estimated 17.9 million individuals died from CVDs in 2019, representing 32% of all global deaths. Of these deaths, 85% were due to heart attack and stroke. Cardiometabolic risks, such as hypertension, excess weight, obesity, type 2 diabetes, and vascular diseases, contribute significantly to the progression of coronary artery disease. Known sequelae of events that lead to these cardiometabolic diseases include oxidative stress, inflammation, development of dysfunction of vascular adipose tissue, altered blood pressure and blood lipids, altered glucose metabolism, hardening of the arteries, endothelial dysfunction, development of atherosclerotic plaques, and activation of platelet and coagulation pathways. The Framingham Heart Study Group has developed a Risk Score that estimates the risk of developing heart disease in a 10-year period. This group of experts has developed mathematical functions for predicting clinical coronary disease events. These prediction capabilities are derived by assigning weights to major CVD risk factors such as sex, age, blood pressure, total cholesterol, low-density lipoprotein, high-density lipoprotein cholesterol, smoking behavior, and diabetes status. Currently, there is a growing interest in the use of artificial intelligence and machine learning applications. AI-based mimetic pattern-based algorithms seem to be better than the conventional Framingham Risk Score, in predicting clinical events related to CVDs. However, there are limitations to these applications as they do not have access to data on the specific factors that trigger acute vascular events, such as heart attack and stroke. This overview briefly discusses some salient cellular and molecular mechanisms involved in precipitating thrombotic conditions. Further improvements in emerging technologies will provide greater opportunities for patient selection and treatment options. Several clinical studies have demonstrated that most CVDs can be prevented by addressing behavioral risk factors such as tobacco use, unhealthy diet and obesity, physical activity, and harmful use of alcohol. Early detection and better management of the modifiable risks seem to be the only way to reduce, reverse, or prevent these diseases.
心血管疾病(CVD)是全球死亡的主要原因。2019年,估计有1790万人死于心血管疾病,占全球死亡人数的32%。在这些死亡中,85%是由于心脏病发作和中风。心脏代谢风险,如高血压、超重、肥胖、2型糖尿病和血管疾病,对冠状动脉疾病的进展有重要影响。导致这些心脏代谢疾病的已知后遗症包括氧化应激、炎症、血管脂肪组织功能障碍的发展、血压和血脂的改变、葡萄糖代谢的改变、动脉硬化、内皮功能障碍、动脉粥样硬化斑块的形成以及血小板和凝血途径的激活。弗雷明汉心脏研究小组制定了一项风险评分,用于估计10年内患心脏病的风险。这组专家开发了预测临床冠状动脉疾病事件的数学函数。这些预测能力是通过对主要心血管疾病风险因素(如性别、年龄、血压、总胆固醇、低密度脂蛋白、高密度脂蛋白胆固醇、吸烟行为和糖尿病状况)进行加权得出的。目前,人们对人工智能和机器学习应用的使用越来越感兴趣。在预测与心血管疾病相关的临床事件方面,基于人工智能的模拟模式算法似乎比传统的Framingham风险评分更好。然而,这些应用程序存在局限性,因为它们无法获得引发急性血管事件(如心脏病发作和中风)的特定因素的数据。这篇综述简要讨论了导致血栓形成的一些重要的细胞和分子机制。新兴技术的进一步改进将为患者选择和治疗选择提供更多机会。几项临床研究表明,大多数心血管疾病可以通过解决行为风险因素来预防,如吸烟、不健康饮食和肥胖、体育活动和有害饮酒。早期发现和更好地管理可改变的风险似乎是减少、逆转或预防这些疾病的唯一途径。
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引用次数: 0
In vivo Evaluation of the Antiviral Effects of Arabian Coffee (Coffea arabica) and Green Tea (Camellia sinensis) Extracts on Influenza A Virus 阿拉伯咖啡(Coffea arabica)和绿茶(Camellia sinensis)提取物对甲型流感病毒抗病毒作用的体内评价
IF 0.3 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-09-05 DOI: 10.21103/article13(3)_oa18
Sarah Alfaifi, Rania Suliman, Mona Idriss, Abeer Aloufi, Ebtesam Alolayan, M. Awadalla, Alhassan H. Aodah, Omar Asab, Jarallah Al-Qahtani, Nahla Mohmmed, Bandar Alosaimi
This in vivo study was conducted to evaluate the antiviral activity of Arabian coffee (Coffea arabica) and green tea (Camellia sinensis) extracts against the influenza virus. High-performance liquid chromatography (HPLC) was used to determine the active components in each extract, and eighty experimental mice were treated. Electrophoresis was performed to detect protein expression, and reverse transcription-polymerase chain reaction (RT-PCR) was used to analyze gene expression and quantify viral RNA. Lung tissue histopathology was processed to observe pathological signs. Oral administration of all extracts reduced the viral quantification in mice lungs by 61.6% in the early phase of infection, measured by PCR. From the extracts tested, unroasted green Arabica coffee (AC) extract in protective groups showed remarkable body weight stability of 16.76 g, a survival rate of 100%, and healthier lung tissue, compared to other groups. The antiviral effects of the tested AC and GT (green tea) revealed that AC extracts induced veridical effects, increased body weight, and improved survival rate. Those natural extracts may interfere with viral replication and reduce virus infection. The observed anti-influenza activity demonstrated by reduced symptoms and increased survival rate in animal models suggests that AC extracts might be used as a promising prophylactic agent against influenza viral infections. The active compound in the unroasted green AC extract requires further in vitro analysis as to which viral proteins are targeted by the natural extract and which molecular mechanism this antiviral inhibition is interfering with.
