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Knowledge, levels of acceptance and hesitancy of COVID-19 vaccine among general population of the Kingdom of Saudi Arabia 沙特阿拉伯王国普通人群对COVID-19疫苗的知识、接受程度和犹豫程度
Pub Date : 2022-12-07 DOI: 10.20944/preprints202205.0415.v1
B. Sajer, Adi Essam Zarei, Feda Alharshani, Afrah Alshehri, Lamar Faidah
On 11th March 2020, the World Health Organization (WHO) declared coronavirus disease (COVID-19) as a pandemic. The disease is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). As of 17 June 2022, SARS-CoV-2 has infected over 535,248,141 people, with 6,313,229 deaths. Due to devastating effect of COVID-19, achieving herd immunity to prevent onward transmission is crucial. Although obtaining herd immunity against COVID-19 through natural infection is theoretically possible but would place enormous burden on healthcare facilities and may result in over 30 million fatalities globally.
2020年3月11日,世界卫生组织(世界卫生组织)宣布冠状病毒病(新冠肺炎)为大流行。这种疾病是由严重急性呼吸系统综合征冠状病毒2型引起的。截至2022年6月17日,严重急性呼吸系统综合征冠状病毒2型已感染535248141人,6313229人死亡。由于新冠肺炎的破坏性影响,实现群体免疫以防止进一步传播至关重要。尽管通过自然感染获得对新冠肺炎的群体免疫在理论上是可能的,但这将给医疗机构带来巨大负担,并可能导致全球超过3000万人死亡。
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引用次数: 0
The Role of PFKFB3 In the Tumor Microenvironment and Its Therapeutic Potential PFKFB3在肿瘤微环境中的作用及其治疗潜力
Pub Date : 2022-12-07 DOI: 10.31579/2690-4861/268
Zhi-Bing Wu, L. Lei, Liting Chen, Jianjun Lai
Energy metabolic reprogramming has recently been recognized as an important hallmark of tumor metabolic biology, and tumor cells can be manipulated to obtain rapid growth, immune evasion and apoptosis, which play an important role in tumor development. Enhanced glycolysis is the main source of energy required for tumorigenesis, development and metastasis in the tumor microenvironment, and Warburg suggested that tumor cells preferentially choose glycolysis as the main pathway to provide energy even under aerobic conditions, but the mechanisms and causes of this metabolic alteration remain unclear. PFKFB3 is an important activator of glycolysis and plays an important role in carcinogenesis, including Tumor cytogenesis, metastasis, drug resistance and alteration of the tumor microenvironment. In this review, we summarize the role of PFKFB3 in different tumor types and its effects on the tumor microenvironment, as well as the signaling pathways through which PFKFB3 acts in tumors, suggesting PFKFB3 as a potential anti-tumor therapeutic target.
能量代谢重编程是近年来公认的肿瘤代谢生物学的一个重要标志,肿瘤细胞可通过调控获得快速生长、免疫逃逸和凋亡,在肿瘤的发生发展中起着重要作用。增强的糖酵解是肿瘤微环境中肿瘤发生、发展和转移所需能量的主要来源,Warburg认为,即使在有氧条件下,肿瘤细胞也优先选择糖酵解作为提供能量的主要途径,但这种代谢改变的机制和原因尚不清楚。PFKFB3是糖酵解的重要激活因子,在肿瘤细胞发生、转移、耐药和肿瘤微环境改变等癌变过程中发挥重要作用。本文综述了PFKFB3在不同肿瘤类型中的作用及其对肿瘤微环境的影响,以及PFKFB3在肿瘤中作用的信号通路,提示PFKFB3可能是一个潜在的抗肿瘤治疗靶点。
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引用次数: 0
Genetic Bases and Molecular Breeding of Key Economic Traits in China Dairy Cattle: A Progress Report 中国奶牛主要经济性状的遗传基础与分子育种研究进展
Pub Date : 2022-12-07 DOI: 10.31579/2690-4861/273
Yun-Tao Ma, Fen Li, Xue Feng, Ruirui Li, Bin Du, X. Xue, Honghong Hu, Junxing Zhang, Hui Sheng
Animal growth is a coordinated developmental process that requires altering the expression of hundreds to thousands of genes to modify many biochemical and biological signaling cascades. The genetic analysis of economic traits and molecular breeding research are hotspots for animal husbandry and, in the case of Chinese dairy cattle, much progress has been made in recent years. Actually, the level of information of molecular events at the transcriptional, biochemical, hormonal, and metabolite levels underlying animal development process has increased considerably. The current review summarizes progress in research into the genetic basis of economic traits and molecular breeding of dairy cows, dual-purpose cattle and dairy buffalo, to better understand the molecular switch involved in development process with important consequences from a breeding point of view.
