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Exercise training and inflammatory markers in coronary artery disease patients 运动训练与冠心病患者炎症标志物的关系
IF 0.2 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-01-01 DOI: 10.5937/afmnai39-36545
M. Deljanin-Ilić, G. Kocic, G. Lazarević, D. Simonović, M. Stojanović, S. Ilić, B. Đorđević, D. Petrović, S. Stojanović
Aim. To evaluate the influence of exercise training on inflammatory markers and exercise tolerance in coronary artery disease (CAD) patients. Patients and methods. A total of 54 subjects were enrolled in the present study, including 34 CAD patients (CAD group: 59.2 ± 8.2 years) and 20 healthy controls (C group: 54.2 ± 8.0 years). C reactive protein (CRP), erythrocyte sedimentation rate (ESR), white blood cell (WBC), and placental growth factor (PIGF) were determined, and an exercise test was performed in both groups at baseline and once again in CAD group after the supervised 3 weeks of aerobic exercise training. Results. At baseline, CRP, ESR and PIGF were significantly higher in the CAD group compared to the C group (p = 0.038, p = 0.019 and p = 0.002), while exercise capacity was significantly higher in the C group (p ˂ 0.01). After 3 weeks of exercise training, CRP, ESR, WBC count and PIGF significantly decreased (p = 0.048, p ˂ 0.001, p = 0.002 and p ˂ 0.001 respectively), while exercise capacity significantly increased (p ˂ 0.001) in the CAD group. In the CAD group, CRP decrease significantly correlated with WBC and PIGF decrease (r = 0.816, p = 0.002 and r = 0.988, p ˂ 0.001), as well as with exercise capacity increase (r = 0.834, p ˂ 0.001). Also, WBC decrease significantly correlated both with PIGF decrease (r = 0.768, p ˂ 0.001) and exercise capacity increase (r = 0.548, p = 0.012), while PIGF decrease significantly correlated with exercise capacity increase (r = 0.548, p = 0.013). Conclusion. Residential exercise training in CAD patients reduces inflammation, expressed through a significant decrease in CRP, ESR, WBC count and PIGF levels. Those positive changes in inflammatory markers are associated with significant improvement in exercise capacity.
的目标。评价运动训练对冠心病(CAD)患者炎症指标和运动耐量的影响。患者和方法。本研究共纳入54例受试者,其中冠心病患者34例(CAD组:59.2±8.2岁),健康对照20例(C组:54.2±8.0岁)。测定C反应蛋白(CRP)、红细胞沉降率(ESR)、白细胞(WBC)和胎盘生长因子(PIGF),两组在基线时进行运动测试,CAD组在监督下进行3周有氧运动训练后再次进行运动测试。结果。在基线时,CAD组的CRP、ESR和PIGF明显高于C组(p = 0.038, p = 0.019和p = 0.002),而C组的运动能力明显高于C组(p小于0.01)。运动训练3周后,冠心病组CRP、ESR、WBC计数和PIGF显著降低(p = 0.048, p小于0.001,p = 0.002和p小于0.001),运动能力显著提高(p小于0.001)。在CAD组中,CRP降低与WBC和PIGF降低(r = 0.816, p = 0.002和r = 0.988, p小于0.001)以及与运动能力增加(r = 0.834, p小于0.001)显著相关。WBC下降与PIGF下降(r = 0.768, p小于0.001)、运动能力增加(r = 0.548, p = 0.012)、PIGF下降与运动能力增加(r = 0.548, p = 0.013)均显著相关。结论。住宅运动训练可以减轻CAD患者的炎症,通过CRP、ESR、WBC计数和PIGF水平的显著降低来表达。这些炎症标志物的积极变化与运动能力的显著改善有关。
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引用次数: 0
Relationship between sleep disorders and neuropsychiatric symptoms in Parkinson's disease: A narrative review 帕金森病睡眠障碍与神经精神症状的关系:综述
IF 0.2 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-01-01 DOI: 10.5937/afmnai39-33652
A. Shkodina, Tymur Iengalychev, K. Tarianyk, D. Boiko, N. Lytvynenko, A. Skrypnikov
Aim: The objective of this narrative review was to describe the versatile links between mental status and sleep in patients with Parkinson's disease. Methods: We searched randomized controlled studies, observational studies, meta-analyses, systematic reviews, and case reports written in English in PubMed during 2015 - 2021. Additionally, to ensure the completeness of the review, a second, more in-depth literature search was performed using the same electronic database with the search inquiries of increased specificity. Results: The information on pathophysiology, epidemiology, clinical features and risk factors was extracted and formed the basis for this review. Despite how widespread sleep disorders in Parkinson's disease are, there is no systematic information about their association with neuropsychiatric symptoms, such as depression, anxiety, impulse control disorders, apathy, cognitive impairment and psychosis. In this review, we described relationships between these non-motor symptoms of Parkinson's disease, their timeline occurrence, gap in knowledge and perspectives for further research. We suppose that early treatment of sleep disorders in patients with Parkinson's disease can reduce the incidence and extent of neuropsychiatric symptoms. Conclusion: We have demonstrated multiple, multidirectional relationships between sleep disorders and neuropsychiatric symptoms. However, some of them remain unexplored. The described knowledge can be applied to further study the possibility of influencing neuropsychiatric symptoms through the correction of sleep disorders in patients with different stages of Parkinson's disease.