本体内研究旨在评估阿拉伯咖啡(Coffea arabica)和绿茶(Camellia sinensis)提取物对流感病毒的抗病毒活性。采用高效液相色谱法测定各提取物的有效成分,并对80只实验小鼠进行处理。电泳检测蛋白表达,逆转录聚合酶链反应(RT-PCR)分析基因表达,定量病毒RNA。肺组织病理观察病理征象。经PCR检测,在感染早期,口服所有提取物可使小鼠肺部的病毒数量减少61.6%。从提取物测试来看,与其他组相比,保护组未烘焙的绿色阿拉比卡咖啡(AC)提取物表现出显著的体重稳定性,为16.76 g,存活率为100%,肺组织更健康。AC和GT(绿茶)的抗病毒作用表明,AC提取物具有明显的抗病毒作用,增加了体重,提高了存活率。这些天然提取物可能会干扰病毒复制,减少病毒感染。在动物模型中观察到的抗流感活性表现为减轻症状和提高存活率,表明AC提取物可能作为一种有前景的流感病毒感染预防剂。未经烘烤的绿色AC提取物中的活性化合物需要进一步的体外分析,以确定天然提取物针对哪些病毒蛋白,以及这种抗病毒抑制作用干扰了哪些分子机制。
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引用次数: 0
Association between Central Corneal Thickness and Axial Length in Patients with Refractive Anomalies and Emmetropes 屈光异常和Emmetropes患者角膜中央厚度和轴向长度的关系
IF 0.3 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-09-05 DOI: 10.21103/article13(3)_oa7
M. Ismaili
Background: This study aimed to determine the correlation between central corneal thickness (CCT) and axial length (AL) in patients with refractive anomalies and emmetropes. Methods and Results: The study included 330 respondents, with a total of 660 eyes, divided into two groups. The test group (TG) included 180 respondents with refractive anomalies (65 respondents with hypertropia, 65 with myopia, and 50 with astigmatism); the control group (CG) included 150 respondents with uncorrected visual acuity – 6/6 in both eyes. The CCT values were higher in the hypermetropic group compared to the myopic group (561.5±25.3 vs. 517.9±37.3 mm, P<0.001), astigmatism group (561.5±25.3 vs. 528.3±35.3 mm, P<0.001) and the CG (561.5±25.3 vs. 553.3±18.5 mm, P<0.001). From 360 eyes in the TG with refractive anomalies, the lowest AL values were found in the hypermetropic group (21.7±1.0 mm) compared to the myopic group (P<0.001), the astigmatism group (P<0.001), and the CG (P<0.001). Similar differences were also found for the right eyes (OD): hypermetrops tend to have shorter AL than the astigmatic group (P<0.001), myopic group (P<0.001), and the CG (emmetrope) (P<0.001). Conclusion: The mean CCT value in the hyperopic group was higher than in the emmetropic group, while the CCT value of the myopic and astigmatic group was lower than that of the emmetropic group. AL values were the lowest in the hypermetropic group than in the myopic, astigmatic, and control groups.
背景:本研究旨在确定屈光异常和正视眼患者的中央角膜厚度(CCT)和轴长(AL)之间的相关性。方法和结果:该研究包括330名受访者,共660只眼睛,分为两组。测试组(TG)包括180名屈光异常的受访者(65名为远视,65名为近视,50名为散光);对照组(CG)包括150名裸眼视力为6/6的受访者。远视组的CCT值高于近视组(561.5±25.3 vs.517.9±37.3 mm,P<0.001)、散光组(561.5±25.3vs.528.3±35.3 mm,P=0.001)和CG(561.5+/-25.3vs.553.3±18.5 mm,P<0.0001),远视组的AL值最低(21.7±1.0mm),与近视组(P<0.001)、散光组(P<0.0001)和CG(P<0.001,结论:远视组CCT均值高于正视组,近视散光组CCT值低于正视组。远视组的AL值低于近视组、散光组和对照组。
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引用次数: 0
Role of p53, Cancer Stem Cells, and Cellular Senescence in Radiation Response p53、癌症干细胞和细胞衰老在辐射反应中的作用
IF 0.3 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-09-05 DOI: 10.21103/article13(3)_ra3
Juan C. Alamilla-Presuel
Currently, radiotherapy has been identified as the most common cancer treatment. However, the efficacy of this treatment modality is low in several malignancies due to the resistance of cancer to radiation. Multiple mechanisms, including cell-cycle checkpoint function, DNA repair, and cell death pathways, modulate the radio-responsiveness of cancer cells. This review considered the role of p53, cancer stem cells (CSCs), and cellular senescence in radiation response.
