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Entamoeba coli and Entamoeba histolytica infections as risk of allergic reactions: a case study of population of Bamenda, Cameroon 大肠内阿米巴和溶组织内阿米巴感染作为过敏反应的风险:喀麦隆巴门达人群的案例研究
Pub Date : 2020-01-01 DOI: 10.15761/jmt.1000145
O. Mahamat, Mbah Jerah Nchuikieh, Ebanga Echi Joan Eyong
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引用次数: 0
MELAINOMANIA: Psychopathological mechanisms, physical and psychological diagnostic endpoints and psychotherapeutic model, based on a clinical study over 160 cases 黑黑癖:基于160例临床研究的精神病理机制、生理和心理诊断终点和心理治疗模式
Pub Date : 2020-01-01 DOI: 10.15761/jmt.1000148
Anna Maria Iannaccone, Simone De Falco, S. Iurassich
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引用次数: 0
Clostridioides difficile infection in children with Inflammatory Bowel Disease: challenges in diagnosis and management 炎性肠病患儿难辨梭菌感染:诊断和治疗的挑战
Pub Date : 2020-01-01 DOI: 10.15761/jmt.1000147
S. Mohandas, Shaddy Farid, S. Michail
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引用次数: 0
A neglected cause of uremic pruritus: Blastocystis hominis 尿毒症瘙痒的一个被忽视的原因:人胚囊虫
Pub Date : 2020-01-01 DOI: 10.15761/jmt.1000143
Baloglu Ismail, Turkmen Kultigin
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引用次数: 0
Acute coronary syndrome with cardiogenic shock due to occlusion of right coronary artery in a young physician caring patients with COVID-19 infection: a case report 年轻医师护理COVID-19感染患者右冠状动脉闭塞致急性冠状动脉综合征并发心源性休克1例
Pub Date : 2020-01-01 DOI: 10.15761/jmt.1000146
K. Pyar, Aung Si Myo, S. Hlaing, Zar Ni Htet Aung, N. Lin Maung, Aung Phyoe Kyaw, Min Lynn Zaw Oo, K. Zaya, Myo Thant Kyaw, Zay Phyo Aung, Chan Aye Aung
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引用次数: 0
Assessing the efficacy of utilizing a smartphone calorie calculator for weight loss, body composition and body shape preoccupation 评估使用智能手机卡路里计算器对减肥、身体组成和体型关注的功效
Pub Date : 2019-01-01 DOI: 10.15761/jmt.1000138
Nicholas Maenza, Diana Koltovski, Joanne DiFrancisco-Donoghue, Patricia Happel
Objective: Recording calorie intake has been shown to assist in weight loss [1]. Today, smartphone applications enable patients to easily record calorie intake and are readily available. The purpose of this study is to evaluate the efficacy of utilizing a smartphone calorie calculator for weight loss, body composition metrics and body shape preoccupation when used alone or in conjunction with weekly email outreach to patients, encouraging them to remain compliant with a weight loss program. Methods: In this pilot study, fourteen college-aged women were recruited for the study on a rolling basis. Their weight was recorded, and their body composition was measured with the use of a dual-energy X-ray absorptiometry (DEXA scan). Their body-shape preoccupation was evaluated by the validated body shape questionnaire (BSQ)-16A survey, a self-report measure of body shape preoccupation typical of common eating disorders [2,3]. A daily calorie goal was set for each subject based on their calculated resting metabolic rate. All subjects were instructed to use a smartphone application to record their daily calorie intake. Nine intervention subjects were emailed weekly to self-report on how many days they used the application and their daily calorie intake. They were also offered encouragement to remain compliant with the program. Each intervention subject was re-evaluated after eight weeks. Five control subjects were not contacted weekly and were re-evaluated after eight weeks. Results: Both the intervention group and the control group showed a reduction in weight (6.52 ± 4.78 lbs vs 6.3 ± 1.18 lbs, p = 