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Zinc Deficiency in Autism: A Controlled Study 自闭症缺锌:一项对照研究
Pub Date : 2019-01-01 DOI: 10.36648/2572-5610.4.3.63
D. Goyal, Neil, Simmons Sd, F. Mansab, S. Benjamin, Pitfield, S. Boulet, Jaleel A. Miyan
Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder characterised by impaired socialisation and restricted and repetitive patterns of behaviour. Zinc deficiency has previously been reported in patients with ASD. A retrospective controlled trial of serum zinc levels in patients with ASD vs. non-ASD controls was undertaken to explore the potential presence of zinc deficiency in the ASD population. 72 patients with ASD were compared with 234 non-ASD controls. Serum zinc levels were compared between groups and correlations analysed for age, sex, supplement use and diet. Serum chromium and manganese levels were also compared between ASD and control groups to assess general micronutrient status. Further analysis was undertaken in the ASD group investigating potential correlations between serum zinc levels and immune function. 86% of patients with ASD were found to be zinc deficient versus 24% of the non-ASD control group. There was a mean difference of serum zinc levels between the ASD and non-ASD groups of 1·75 μmol/l (P<0·001, CI 1·2-2·1). There was no effect of age or sex on serum zinc levels in either the ASD or control groups. There was no significant difference in chromium or manganese levels between the ASD and control group. These results suggest zinc deficiency is likely to be common in ASD patients and is a potentially modifiable environmental factor associated with the condition. Zinc’s potential role in the aetio-pathogenesis and disease evolution is discussed, and the need to consider zinc status in patients with ASD is highlighted.
自闭症谱系障碍(ASD)是一种神经发育障碍,其特征是社交障碍和限制和重复的行为模式。此前已有ASD患者缺锌的报道。一项回顾性对照试验对ASD患者和非ASD患者的血清锌水平进行了研究,以探讨ASD人群中锌缺乏的潜在存在。72例ASD患者与234例非ASD对照。比较各组血清锌水平,并分析年龄、性别、补充剂使用和饮食的相关性。还比较了ASD组和对照组之间的血清铬和锰水平,以评估一般微量营养素状况。在ASD组进行了进一步的分析,调查血清锌水平与免疫功能之间的潜在相关性。86%的ASD患者缺锌,而非ASD对照组缺锌的比例为24%。ASD组与非ASD组血清锌水平平均差异为1.75 μmol/l (P< 0.001, CI为1.2 ~ 1.2)。在ASD组和对照组中,年龄和性别对血清锌水平没有影响。在ASD患者和对照组之间,铬和锰的含量没有显著差异。这些结果表明,锌缺乏症可能在ASD患者中很常见,并且是与该疾病相关的潜在可改变的环境因素。本文讨论了锌在自闭症发病机制和疾病演变中的潜在作用,并强调了考虑ASD患者锌水平的必要性。
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引用次数: 7
Lobular Breast Cancer and Abdominal Metastasis: What Is The Correct Diagnostic Management? 小叶型乳腺癌和腹部转移:正确的诊断处理是什么?
Pub Date : 2019-01-01 DOI: 10.36648/2572-5610.4.1.52
A. Invento, R. Emc, Daniela Grigolato, F. Pellini
Invasive lobular breast cancer represents the second most prevalent histological type of breast cancer after invasive ductal cancer (IDC) and its incidence has been constantly growing in the last few years. This trend is largely related to the use of MR as a radiological diagnostic method of second level. We have analyzed our institutional case and the use FDG CT/PET in this case. FDG CT/PET demonstrates lower SUV and less accuracy both in primary as well as in metastastic ILC compared to IDC. Moreover, the patterns of metastatic spread differ between ILC and IDC. We think that for this type of cancer could be use CT-PET with a particular metabolite: 1 [18F]-Fluoroestradiol (18F-FES-PET). 18F-FES-PET has the potential to assess heterogeneity in ER expression that are expressed in lobular breast cancer.
