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Migration: Epidemic of Mental Disorders Caused by Global Warming and Inequality 移民:全球变暖和不平等导致的精神疾病流行
Pub Date : 2019-01-22 DOI: 10.19080/argh.2019.12.555831
R. Skopec
Rising global temperatures may be driving up rates of mental illness as well, a new study suggests. Last year was the third hottest on record, and 2016 was the hottest ever. And more people are struggling with mental health issues in the US now than any other time in the nation’s history. Superior predatory skills led to the evolutionary triumph of jawed vertebrates. However, the mechanisms by which the vertebrate brain controls predation remain largely unknown. Here, we reveal a critical role for the central nucleus of the amygdala in predatory hunting. Both optogenetic and chemogenetic stimulation of central amygdala of mice elicited predatory-like attacks upon both insect and artificial prey. Coordinated control of cervical and mandibular musculatures, which is necessary for accurately positioning lethal bites on prey, was mediated by a central amygdala projection to the reticular formation in the brainstem. populations during active hunting, we performed electromyogram monitoring of the masseter muscle concomitantly to array neuronal recordings. Principal component analyses of the neuronal data revealed that ∼40% of the recorded neurons increased activity during insect hunting, with hunting-excited CeA neurons maintaining activity levels throughout prey pursuit. The Central Nucleus of the Amygdala Controls Cervical-Mandibular Systems by Acting on Inhibitory Interneurons of the Parvocellular Reticular Formation. The Parvocellular Reticular Formation Contains Both Mandibular and Cervical Premotor Neurons. We investigated in greater depth the reticular circuitry mediating CeA control over craniofacial musculatures.
一项新的研究表明,全球气温上升可能也会推高精神疾病的发病率。去年是有记录以来第三热的一年,2016年是有史以来最热的一年。与美国历史上任何时候相比,现在有更多的人在与心理健康问题作斗争。高超的捕食技巧使有颌脊椎动物在进化上取得了胜利。然而,脊椎动物大脑控制捕食的机制在很大程度上仍然未知。在这里,我们揭示了杏仁核中央核在掠夺性狩猎中的关键作用。光遗传学和化学遗传学对小鼠中央杏仁核的刺激都能引起对昆虫和人工猎物的捕食性攻击。颈部和下颌肌肉组织的协调控制是准确定位猎物致命咬伤所必需的,这是由中央杏仁核投射到脑干网状结构所介导的。在活动狩猎期间,我们对咬肌进行了肌电图监测,同时进行了阵列神经元记录。神经元数据的主成分分析显示,约40%的记录神经元在昆虫狩猎期间活动增加,狩猎兴奋的CeA神经元在追捕猎物过程中保持活动水平。杏仁核中央核通过作用于细胞网状结构的抑制性中间神经元来控制颈-下颌系统。细胞网状结构包含下颌和颈椎前运动神经元。我们更深入地研究了网状电路介导CeA对颅面肌肉组织的控制。
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引用次数: 0
Noninvasive Evaluations of Non-alcoholic Fatty Liver Disease in Pediatric Populations 非酒精性脂肪肝在儿科人群中的无创评估
Pub Date : 2019-01-17 DOI: 10.19080/ARGH.2019.12.555829
K. Reyes
Nonalcoholic fatty liver disease (NAFLD) is the most common liver disease in the pediatric population Schwimmer JB et al. [1], Anderson et al. [2] & Le et al. [3]. NAFLD in children is associated with central obesity and insulin resistance Alterio & Vos et al. [4,5]. The prevalence of NAFLD in children with obesity is estimated to be 34.2%. That is significantly higher than the 7.6% among children from the general population Anderson et al. [2]. The understanding of the pathogenesis of NAFLD is essential to ensure the finding of a reproducible and accurate noninvasive tool to effectively detect the progress of hepatic steatosis Loomba [6]. This mini review focuses on the currently available noninvasive diagnostic modalities that can potentially be applied in children populations.