动物生长是一个协调的发育过程,需要改变数百至数千个基因的表达,以改变许多生化和生物信号级联。经济性状的遗传分析和分子育种研究是畜牧业的热点,以中国奶牛为例,近年来取得了很大进展。事实上,在动物发育过程的转录、生物化学、激素和代谢产物水平上,分子事件的信息水平已经显著提高。本文综述了奶牛、两用牛和水牛经济性状的遗传基础和分子育种的研究进展,以更好地从育种的角度理解发育过程中涉及的重要后果的分子转换。
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引用次数: 0
Unusual cause of Rhabdomyolysis secondary to physical Violence 身体暴力继发横纹肌溶解症的罕见原因
Pub Date : 2022-12-07 DOI: 10.31579/2690-4861/234
S. Nayak-Rao
Rhabdomyolysis as a complication of blunt force trauma may result in life-threatening acute kidney injury (AKI). We illustrate a case of a middle-aged male who sustained blunt force injury in a street brawl in his community presenting with decreased and high colored urine; further evaluation revealed acute renal failure two days after the said incident. He received three consecutive sessions of hemodialysis and was discharged 4 days after admission with increasing urine output and renal recovery. At follow-up ten days later, his renal functions had recovered with serum creatinine returning to normal levels.
横纹肌溶解作为钝力创伤的并发症可能导致危及生命的急性肾损伤(AKI)。我们举例说明一个中年男性谁持续钝器伤在街头斗殴在他的社区呈现减少和高颜色尿;进一步的评估显示在上述事件发生两天后出现急性肾衰竭。患者接受连续3次血液透析,入院4天后尿量增加,肾脏恢复,出院。随访10天后,肾功能恢复,血清肌酐恢复正常。
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引用次数: 0
A Unique Case of Mastoid Osteoma - A Case Report 乳突骨瘤1例报告
Pub Date : 2022-11-20 DOI: 10.46527/2582-5038.237
C. Cs, C. Rs, Mahesh Sg, Deepalakshmi Tanthry
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引用次数: 0
CytoSorb® Therapy in the Treatment of a Patient with Chronic Kidney Disease (CKD) Associated with Symptoms of Sepsis: A Case Report CytoSorb®治疗与脓毒症症状相关的慢性肾脏疾病(CKD)患者:1例报告
Pub Date : 2022-11-10 DOI: 10.46527/2582-5038.234
R. Andrews, R. Paul, Sudeep Sirga, Niranjan Panigrahi
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引用次数: 0
Cutaneous Metastases of Ampullary Adenocarcinoma: Case Report and Literature Review 壶腹腺癌皮肤转移一例报告及文献复习
Pub Date : 2022-11-08 DOI: 10.46527/2582-5038.233
R. A., Castro-Molina Sa, M. S, Durand-Muñoz ., C. Dm, Rosas-Camargo V, Dominguez-Cherit J, L. R.
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引用次数: 0
Bilateral Commissuroplasty and Primary Repair for Lower Lip Defect (30-80%) After Cancer Excision 癌症切除术后双侧吻合口成形术及下唇缺损一期修复(30~80%)
Pub Date : 2022-10-25 DOI: 10.31579/2690-4861/253
M. Akbari
Introduction: Lip reconstruction is an essential step in lip tumors. In this regard, there are many procedures with good outcomes. Flap problems are the possibility of necrosis and an extensive suture line that wrecks aesthetics. Our technique has no flaps for defects more than 30% of the lip, and the suture line is minimal. Methods: This study is a surgical technique report from a single center. The original technique was based on our experience with about 100 patients in 25 years. But in this study, 10 patients were included. After excising the tumor, a bilateral 10-15 mm horizontal skin incision beginning from the commissures to lateral sides was made. The skin and mucosa were dissected from the underlying orbicularis muscle, and the muscle was partially cut about 15 mm from each side. Then the remaining sides of the lip were advanced and repaid in three layers. Finally, the released mucosa was sutured to the angle of incised skin. Results: The patients were followed for at least three years. Oral competence was good, mobility and sensation were well preserved, the scars were less than other flaps, and the aesthetic was satisfying. The patients did not have drooling, flap edema, and pin cushioning. Conclusion: Among various techniques for lower lip reconstruction, the presented technique in this study seems to be safe and straightforward, but to measure all aspects of it, other surgeons need to use this method and express their opinions.