浸润性小叶乳腺癌是仅次于浸润性导管癌(IDC)的第二常见的乳腺癌组织学类型,其发病率在过去几年中不断增长。这一趋势很大程度上与磁共振作为二级放射诊断方法的使用有关。我们分析了我们的机构病例和FDG CT/PET在该病例中的应用。与IDC相比,FDG CT/PET在原发性和转移性ILC中显示出较低的SUV和准确性。此外,转移扩散模式在ILC和IDC之间有所不同。我们认为对于这种类型的癌症可以使用CT-PET与一种特殊的代谢物:1 [18F]-氟雌二醇(18F- fes - pet)。18F-FES-PET有可能评估小叶性乳腺癌中ER表达的异质性。
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引用次数: 0
Differentiating Multiple Sclerosis from Myalgic Encephalomyelitis and Chronic Fatigue Syndrome. 多发性硬化症与肌痛性脑脊髓炎及慢性疲劳综合征的鉴别。
Pub Date : 2017-01-01 Epub Date: 2017-06-12 DOI: 10.21767/2572-5610.10027
L A Jason, D Ohanian, A Brown, M Sunnquist, S McManimen, L Klebek, P Fox, M Sorenson

Multiple Sclerosis (MS), Myalgic Encephalomyelitis (ME), and Chronic Fatigue syndrome are debilitating chronic illnesses, with some overlapping symptoms. However, few studies have compared and contrasted symptom and disability profiles for these illnesses for the purpose of further differentiating them. The current study was an online self-report survey that compared symptoms from a sample of individuals with MS (N = 120) with a sample of individuals with ME or CFS (N = 269). Respondents completed the self-report DePaul Symptom Questionnaire. Those individuals with ME or CFS reported significantly more functional limitations and significantly more severe symptoms than those with MS. The implications of these findings are discussed.

多发性硬化症(MS),肌痛性脑脊髓炎(ME)和慢性疲劳综合征是使人衰弱的慢性疾病,有一些重叠的症状。然而,为了进一步区分这些疾病,很少有研究比较和对比这些疾病的症状和残疾概况。目前的研究是一项在线自我报告调查,比较了多发性硬化症患者(N = 120)和ME或CFS患者(N = 269)的症状。受访者完成德保罗症状问卷自述。与多发性硬化症患者相比,ME或CFS患者报告了更多的功能限制和更严重的症状。
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引用次数: 18
Congenital Heart Defects 先天性心脏缺陷
Pub Date : 1900-01-01 DOI: 10.36648/2572-5610.4.1.56
Sharma V
A congenital heart defect (CHD) is a structural defect of the heart or the great vessels by birth, which severely affects cardiac function [1]. CHDs are the commonest form of abnormalities seen in newborn babies, affecting 1 in 145 live births (British Heart Foundation). The most common CHD is a ventricular septal defect (VSD), which occurs to varying degrees in around 3570 per million live births (around 3.5/1000). Small VSDs, along with atrial septal defects (ASDs) and small patent ductus arteriosus (PDA) are considered the least severe CHDs, and usually close naturally or do not cause problems to the patient [2]. The most severe CHDs include double outlet right ventricle (DORV), persistent truncus arteriosus (PTA), transposition of the great arteries (TGA), tetralogy of fallot (TOF), atrioventricular septal defects (AVSDs), and large VSDs. These occur collectively at a rate of around 2.5-3 per 1000 live births and cause patients to become seriously ill within the immediate postnatal period, or soon after [2].
先天性心脏缺陷(CHD)是出生时心脏或大血管的结构性缺陷,严重影响心脏功能。冠心病是新生儿中最常见的异常形式,每145个活产婴儿中就有1个患有冠心病(英国心脏基金会)。最常见的冠心病是室间隔缺损(VSD),不同程度的发生率约为3570 /100万活产婴儿(约3.5/1000)。小的室间隔缺损、房间隔缺损和小的动脉导管未闭被认为是最不严重的冠心病,通常会自然关闭或不会对患者的动脉造成问题。最严重的冠心病包括双出口右心室(DORV)、持续性动脉干(PTA)、大动脉转位(TGA)、法洛四联症(TOF)、房室间隔缺损(AVSDs)和大室间隔。这些疾病总体发生率约为每1000例活产2.5-3例,并导致患者在紧接产后或产后不久患上重病。
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引用次数: 17
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