非酒精性脂肪肝(NAFLD)是儿科人群中最常见的肝病。Schwimmer JB等人[1],Anderson等人[2]和Le等人[3]。儿童NAFLD与中心性肥胖和胰岛素抵抗有关Alterio&Vos等人[4,5]。肥胖儿童的NAFLD患病率估计为34.2%。这明显高于Anderson等人[2]的普通人群儿童的7.6%。了解NAFLD的发病机制对于确保找到一种可重复且准确的无创工具来有效检测肝脂肪变性Loomba的进展至关重要[6]。这篇小型综述的重点是目前可用于儿童人群的非侵入性诊断模式。
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引用次数: 0
Pathology of Cardiovascular System in Patients with Inflammatory Bowel Diseases 炎症性肠病患者心血管系统的病理学
Pub Date : 2019-01-17 DOI: 10.19080/argh.2019.12.555830
Khlynova Ov
The purpose the work was studying of cardiovascular system disease prevalence and structure in persons with the inflammatory bowel diseases (IBD) using Gastroenterology department of the Perm regional hospital as an example. It was the retrospective one-stage research including studying case histories of the patients with ulcerative colitis (UC) and Crohn’s disease (CD) examined and treated in gastroenterological clinic for the period of 2013-2016. There were 291 patients with IBD, chronic cardiovascular pathology was revealed only in 90 patients. Comparative analysis showed that combined diseases were mainly spread in men with UC of middle and advanced age. The most typical for them was combination of UC and ischemic heart disease (50% of cases). Cardiovascular system pathology was 1.5 times more common for women with CD pathology. Besides CD, thromboses of peripheral veins (45% of cases) and myocardial dystrophy (24.5% of cases) were the most frequent pathologies. Due to the small number of patients with IBD and cardiovascular system pathology, it is not possible to claim unambiguously the degree of cardiac disorders in patients with IBD. Thus, it is planned to increase the number of observations to reach statistically optimum conclusion. Studying of this problem is of special practical importance for the possibility to regard patients with IBD as a group of patients with high cardiovascular risk. This will necessitate a number of preventive actions to prevent cardiovascular accidents of fatal and non-fatal
这项工作的目的是以彼尔姆地区医院胃肠科为例,研究炎症性肠病(IBD)患者的心血管系统疾病患病率和结构。这是一项回顾性的一阶段研究,包括研究2013-2016年期间在胃肠病诊所检查和治疗的溃疡性结肠炎(UC)和克罗恩病(CD)患者的病史。有291名IBD患者,只有90名患者出现慢性心血管病理。比较分析表明,合并疾病主要在中老年UC患者中传播。其中最典型的是合并UC和缺血性心脏病(50%的病例)。患有CD病变的女性心血管系统病变的发生率高出1.5倍。除CD外,外周静脉血栓形成(45%的病例)和心肌营养不良(24.5%的病例)是最常见的病理。由于IBD和心血管系统病理的患者数量较少,因此不可能明确说明IBD患者的心脏疾病程度。因此,计划增加观察次数,以得出统计上最佳的结论。研究这一问题对于将IBD患者视为心血管高危患者具有特殊的现实意义。这将需要采取一系列预防措施,以防止致命和非致命的心血管事故
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引用次数: 0
Why Young Patients are Having Colorectal Cancer? 为什么年轻患者会患结直肠癌?
Pub Date : 2019-01-16 DOI: 10.19080/argh.2019.12.555828
E. R. García
Starting around 1990, incidence increased in this age group (20–49 years) from 8.6 per 100,000 to 12.5 per 100,000. The largest absolute increases in incidence have occurred among 40–49-year-olds, from 18.2 per 100,000 in 1992 to 26.5 per 100,000 in 2015. Similar increases have been reported across the world [3]. Asian studies (institutional reports) showed similar trends in patients less than 40 years of age, with a prevalence of 19.5-28.6%, which is clearly higher than that in the USA [46] meanwhile in Mexico at the National Cancer Institute, we reported an incidence of 22.8% [7].
从1990年左右开始,这一年龄组(20-49岁)的发病率从8.6 / 10万增加到12.5 / 10万。发病率绝对增幅最大的是40 - 49岁的人群,从1992年的18.2 / 10万增加到2015年的26.5 / 10万。类似的增长在世界各地都有报道。亚洲的研究(机构报告)在40岁以下的患者中也显示了类似的趋势,患病率为19.5-28.6%,明显高于美国bbb,而在墨西哥国家癌症研究所,我们报道的发病率为22.8% bbb。
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引用次数: 0
A Summary of the Main Biomarkers for Diagnosis and Prognosis of Sporadic Colorectal Cancer: A Review 散发性癌症诊断和预后的主要生物标志物综述
Pub Date : 2019-01-11 DOI: 10.19080/argh.2019.11.555825
E. M. Goloni-Bertollo
Sporadic colorectal cancer (SCRC) affects regions of the large intestine (colon) and rectum that are not of family origin. The carcinogenesis process involves the interaction between environmental and genetic factors. This tumor is characterized by intestinal obstruction, bleeding (hematochezia, enterorrhagia), an altered bowel habit, and systemic conditions, such as weight loss. Some risk factors for SCRC are age over 60 years, a diet with high saturated fat, red meat, alcohol consumption, and smoking. An early diagnosis is essential for effective patient treatment and survival. Finding more effective and less invasive tumor, such as biomarkers, are important for ensuring that people participate in cancer screenings. Some studies have evaluated molecular biomarkers, such as micro ribonucleic acids (microRNAs, or miRNAs) and genes, in relation to the pathways leading to SCRC carcinogenesis, and it has been found that many of these biomarkers are highly expressed in this type of tumor. This review shows data from the literature search in PubMed in the period from January 2017 to April 2018 focusing news biomarkers in SCRC, including microsatellite instability, genes, and micro ribonucleic acids (micro RNAs, or miRNAs), associated with diagnosis, prognosis, and treatment in blood, tissue and feces samples. Thus, this literature review shows that microsatellite instability and gene markers have been extensively studied and characterized as biomarkers in the diagnosis, prognosis, and treatment of SCRC. In addition, some miRNAs have been demonstrated as good noninvasive biomarkers in stool and plasma samples.