0.40) fat mass (0.23 ± 2.05 lbs vs 3.43 ± 2.99 lbs, p = 0.07), percent body fat (0.23 ± 1.11 vs 1.26 ± 0.48 lbs, p = 0.07) and visceral fat mass (VFM) (0.01 ± 0.18 vs 0.06 ± 0.22, p = 0.86). The Body Shape Questionnaire 16A (BSQ-16A) also indicated improvement in both groups for body shape preoccupation (6.14 ± 6.07 vs 18.6 ± 8.41, p = 0.19). Thus, use of the application benefitted both groups. Conclusion: The study’s results indicate that use of a smartphone calorie-counting application may have a positive effect on body composition metrics and may lower patients’ preoccupation with body image-with or without an additional intervention. *Correspondence to: Nicholas Maenza, New York Institute of Technology College of Osteopathic Medicine (NYIT-COM), Old Westbury, New York, USA, E-mail: nmaenza@nyit.edu
目的:记录卡路里摄入已被证明有助于减肥[1]。如今,智能手机应用程序使患者能够轻松记录卡路里摄入量,并且随时可用。本研究的目的是评估智能手机卡路里计算器在减肥、身体成分指标和体型关注方面的功效,当单独使用或与每周向患者发送电子邮件联系时,鼓励他们坚持减肥计划。方法:在这项初步研究中,14名大学年龄的女性被招募到滚动基础上进行研究。记录他们的体重,并使用双能x射线吸收仪(DEXA扫描)测量他们的身体成分。他们的体形关注程度通过有效体形问卷(BSQ)-16A进行评估,这是一种对常见饮食失调典型的体形关注程度的自我报告测量[2,3]。根据计算出的静息代谢率,为每位受试者设定了每日卡路里目标。所有受试者都被要求使用智能手机应用程序记录他们每天的卡路里摄入量。9名干预对象每周通过电子邮件自我报告他们使用应用程序的天数和每天的卡路里摄入量。他们还被鼓励继续遵守该计划。每个干预对象在8周后重新评估。5名对照受试者没有每周联系,并在8周后重新评估。结果:干预组和对照组的体重(6.52±4.78 lbs vs 6.3±1.18 lbs, p = 0.40)、脂肪量(0.23±2.05 lbs vs 3.43±2.99 lbs, p = 0.07)、体脂率(0.23±1.11 lbs vs 1.26±0.48 lbs, p = 0.07)和内脏脂肪量(VFM)(0.01±0.18 vs 0.06±0.22,p = 0.86)均有所减少。体形问卷16A (BSQ-16A)也显示两组对体形的关注有所改善(6.14±6.07 vs 18.6±8.41,p = 0.19)。因此,应用程序的使用使两组人都受益。结论:研究结果表明,使用智能手机卡路里计数应用程序可能对身体成分指标有积极影响,并可能降低患者对身体形象的关注——无论是否有额外的干预。*通讯:Nicholas Maenza,美国纽约州老韦斯特伯里纽约理工学院骨科医学院(nyit.com), E-mail: nmaenza@nyit.edu
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引用次数: 1
Clinical experience of 4F child catheter in interventions of complex coronary lesions 4F儿童导管介入复杂冠状动脉病变的临床体会
Pub Date : 2019-01-01 DOI: 10.15761/JMT.1000140
Yanzhuo Maa, L. Ru, Hao-Jui Li, Gang Wang, L. Tang
Objective: It has been demonstrated that 4F child catheter could be inserted into the mother guiding catheter for back up support improvement, stent or balloon delivery, etc. Here, we aimed to determine the potential role of 4F child catheter in treating complex coronary lesions. Methods and results: We retrospectively analyzed 40 lesions treated by 4F child catheter. The 4F child catheter was beneficial to facilitate stent or balloon delivery, to aid guidewire crossing, to capture stent, or to pick up retrograde guidewire. For CTO PCI, picking up the retrograde guidewire using the advanced greeting technique accounted for 32.1%, indicating it was efficient for CTO revascularization. Lesion success was 95%, device success was 95%, and procedure success was 92.5%. One patient failed because of acute thrombosis after successful stent deployment, one failed due to the guidewire unable to cross the target lesion. There was one instance of stent dislodgment and one instance of little pericardial effusion. Conclusions: The 4F child catheter provided higher successful rate and it was a viable device in treating complex coronary lesions. *Correspondence to: Leisheng Ru, Department of Cardiology, Bethune International Peace Hospital, Shijiazhuang, Hebei, China, Tel: 86-031187978302; Fax: 86-031187978302; E-mail: muyeqiufeng2008@163.com
目的:证明4F儿童导管可插入母亲引导导管,用于后援支持改善、支架或球囊输送等。在这里,我们的目的是确定4F儿童导管在治疗复杂冠状动脉病变中的潜在作用。方法与结果:对40例经4F儿童导管治疗的病变进行回顾性分析。4F儿童导管有利于支架或球囊输送、辅助导丝穿越、捕获支架或拾取逆行导丝。对于CTO PCI,使用先进的问候技术拾取逆行导丝占32.1%,表明CTO血运重建术是有效的。病变成功率为95%,器械成功率为95%,手术成功率为92.5%。1例患者因支架置入成功后急性血栓而失败,1例患者因导丝无法穿过目标病变而失败。有一例支架移位和一例少量心包积液。结论:4F儿童导管成功率高,是治疗复杂冠状动脉病变的可行装置。*通讯对象:中国河北省石家庄市白求恩国际和平医院心内科如雷生,电话:86-031187978302;传真:86 - 031187978302;电子邮件:muyeqiufeng2008@163.com
