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Repurposing the anti-depression drug sertraline against catheter-associated urinary tract infections 重新利用抗抑郁药物舍曲林治疗导尿管相关性尿路感染
IF 0.4 Pub Date : 2023-07-01 DOI: 10.4103/aihb.aihb_9_23
M. Poyil, Mohammed Khan, Meiyazhagan Gowri
Introduction: Catheter-associated urinary tract infections (CAUTIs) account for one-third of the nosocomial infections. As drug repurposing is an excellent method to develop new antimicrobials, the present study is a trial to repurpose the anti-depression drug sertraline against two of the major CAUTI causing, biofilm forming bacteria viz., Enterococcus faecalis and Escherichia coli. Materials and Methods: Agar diffusion and microdilution methods were used in repurposing sertraline against E. faecalis and E. coli, to find out the antibacterial activity and the minimal inhibitory concentration of the drug. The anti-biofilm activity of the drug was also studied. Results: Sertraline (concentrations given within brackets) produced growth inhibition zones against E. faecalis as: 23 mm (125 μg), 24 mm (150 μg) and 26 mm (200 μg) and against E. coli as: 14 mm (125 μg), 15 mm (150 μg) and 17 mm (200 μg), respectively. Against both of the pathogens, the minimal inhibitory concentration of the drug was found to be 75 μg/ml, and at this concentration, the drug prevented the colony formation by these bacteria on polystyrene surfaces. The drug reduced the biofilms of E. faecalis and E. coli by 62% and 69%, respectively. Conclusion: When repurposed against E. faecalis and E. coli sertraline showed promising antibacterial, anti-biofilm and anti-adhesive activities, repurposing being one of the easiest ways to develop new drugs against bacterial pathogens, the authors suggest for further studies on repurposing sertraline for its clinical applications.
导读:导尿管相关性尿路感染(CAUTIs)占院内感染的三分之一。由于药物再利用是开发新型抗菌素的一种极好的方法,本研究是一项将抗抑郁药物舍曲林用于两种主要引起CAUTI的生物膜形成细菌即粪肠球菌和大肠杆菌的试验。材料与方法:采用琼脂扩散法和微量稀释法对舍曲林对粪肠杆菌和大肠杆菌进行复配,测定其抑菌活性和最低抑菌浓度。并对其抗生物膜活性进行了研究。结果:舍曲林(括号内给出的浓度)对粪肠杆菌的生长抑制区分别为23 mm (125 μg)、24 mm (150 μg)和26 mm (200 μg),对大肠杆菌的生长抑制区分别为14 mm (125 μg)、15 mm (150 μg)和17 mm (200 μg)。对这两种病原菌,药物的最低抑制浓度为75 μg/ml,在此浓度下,药物可以阻止这些细菌在聚苯乙烯表面形成菌落。该药物使粪肠杆菌和大肠杆菌的生物膜分别减少62%和69%。结论:舍曲林重新利用后对粪肠杆菌和大肠杆菌具有良好的抗菌、抗生物膜和抗黏附活性,是开发抗细菌病原菌新药的最简便途径之一,值得进一步研究其重新利用的临床应用。
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引用次数: 0
A 20-year study of fatal pressure on the neck in autopsied cases at the Universiti Kebangsaan Malaysia Medical Center 马来西亚Kebangsaan大学医学中心对尸检病例中颈部致命压力的20年研究
IF 0.4 Pub Date : 2023-07-01 DOI: 10.4103/aihb.aihb_62_23
N. Razak, Faridah Nor, Mohamed Shafie, Mainul Haque
Background: Fatal neck pressure may arise from hanging, ligature strangulation and manual strangulation. The analysis aimed to evaluate the demographic profiles of deadly neck pressure concerning ligature material, its position on the neck and the pattern of neck injuries with the manner of death in autopsied cases at Universiti Kebangsaan Malaysia Medical Center (UKMMC). Materials and Methods: A 20-year retrospective analysis was conducted at UKMMC, where 287 cases were sampled; out of which 267 cases were suicidal hanging, and four were accidental hanging. Only 11 cases of ligature strangulation and five cases were due to manual strangulation. The details were obtained from the autopsy report and IBM SPSS Statistics 28 analysis. Results: This study showed that 210 (73.2%) males and 77 (26. 8%) females with a ratio of 2.7:1 had died of fatal neck pressure. Male dominance (74.5%) was displayed in suicidal hanging, and there was no sex difference in ligature and/or manual strangulation. Ligature and manual strangulation were common in the younger age group. Accidental strangulation in young adults was most probably due to auto-erotic asphyxia. In this study, the youngest was 1 year, while the oldest was 85 years. The most common ligature used in suicidal hanging and homicidal ligature strangulation was hard material. The most typical pattern of the neck finding was facial congestion (71.1%), followed by petechial haemorrhages, neck muscle contusion, hyoid bone fracture, thyroid cartilage fracture and carotid injury (1.7%). Conclusion: Forensic pathologists' experience and autopsy techniques are fundamental in explaining the injury pattern and its correlation with fatality.