散发性癌症(SCRC)影响非家族起源的大肠(结肠)和直肠区域。致癌过程涉及环境因素和遗传因素之间的相互作用。这种肿瘤的特点是肠梗阻、出血(便血、肠出血)、排便习惯改变和全身性疾病,如体重减轻。SCRC的一些风险因素是60岁以上的年龄、高饱和脂肪饮食、红肉、饮酒和吸烟。早期诊断对患者的有效治疗和生存至关重要。寻找更有效、侵袭性更小的肿瘤,如生物标志物,对于确保人们参与癌症筛查至关重要。一些研究已经评估了分子生物标志物,如微小核糖核酸(microRNA,或miRNA)和基因,与导致SCRC致癌的途径有关,并且已经发现这些生物标志物中的许多在这种类型的肿瘤中高度表达。这篇综述显示了2017年1月至2018年4月期间PubMed文献检索的数据,重点关注SCRC中的新闻生物标志物,包括与血液、组织和粪便样本中的诊断、预后和治疗相关的微卫星不稳定性、基因和微核糖核酸(micro-RNAs,或miRNAs)。因此,这篇文献综述表明,微卫星不稳定性和基因标记物已被广泛研究,并被表征为SCRC诊断、预后和治疗中的生物标志物。此外,一些miRNA已被证明是粪便和血浆样本中良好的非侵入性生物标志物。
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引用次数: 1
Perforated Stomach Ulcer on the Background of Her Bleeding 出血背景下的胃溃疡穿孔
Pub Date : 2019-01-11 DOI: 10.19080/ARGH.2019.11.555824
Shaposhnikov Veniamin Ivanovich
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引用次数: 0
Study the Effect of Weight Loss in Improvement of Hepatic Fibrosis in Patients with Chronic HCV 减肥对慢性丙型肝炎患者肝纤维化改善作用的研究
Pub Date : 2019-01-11 DOI: 10.19080/argh.2019.12.555826
Khaled Metwally
Background: Liver fibrosis considered as a reversible disease, but curing the primary hepatic disease, sometimes, doesn’t mean fibrosis improvement. Steatosis could be one of the reasons responsible for this failure. Weight loss has been shown to improve fibrosis, but few data is available from Egypt. Objective: to test the effect of weight reduction on the degree of fibrosis improvement in patients with chronic hepatitis C (CHC). Methods: Adult patients (> 18 years) were recruited from hepatitis Cout patient’s clinic, National Liver Institute (NLI), University of Menoufyia, from 2016 to 2018. Results: Thirty CHC patients with moderate and severe steatosis, who were initially assessed by liver biopsy and Transient elastography (TE) for their fibrosis stage, were followed up by Transient elastography after losing >10% of their weight. Median age was 44.7 years (29 – 59 years) and 50% were men. The degree of fibrosis and its values improved with the significant weight loss (p < 0.01 for both). Conclusion: Weight reduction is associated with improvement of hepatic fibrosis in patient with CHC. Elastography; NAFLD: Nonalcoholic Fatty Liver Disease; N: Number, SD: Standard Deviation, BMI: Body Mass Index; ALT: Alanine Aminotransferase, AST: Aspartate Aminotransferase, RNA: Ribonucleic Acid, INR: International Normalized Ratio, kPa: Kilopascal
背景:肝纤维化被认为是一种可逆性疾病,但治愈原发性肝病有时并不意味着纤维化的改善。脂肪变性可能是造成这次失败的原因之一。减肥已被证明可以改善纤维化,但埃及的数据很少。目的:探讨减轻体重对慢性丙型肝炎(CHC)患者纤维化程度的改善作用。方法:2016年至2018年,从梅努菲亚大学国家肝脏研究所(NLI)库特肝炎患者诊所招募成年患者(>18岁)。结果:30名患有中度和重度脂肪变性的CHC患者,最初通过肝活检和瞬态弹性成像(TE)评估其纤维化阶段,在体重减轻>10%后进行瞬态弹性成像随访。中位年龄为44.7岁(29-59岁),50%为男性。纤维化程度及其值随着体重的显著减轻而改善(两者均p<0.01)。结论:CHC患者体重减轻可改善肝纤维化。弹性成像;NAFLD:非酒精性脂肪肝;N: 数字,SD:标准差,BMI:体重指数;ALT:丙氨酸氨基转移酶、AST:天冬氨酸氨基转移酶,RNA:核糖核酸,INR:国际标准化比值,kPa:千帕斯卡
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引用次数: 0
Cannula, Conduit, Subway: Syringoma 套管,导管,地铁:注射器瘤
Pub Date : 2019-01-01 DOI: 10.19080/argh.2019.13.555865
A. Bajaji
The term “Syringoma” is a derivative of the Greek word “Syrinx” which connotes a pipe or a tube. Syringoma is a benign adnexal tumour commonly affecting adolescents’ females, delineated in an estimated 1% population and configuring well differentiated ducts and cellular strands of basaloid epithelium. The tumour recapitulates the glandular epithelial structures. The neoplasm usually articulates as an intra-dermal or subcutaneous nodule. As syringoma frequently appears at puberty it can manifest a significant cosmetic impact [1,2].
