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Progress in the Study of Esophageal Cancer-Related Genes and Their Therapeutic Modalities 食管癌相关基因及其治疗方法的研究进展
Pub Date : 2023-03-01 DOI: 10.56397/crms.2023.03.14
Siping Qin
Esophageal cancer is a prevalent malignant tumor of the digestive tract that has a high mortality rate, posing a severe threat to human life. The development of esophageal cancer is the result of multiple factors, and the process of carcinogenesis is accompanied by abnormal expression of several genes. Mutations in oncogenes and tumor suppressor genes result in changes in their expression and activity, playing a crucial role in the occurrence, development, pathological staging, and prognosis of esophageal cancer. This paper aims to review and study recent research on esophageal cancer, including basic information, related genes, and treatment modalities, in order to explore new ideas and research bases for the diagnosis and treatment of esophageal cancer.
食管癌是一种常见的消化道恶性肿瘤,死亡率高,严重威胁人类生命。食管癌的发生是多种因素共同作用的结果,癌变过程中伴随着几种基因的异常表达。癌基因和抑癌基因的突变导致其表达和活性的改变,在食管癌的发生、发展、病理分期和预后中起着至关重要的作用。本文旨在对食管癌的基本信息、相关基因、治疗方式等方面的最新研究进行综述和研究,以期为食管癌的诊断和治疗探索新的思路和研究基础。
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引用次数: 1
A 9-Year-Old Child with Kawasaki Disease Complicated with Mycoplasma Infection: A Case Report and Literature Review 9岁川崎病患儿并发支原体感染1例报告并文献复习
Pub Date : 2023-03-01 DOI: 10.56397/crms.2023.03.10
Nairong Gao, F. Zhao, Yile Kou, Qian Bai, H. Ding
Kawasaki disease (KD), also known as cutaneous mucosal lymph node syndrome, is an immune-mediated vasculitis, which is easy to involve small and medium-sized arteries, especially coronary arteries, and can cause a variety of cardiac sequelae. It primarily affects children from 6 months to 5 years old. In recent years, it has been reported that the incidence of KD is gradually increasing, and there are some reports of KD in teenagers and even adults. By reporting the clinical data of a 9-year-old KD child with mycoplasma infection who presented to children’s Hospital of Second Affiliated Hospital of Shaanxi University of Chinese Medicine and reviewing relevant literature, this paper aims to provide clinical reference for the prevention and treatment of missed diagnosis of KD in older children.
川崎病(Kawasaki disease, KD)又称皮肤粘膜淋巴结综合征,是一种免疫介导的血管炎,易累及中小动脉,尤其是冠状动脉,可引起多种心脏后遗症。它主要影响6个月至5岁的儿童。近年来,有报道称KD的发病率逐渐增加,在青少年甚至成人中也有KD的报道。本文通过报道1例就诊于陕西中医药大学附属第二医院儿童医院的9岁KD患儿支原体感染的临床资料,并复习相关文献,旨在为大龄儿童KD漏诊的防治提供临床参考。
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引用次数: 0
The Latest Development of Sanfu Herbal Patch in the Treatment of Allergic Rhinitis 三附中药贴剂治疗变应性鼻炎的最新进展
Pub Date : 2023-03-01 DOI: 10.56397/crms.2023.03.12
Yunchuan Tian, Yonglian Tang, Jiang Xiao, Rongkun Li, Qingyang Zhu
Allergic rhinitis (AR) is a non-infectious inflammatory disease of the nasal mucosa mainly mediated by IgE after the body is exposed to allergens (Guidelines for diagnosis and treatment of allergic rhinitis, 2010), with paroxysmal episodes of frequent sneezing, a large amount of watery nose, nasal congestion, thickening of the nasal mucosa as the main characteristics (Xuting Ye, Shuili Zheng, & Zhihua Wang, 2016), because it can further induce bronchial asthma, allergic conjunctivitis, otitis media, sinusitis, tracheal and bronchitis, pharyngitis and other diseases, which has a great impact on the quality of life of patients (Chun Wang, Lili Jiang, Zhendong Shi, et al., 2019). Sanfu herbal patch, a method of traditional Chinese medicine winter disease summer treatment, can effectively improve individual immunity and reduce the occurrence of winter diseases. At present, studies have found that the traditional Chinese medicine Sanfu herbal patch as a complementary and alternative treatment of allergic rhinitis has significant effects.