目的:这篇叙述性综述的目的是描述帕金森病患者精神状态和睡眠之间的多种联系。方法:我们检索了2015 - 2021年PubMed中随机对照研究、观察性研究、荟萃分析、系统评价和英文病例报告。此外,为了确保综述的完整性,使用相同的电子数据库进行第二次更深入的文献检索,检索查询的特异性增加。结果:提取了患者的病理生理、流行病学、临床特征及危险因素等信息,为本综述奠定了基础。尽管睡眠障碍在帕金森氏症中非常普遍,但目前还没有关于睡眠障碍与神经精神症状(如抑郁、焦虑、冲动控制障碍、冷漠、认知障碍和精神病)之间关系的系统信息。在这篇综述中,我们描述了帕金森病这些非运动症状之间的关系,它们的发生时间,知识的差距和进一步研究的观点。我们认为早期治疗帕金森病患者的睡眠障碍可以减少神经精神症状的发生率和程度。结论:我们已经证明了睡眠障碍和神经精神症状之间的多重、多向关系。然而,其中一些仍未被探索。所描述的知识可用于进一步研究通过纠正帕金森病不同阶段患者的睡眠障碍影响神经精神症状的可能性。
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引用次数: 2
Protective personality factors for stress in the elderly during COVID-19 pandemic: A cross-sectional study COVID-19大流行期间老年人压力的保护性人格因素:一项横断面研究
IF 0.2 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-01-01 DOI: 10.5937/afmnai39-35292
T. Kilibarda, Šćepan Sinanović, S. Bubanj, Sanja Trgovčević, S. Ivanović, S. Milutinović
Background/Aim. One of the anti-epidemic measures in the COVID-19 pandemic in 2020 in Serbia was the mandatory complete ban on movement for people over 65 years of age. Two main stress factors affecting their health have been identified: intensive media coverage of the new disease and total physical and even social isolation of the elderly. The aim of this study was to assess the immediate impact of these anti-epidemic measures to combat the COVID-19 epidemic in Serbia on the health of people over 65 years old and to recognize protective factors for their health in the conditions of their obligatory isolation. Methods. The cross-sectional study was conducted on a 20‰ sample of inhabitants over 65 (184 in total) in the urban part of the city of Kruševac, in the central part of Serbia, during April and May 2020. Results. Anti-epidemic measures to combat the COVID-19 epidemic have been associated with deteriorating health in a significantly large proportion of the elderly in the sample (approximately 84%), such as unreasonable fatigue, tension, difficulties performing routine activities due to immobility, concerns, sleeping disorders, and hypertensive episodes. Gender, higher education, and material status were not related to protection and emotional well-being, but some personality factors are related to stress resilience. Conclusion. The protective personality factors for health are the respondents' inclination toward hope, having a purpose in life, faith, optimism, interest, as well a high appreciation of positive emotions in the respondent's life (love, joy, enthusiasm, closeness, and belonging) and having a fulfilled emotional life.