“Syringoma”这个词是希腊语“Syrinx”的衍生词,意思是管子或管子。性腺瘤是一种良性附件肿瘤,常见于青少年女性,约占1%,具有分化良好的导管和基底样上皮细胞链。肿瘤再现腺上皮结构。肿瘤通常为真皮内或皮下结节。由于注射器瘤经常出现在青春期,它可以表现出显著的美容影响[1,2]。
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引用次数: 0
Opposing Roles of BMP and TGF-β Signaling Pathways in Pancreatitis: Mechanisms and Therapeutic Implication. BMP和TGF-β信号通路在胰腺炎中的对立作用:机制和治疗意义。
Pub Date : 2019-01-01 Epub Date: 2019-09-04
Yanna Cao, Madeline Drake, Joy Davis, Baibing Yang, Tien C Ko

Bone morphogenetic proteins (BMPs) comprise a major subgroup of the transforming growth factor (TGF)-β superfamily. They play pivotal roles in embryonic development and tissue homeostasis in adults. Deregulation of BMP and TGF-β signaling contributes to developmental anomalies and multiple diseases. In this mini-review, we focus on BMP signaling in inflammatory disorders of the pancreas, acute and chronic pancreatitis, in contrast to TGF-β signaling. We then discuss molecular mechanisms that interact with and connect between the BMP and TGF-β signaling pathways. Lastly, we review potential implications of these molecular mechanisms for therapeutic development. In summary, BMP signaling pathway plays different roles during pancreatitis disease development, and the antagonism between BMP and TGF-β signaling can be manipulated for therapeutic development against pancreatitis.

骨形态发生蛋白(BMPs)包括转化生长因子(TGF)-β超家族的一个主要亚群。它们在成人胚胎发育和组织稳态中起着关键作用。BMP和TGF-β信号的失调导致发育异常和多种疾病。在这篇小型综述中,我们将重点放在胰腺炎性疾病、急性和慢性胰腺炎中BMP信号传导与TGF-β信号传导的对比。然后我们讨论了与BMP和TGF-β信号通路相互作用和连接的分子机制。最后,我们回顾了这些分子机制对治疗发展的潜在影响。综上所述,BMP信号通路在胰腺炎疾病的发展过程中发挥着不同的作用,BMP与TGF-β信号通路的拮抗作用可以通过调控来促进胰腺炎的治疗发展。
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引用次数: 0
Hepatitis B Elimination - Preventing Vertical Transmission is must 消除乙型肝炎-防止垂直传播是必须的
Pub Date : 2019-01-01 DOI: 10.19080/argh.2019.13.555857
V. Malhotra
The proportion of babies that became HBV chronic carriers is about 10% to 30% for mothers who are HBsAg positive but HBeAg negative. However, the incidence of perinatal infections is higher, i.e. 70% to 90%, when the mother is also HBeAg positive [3]. There are three possible routes of transmission of HBV from infected mothers to infants: transplacental transmission of HBV in utero, natal transmission during delivery or post-natal transmission during care of infant or through breast milk [4]. Though several studies on epidemiology of viral hepatitis in pregnancy are available, there is paucity of data on maternal to child transmission (MTCT) of HBV during pregnancy.
对于HBsAg阳性但HBeAg阴性的母亲,婴儿成为HBV慢性携带者的比例约为10%至30%。然而,当母亲也是HBeAg阳性[3]时,围产期感染的发生率更高,为70%至90%。乙型肝炎病毒从受感染的母亲传播给婴儿有三种可能的途径:乙型肝炎病毒在子宫内经胎盘传播、分娩时的出生传播或婴儿护理期间的产后传播或通过母乳传播。虽然有几项关于妊娠期病毒性肝炎流行病学的研究,但缺乏关于妊娠期HBV母婴传播(MTCT)的数据。
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引用次数: 0
期刊
Advanced research in gastroenterology & hepatology
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