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Fecal microbiota is associated with extraintestinal manifestations in inflammatory bowel disease 粪便微生物群与炎症性肠病的肠外表现有关
IF 4.4 2区 医学 Q1 Medicine Pub Date : 2024-04-22 DOI: 10.1080/07853890.2024.2338244
Sandra Hertz, J. Anderson, H. L. Nielsen, Claire Schachtschneider, Kathryn E. McCauley, Mustafa Özçam, Lone Larsen, Susan V. Lynch, H. Nielsen
Abstract Introduction A large proportion of patients with inflammatory bowel disease (IBD) experience IBD-related inflammatory conditions outside of the gastrointestinal tract, termed extraintestinal manifestations (EIMs) which further decreases quality of life and, in extreme cases, can be life threatening. The pathogenesis of EIMs remains unknown, and although gut microbiota alterations are a well-known characteristic of patients with IBD, its relationship with EIMs remains sparsely investigated. This study aimed to compare the gut microbiota of patients with IBD with and without EIMs. Methods A total of 131 Danish patients with IBD were included in the study, of whom 86 had a history of EIMs (IBD-EIM) and 45 did not (IBD-C). Stool samples underwent 16S rRNA sequencing. Amplicon sequence variants (ASVs) were mapped to the Silva database. Diversity indices and distance matrices were compared between IBD-EIM and IBD-C. Differentially abundant ASVs were identified using a custom multiple model statistical analysis approach, and modules of co-associated bacteria were identified using sparse correlations for compositional data (SparCC) and related to patient EIM status. Results Patients with IBD and EIMs exhibited increased disease activity, body mass index, increased fecal calprotectin levels and circulating monocytes and neutrophils. Microbiologically, IBD-EIM exhibited lower fecal microbial diversity than IBD-C (Mann–Whitney’s test, p = .01) and distinct fecal microbiota composition (permutational multivariate analysis of variance; weighted UniFrac, R2 = 0.018, p = .01). A total of 26 ASVs exhibited differential relative abundances between IBD-EIM and IBD-C, including decreased Agathobacter and Blautia and increased Eggerthella lenta in the IBD-EIM group. SparCC analysis identified 27 bacterial co-association modules, three of which were negatively related to EIM (logistic regression, p < .05) and included important health-associated bacteria, such as Agathobacter and Faecalibacterium. Conclusions The fecal microbiota in IBD patients with EIMs is distinct from that in IBD patients without EIM and could be important for EIM pathogenesis.
摘要 引言 很大一部分炎症性肠病(IBD)患者会出现胃肠道以外与 IBD 相关的炎症症状,即肠道外表现(EIMs),这进一步降低了患者的生活质量,在极端情况下甚至会危及生命。EIMs的发病机制尚不清楚,尽管肠道微生物群改变是IBD患者的一个众所周知的特征,但其与EIMs的关系仍鲜有研究。本研究旨在比较有 EIMs 和无 EIMs 的 IBD 患者的肠道微生物群。方法 本研究共纳入了 131 名丹麦 IBD 患者,其中 86 人有 EIMs 病史(IBD-EIM),45 人没有 EIMs 病史(IBD-C)。对粪便样本进行了 16S rRNA 测序。扩增子序列变异(ASV)被映射到 Silva 数据库中。比较了 IBD-EIM 和 IBD-C 的多样性指数和距离矩阵。使用定制的多重模型统计分析方法确定了差异丰富的 ASV,使用组成数据的稀疏相关性(SparCC)确定了共伴生细菌的模块,并将其与患者的 EIM 状态联系起来。结果 IBD 和 EIMs 患者的疾病活动度、体重指数、粪便钙蛋白水平以及循环单核细胞和中性粒细胞均有所增加。从微生物学角度看,IBD-EIM 的粪便微生物多样性低于 IBD-C(曼-惠特尼检验,p = .01),粪便微生物群组成也不同(包络多变量方差分析;加权 UniFrac,R2 = 0.018,p = .01)。IBD-EIM 和 IBD-C 两组共有 26 种 ASV 的相对丰度存在差异,其中 IBD-EIM 组的 Agathobacter 和 Blautia 减少,Eggerthella lenta 增加。SparCC 分析确定了 27 个细菌共关联模块,其中三个与 EIM 负相关(逻辑回归,P < .05),包括重要的健康相关细菌,如农杆菌和粪杆菌。结论 患有 EIM 的 IBD 患者的粪便微生物群与未患 EIM 的 IBD 患者的粪便微生物群不同,可能对 EIM 的发病机制很重要。
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引用次数: 0
Portable robots for upper-limb rehabilitation after stroke: a systematic review and meta-analysis 用于中风后上肢康复的便携式机器人:系统综述与荟萃分析
IF 4.4 2区 医学 Q1 Medicine Pub Date : 2024-04-19 DOI: 10.1080/07853890.2024.2337735
Kevin C. Tseng, Le Wang, Chunkai Hsieh, Alice M. Wong
Robot-assisted upper-limb rehabilitation has been studied for many years, with many randomised controlled trials (RCTs) investigating the effects of robotic-assisted training on affected limbs. The...