背景/目的。塞尔维亚在2020年COVID-19大流行期间采取的防疫措施之一是强制全面禁止65岁以上人群的行动。已经确定了影响他们健康的两个主要压力因素:媒体对这种新疾病的密集报道以及老年人在身体上甚至社会上的完全孤立。本研究的目的是评估塞尔维亚为抗击COVID-19疫情而采取的这些抗流行病措施对65岁以上老年人健康的直接影响,并确认他们在强制隔离条件下的健康保护因素。方法。横断面研究是在2020年4月和5月期间对塞尔维亚中部Kruševac市城区65岁以上居民(共184人)的20‰样本进行的。结果。为抗击COVID-19疫情而采取的防疫措施与样本中相当大比例的老年人(约84%)的健康状况恶化有关,例如不合理的疲劳、紧张、由于行动不便而难以进行日常活动、担忧、睡眠障碍和高血压发作。性别、高等教育程度和物质状况与保护和情绪幸福感无关,但一些人格因素与压力恢复力有关。结论。健康的保护性人格因素是受访者倾向于希望,有生活目标,信仰,乐观,兴趣,以及对受访者生活中的积极情绪(爱,快乐,热情,亲密和归属感)的高度欣赏,并拥有充实的情感生活。
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引用次数: 1
Effect of the oral consumption of lavender extract (lavandula) on prehypertension in the retirees of retirement centers: A randomized clinical trial 口服薰衣草提取物对退休中心退休人员高血压前期的影响:一项随机临床试验
IF 0.2 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-01-01 DOI: 10.5937/afmnai39-33837
Mahboobeh Ahmadabadi, F. Ghorat, Raha Salehabadi, Sedighe Rastaghi, M. Rad
Introduction/Aim: Hypertension is a common disorder of old age, which could be prevented by medicinal herbs. The present study aimed to evaluate the effect of lavender extract on prehypertension in the retired population. Methods: This triple-blind clinical trial was conducted on 60 retired men and women who were divided into two groups of lavender extract and placebo using the permuted block technique. Lavender extract (originating from flower part) and placebo were used twice a day (3 grams is equivalent to 3 cc each time) for two weeks. Blood pressure was measured before use, in the first and second week after use, and one week after the discontinuation of the medication to evaluate the stability of the drug effects. Data analysis was performed in STATA software version 14 at the significance level of p < 0.05. Results: Before the intervention, the mean systolic blood pressure in the lavender extract and placebo groups was 133.9 ± 9.3 mmHg and 127.3 ± 6.3 mmHg, respectively. After a one-week intervention, the mean blood pressure of the groups was 123.1 ± 12.6 mmHg and 125.8± 7.2 mmHg, respectively, while it was 120.8 ± 10.7 mmHg and 127.9 ± 2 mmHg after two weeks. One week after drug discontinuation, these levels were estimated at 123.7 ± 10.7 mmHg and 129.2 ± 10.10 mmHg, respectively. The results of repeated measures ANOVA indicated that lavender extract had significant effects on systolic and diastolic blood pressure in the intervention group (p < 0.05). Conclusion: According to the results, lavender extract was effective in prehypertension control in the retired subjects.
简介/目的:高血压是一种常见的老年疾病,可以通过草药来预防。本研究旨在评价薰衣草提取物对退休人群高血压前期的影响。方法:对60名退休男女进行三盲临床试验,采用排列阻滞技术将其分为薰衣草提取物组和安慰剂组。薰衣草提取物(源自花的部分)和安慰剂每天使用两次(每次3克相当于3毫升),持续两周。分别于用药前、用药后1周、2周及停药后1周测量血压,评价药物作用的稳定性。数据分析采用STATA软件14版,显著性水平p < 0.05。结果:干预前,薰衣草提取物组和安慰剂组的平均收缩压分别为133.9±9.3 mmHg和127.3±6.3 mmHg。干预1周后,各组平均血压分别为123.1±12.6 mmHg和125.8±7.2 mmHg,干预2周后分别为120.8±10.7 mmHg和127.9±2 mmHg。停药一周后,这些水平分别为123.7±10.7 mmHg和129.2±10.10 mmHg。重复测量方差分析结果显示,薰衣草提取物对干预组患者的收缩压和舒张压均有显著影响(p < 0.05)。结论:薰衣草提取物对退休人群高血压前期有明显的控制作用。
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引用次数: 0
The impact of the COVID-19 pandemic on the quality of life of laryngectomized patients COVID-19大流行对喉切除术患者生活质量的影响
IF 0.2 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-01-01 DOI: 10.5937/afmnai39-36517
Mirjana Petrović-Lazić, S. Babac, Ivana Ilić-Savić
Introduction: Quality of life is a state of complete physical, mental and social well-being. Due to the COVID-19 pandemic, which led to changes in the daily routine, there was a change in the psychosocial functioning of individuals. Given that laryngectomized patients belong to a vulnerable group that requires psychological support after surgery, specific epidemiological measures during the COVID-19 pandemic could only further increase the fear and reluctance that is especially pronounced after surgery. Aim: The aim of this study was to investigate whether there was a link between the quality of life of laryngectomized patients and the COVID-19 pandemic. Method: The literature review was performed through the Google Scholar Advanced Search search engine and the Consortium of Libraries of Serbia for Unified Acqusition - KoBSON. Results: The first wave of the COVID-19 pandemic significantly disrupted the emotional well-being of patients with head and neck cancer. These patients became even more anxious due to the high mortality from the COVID-19 viral infection, hospital occupancy and missed therapeutic examinations. The need for togetherness, impaired concentration and attention, irritability and fear that family members might suffer from a deadly disease were the most common behavioral problems identified during the COVID-19 pandemic. Conclusion: The psychological burden associated with the direct and indirect effects of the COVID-19 pandemic should not be overlooked, given the fact that laryngectomized patients have twice the risk of suicide compared to patients who have undergone other types of cancer. Assessing the quality of life in laryngectomized patients is very important because it enables the timely identification of mental disorders and suggests the necessary support measures.