变应性鼻炎(Allergic rhinitis, AR)是机体接触过敏原后主要由IgE介导的一种非感染性鼻黏膜炎症性疾病(《变应性鼻炎诊疗指南》,2010),以阵发性发作性频繁打喷嚏、大量流鼻涕、鼻塞、鼻黏膜增厚为主要特征(叶雪婷、郑水丽、王志华,2016),因其可进一步诱发支气管哮喘、变应性结膜炎、中耳炎、鼻窦炎、气管支气管炎、咽炎等疾病,对患者的生活质量有很大影响(王春,姜丽丽,施振东等,2019)。三伏药贴是中医冬病夏治的一种方法,能有效提高个体免疫力,减少冬病的发生。目前已有研究发现,中药三附中药贴片作为变应性鼻炎的补充替代治疗效果显著。
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引用次数: 0
The Research Progress of Cone-Beam Breast Computed Tomography in Clinical Application 锥形束乳腺ct在临床应用中的研究进展
Pub Date : 2023-03-01 DOI: 10.56397/crms.2023.03.16
Rui Wang, Z. Ouyang
Cone-beam breast computed tomography (CBBCT) is a specialized imaging modality for breast examination that can generate high-resolution three-dimensional images with 3D isotropic resolution. This method has high sensitivity and better displays breast cancer lesions and microcalcifications, especially in the dense breast. When combined with CBBCT plain and enhanced scans, the efficiency of diagnosis and treatment can be further improved. Enhanced CT scans provide a better display of the morphological characteristics of tumor lesions, surrounding tissues, and blood vessels, thereby providing more comprehensive diagnostic information. The imaging manifestations of breast cancer on CBBCT are closely related to the molecular subtypes and immunohistochemical receptor status of the tumor. By incorporating imaging characteristics, the molecular subtypes, and the status of immunohistochemical receptors of breast cancer, the diagnosis and evaluation of the disease can be predicted and assessed accurately. In recent years, CBBCT has shown great potential in the diagnosis and evaluation of breast cancer. This article provides a review of the operational characteristics of cone beam breast CT and the recent research progress in the diagnosis and evaluation of breast diseases.
锥形束乳房计算机断层扫描(CBBCT)是一种专门用于乳房检查的成像方式,可以生成具有三维各向同性分辨率的高分辨率三维图像。该方法灵敏度高,能较好地显示乳腺癌病变及微钙化,尤其是致密乳腺。结合CBBCT平扫和增强扫描,可进一步提高诊治效率。增强CT扫描可以更好地显示肿瘤病变、周围组织和血管的形态特征,从而提供更全面的诊断信息。乳腺癌在CBBCT上的影像学表现与肿瘤的分子亚型和免疫组化受体状态密切相关。结合乳腺癌的影像学特征、分子亚型和免疫组化受体的状态,可以准确预测和评估疾病的诊断和评价。近年来,CBBCT在乳腺癌的诊断和评价中显示出巨大的潜力。本文就锥形束乳腺CT的工作特点及近年来在乳腺疾病诊断与评价方面的研究进展进行综述。
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引用次数: 0
A Brief Analysis on the Modulation Effect of Ba Duan Jin on Non-Motor Symptoms of Parkinson’s Disease 浅析八段金对帕金森病非运动症状的调节作用
Pub Date : 2023-03-01 DOI: 10.56397/crms.2023.03.08
Kefan Li, Jun Li
Parkinson’s disease (PD) is a common neurodegenerative disease in middle-aged and elderly people. The non-motor symptoms of PD, such as depression and anxiety, are often ignored in the face of typical motor symptoms such as tremor and bradykinesia. Non-motor symptoms in PD will not only increase the burden of patients, affect the quality of life, but also reduce the effect of PD drug treatment. A vicious circle is formed. At present, PD cannot be cured. Drugs are the first-line treatment, but long-term use in clinical practice will bring various side effects. Clinical studies have shown that Ba duan Jin as an adjuvant treatment can improve the non-motor symptoms of PD and delay the progression of PD. However, the regulatory mechanism of Ba duan jin on non-motor symptoms of PD is still unclear, which needs to be further elaborated in combination with the theory of traditional Chinese medicine.
帕金森病(PD)是一种常见于中老年人的神经退行性疾病。PD的非运动症状,如抑郁和焦虑,在面对典型的运动症状如震颤和运动迟缓时往往被忽视。PD的非运动症状不仅会增加患者的负担,影响生活质量,还会降低PD药物治疗的效果。恶性循环就形成了。目前,帕金森病无法治愈。药物是一线治疗手段,但在临床长期使用会带来各种副作用。临床研究表明,八段金作为辅助治疗可以改善PD的非运动症状,延缓PD的进展。但八段金对PD非运动症状的调节机制尚不清楚,需要结合中医理论进一步阐述。
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引用次数: 0
The Significance of Oral Health Prevention and Care for Oral Health 口腔健康预防与护理的意义
Pub Date : 2023-03-01 DOI: 10.56397/crms.2023.03.09
Yunchuan Tian, Yonglian Tang, Jiang Xiao, Rongkun Li, Qingyang Zhu
With the development of medical science and the improvement of people’s health, oral health has been listed as one of the world health standards, an integral and important part of the quality of life (Keqin Rao, 2005). The development of oral diseases has seriously affected people’s work and life. To fundamentally control the occurrence of oral diseases, the most important measure is based on prevention.