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引用次数: 0
ATAD3 and endoplasmic reticulum to mitochondria connection: a main actor and interaction regarding pathogenesis ATAD3与内质网与线粒体的联系:发病机制的主要参与者和相互作用
Pub Date : 2019-01-01 DOI: 10.15761/JMT.1000139
D. Rousseau
Metabolic fluxes between mitochondria and endoplasmic reticulum appear today of first importance in normal and pathologic cellular physiology sustaining important regulation processes involved in mitochondrial biogenesis, homeostasis and stress responses. The basis of these interrelations is well described in yeast, the mechanism involved in higher eukaryotes and mammals is unknown. Here will be to present and emphasize on the role of a newly discovered protein, ATAD3, that may represent a molecular bridge between these compartments and essential link for associated exchanging processes.
线粒体和内质网之间的代谢通量在今天的正常和病理细胞生理中表现出第一重要性,维持了涉及线粒体生物发生、体内平衡和应激反应的重要调节过程。这些相互关系的基础在酵母中得到了很好的描述,但在高等真核生物和哺乳动物中涉及的机制尚不清楚。本文将介绍并强调一种新发现的蛋白质ATAD3的作用,它可能代表了这些隔室之间的分子桥梁和相关交换过程的基本环节。
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引用次数: 2
Role of miRNA-21 expression in profibrillatory fibrotic remodeling and atrial fibrillation occurrence miRNA-21表达在纤原性纤维化重构和房颤发生中的作用
Pub Date : 2019-01-01 DOI: 10.15761/jmt.1000141
Pengjuan Cao, W. Lian, P. Hathurusinghe, Deepak Sharma, Cong-cong Han, Yanmin Xu
Atrial fibrillation (AF) is the most frequent cardiac arrhythmia seen in clinical practice and is associated with pronounced morbidity and mortality. It was demonstrated that AF is associated with altered miRNA levels in atrial tissue and plasma. The regulatory function of specific miRNAs has been studied in the structural and electrical remodeling underlying AF, ischemic heart disease, cardiac hypertrophy, ion channel modification and extracellular matrix (ECM) formation. Furthermore, circulating miRNAs associated with AF could serve as potential biomarkers of the disease, whereas specific tissue miRNAs could become targets for therapy. Although treatment of AF has sub stantially advanced in recent years, numerous problems re main, and a fundamental breakthrough has not been made in the treatment of AF. *Correspondence to: Yanmin XU, Department of Cardiology, Tianjin Key Laboratory of Ionic-Molecular Function of Cardiovascular disease, Tianjin Institute of Cardiology, Second Hospital of Tianjin Medical University, PR China, Tel: 0086-13702029695; Fax: 0086-22-88328119; E-mail: xuyanminphdmd@sina.com
心房颤动(AF)是临床上最常见的心律失常,其发病率和死亡率都很高。研究表明,房颤与心房组织和血浆中miRNA水平的改变有关。特定mirna在房颤、缺血性心脏病、心脏肥厚、离子通道修饰和细胞外基质(ECM)形成的结构和电重构中的调节功能已被研究。此外,与房颤相关的循环mirna可以作为该疾病的潜在生物标志物,而特定的组织mirna可以成为治疗的靶点。虽然近年来房颤的治疗有了很大的进步,但仍存在许多问题,房颤的治疗尚未取得根本性的突破。*通讯作者:徐彦敏,心内科,天津市心血管疾病离子分子功能重点实验室,天津医科大学第二医院天津市心脏病研究所,电话:0086-13702029695;传真:0086-22-88328119;电子邮件:xuyanminphdmd@sina.com
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引用次数: 0
Staphylococcus aureus Bacteremia in Patients not Meeting Sepsis Criteria: Clinical Features, Host Immune Response and Outcomes. 不符合败血症标准的金黄色葡萄球菌菌血症患者:临床特征、宿主免疫反应和结果。
Pub Date : 2017-01-01 Epub Date: 2017-11-20
Daniel E Salas, Emi Minejima, Joanna Wu, Chong Fang, Joshua Wang, Rosemary She, Paul Nieberg, Annie Wong-Beringer

Background: Limitations regarding the sensitivity and specificity of the systemic inflammatory response (SIRS) criteria prompted the recent revision in consensus definitions of sepsis and septic shock. We evaluated patients with Staphylococcus aureus bacteremia (SAB) who did not meet SIRS criteria for sepsis (SIRS-negative, SIRS-N) to compare host immune response and outcomes with SIRS-positive (P) patients.