引言:生活质量是一种身体、精神和社会完全健康的状态。由于COVID-19大流行导致日常生活发生变化,个人的心理社会功能也发生了变化。喉切除术患者属于弱势群体,术后需要心理支持,在新冠肺炎大流行期间采取特定的流行病学措施,只会进一步加剧术后尤其明显的恐惧和不情愿。目的:本研究的目的是调查喉切除术患者的生活质量与COVID-19大流行之间是否存在联系。方法:通过谷歌学者高级搜索引擎和塞尔维亚图书馆统一采购联盟(KoBSON)进行文献综述。结果:第一波新冠肺炎大流行显著破坏了头颈癌患者的情绪幸福感。由于COVID-19病毒感染的高死亡率,住院率和错过治疗检查,这些患者变得更加焦虑。在2019冠状病毒病大流行期间,最常见的行为问题是需要团聚、注意力不集中、易怒以及担心家庭成员可能患上致命疾病。结论:考虑到喉切除术患者的自杀风险是其他类型癌症患者的两倍,与COVID-19大流行直接和间接影响相关的心理负担不应被忽视。评估喉切除术患者的生活质量非常重要,因为它可以及时识别精神障碍并提出必要的支持措施。
{"title":"The impact of the COVID-19 pandemic on the quality of life of laryngectomized patients","authors":"Mirjana Petrović-Lazić, S. Babac, Ivana Ilić-Savić","doi":"10.5937/afmnai39-36517","DOIUrl":"https://doi.org/10.5937/afmnai39-36517","url":null,"abstract":"Introduction: Quality of life is a state of complete physical, mental and social well-being. Due to the COVID-19 pandemic, which led to changes in the daily routine, there was a change in the psychosocial functioning of individuals. Given that laryngectomized patients belong to a vulnerable group that requires psychological support after surgery, specific epidemiological measures during the COVID-19 pandemic could only further increase the fear and reluctance that is especially pronounced after surgery. Aim: The aim of this study was to investigate whether there was a link between the quality of life of laryngectomized patients and the COVID-19 pandemic. Method: The literature review was performed through the Google Scholar Advanced Search search engine and the Consortium of Libraries of Serbia for Unified Acqusition - KoBSON. Results: The first wave of the COVID-19 pandemic significantly disrupted the emotional well-being of patients with head and neck cancer. These patients became even more anxious due to the high mortality from the COVID-19 viral infection, hospital occupancy and missed therapeutic examinations. The need for togetherness, impaired concentration and attention, irritability and fear that family members might suffer from a deadly disease were the most common behavioral problems identified during the COVID-19 pandemic. Conclusion: The psychological burden associated with the direct and indirect effects of the COVID-19 pandemic should not be overlooked, given the fact that laryngectomized patients have twice the risk of suicide compared to patients who have undergone other types of cancer. Assessing the quality of life in laryngectomized patients is very important because it enables the timely identification of mental disorders and suggests the necessary support measures.","PeriodicalId":7132,"journal":{"name":"Acta Facultatis Medicae Naissensis","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71196008","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
Features of microbiocenosis and production of hydrogen peroxide by gum symbionts in adolescents with catarrhal gingivitis and chronic gastroduodenitis 青少年卡他性牙龈炎和慢性胃十二指肠炎的微生物病和牙龈共生体产生过氧化氢的特征
IF 0.2 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-01-01 DOI: 10.5937/afmnai39-31515
I. Lisetska, Mikola Rozhko
Introduction. The key links in the etiology and pathogenesis of periodontal tissue diseases are the quantitative and qualitative changes in the composition of the microflora of the oral cavity, with the simultaneous deterioration of oral hygiene, and reduction of local and general immunity, which occurs more often in the presence of somatic diseases. Aims. The aim of the paper was to study the features of the microbiocenosis of periodontal tissues and the production of hydrogen peroxide by gum symbionts in adolescents with catarrhal gingivitis and chronic gastroduodenitis. Methods. The condition of the microbiocenosis of the gums of 83 adolescents from 12 to 18 years, which was divided into groups depending on the diagnosed catarrhal gingivitis and chronic gastroduodenitis, was studied. Bacteriological examination was performed to isolate pure cultures of microorganisms and to identify them according to generally accepted microbiological methods. The ability of the selected cultures to produce hydrogen peroxide was studied on an indicator medium with potassium-iodine-starch system, by the iodometric method. Results. The results of microbiological studies showed significant changes in qualitative and quantitative indicators of the microbiocenosis of the gingival mucosa in the affected area of patients with gingivitis, compared with dentally and somatically healthy individuals in the control group. In the group of clinically healthy adolescents, hydrogen peroxide producers were found on the mucous membrane of the gums only in 5.0 ± 1.15% of the examinees. In catarrhal gingivitis, hydrogen peroxide producers were found in 52.4 ± 2.4 % of the examined main group subjects (p < 0.01) and in the 50.0 ± 2.5 % of the examined comparison group subjects (p < 0.01). Conclusion. Among adolescents with catarrhal gingivitis, which occurs on the background of chronic gastroduodenitis, there were more pronounced quantitative and qualitative changes in the microbiocenosis of the gums. The hydrogen peroxide produced by them can act as an additional damaging factor in the pathogenesis of the inflammatory process of the gingival area.