背景:致命的颈部压力可能由上吊、结扎勒死和手动勒死引起。该分析旨在评估马来西亚Kebangsaan大学医学中心(UKMMC)尸检病例中与结扎材料有关的致命颈部压力的人口统计学特征、其在颈部的位置以及颈部损伤的模式和死亡方式。材料和方法:在UKMMC进行20年的回顾性分析,共抽取287例病例;其中自杀性上吊267例,意外上吊4例。结扎绞杀仅11例,手动绞杀5例。详细信息来自尸检报告和IBM SPSS Statistics 28分析。结果:男性210例(73.2%)。8%)女性(比例为2.7:1)死于致命的颈压。自杀性绞刑表现为男性优势(74.5%),结扎和/或手动绞杀没有性别差异。连字和手动勒死在较年轻的年龄组中很常见。年轻人意外被勒死很可能是由于自身性窒息。在这项研究中,最小的1岁,而最大的85岁。自杀性绞刑和杀人性绞杀中最常见的结扎线是硬材料。颈部最典型的发现模式是面部充血(71.1%),其次是瘀点出血、颈部肌肉挫伤、舌骨骨折、甲状腺软骨骨折和颈动脉损伤(1.7%)。结论:法医病理学家的经验和尸检技术是解释损伤模式及其与死亡关系的基础。
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引用次数: 0
Pros and cons of air-dried and conventional wet-fixed Pap smears: An institutional study 风干和常规湿法子宫颈抹片检查的利弊:一项制度研究
IF 0.4 Pub Date : 2023-07-01 DOI: 10.4103/aihb.aihb_15_23
A. Mary, Subhashish Das, S. Sheela
Introduction: Wet-fixed smear study routinely used to identify several pre-cancerous and cancerous tumours. By contrasting cellular preservation and staining quality in rehydration smears with wet-fixed smears, the current study aims to establish the effects of rehydration on air-dried smears. Materials and Methods: One hundred paired samples are compared. Wet fixing was done in the first place. Air-dried samples are rehydrated for 30 s with regular saline and then placed in 95% ethanol for 30 min. Both smears will undergo screening, evaluation and grading for numerous cytomorphological factors after Pap staining. The 2014 Bethesda system was used to report the cervical smear results. Results: When evaluated for numerous cellular properties, statistically significant similarities can be seen between two groups, one with wet-fixed smears and the other with rehydrated air-dried smears. The results of the cytological diagnosis comparison between the two groups can be shown in the agreement. Rehydrated air-dried smear interpretation and staining quality are significantly superior to traditional wet smears. Conclusions: Rehydration air-dried techniques can be used instead of traditional wet fixation methods and are as effective when used alone or with traditional wet-fixed smears.