目前,放射治疗已被确定为癌症最常见的治疗方法。然而,由于癌症对辐射的抵抗力,这种治疗方式在几种恶性肿瘤中的疗效较低。多种机制,包括细胞周期检查点功能、DNA修复和细胞死亡途径,调节癌症细胞的放射性反应。这篇综述考虑了p53、癌症干细胞(CSCs)和细胞衰老在辐射反应中的作用。
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引用次数: 0
Investigating the Role of Proximal Femoral Morphology in Noncontact ACL Injuries: A Comparative Study 探讨股骨近端形态学在非接触性前交叉韧带损伤中的作用:比较研究
IF 0.3 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-09-05 DOI: 10.21103/article13(3)_oa11
Dijon Musliu, J. Shatri, Sadi Bexheti, Ardita Kafexholli, Redon Jashari, Agron Mahmuti, Lavdim Berisha, Ardian Karakushi, Qerim Kida
Background: Non-contact anterior cruciate ligament (ACL) injury is a common and debilitating injury among athletes, with high recurrence rates and long-term consequences. Identifying individuals at risk of ACL injury can help prevent or reduce the severity of these injuries. The present study aimed to assess the alpha angle (AA) in ACL rupture patients in both the injured (ipsilateral) and non-affected (contralateral) extremities, compared to a control group. Methods and Results: This case-control study included 105 subjects (78.1% male and 21.9% female) aged between 15 and 45 years of both sexes involved in sports. The case group consisted of 54 patients with sport-related, noncontact ACL ruptures identified by MRI. Fifty-one patients, 10(19.6%) of whom were female, with no ACL rupture, were included in the study as a control group. Hip radiographs were taken in all the subjects using the modified Dunn View with the patient in the supine position, hip flexed 45o and abducted 20o. OsiriX software was used to obtain the measurements. Most injuries were caused by football (58.1%), followed by jumping sports (23.8%) and skiing (18.1%). The mean AA was 49.27 o (SD=4.93) for subjects without ACL rupture and 54.84o (SD=6.17) for subjects with ACL rupture, and the difference was statistically significant (P<0.001). Results also showed a statistically significant difference in the AA on the ipsilateral (54.84o [SD=6.17]) and contralateral (49.48o [SD=7.04]) hips of the case subjects (P<0.001). The logistic regression analysis indicated a statistically significant difference in AA between the case and control groups and between hips of the same subject with an OR of 1.12 (P=0.041) and 1.2 (P=0.000), respectively. Conclusion: Alterations in proximal femur morphology should be considered a potential risk factor for ACL injury, and AA can be a significant predictor of ACL injury. We recommend that young athletes actively participating in sports have their hip AA measured so those with higher AA can follow special prevention programs.
背景:非接触性前交叉韧带(ACL)损伤是运动员中一种常见且使人虚弱的损伤,具有高复发率和长期后果。识别有前交叉韧带损伤风险的个体可以帮助预防或减轻这些损伤的严重程度。本研究旨在评估受伤(同侧)和未受影响(对侧)的ACL断裂患者的α角(AA),并与对照组进行比较。方法与结果:本病例对照研究纳入105例(78.1%男性,21.9%女性),年龄在15 ~ 45岁,男女均参与体育运动。病例组包括54例经MRI鉴定为运动相关非接触性前交叉韧带断裂的患者。51例患者,其中10例(19.6%)为女性,无前交叉韧带破裂,作为对照组。所有受试者均采用改良的Dunn视图拍摄髋关节x线片,患者仰卧位,髋关节屈曲45度,外展200度。使用OsiriX软件进行测量。以足球运动(58.1%)、跳高运动(23.8%)、滑雪运动(18.1%)为主。未ACL破裂组平均AA为49.27 0 (SD=4.93),有ACL破裂组平均AA为54.84 0 (SD=6.17),差异有统计学意义(P<0.001)。结果还显示,病例受试者同侧(54.84分[SD=6.17])和对侧(49.48分[SD=7.04])髋部AA值差异有统计学意义(P<0.001)。logistic回归分析显示,病例组与对照组、同一受试者髋部间AA差异有统计学意义,OR分别为1.12 (P=0.041)、1.2 (P=0.000)。结论:股骨近端形态改变应被视为前交叉韧带损伤的潜在危险因素,AA可作为前交叉韧带损伤的重要预测因子。我们建议积极参加体育运动的年轻运动员测量他们的髋关节AA,以便那些AA较高的人可以遵循特殊的预防计划。
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International Journal of Biomedicine
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