介绍。牙周组织疾病的病因和发病机制的关键环节是口腔微生物群组成的数量和质量变化,同时口腔卫生恶化,局部和全身免疫力下降,这种情况更常发生在躯体疾病中。目标本文旨在研究青少年卡他性牙龈炎和慢性胃十二指肠炎患者牙周组织微生物病的特点和牙龈共生体产生过氧化氢的情况。方法。本文对83例12 ~ 18岁青少年的牙龈微生物病进行了研究,根据诊断的卡卡性牙龈炎和慢性胃十二指肠炎分为两组。进行细菌学检查以分离纯培养的微生物,并根据普遍接受的微生物学方法进行鉴定。在含钾-碘-淀粉体系的指示培养基上,用碘量法研究了所选培养物产生过氧化氢的能力。结果。微生物学研究结果显示,牙龈炎患者患区牙龈黏膜微生物病的定性和定量指标与对照组牙齿和躯体健康者相比均有显著变化。在临床健康青少年组中,只有5.0±1.15%的受试者在牙龈粘膜上发现过氧化氢生成物。在卡他性牙龈炎中,主要检查组的过氧化氢产生者占52.4±2.4 % (p < 0.01),对照组的过氧化氢产生者占50.0±2.5 % (p < 0.01)。结论。青少年卡他性牙龈炎是在慢性胃十二指肠炎的背景下发生的,在牙龈微生物病中有更明显的定量和定性变化。它们产生的过氧化氢在牙龈区域炎症过程的发病机制中可以作为一个额外的破坏因素。
{"title":"Features of microbiocenosis and production of hydrogen peroxide by gum symbionts in adolescents with catarrhal gingivitis and chronic gastroduodenitis","authors":"I. Lisetska, Mikola Rozhko","doi":"10.5937/afmnai39-31515","DOIUrl":"https://doi.org/10.5937/afmnai39-31515","url":null,"abstract":"Introduction. The key links in the etiology and pathogenesis of periodontal tissue diseases are the quantitative and qualitative changes in the composition of the microflora of the oral cavity, with the simultaneous deterioration of oral hygiene, and reduction of local and general immunity, which occurs more often in the presence of somatic diseases. Aims. The aim of the paper was to study the features of the microbiocenosis of periodontal tissues and the production of hydrogen peroxide by gum symbionts in adolescents with catarrhal gingivitis and chronic gastroduodenitis. Methods. The condition of the microbiocenosis of the gums of 83 adolescents from 12 to 18 years, which was divided into groups depending on the diagnosed catarrhal gingivitis and chronic gastroduodenitis, was studied. Bacteriological examination was performed to isolate pure cultures of microorganisms and to identify them according to generally accepted microbiological methods. The ability of the selected cultures to produce hydrogen peroxide was studied on an indicator medium with potassium-iodine-starch system, by the iodometric method. Results. The results of microbiological studies showed significant changes in qualitative and quantitative indicators of the microbiocenosis of the gingival mucosa in the affected area of patients with gingivitis, compared with dentally and somatically healthy individuals in the control group. In the group of clinically healthy adolescents, hydrogen peroxide producers were found on the mucous membrane of the gums only in 5.0 ± 1.15% of the examinees. In catarrhal gingivitis, hydrogen peroxide producers were found in 52.4 ± 2.4 % of the examined main group subjects (p < 0.01) and in the 50.0 ± 2.5 % of the examined comparison group subjects (p < 0.01). Conclusion. Among adolescents with catarrhal gingivitis, which occurs on the background of chronic gastroduodenitis, there were more pronounced quantitative and qualitative changes in the microbiocenosis of the gums. The hydrogen peroxide produced by them can act as an additional damaging factor in the pathogenesis of the inflammatory process of the gingival area.","PeriodicalId":7132,"journal":{"name":"Acta Facultatis Medicae Naissensis","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71195614","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
Heterozygous c.1730G > C (p.Trp577Ser) variation in a case with familial hypercholesterolemia 家族性高胆固醇血症病例的杂合C . 1730g > C (p.Trp577Ser)变异
IF 0.2 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-01-01 DOI: 10.5937/afmnai39-35609
Mustafa Doğan, M. Koksal, R. Eroz
