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m6A methylation in the perinatal field m6A甲基化在围产期的作用
Pub Date : 2021-01-01 DOI: 10.36648/2471-805X.7.1.62
Kosuke Taniguchi, T. Kawai
N6-methyladenosine (m6A), a major modification of messenger RNA (mRNA) and long non-coding RNA, plays critical roles in RNA metabolism and function [1]. Among the many types of RNA modification, m6A is the most frequent and abundant chemical post-transcriptional RNA modification [2]. Methylated RNA immunoprecipitation followed by sequencing (MeRIP-Seq) is a comprehensive assay to determine the presence of m6A [1]. Since the development of this assay, the functions of m6A have gradually become clearer m6A within coding mRNA are most abundantly observed in the vicinity of the stop codon, especially within the 3'UTR, and they have a consensus sequence of RRACH, where R is a purine and H is any base except for G [1]. m6A is involved in post-transcriptional regulation, especially in determining the stability and lifespan of mRNA [3]. Furthermore, several m6A regulators have been reported, such as the methylating enzyme m6A writer proteins (METTL3, METTL14, METTL16, WTAP), the demethylating enzyme m6A eraser proteins (FTO, ALKBH5), and m6A reader proteins (YTH family) that recognize m6A [3]. The m6A site in mRNA of the same gene differs between cell and tissue types; m6A levels change in response to external stimuli, thereby functioning as a dynamic type of modification that fine-tunes gene expression [4]. Notably, although the levels of mRNA (arising from gene expression) and protein are positively correlated, the correlation is weak; it is not a perfect correlation [5]. Therefore, elucidation of post-transcriptional mRNA regulation through m6A modifications can help clarify the role of genes involved in various cellular events.
n6 -甲基腺苷(N6-methyladenosine, m6A)是信使RNA (mRNA)和长链非编码RNA的主要修饰物,在RNA代谢和功能[1]中起关键作用。在众多的RNA修饰类型中,m6A是最常见和最丰富的化学转录后RNA修饰[2]。甲基化RNA免疫沉淀测序(MeRIP-Seq)是一种确定m6A[1]存在的综合检测方法。自本实验发展以来,m6A的功能逐渐清晰,编码mRNA中的m6A在停止密码子附近最为丰富,特别是在3'UTR内,它们具有一致的RRACH序列,其中R是嘌呤,H是除G[1]以外的任何碱基。m6A参与转录后调控,特别是决定mRNA[3]的稳定性和寿命。此外,已经报道了几种m6A调节因子,如甲基化酶m6A写入蛋白(METTL3, METTL14, METTL16, WTAP),去甲基化酶m6A擦除蛋白(FTO, ALKBH5)和识别m6A[3]的m6A读取蛋白(YTH家族)。同一基因mRNA中m6A位点在不同细胞和组织类型中存在差异;m6A水平在外界刺激下发生变化,从而作为一种动态修饰,微调基因表达[4]。值得注意的是,虽然mRNA(由基因表达产生)和蛋白质的水平呈正相关,但相关性很弱;这并不是一个完美的相关性。因此,通过m6A修饰阐明转录后mRNA调控有助于阐明参与各种细胞事件的基因的作用。
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引用次数: 0
Congenital Heart Disease 先天性心脏病
Pub Date : 2021-01-01 DOI: 10.36648/2471-805X.21.S2.E001
Anusha Vennapu
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引用次数: 0
Incidence and risk factors predisposing to Retinopathy of prematurity and treatment outcome: A Retrospective cohort study 早产儿视网膜病变的发生率和危险因素及治疗结果:一项回顾性队列研究
Pub Date : 2021-01-01 DOI: 10.36648/2471-805X.7.1.63
M. Deepak, S. Poonam, Jain Mayank, G. Aparna, M. Ap