随着医学的发展和人们健康水平的提高,口腔健康已被列为世界卫生标准之一,是生活质量不可缺少的重要组成部分(饶克勤,2005)。口腔疾病的发展已经严重影响了人们的工作和生活。要从根本上控制口腔疾病的发生,最重要的措施还是以预防为主。
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引用次数: 0
Effects of Baduanjin Exercise on Glucose and Lipid Metabolism in Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis 八段锦运动对2型糖尿病糖脂代谢的影响:一项系统综述和荟萃分析
Pub Date : 2023-03-01 DOI: 10.56397/crms.2023.03.15
M. Guo, Mengyuan Cai, Hui Wang, Zhipeng Hu, H. Feng, C. Xie
Background: Type 2 diabetes mellitus (T2DM) refers to a metabolic disorder characterized by persistent hyperglycemia. Uncontrolled blood glucose levels over time may lead to serious complications, possibly even death. As an adjunctive treatment for T2DM, increasing numbers of clinical studies have demonstrated that Baduanjin (the Eight Section Brocades)—one of Traditional Asian exercise may effectively control fasting plasma glucose (FPG), glycosylated hemoglobin (HbA1c), and 2h postprandial plasma glucose (P2hPG) as well as blood lipid levels of diabetic patients. However, the primary evidence demonstrating the clinical benefit of Baduanjin exercise in diabetic patients remains insufficient, especially the intervention effect on glucose and lipid metabolism is not fully understood. Objectives: The purpose of this study is to examine the effects of Baduanjin exercise on glucose and lipid metabolism in individuals with type 2 diabetes in randomized controlled trials (RCTs). Methods: Nine electronic databases were searched from the database’s inception until January 31th, 2023, without regard to language constraints (PubMed, Web of Science, Embase, the Cochrane Central Register of Controlled Trials (CENTRAL), Scopus, China National Knowledge Infrastructure (CNKI), Wanfang Data Knowledge Service Platform (WAN FANG), VIP information resource integration service platform (CQVIP) and China Biology Medicine (CBM)). Furthermore, information concerning unpublished or continuing clinical trials was searched within the National Institutes of Health clinical registry Clinical Trials, the International Clinical Trials Registry Platform, and the Chinese Clinical Trials Registry. RCTs that examined the effect of Baduanjin exercise on glucose and lipid metabolism were identified. The primary outcomes of this study were fasting plasma glucose (FPG), 2h postprandial plasma glucose (P2hPG) and glycosylated hemoglobin (HbA1c). The literature was chosen based on inclusion and exclusion criteria, with the Baduanjin exercise serving as the primary method for the experimental group. Selection, data collection and extraction of studies were conducted separately by at least two reviewers, with disagreements resolved through discussion. The mean difference (MD) with a 95% confidence interval (CI) was employed for continuous outcomes. Analysis of data and subgroups, as well as sensitivity analysis, were performed utilizing Review Manager V.5.4.1 (RevMan V.5.4.1) and Stata/MP 17.0. Results: This meta-analysis comprised twenty-six original studies with 1,779 individuals. Glucose metabolism: As a result of the pooled analysis, it demonstrated that combination treatment resulted in a reduction in the HbA1c (MD: -0.73, 95% CI: -0.91 to -0.55, P<0.00001), FPG (MD −1.14, 95% CI −1.38 to −0.90, P<0.00001), P2hPG (MD: -1.22, 95% CI: -1.66 to -0.78, P<0.00001), Homeostasis Model Assessment of Insulin Resistance (HOMA-IR) (MD: -0.59, 95% CI: -1.07 to -0.11, P=0.02), and Fasting Insuli