Methods: A prospective observational study of patients hospitalized for SAB during 2012-2015 was conducted. Pro- (TNFα, IL6, IL8) and anti-inflammatory (IL10) cytokine levels (pg/mL) were compared between SIRS-N and SIRS-P patients. Outcome endpoints were day 4 persistence and 30-day mortality.

Results: Of the 353 study patients, 23% were SIRS-N. A similar proportion of SIRS-N and SIRS-P patients had an infection-related admitting diagnosis (70% vs. 66%, p=0.5946), and both groups received timely antibiotic administration. Less than 1/3 of SIRS-N group had abnormal WBC count, tachycardia, or tachypnea while <15% had fever/hypothermia or hypotension. Initial proand anti-inflammatory cytokine levels were significantly lower and in balance as indicated by IL10/TNF ratio in SIRS-N compared to SIRS-P patients. IL10/TNF ratio increased progressively in patients with increasing sepsis severity and mortality.

Conclusions: Clinical management of patients with SAB seemed driven largely by clinician assessment rather than SIRS criteria alone, with one in 4 patients not meeting SIRS criteria. Importantly, the severity of presentation and outcomes of SAB correspond well to the magnitude of underlying imbalance in pro- and anti-inflammatory cytokine levels, supporting the updated sepsis definition as "life-threatening organ dysfunction caused by a dysregulated host response to infection".

Key points: In a prospective observational study of 353 patients with Staphylococcus aureus bacteremia, 23% did not meet SIRS criteria for sepsis. Severity of sepsis and risk of death is supported by a dysregulated host cytokine response with progressively increasing IL10/TNF ratio.

背景:由于全身炎症反应(SIRS)标准的敏感性和特异性存在局限性,最近对脓毒症和脓毒性休克的共识定义进行了修订。我们对不符合脓毒症 SIRS 标准(SIRS 阴性,SIRS-N)的金黄色葡萄球菌菌血症(SAB)患者进行了评估,以比较宿主免疫反应和 SIRS 阳性(P)患者的预后:方法: 对 2012-2015 年期间因 SAB 住院的患者进行前瞻性观察研究。比较了 SIRS-N 和 SIRS-P 患者的促(TNFα、IL6、IL8)和抗(IL10)细胞因子水平(pg/mL)。结果终点为第 4 天持续率和 30 天死亡率:在353名研究患者中,23%为SIRS-N。SIRS-N和SIRS-P患者的入院诊断与感染相关的比例相似(70%对66%,P=0.5946),两组患者都得到了及时的抗生素治疗。不到三分之一的 SIRS-N 组患者在入院时白细胞计数异常、心动过速或呼吸急促:对 SAB 患者的临床管理似乎主要取决于临床医生的评估,而不仅仅是 SIRS 标准,每 4 名患者中就有 1 人不符合 SIRS 标准。重要的是,SAB 的严重程度和结果与促炎细胞因子和抗炎细胞因子水平失衡的程度非常吻合,这支持了脓毒症的最新定义,即 "由于宿主对感染的反应失调而导致的危及生命的器官功能障碍":一项针对 353 名金黄色葡萄球菌菌血症患者的前瞻性观察研究显示,23% 的患者不符合脓毒症的 SIRS 标准。脓毒症的严重程度和死亡风险受到宿主细胞因子反应失调的支持,IL10/TNF 比率逐渐升高。
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Journal of clinical medicine and therapeutics
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