Abstract Purpose: Retinopathy of prematurity is a disorder of developing retina. The survival rate of preterm infants increased due to advance neonatal care, with a consequent increase in retinopathy of prematurity cases. The aim of our study was to access the incidence of ROP and its risk factors and outcome those who needed treatment. Methods: A retrospective cohort study of preterm infant born in tertiary intensive care unit was conducted from January 2017 to October 2020. 203 newborns were included based on the following criteria, Gestational Age (GA) at birth of ≤ 35 weeks, birth weight of ≤ 2000 gm and babies with GA>35 weeks and BW>2000 if the treating Paediatrician recommended ROP screening due to stormy course in NICU. Data were review to determine the incidence and risk factors of ROP. Neonates were followed up until diseases resolution or until treatment criteria were achieved. Results: Two hundred three babies were enrolled for the study. There were 125 (62.1%) males and 77 (37.9%) females. ROP was seen in 41 babies giving an incidence of 20.2%. About half of cases had stage 1 ROP (51.2%) followed by stage 2 (24.4%), APROP (22%) and stage 3 (2.4%). No case of stage 4 and stage 5 ROP were detected. 7 out of 41 ROP cases were type 1 disease with incidence of 3.4%, and received treatment. A significant association was noted between ROP and PDA, sepsis, PVL, BPD, RDS, Postnatal steroids, oxygen therapy blood transfusion, TPN (P<0.05). No significant association was found for PIH, Preeclampsia, GDM, receiving antenatal steroids, IVH, multiple gestations, SGA, NEC, invasive and non- invasive respiratory support need. Conclusion: This study found incidence of any stage of ROP was 20.2% and incidence of type 1 disease was 3.4%. A significant association was noted between ROP and PDA, sepsis, PVL, BPD, RDS, Postnatal steroids, oxygen therapy blood transfusion, TPN.
摘要目的:早产儿视网膜病变是一种发育中的视网膜疾病。早产儿的存活率增加,由于先进的新生儿护理,随之而来的早产儿视网膜病变病例的增加。本研究的目的是了解ROP的发生率及其危险因素和需要治疗的预后。方法:对2017年1月至2020年10月在三级重症监护病房出生的早产儿进行回顾性队列研究。203名新生儿根据以下标准入选:出生时胎龄(GA)≤35周,出生体重≤2000克,如果治疗儿科医生因新生儿重症监护病房的风暴病程建议进行ROP筛查,则GA bb≤35周,BW bb≤2000克。回顾资料以确定ROP的发生率和危险因素。对新生儿进行随访,直到疾病消退或达到治疗标准。结果:有203名婴儿参加了这项研究。男性125例(62.1%),女性77例(37.9%)。41例患儿出现ROP,发生率为20.2%。约一半的病例发生1期ROP(51.2%),其次是2期(24.4%)、APROP(22%)和3期(2.4%)。未发现4期和5期ROP病例。41例ROP中7例为1型,发生率为3.4%,均接受了治疗。ROP与PDA、败血症、PVL、BPD、RDS、产后类固醇、氧疗输血、TPN有显著相关性(P<0.05)。PIH、子痫前期、GDM、产前类固醇、IVH、多胎妊娠、SGA、NEC、有创和无创呼吸支持需求无显著相关性。结论:各阶段ROP发生率为20.2%,1型发病率为3.4%。ROP与PDA、败血症、PVL、BPD、RDS、产后类固醇、氧疗输血、TPN之间存在显著相关性。
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引用次数: 0
Incidence and Predictors of Diabetic Ketoacidosis among Children with Diabetes 糖尿病儿童糖尿病酮症酸中毒的发病率及预测因素
Pub Date : 2021-01-01 DOI: 10.36648/2471-805X.7.1.61
Birtukan Assefa, Haymanot Zeleke
Diabetic ketoacidosis remains a relevant problem in children with diabetes. Its incidence is wide ranging across the world due to quality of health care services and socioeconomic circumstances; in resent study in Ethiopia high incidence was observed. The interacting factors for diabetic ketoacidosis development are absolute or relative insulin deficiency. In established diabetes diabetic ketoacidosis develops when treatment fails to adequately control blood glucose concentration. Treatment failure can be due to medication non adherence and relative ineffectiveness of insulin when insulin action is antagonized by physiological stress such as infection and inappropriate storage of insulin at home. Diabetic ketoacidosis and its associated complications can be prevented with proper diabetic education and treatment.