背景:2型糖尿病(T2DM)是一种以持续高血糖为特征的代谢紊乱。长期不受控制的血糖水平可能导致严重的并发症,甚至可能导致死亡。作为T2DM的辅助治疗,越来越多的临床研究表明,亚洲传统运动之一的八段锦可有效控制糖尿病患者的空腹血糖(FPG)、糖化血红蛋白(HbA1c)、餐后2h血糖(P2hPG)及血脂水平。然而,证明八段锦运动对糖尿病患者临床获益的初步证据还不够充分,尤其是对糖脂代谢的干预作用尚不完全清楚。目的:本研究旨在通过随机对照试验(RCTs)探讨八段锦运动对2型糖尿病患者糖脂代谢的影响。方法:在不受语言限制的情况下,检索自建库至2023年1月31日的9个电子数据库(PubMed、Web of Science、Embase、Cochrane中央对照试验注册库(Central)、Scopus、中国知网(CNKI)、万方数据知识服务平台(WAN FANG)、VIP信息资源整合服务平台(CQVIP)和中国生物医学(CBM))。此外,在美国国立卫生研究院临床注册中心临床试验、国际临床试验注册平台和中国临床试验注册中心检索了有关未发表或正在进行的临床试验的信息。确定了八段锦运动对糖脂代谢影响的随机对照试验。本研究的主要结局是空腹血糖(FPG)、餐后2h血糖(P2hPG)和糖化血红蛋白(HbA1c)。根据纳入和排除标准选择文献,实验组以八段锦练习为主要方法。研究的选择、数据收集和提取分别由至少两名审稿人进行,分歧通过讨论解决。连续结果采用95%置信区间(CI)的均值差(MD)。使用Review Manager V.5.4.1 (RevMan V.5.4.1)和Stata/MP 17.0进行数据和亚组分析以及敏感性分析。结果:这项荟萃分析包括26项原始研究,涉及1,779名个体。葡萄糖代谢:合并分析的结果表明,联合治疗导致HbA1c (MD: -0.73, 95% CI: -0.91至-0.55,P<0.00001)、FPG (MD: - 1.14, 95% CI: - 1.38至- 0.90,P<0.00001)、P2hPG (MD: -1.22, 95% CI: -1.66至-0.78,P<0.00001)、胰岛素抵抗稳态模型评估(HOMA-IR) (MD: -0.59, 95% CI: -1.07至-0.11,P=0.02)和空腹胰岛素(FINS) (MD: -2.63, 95% CI: -3.81至-1.45,P<0.0001)的降低。脂质代谢:结果显示八段锦运动可改善T2DM患者的脂质代谢水平,降低总胆固醇(TC) (MD: -0.36, 95% CI: -0.52 ~ -0.21, P<0.00001)、甘油三酯(TG) (MD: -0.56, 95% CI: -0.82 ~ -0.30, P<0.0001)、低密度脂蛋白(LDL-C) (MD: -0.19, 95% CI: -0.29 ~ -0.10, P=0.0001)、高密度脂蛋白(HDL-C) (MD: 0.11, 95% CI: 0.06 ~ 0.16, P<0.0001)水平。同时,综合研究结果还表明,干预措施对降低体重指数(BMI) (MD: -1.14, 95% CI: -1.90 ~ -0.37, P=0.004)和腰臀比(WHR) (MD: -0.07, 95% CI: -0.13 ~ -0.01, P=0.02)有效。敏感性分析表明,这些结果是稳健的。结论:目前的低质量证据表明,T2DM患者通过八段金运动可以显著改善糖脂代谢水平。现有证据不足以确定八段锦运动对2型糖尿病患者的影响。八段金运动对2型糖尿病患者的影响有待进一步高质量的研究。系统评价注册:https://www.crd.york.ac.uk/PROSPERO/display_record.php?Record ID=325538。
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引用次数: 0
Clinical Efficacy of Spleen and Yin Prescription in the Treatment of Primary Sjogren Syndrome and Its Impact on Disease Activity 脾阴方治疗原发性干燥综合征的临床疗效及对疾病活动性的影响
Pub Date : 2023-03-01 DOI: 10.56397/crms.2023.03.02
Na Zhou, Lin Wang, Junjie Chen, Ze-xian Wang, Yanhong Tao, Chuanbing Huang
Objective: To study the clinical efficacy of primary Sjogren syndrome and the effect of disease activity. Methods: The 60 patients from January 2021 to January 2022 respectively, and divided into two groups according to random numbers, hydroxychloroquine sulfate, 30 patients, clinical effect combined with hydroxychloroquine sulfate, inflammatory index, complement levels, and immunoglobulins (ESR, RF, CRP, C3, C4, IgG, IgA, IgM), ESSDAI, ESSPRI, and adverse effects. Results: The total response rate of the two groups was 86.67% (26/30) and 73.33% (22/30), respectively, comparing with the treatment group (P <0.05). Comparison between groups found that no differences in CRP, C4, IgA, and IgM were significant (P>0.05). After treatment, peripheral ESR, RF, IgG decreased, complement C3 levels increased (P <0.05), the ESSDAI score and ESSPRI score of the two groups also decreased (P<0.05). On the Traditional Chinese medicine symptom integral, the treatment group had better results in improving dry mouth, dry throat, dry eyes, dry skin, five upset heat, and joint pain(P<0.05), and no adverse reactions were found in either group. Conclusion: The treatment group can effectively improve the clinical efficacy, reduce the level of inflammatory indicators and disease activity, and see no obvious adverse reactions, which can be effectively used in clinical practice.