机器人辅助上肢康复研究已有多年历史,许多随机对照试验(RCT)都在调查机器人辅助训练对患肢的影响。机器人辅助上肢康复
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引用次数: 0
Moral decision-making at night and the impact of night work with blue-enriched white light or warm white light: a counterbalanced crossover study 夜间道德决策与夜间工作时使用富含蓝光的白光或暖白光的影响:一项平衡交叉研究
IF 4.4 2区 医学 Q1 Medicine Pub Date : 2024-04-18 DOI: 10.1080/07853890.2024.2331054
Erlend Sunde, Anette Harris, Olav Kjellevold Olsen, Ståle Pallesen
Cognitive function, including moral decision-making abilities, can be impaired by sleep loss. Blue-enriched light interventions have been shown to ameliorate cognitive impairment during night work....
睡眠不足会损害认知功能,包括道德决策能力。富含蓝光的干预措施已被证明可以改善夜间工作时的认知障碍....。
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引用次数: 0
A systematic review and network meta-analysis on the effectiveness of exercise-based interventions for reducing the injury incidence in youth team-sport players. Part 2: an analysis by movement patterns 关于以运动为基础的干预措施对降低青少年团队运动运动员受伤发生率的有效性的系统综述和网络荟萃分析。第二部分:运动模式分析
IF 4.4 2区 医学 Q1 Medicine Pub Date : 2024-04-13 DOI: 10.1080/07853890.2024.2337724
Francisco Ayala, Francisco Javier Robles-Palazón, Desirée Blázquez-Rincón, Alejandro López-Valenciano, José Antonio López-López, Mark De Ste Croix
The objectives of this network meta-analysis were: (a) to estimate and compare the pooled effects of some injury prevention programs (IPPs) whose exercise-based components were categorized using a ...
这项网络荟萃分析的目的是(a) 估计并比较一些伤害预防计划(IPPs)的综合效果,这些计划中的锻炼内容是用............
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引用次数: 0
Cohabiting with ulcerative colitis patients decreases differences of gut microbiome between healthy individuals and the patients 与溃疡性结肠炎患者同住可减少健康人与患者之间肠道微生物组的差异
IF 4.4 2区 医学 Q1 Medicine Pub Date : 2024-04-13 DOI: 10.1080/07853890.2024.2337712
Chen Li, Xiaoyan Guo, Yan He, Jing Wang, Jianyu Hao, Xinjuan Liu
Background: Ulcerative colitis (UC), which is characterized by chronic relapsing inflammation of the colon, results from a complex interaction of factors involving the host, environment, and microb...
背景:溃疡性结肠炎(UC)以慢性复发性结肠炎为特征,是宿主、环境和微生物等多种因素复杂相互作用的结果。
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引用次数: 0
Myeloid neoplasms post cytotoxic therapy: epidemiology, pathogenesis outcomes, prognostic factors, and treatment options 细胞毒治疗后的骨髓肿瘤:流行病学、发病机制、预后因素和治疗方案
IF 4.4 2区 医学 Q1 Medicine Pub Date : 2024-04-12 DOI: 10.1080/07853890.2024.2329132
Jing Ma, Yafei Wang
Myeloid neoplasms post cytotoxic therapy (MN-pCT) are a category includes AML, MDS, and MDS/MPN arising in patients exposed to cytotoxic (DNA-damaging) therapy for an unrelated condition in 2022 ve...