简介:湿法固定涂片研究通常用于识别几种癌前和癌性肿瘤。通过对比复水涂片和湿固定涂片的细胞保存和染色质量,本研究旨在确定复水对风干涂片的影响。材料和方法:对100个配对样本进行比较。首先是湿修。空气干燥的样品用生理盐水再水化30秒,然后放入95%乙醇中30分钟。巴氏染色后,两种涂片都将进行多种细胞形态学因素的筛选、评估和分级。2014年Bethesda系统用于报告宫颈涂片结果。结果:当评估多种细胞特性时,两组之间可以看到统计学上显著的相似性,一组使用湿固定涂片,另一组使用再水化风干涂片。两组的细胞学诊断结果比较一致。再水合空气干燥涂片的解释和染色质量明显优于传统的湿涂片。结论:复水-空气干燥技术可以代替传统的湿固定方法,单独使用或与传统湿固定涂片一起使用同样有效。
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引用次数: 0
The vital role of forensic medicine as a 'hidden curriculum' in medical education: Current perspectives 法医学作为一门“隐性课程”在医学教育中的重要作用:当前视角
IF 0.4 Pub Date : 2023-07-01 DOI: 10.4103/aihb.aihb_61_23
Mainul Haque, N. Razak
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引用次数: 0
A cross sectional study of quality of sleep, burnouts, anxiety and depression in rotatory shift workers of sir T Hospital Bhavnagar Bhavnagar先生T医院轮班工人睡眠质量、倦怠、焦虑和抑郁的横断面研究
IF 0.4 Pub Date : 2023-07-01 DOI: 10.4103/aihb.aihb_200_22
Dimple Gupta, Ashok Vala, Abhinav Ankur, Chirag Ambaliya, K. Unadkat, B. Panchal
Introduction: Rotatory shift work is quite prevalent in the general population. The knowledge that effect does not depend on a single cause, but rather, diseases are multifactorial in origin, resulting in widespread interest towards the preventive aspect and focussing on the causative factors that directly or indirectly influence the health and well-being of shift workers. Materials and Methods: We analysed data from an observational, cross-sectional, single-centred, interview-based study of a total of 100 shift workers working in Sir T Hospital in Bhavnagar conducted from July 2020 to December 2021. The study was performed via face-to-face interviews using structured questionnaires. We used the Pittsburgh sleep quality index (PSQI) to evaluate sleep quality. To diagnose depression, anxiety and burnout, we used the Hamilton Depression Rating Scale (HAM-D), Hamilton Anxiety Rating Scale (HAM-A) and Copenhagen burnout inventory (CBI), respectively. Statistical data were analysed using R software version 4.0.5 (R Development Core Team, Vienna, Austria). Results: A total of 100 participants were interviewed. The respondents are almost symmetric in terms of male and female, married and unmarried and rural and urban residence. The mean age of our sample is 36.98 ± 9.37 years. Around 15% of participants showed moderate/severe levels of depression (18%) and moderate/severe levels of anxiety (9%) using HAM-D and HAM-A, respectively. Using CBI subscales, 27% of respondents showed personal burnout, 54% showed work-related burnout and 20% showed client-related burnout. Sleep quality was poor among shift workers (45%) using the PSQI scale. Significant positive correlations are found between HAM D and personal burnout (r = 0.206, P = 0.040), work burnout with personal burnout (r = 0.243, P = 0.015) and client burnout (r = 0.246, P = 0.013). Furthermore, personal and client burnout shows a positive correlation (r = 0.271, P = 0.006). Although these correlations are still significant, they indicate low positive nature of the relationship between such variables. Conclusion: The prevalence of depression, anxiety, burnout and poor sleep quality was high. The effect on shift work mental health is multifaceted, dealing with several aspects of personal characteristics and working and living conditions. Further research is needed to support the mental well-being of shift workers and minimise workplace-related psychiatric disorders by developing short- and long-term strategies.