目的:探讨原发性干燥综合征的临床疗效及疾病活动度的影响。方法:选取2021年1月至2022年1月期间的60例患者,并按随机数字分为两组,分别采用硫酸羟氯喹,30例患者,联合应用硫酸羟氯喹的临床疗效、炎症指数、补体水平、免疫球蛋白(ESR、RF、CRP、C3、C4、IgG、IgA、IgM)、ESSDAI、ESSPRI及不良反应。结果:两组患者总有效率分别为86.67%(26/30)、73.33%(22/30),与治疗组比较差异有统计学意义(P < 0.05)。治疗后,两组患者外周血ESR、RF、IgG降低,补体C3水平升高(P<0.05), ESSDAI评分、ESSPRI评分均降低(P<0.05)。在中医症状积分上,治疗组在改善口干、咽干、眼干、皮肤干、五心烦热、关节痛方面效果较好(P<0.05),两组均无不良反应发生。结论:治疗组可有效提高临床疗效,降低炎症指标及疾病活动度,未见明显不良反应,可有效应用于临床。
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引用次数: 0
A Case of Auricular Acupressure Combined with Traditional Chinese Medicine for the Treatment of Chronic Prostatitis 耳指压配合中药治疗慢性前列腺炎1例
Pub Date : 2022-12-01 DOI: 10.56397/crms.2022.12.05
Xu Cen, Yali Pan
The etiology of chronic prostatitis is complex, the onset is slow, the delay is difficult to heal, and it is easy to recur. Western medicine is mainly based on drug relief, the efficacy is not good, Chinese medicine treatment of such diseases has a long history, the efficacy is accurate, the means are rich, now reported a case as follows.
慢性前列腺炎病因复杂,起病缓慢,迟发难愈,易复发。西医主要以药物缓解为主,疗效不佳,中医治疗此类疾病历史悠久,疗效准确,手段丰富,现报告一例如下。
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引用次数: 0
Clone and Contradistinction—Mycosis Fungoides 真菌病的克隆与对照
Pub Date : 2022-12-01 DOI: 10.56397/crms.2022.12.01
Anu Bajaj
Mycosis fungoides is a peripheral T cell lymphoma engendered from mature, post-thymic T lymphocytes representing with cutaneous patches, plaques, tumours and erythroderma. Mycosis fungoides demonstrates a ‘bathing trunk’ distribution wherein gluteal region, trunk and proximal limbs appear incriminated. Mycosis fungoides enunciates enhanced expression of Th2 gene along with Th2 associated cytokine production and activation of nuclear factor kappa B (NFkB). Lesions depict a band-like infiltrate of atypical lymphoid cells within papillary dermis with focal fibroplasia and Pautrier’s micro-abscesses. Neoplastic cells display mature T cell phenotype and are immune reactive to CD45RO+, TCRβ+, CD2+, CD3+, CD4+, CD5+or CD7+. Photodynamic therapy, retinoids, targeted therapy, biologic therapy, radiation, chemotherapy or allogenic haematopoietic stem cell transplant may be adopted to treat mycosis fungoides.
蕈样真菌病是一种由成熟的胸腺后T淋巴细胞引起的外周T细胞淋巴瘤,表现为皮肤斑块、斑块、肿瘤和红皮病。蕈样真菌病表现为“浴干”分布,其中臀区、躯干和近端肢体表现为受累。蕈样真菌病表现出Th2基因表达增强、Th2相关细胞因子产生和核因子κ B (NFkB)激活。病变表现为乳头状真皮内非典型淋巴样细胞带状浸润,伴局灶性纤维增生和Pautrier微脓肿。肿瘤细胞表现出成熟的T细胞表型,对CD45RO+、TCRβ+、CD2+、CD3+、CD4+、CD5+或CD7+具有免疫反应。治疗蕈样真菌病可采用光动力治疗、类维生素a、靶向治疗、生物治疗、放疗、化疗或同种异体造血干细胞移植。
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引用次数: 0
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Current research in medical sciences
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