糖尿病酮症酸中毒仍然是儿童糖尿病患者的一个相关问题。由于卫生保健服务的质量和社会经济环境,其发病率在世界各地范围很广;在最近的研究中,埃塞俄比亚的发病率很高。糖尿病酮症酸中毒发生的相互作用因素是绝对或相对胰岛素缺乏。在已确诊的糖尿病患者中,当治疗未能充分控制血糖浓度时,会发生糖尿病酮症酸中毒。治疗失败可能是由于药物的不依从性和胰岛素的相对无效,当胰岛素的作用被生理应激(如感染和家中不适当的胰岛素储存)拮抗时。糖尿病酮症酸中毒及其相关并发症可通过适当的糖尿病教育和治疗加以预防。
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引用次数: 0
Application of Herbal Medicine in Infant 草药在婴幼儿中的应用
Pub Date : 2021-01-01 DOI: 10.36648/2471-805X.21.7.E005
I. Fabuel
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引用次数: 0
Exercise and Sports Medicine 运动与运动医学
Pub Date : 2021-01-01 DOI: 10.36648/2471-805X.21.S2.E002
Anusha Vennapu
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引用次数: 0
Global aspects of allergic conjunctivitis in children 儿童过敏性结膜炎的全球概况
Pub Date : 2021-01-01 DOI: 10.36648/2471-805X.7.1.65
Sayantana Das
Right now, comorbid infections and financial and natural variables, including atmosphere and air contamination, are proposed to add to the territorial contrasts in the predominance of hypersensitive conjunctivitis. Of them, rhinitis has been demonstrated more than once to be essentially connected with hypersensitive conjunctivitis. Their robotic perspectives on relationship with the pervasiveness of foundational hypersensitive sicknesses have been inspected by looking at the birth partner or in vitro examinations.
目前,合并症感染和经济和自然变量,包括大气和空气污染,被认为增加了过敏性结膜炎优势的地域对比。其中,鼻炎已被证明不止一次本质上与过敏性结膜炎有关。他们的机器人视角与普遍存在的基础过敏性疾病的关系已经通过观察生育伴侣或体外检查进行了检验。
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引用次数: 0
Swallowed Foreign Bodies that have Cardiac Complications in Children 儿童吞咽异物引起心脏并发症
Pub Date : 2021-01-01 DOI: 10.36648/2471-805X.7.1.64
W. Novotny, Cynthia P Keel
Swallowed foreign bodies are not uncommon occurrences in young children. The close proximity of the heart to the lower esophagus predisposes the heart and surrounding tissues to injury. Complications include accumulation of blood or air in the pericardial space and perforation through the myocardial wall with development of endocarditis. The inability of children to describe a history of ingestion or related symptoms makes timely diagnosis and treatment challenging. Prompt diagnosis and removal of sharp objects or button batteries may help to avoid esophageal penetration and subsequent cardiac complications. Radio- opaque foreign bodies are often readily identified by plain radiographs but transthoracic sonography of the lower esophagus is an emerging technique for other objects.
吞咽异物在幼儿中并不罕见。心脏靠近下食道,容易使心脏和周围组织受到损伤。并发症包括心包空间积存血液或空气,心壁穿孔,并发心内膜炎。儿童无法描述摄入史或相关症状,使及时诊断和治疗具有挑战性。及时诊断和移除尖锐物体或钮扣电池可能有助于避免食道穿透和随后的心脏并发症。放射不透明的异物通常很容易通过x线平片识别,但经胸食管下段超声检查是一种新兴的检查其他物体的技术。
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引用次数: 0
Commentary on Candle Syndrome-Inflammatory Condition 烛证炎性病症述评
Pub Date : 2021-01-01 DOI: 10.36648/2471-805X.21.7.72
Tyler Sloan
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引用次数: 0
Concerns in Pediatric Issues 儿科问题的关注
Pub Date : 2021-01-01 DOI: 10.36648/2471-805X.21.S2.E004
Anusha Vennapu
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引用次数: 0
期刊
Journal of pediatrics & neonatal care
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