简介:轮班工作在一般人群中相当普遍。认识到影响不取决于单一原因,而是疾病的起源是多因素的,这导致人们对预防方面的广泛兴趣,并关注直接或间接影响轮班工人健康和福祉的致病因素。材料和方法:我们分析了一项观察性、横断面、单中心、基于访谈的研究数据,该研究对2020年7月至2021年12月期间在巴夫纳格尔Sir T医院工作的100名轮班工人进行了研究。该研究采用结构化问卷,通过面对面访谈的方式进行。我们采用匹兹堡睡眠质量指数(PSQI)评价睡眠质量。为了诊断抑郁、焦虑和倦怠,我们分别使用了汉密尔顿抑郁评定量表(HAM-D)、汉密尔顿焦虑评定量表(HAM-A)和哥本哈根倦怠量表(CBI)。统计数据分析使用R软件版本4.0.5 (R开发核心团队,维也纳,奥地利)。结果:共访谈100名参与者。受访者在男女、已婚和未婚、农村和城市居住方面几乎是对称的。样本平均年龄为36.98±9.37岁。使用HAM-D和HAM-A测试,大约15%的参与者分别表现出中度/重度抑郁(18%)和中度/重度焦虑(9%)。使用CBI子量表,27%的受访者表现为个人倦怠,54%的受访者表现为工作倦怠,20%的受访者表现为客户倦怠。在PSQI量表中,轮班工作者的睡眠质量较差(45%)。HAM D与个人倦怠(r = 0.206, P = 0.040)、工作倦怠与个人倦怠(r = 0.243, P = 0.015)、客户倦怠(r = 0.246, P = 0.013)呈显著正相关。此外,个人与客户倦怠呈显著正相关(r = 0.271, P = 0.006)。尽管这些相关性仍然显著,但它们表明这些变量之间关系的低正性。结论:抑郁、焦虑、倦怠、睡眠质量差的发生率较高。轮班工作对心理健康的影响是多方面的,涉及个人特征和工作和生活条件的几个方面。需要进一步的研究来支持轮班工人的心理健康,并通过制定短期和长期战略来最大限度地减少与工作场所相关的精神疾病。
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引用次数: 0
Assessment of immunomorphological patterns in metastatic and non-metastatic lymph nodes of oral squamous cell carcinoma patients 口腔鳞状细胞癌患者转移性和非转移性淋巴结的免疫形态学特征评估
IF 0.4 Pub Date : 2023-07-01 DOI: 10.4103/aihb.aihb_1_23
Nileshwariba Jadeja, Neelampari Parikh, C. Nandini
Introduction: Metastasis in oral epidermoid carcinoma oral squamous cell carcinoma (OSCC) can occur differently. Lymph nodes and lymphatics which drain the tumour site, serve as the most common pathway for metastasis. Lymph nodes serve as a marker of the immune status of the patient, which in response to a metastatic event, may facilitate or resist the homing of tumour cells. This host immune response is identified by examining various immunoreactive patterns in the lymph node. Materials and Methods: A total of 100 cases of OSCC underwent radical neck dissection and were assessed for grading of tumour histology, immunomorphological patterns (IMPs) in metastatic and non-metastatic lymph nodes as well as the pattern of tumour involvement in positive lymph nodes. All the lymph nodes were histologically evaluated and were grouped as metastatic and non-metastatic lymph nodes, showing four different patterns lymphocyte predominance (LP) pattern, germinal centre predominance (GCP) pattern, sinus histiocytosis (SH) pattern and lymphocyte depleted pattern. Metastatic positive nodes were further evaluated for the pattern of tumour cell invasion within the lymph node. Results: A total number of 1167 lymph nodes were histologically evaluated. Out of all, 239 lymph nodes were positive for metastasis and 928 were non-metastatic nodes. The most frequently encountered lymph node pattern was of LP (854 nodes), followed by GCP (157 nodes), SH (120 nodes) and lymphocyte depleted (36 nodes), respectively. Out of 1167, 239 nodes were positive for metastasis, indicating that as the stage advances, the GCP type predominates (the predominant IMP shifts from LP to GCP), so that facilitating or favouring metastasis. Moreover, the most common pattern seen in metastatic deposits observed was islands/sheets followed by strands/cords. Conclusion: IMPs of regional lymph nodes of OSCCs seem to be an essential factor in serving as a prognostic indicator. Whereas the cell-mediated immune response represented by LP and SH resist the metastasis process, the humoral reflected by GCP favours metastasis.