细胞毒性治疗后骨髓性肿瘤(MN-pCT)包括急性髓细胞性白血病(AML)、慢性骨髓性白血病(MDS)和慢性骨髓性白血病/多发性骨髓瘤(MDS/MPN)。
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引用次数: 0
Survival and causes of death in patients with alpha and beta-thalassemia in Northern Thailand 泰国北部甲型和乙型地中海贫血患者的存活率和死亡原因
IF 4.4 2区 医学 Q1 Medicine Pub Date : 2024-04-11 DOI: 10.1080/07853890.2024.2338246
Adisak Tantiworawit, Thansita Kamolsripat, Pokpong Piriyakhuntorn, Thanawat Rattanathammethee, Sasinee Hantrakool, Chatree Chai-Adisaksopha, Ekarat Rattarittamrong, Lalita Norasetthada, Kanda Fanhchaksai, Pimlak Charoenkwan
Thalassemia is the most prevalent hereditary anaemia worldwide. Severe forms of thalassemia can lead to reduced life expectancy due to disease-related complications.To investigate the survival of t...
地中海贫血是全球最常见的遗传性贫血。严重的地中海贫血会因疾病相关并发症而导致预期寿命缩短。
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引用次数: 0
Outpatient management of essential hypertension: a review based on the latest clinical guidelines 本质性高血压的门诊治疗:基于最新临床指南的综述
IF 4.4 2区 医学 Q1 Medicine Pub Date : 2024-04-11 DOI: 10.1080/07853890.2024.2338242
Areesha Moiz, Tetiana Zolotarova, Mark J. Eisenberg
Background: Essential hypertension, a prevalent cardiovascular condition, poses a significant health burden worldwide. Based on the latest American clinical guidelines, half of adults in the United...
背景:继发性高血压是一种普遍存在的心血管疾病,在全球范围内造成了巨大的健康负担。根据最新的美国临床指南,美国有一半的成年人患有高血压。
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引用次数: 0
Co-creation of injury prevention measures for competitive adolescent distance runners: knowledge, behavior, and needs of athletes and coaches enrolled on England Athletics’ Youth Talent Programme 共同制定青少年竞技长跑运动员的损伤预防措施:参加英格兰田径青年人才计划的运动员和教练员的知识、行为和需求
IF 4.4 2区 医学 Q1 Medicine Pub Date : 2024-04-10 DOI: 10.1080/07853890.2024.2334907
Robert H. Mann, Bryan C. Clift, Jo Day, Alan R. Barker
This study assessed the knowledge, behavior, and needs of competitive adolescent (16–18 years) distance runners and distance running coaches enrolled as part of England Athletics’ Youth Talent Prog...
本研究评估了作为英格兰田径青年人才计划(England Athletics' Youth Talent Prog...)一部分的青少年(16-18 岁)竞技长跑运动员和长跑教练的知识、行为和需求。
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引用次数: 0
Circulating plasma cells as a predictive biomarker in Multiple myeloma: an updated systematic review and meta-analysis 循环浆细胞作为多发性骨髓瘤的预测性生物标记物:最新系统综述和荟萃分析
IF 4.4 2区 医学 Q1 Medicine Pub Date : 2024-04-10 DOI: 10.1080/07853890.2024.2338604
Qun Li, Lisha Ai, Liping Zuo, Junying Li, Fei Zhao, Aoshuang Xu, Bo Zhang, Li Cai, Yu Hu, Chunyan Sun
Circulating plasma cells (CPCs) are defined by the presence of peripheral blood clonal plasma cells, which would contribute to the progression and dissemination of multiple myeloma (MM). An increas...
循环浆细胞(CPCs)是指存在于外周血中的克隆性浆细胞,它有助于多发性骨髓瘤(MM)的进展和扩散。越来越多的...
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引用次数: 0
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Annals of medicine
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