Introduction: FH is an autosomal dominant disease of lipid metabolism. Hypercholesterolemia, xanthomas, and death from early coronary artery disease (CAD) are common in this disease due to a mutation in the LDLR, Apo-B100 or PCSK9 genes. Case report: A 4-year-old male patient with a very rare heterozygous c.1730G > C (p.Trp577Ser) variation in exon 12 of the low-density lipoprotein receptor (LDLR) gene that causes familial hypercholesterolemia (FH) was reported. As in this case, the heterozygous form may not show any symptoms in the first decade. This variation is region specific. Therefore, region-specific diagnostic criteria should be developed. Conclusion: We aimed to contribute to the literature on the development of diagnostic criteria by discussing the patient's condition with the clinical results.
简介:FH是一种常染色体显性脂质代谢疾病。由于LDLR、Apo-B100或PCSK9基因突变,高胆固醇血症、黄瘤和早期冠状动脉疾病(CAD)导致的死亡在这种疾病中很常见。病例报告:报告了一例4岁男性患者,低密度脂蛋白受体(LDLR)基因第12外显子出现罕见的杂合C . 1730g > C (p.Trp577Ser)变异,导致家族性高胆固醇血症(FH)。在这种情况下,杂合子型在头十年可能不会表现出任何症状。这种变化是地区特有的。因此,应制定地区特异性诊断标准。结论:我们的目的是通过讨论患者的病情和临床结果来促进诊断标准的发展。
{"title":"Heterozygous c.1730G > C (p.Trp577Ser) variation in a case with familial hypercholesterolemia","authors":"Mustafa Doğan, M. Koksal, R. Eroz","doi":"10.5937/afmnai39-35609","DOIUrl":"https://doi.org/10.5937/afmnai39-35609","url":null,"abstract":"Introduction: FH is an autosomal dominant disease of lipid metabolism. Hypercholesterolemia, xanthomas, and death from early coronary artery disease (CAD) are common in this disease due to a mutation in the LDLR, Apo-B100 or PCSK9 genes. Case report: A 4-year-old male patient with a very rare heterozygous c.1730G > C (p.Trp577Ser) variation in exon 12 of the low-density lipoprotein receptor (LDLR) gene that causes familial hypercholesterolemia (FH) was reported. As in this case, the heterozygous form may not show any symptoms in the first decade. This variation is region specific. Therefore, region-specific diagnostic criteria should be developed. Conclusion: We aimed to contribute to the literature on the development of diagnostic criteria by discussing the patient's condition with the clinical results.","PeriodicalId":7132,"journal":{"name":"Acta Facultatis Medicae Naissensis","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71195649","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
Could nucleolin and nucleophosmin levels be prognostic indicators in non-small cell lung cancer? 核仁蛋白和核磷蛋白水平可以作为非小细胞肺癌的预后指标吗?
IF 0.2 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-01-01 DOI: 10.5937/afmnai39-35741
G. Akın, O. Eşbah, R. Eröz
Aim: Lung cancer is the leading cause of mortality from cancer across the world. In this study, the use of serum nucleolin (NCL) and nucleophosmin (NPM1) levels as a marker in the diagnosis, prognosis and treatment response evaluation in lung cancer was investigated. Materials and Method: NCL and NPM1 levels of serum samples taken before chemotherapy and after 3-4 courses of chemotherapy from the control group and the patients diagnosed with lung cancer were studied using ELISA method. Results: Serum NCL and NPM1 levels of the patients were higher than of the controls (p = 0.085 for NCL, p = 0.000 for NPM1). NCL and NPM1 levels by histopathologic type were significantly higher in adenocarcinoma than in squamous cell carcinoma (p < 0.05 for each). In view of the treatment responses to chemotherapeutic agents, there was a statistically insignificant difference between the values before and after chemotherapy (p > 0.05 for each). Conclusion: High serum NCL and NPM1 levels were found to correlate with poor prognosis, poor treatment response and low survival rate. It can be concluded that serum NCL and NPM1 levels in lung cancer can be used as diagnostic and prognostic markers for the disease.