口腔表皮样癌(OSCC)的转移方式不同。引流肿瘤部位的淋巴结和淋巴管是最常见的转移途径。淋巴结作为患者免疫状态的标志,在对转移事件的反应中,可能促进或抵抗肿瘤细胞的归巢。这种宿主免疫反应是通过检查淋巴结中的各种免疫反应模式来确定的。材料与方法:共100例OSCC患者行根治性颈部清扫术,评估肿瘤组织学分级、转移性和非转移性淋巴结的免疫形态模式(IMPs)以及阳性淋巴结的肿瘤累及模式。对所有淋巴结进行组织学检查,分为转移性和非转移性淋巴结,表现为淋巴细胞优势(LP)型、生发中心优势(GCP)型、窦性组织细胞增多(SH)型和淋巴细胞耗损型四种不同的模式。转移阳性淋巴结进一步评估肿瘤细胞在淋巴结内浸润的模式。结果:共对1167个淋巴结进行了组织学检查。其中,239个淋巴结转移阳性,928个淋巴结非转移。最常见的淋巴结类型是LP(854个),其次是GCP(157个)、SH(120个)和淋巴细胞耗损(36个)。在1167个淋巴结中,239个淋巴结转移阳性,表明随着分期的进展,GCP类型占主导地位(主要IMP从LP转移到GCP),从而促进或有利于转移。此外,在转移性沉积物中最常见的模式是岛状/片状,其次是股状/索状。结论:局部淋巴结内的imp是OSCCs预后的重要指标。而以LP和SH为代表的细胞介导的免疫反应能够抵抗转移过程,而以GCP为代表的体液则有利于转移。
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引用次数: 0
An insight into aesthetic insecurity related to malocclusion amongst tribal adolescents and extent of orthodontic awareness 部落青少年与错牙合相关的审美不安全感和正畸意识程度
IF 0.4 Pub Date : 2023-07-01 DOI: 10.4103/aihb.aihb_3_23
U. Digumarthi, R. Prakash, Hemanth S Egalapati, Manojna Sanapala
Introduction: Adolescence is a period of affirmation of certain beliefs, including those related to the perception of one's aesthetics as related to what is perceived to be the standard norm within a community. Certain aspects of clinically ascertained malocclusion by a practitioner may, in fact, be aspects not considered an issue by the adolescent. Of interest was the evaluation of aesthetic insecurity amongst a group of school-going tribal adolescents with no access to orthodontic treatment and hence no prior history of orthodontic treatments within the community. Materials and Methods: 2016 tribal adolescents belonging to the Revenue divisions of Paderu (Visakhapatnam), in the age group of 13–19 years, with normal growth and development, who had no nutritional deficiencies, metabolic disorders or craniofacial anomalies, were enrolled in this study. Necessary permissions and consent were obtained from the parents or guardians, the school and tribal authorities and the institutional ethical clearance committee. The orthodontic screening was performed under natural daylight in compliance with infection prevention protocol. The students were categorised into those with either ideal occlusion or Angle's Class I, II and III malocclusions. A 'simplified malocclusion index for layperson evaluation' (SMILE) index was verbally assigned in Telugu, the vernacular language, during the orthodontic screening interaction. Aesthetic insecurity noted amongst the responses was subjected to a Chi-square statistical analysis to determine gender bias. Results: Thirty-two per cent of the tribal adolescents screened at Paderu (Visakhapatnam) presented with ideal occlusion and sixty-eight per cent with malocclusion. The verbally assigned SMILE index revealed that 78.24% of the boys and 81.85% of the girls exhibited orthodontic awareness. The percentage distribution of aesthetic insecurity had the boys at 19.04% and the girls at 31.86%. The Chi-square statistical analysis of this data revealed a gender bias (X2 [1, N = 1371] =4.44, P = 0.034). Conclusion: Aesthetic insecurity negatively impacts the perceived oral health-related quality of life. The use of the SMILE index proposed by the authors in this study allows for a candid assessment of any such insecurity and an assessment of orthodontic awareness and perceived treatment needs without the individual feeling coerced. The study results reveal a good level of orthodontic awareness with a statically significant gender bias of aesthetic insecurity.
引言:青春期是对某些信仰的肯定期,包括那些与个人审美观相关的信仰,这些信仰与社区内的标准规范有关。事实上,医生临床上确定的错牙合的某些方面可能是青少年不认为的问题。感兴趣的是对一群上学的部落青少年的审美不安全感的评估,这些青少年无法接受正畸治疗,因此在社区内没有正畸治疗史。材料和方法:帕德鲁(维萨卡帕特南)税务部门的2016名部落青少年,年龄在13-19岁之间,生长发育正常,没有营养缺乏、代谢紊乱或颅面异常,被纳入本研究。获得了父母或监护人、学校和部落当局以及机构道德审查委员会的必要许可和同意。根据感染预防方案,在自然光下进行正畸筛查。学生被分为理想咬合或安氏一、二、三类错牙合。在正畸筛查互动过程中,用泰卢固语(当地语言)口头分配了一个“非专业人士评估的简化错牙合指数”(SMILE)指数。对回答中发现的审美不安全感进行卡方统计分析,以确定性别偏见。结果:在帕德鲁(维萨卡帕特南)接受筛查的部落青少年中,32%的人表现出理想的咬合,68%的人表现为错牙合。口头分配的SMILE指数显示,78.24%的男孩和81.85%的女孩表现出正畸意识。审美不安全感的百分比分布中,男孩为19.04%,女孩为31.86%。对该数据的卡方统计分析显示存在性别偏见(X2[1,N=1371]=4.44,P=0.034)。结论:审美不安全对口腔健康生活质量有负面影响。作者在本研究中提出的SMILE指数的使用可以对任何这种不安全感进行坦诚的评估,并在没有个人被胁迫的情况下评估正畸意识和感知的治疗需求。研究结果显示,人们对正畸的认知水平很高,但对审美不安全感存在静态显著的性别偏见。
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引用次数: 0
Gestational diabetes mellitus prevalence and progression to type 2 diabetes mellitus: A matter of global concern 妊娠期糖尿病患病率和进展为2型糖尿病:全球关注的问题
IF 0.4 Pub Date : 2023-07-01 DOI: 10.4103/aihb.aihb_65_23
Rahnuma Ahmad, M. Narwaria, Mainul Haque
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引用次数: 0
Anticancer effects of gingerol, shogaol and curcumin in cervical cancer: A systematic review protocol 姜辣素、姜酚和姜黄素对宫颈癌的抗癌作用:一项系统评价方案
IF 0.4 Pub Date : 2023-07-01 DOI: 10.4103/aihb.aihb_222_22
Unwaniah Rahim, Nur Aishah Che Roos, Marami Mustapa, Armania Nurdin, Nursiati Taridi, Yasmin Mohd Yusof
Background: Cervical cancer has accounted for the top-four cancer incidences occurring among females worldwide. Despite the availability of anticancer drugs as one of its treatment modalities, they are not without adverse effects. It has come to researchers' attention that natural bioactive compounds have anticancer properties, as reported in many pre-clinical studies. Materials and Methods: This systematic review protocol conforms to the Preferred Reporting Items for Systematic Review and Meta-analysis Protocols-P guideline and Population, Intervention, Comparison Outcome and Study framework. Electronic databases, including PubMed, Scopus and ScienceDirect, will be searched from inception until May 2022 for articles published in English. Only studies that investigate the effects of curcumin, gingerol, shogaol and/or their combination in human cervical cancer cell lines and/or rodent animal models implanted with cervical cancer xenografts will be included. A customised risk-of-bias tool (RoB) and the Systematic Review Centre for Laboratory Animal Experimentation's RoB will be used to assess the quality of in vitro and in vivo studies, respectively. Where appropriate, a meta-analysis will be performed using RevMan version 5.4. Conclusions: Findings obtained from this review may be used as valuable evidence to guide and direct future studies pertaining chemopreventive effects of bioactive compounds in cervical cancer. This protocol is registered on PROSPERO (CRD42022334940).