目的:肺癌是全世界癌症死亡的主要原因。本研究探讨血清核仁蛋白(NCL)和核磷蛋白(NPM1)水平作为肺癌诊断、预后和治疗反应评价的标志物。材料与方法:采用酶联免疫吸附法(ELISA)检测对照组及确诊肺癌患者化疗前及化疗3 ~ 4个疗程后血清NCL、NPM1水平。结果:患者血清NCL和NPM1水平均高于对照组(NCL组p = 0.085, NPM1组p = 0.000)。腺癌组织病理类型NCL和NPM1水平显著高于鳞状细胞癌(p < 0.05)。从化疗药物的治疗反应来看,化疗前后比较,差异无统计学意义(p < 0.05)。结论:血清NCL、NPM1水平高与预后差、治疗反应差、生存率低相关。结论:血清NCL和NPM1水平可作为肺癌的诊断和预后指标。
{"title":"Could nucleolin and nucleophosmin levels be prognostic indicators in non-small cell lung cancer?","authors":"G. Akın, O. Eşbah, R. Eröz","doi":"10.5937/afmnai39-35741","DOIUrl":"https://doi.org/10.5937/afmnai39-35741","url":null,"abstract":"Aim: Lung cancer is the leading cause of mortality from cancer across the world. In this study, the use of serum nucleolin (NCL) and nucleophosmin (NPM1) levels as a marker in the diagnosis, prognosis and treatment response evaluation in lung cancer was investigated. Materials and Method: NCL and NPM1 levels of serum samples taken before chemotherapy and after 3-4 courses of chemotherapy from the control group and the patients diagnosed with lung cancer were studied using ELISA method. Results: Serum NCL and NPM1 levels of the patients were higher than of the controls (p = 0.085 for NCL, p = 0.000 for NPM1). NCL and NPM1 levels by histopathologic type were significantly higher in adenocarcinoma than in squamous cell carcinoma (p < 0.05 for each). In view of the treatment responses to chemotherapeutic agents, there was a statistically insignificant difference between the values before and after chemotherapy (p > 0.05 for each). Conclusion: High serum NCL and NPM1 levels were found to correlate with poor prognosis, poor treatment response and low survival rate. It can be concluded that serum NCL and NPM1 levels in lung cancer can be used as diagnostic and prognostic markers for the disease.","PeriodicalId":7132,"journal":{"name":"Acta Facultatis Medicae Naissensis","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71195673","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
Asthma as a risk factor for The progression of COVID-19 哮喘是COVID-19进展的危险因素
IF 0.2 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-01-01 DOI: 10.5937/afmnai39-33234
B. Mahdi
Background: Asthma is one of the most common chronic respiratory diseases in the world, standing for the most frequent cause for hospitalization and emergency cases. Respiratory viruses are the most triggering cause. Aim: To assess the role of viral infections, especially COVID-19, in the pathogenesis of asthma initiation and exacerbations. Method: Electronic search was done for the manuscripts focusing on asthma as a risk factor for complications after COVID-19 infection. The outcomes were titles, materials, methods and classified studies related or not related to the review study. Three hundred publications were identified and only ten studies were selected for analysis. Seven studies were review, one retrospective, one longitudinal cohort study and one letter to the editor. Results: The included literature sources have highlighted different effect of asthma on COVID-19 progression. Asthma can be triggered by this virus and asthmatic patients with COVID-19 should not stop their treatment. Others suggest that asthma does not appear to be a significant risk factor for developing severe COVID-19 requiring hospitalization or intubation. Conclusions: Asthma is considered as comorbidity factor leading to complications and mortality in subjects infected with COVID-19.