背景:宫颈癌是世界范围内女性发病率最高的4种癌症。尽管抗癌药物是其治疗方式之一,但它们并非没有副作用。正如许多临床前研究报告的那样,天然生物活性化合物具有抗癌特性,这已经引起了研究人员的注意。材料和方法:本系统评价方案符合系统评价和荟萃分析方案首选报告项目- p指南和人群、干预、比较结果和研究框架。电子数据库,包括PubMed, Scopus和ScienceDirect,将从启动到2022年5月搜索以英语发表的文章。只有调查姜黄素、姜辣素、姜黄素和/或它们的组合对人宫颈癌细胞系和/或植入宫颈癌异种移植物的啮齿动物模型的影响的研究将被包括在内。一个定制的偏倚风险工具(RoB)和实验动物实验系统评价中心的RoB将分别用于评估体外和体内研究的质量。在适当的情况下,将使用RevMan 5.4版本进行meta分析。结论:本综述的发现可作为指导和指导未来有关生物活性化合物在宫颈癌中的化学预防作用的研究的有价值的证据。该协议在PROSPERO上注册(CRD42022334940)。
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引用次数: 0
Scoping review of the relationship between salivary cortisol and depression 唾液皮质醇与抑郁关系的范围综述
IF 0.4 Pub Date : 2023-07-01 DOI: 10.4103/aihb.aihb_217_22
M. Saghiri, Dhruvi Desai, Julia Vakhnovetsky, Elham Samadi
Anxiety and depression are some of the most common mental disorders associated with a dysregulation of the hypothalamic-pituitary-adrenal axis (HPA) and elevated cortisol levels in the saliva. The aim of this scoping review was to synthesize all of the current information about the relationship between salivary cortisol and depression as well as address some of the shortcomings in prior research to explore its potential applications in diagnosing depression. In late July 2022, records from 2012-2022 were identified using Web of Science, PubMed, and Scopus. Unique abstracts were screened using the following criteria: (1) depression and saliva; (2) anxiety and saliva; (3) age and salivary cortisol and depression; (4) sex and salivary cortisol and depression. 4,869 records were identified across all three databases; resulting in 90 unique abstracts. 11 articles met all inclusion criteria. On balance, most studies associated the dysregulation of the HPA with depression and anxiety disorders, with a cofactor being the cortisol awakening response. Several studies also presented sex and age-related differences in salivary cortisol measures. However, there were several inconsistencies with some studies showing no age and/or sex-related differences. Furthermore, several studies also emphasized the importance of testing morning salivary cortisol as an effective method to diagnose depression and anxiety disorders. The oral microbiome may play a role in mental health disorders through changes in inflammation and cortisol levels in saliva. Our review contributes to the existing literature on the topic, highlighting gaps and strategizing the next steps.
焦虑和抑郁是一些与下丘脑-垂体-肾上腺轴(HPA)失调和唾液中皮质醇水平升高有关的最常见的精神障碍。本综述的目的是综合目前关于唾液皮质醇与抑郁症之间关系的所有信息,并解决先前研究中的一些不足,以探索其在抑郁症诊断中的潜在应用。在2022年7月下旬,使用Web of Science, PubMed和Scopus确定了2012-2022年的记录。采用以下标准筛选独特的摘要:(1)抑郁和唾液;(2)焦虑和唾液;(3)年龄与唾液皮质醇与抑郁的关系;(4)性与唾液皮质醇与抑郁。在所有三个数据库中确定了4,869条记录;产生了90个独特的摘要。11篇文章符合所有纳入标准。总的来说,大多数研究将HPA失调与抑郁症和焦虑症联系起来,辅因子是皮质醇唤醒反应。几项研究也显示了唾液皮质醇测量的性别和年龄相关差异。然而,一些研究显示没有年龄和/或性别相关的差异,这与一些研究存在一些不一致之处。此外,一些研究也强调了早晨唾液皮质醇测试作为诊断抑郁和焦虑障碍的有效方法的重要性。口腔微生物群可能通过改变唾液中的炎症和皮质醇水平在精神健康障碍中发挥作用。我们的审查有助于现有文献的主题,突出差距和战略的下一步。
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引用次数: 0
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Advances in Human Biology
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