背景:哮喘是世界上最常见的慢性呼吸系统疾病之一,是住院和急诊病例中最常见的原因。呼吸道病毒是最主要的诱因。目的:探讨病毒感染,尤其是COVID-19在哮喘发病和加重中的作用。方法:电子检索以哮喘为新冠肺炎感染后并发症危险因素的文献。结果为与综述研究相关或不相关的标题、材料、方法和分类研究。确定了300份出版物,只选择了10项研究进行分析。七项研究是回顾性的,一项是回顾性的,一项是纵向队列研究,还有一项是写给编辑的。结果:纳入的文献来源强调了哮喘对COVID-19进展的不同影响。这种病毒可引发哮喘,患有COVID-19的哮喘患者不应停止治疗。其他研究表明,哮喘似乎不是发展为需要住院或插管的严重COVID-19的重要风险因素。结论:哮喘被认为是导致COVID-19感染患者并发症和死亡的合并症因素。
{"title":"Asthma as a risk factor for The progression of COVID-19","authors":"B. Mahdi","doi":"10.5937/afmnai39-33234","DOIUrl":"https://doi.org/10.5937/afmnai39-33234","url":null,"abstract":"Background: Asthma is one of the most common chronic respiratory diseases in the world, standing for the most frequent cause for hospitalization and emergency cases. Respiratory viruses are the most triggering cause. Aim: To assess the role of viral infections, especially COVID-19, in the pathogenesis of asthma initiation and exacerbations. Method: Electronic search was done for the manuscripts focusing on asthma as a risk factor for complications after COVID-19 infection. The outcomes were titles, materials, methods and classified studies related or not related to the review study. Three hundred publications were identified and only ten studies were selected for analysis. Seven studies were review, one retrospective, one longitudinal cohort study and one letter to the editor. Results: The included literature sources have highlighted different effect of asthma on COVID-19 progression. Asthma can be triggered by this virus and asthmatic patients with COVID-19 should not stop their treatment. Others suggest that asthma does not appear to be a significant risk factor for developing severe COVID-19 requiring hospitalization or intubation. Conclusions: Asthma is considered as comorbidity factor leading to complications and mortality in subjects infected with COVID-19.","PeriodicalId":7132,"journal":{"name":"Acta Facultatis Medicae Naissensis","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71195721","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
Smoke, nicotine, opioids, and cannabinoids effects on the ACE2 protein level and possibility of COVID-19 infection: Suggesting potential preventives and therapeutics 烟雾、尼古丁、阿片类药物和大麻素对ACE2蛋白水平和COVID-19感染可能性的影响:建议潜在的预防和治疗方法
IF 0.2 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-01-01 DOI: 10.5937/afmnai39-33402
Roshanak Ghobadian, H. Khaleghzadeh-Ahangar
Introduction. The coronavirus caused the pandemic COVID-19 that has an extensive influence in the world. The virus enters and infects body cells through superficial protein ACE2. Each cell possessing ACE2 is potentially vulnerable to this virus. Since the respiratory system is exposed to the environment and has ACE2, it is one of the first candidates infected by the virus. One of the considerable complications in the severe stage of COVID-19 is an intense adaptive immunological response that is detrimental to body organs. Methods. This is a review article. All relevant articles which were accessible were reviewed. Results. Some drugs of abuse may have an adverse or beneficial influence on the disease, and their simultaneity with COVID-19 is remarkable. Nicotine and cholinergic nicotinic receptor agonists seem to decrease the cell's membrane superficial ACE2 protein number; thus, they would be appropriate candidates for COVID-19 prevention and expansion. Both opioids and cannabinoids attenuate the immune system and seem to be adverse for disease incidence but can be beneficial for the severe stage of COVID19. The antitussive effect of some opioids would be advantageous. Furthermore, some opioids are substrates for ACE2 and they bind it. Therefore, they would be an appropriate candidate to design a drug covering ACE2 with a high affinity to prevent coronavirus infection. Conclusion. Some drugs, such as nicotine and opioids, may have beneficial effects on preventing or reducing COVID-19 complications.
介绍。新冠肺炎疫情在世界范围内产生了广泛影响。病毒通过表面蛋白ACE2进入并感染人体细胞。每个拥有ACE2的细胞都可能容易受到这种病毒的攻击。由于呼吸系统暴露于环境并具有ACE2,因此它是病毒感染的首批候选者之一。COVID-19严重阶段的严重并发症之一是对身体器官有害的强烈适应性免疫反应。方法。这是一篇评论文章。对所有可查阅的相关文章进行了审查。结果。一些滥用药物可能对疾病产生不利或有益的影响,其与COVID-19的同时性是显着的。烟碱和胆碱能烟碱受体激动剂似乎能降低细胞膜表面ACE2蛋白的数量;因此,它们将是COVID-19预防和扩大的合适候选者。阿片类药物和大麻素都能削弱免疫系统,似乎对疾病发病率不利,但对covid - 19严重阶段可能有益。一些阿片类药物的止咳作用是有利的。此外,一些阿片样物质是ACE2的底物并与之结合。因此,它们将是设计一种覆盖ACE2的高亲和力药物来预防冠状病毒感染的合适候选者。结论。一些药物,如尼古丁和阿片类药物,可能对预防或减少COVID-19并发症有有益作用。
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Acta Facultatis Medicae Naissensis
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