引言:唇部重建是唇部肿瘤的重要步骤。在这方面,有许多程序取得了良好的结果。皮瓣的问题是坏死的可能性和破坏美观的广泛缝合线。我们的技术对超过30%的唇部缺陷没有皮瓣,缝合线很小。方法:本研究为单一中心的外科技术报告。最初的技术是基于我们在25年内对大约100名患者的经验。但在这项研究中,包括了10名患者。切除肿瘤后,从连合处开始向外侧切开双侧10-15mm的水平皮肤切口。从下面的轮匝肌上解剖皮肤和粘膜,并从每侧约15mm处部分切割肌肉。然后,嘴唇的其余两侧被推进并分三层偿还。最后,将释放的粘膜缝合到切开皮肤的角度。结果:对患者进行了至少三年的随访。口腔功能良好,活动性和感觉保持良好,疤痕比其他皮瓣少,美观性令人满意。患者没有流口水、皮瓣水肿和针头缓冲。结论:在各种下唇重建技术中,本研究中提出的技术似乎是安全和直接的,但要测量它的各个方面,其他外科医生需要使用这种方法并表达他们的意见。
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引用次数: 1
Carcinoma Ovary with Lung Metastasis: A Rare Case Report 卵巢癌合并肺转移1例报告
Pub Date : 2022-10-25 DOI: 10.31579/2690-4861/240
S. Sonvane
Ovarian cancer is the most lethal gynecological malignancy. Despite advances in chemotherapy, five year survival rate of advanced ovarian cancer patients with peritoneal metastasis remains around 30%. The most significant prognostic factor is stage and most patients present at an advanced stage with peritoneal dissemination. There is often no clearly identifiable precursor lesion, therefore, the events leading to metastatic disease are poorly understood. Solitary lung metastasis is extremely rare. We report the case of a 39-year-old woman who was admitted to our department with a lung mass. She had a past history of ovarian cancer 6years ago for which she underwent Cytoreductive surgery and HIPEC in august 2016. Histopathology report suggestive of High-grade serous carcinoma. She received adjuvant chemotherapy. She was on follow up and PET scan shows two soft tissue density nodules noted in left lung lower lobe largest 2.8×2.5cm. Left lower lobectomy was performed. Microscopically, the tumor was a high-grade serous carcinoma and was diagnosed as an ovarian cancer metastasis.
卵巢癌是最致命的妇科恶性肿瘤。尽管化疗取得了进展,但晚期卵巢癌腹膜转移患者的5年生存率仍在30%左右。最重要的预后因素是分期,大多数患者出现在腹膜播散的晚期。通常没有明确识别的前体病变,因此,导致转移性疾病的事件知之甚少。孤立性肺转移极为罕见。我们报告一位39岁的女性,因肺部肿块住进我科。6年前有卵巢癌病史,2016年8月接受了细胞减少手术和HIPEC。组织病理学报告提示高级别浆液性癌。她接受了辅助化疗。她接受了随访,PET扫描显示左肺下叶两个软组织密度结节,最大2.8×2.5cm。行左下叶切除术。显微镜下,肿瘤为高级别浆液性癌,诊断为卵巢癌转移。
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引用次数: 0
Modified Martius Flap for repair of a postradiation Rectovaginal Fistula (RVF). A case report. 改良Martius皮瓣修复放射后直肠阴道瘘。病例报告。
Pub Date : 2022-10-25 DOI: 10.31579/2690-4861/251
Flaviu Ionut Faur
Introduction: A rectovaginal fistula (RVF) is an abnormal connection between the rectum’s lower part and vagina’s posterior wall. It takes up approximately 6% of the overall anorectal fistulas, which are responsible for patients’ psychosocial collapse due to the incapacitating symptoms observed amongst the patients. Case presentation: The study case presented was of a 33-year-old woman previously diagnosed with squamous carcinoma of the cervix FIGO IIIA (2017) treated through means of curative radiochemotherapy, utero-vaginal intracavitary brachytherapy (GammaMed plus iX 14 Gy/PTV-HR/ 2 weeks). In April 2021, she presented herself at the surgery unit claiming exclusion of fecal through the vagina and constant perineal pain. As a result of the clinical examination of the Milligan perineal area (vaginal touch, rectal touch), and presenting a positive Carey test (the methylene blue test – positive, bubble air test – positive), it was confirmed a recto-vaginal connection, positioned at around 3-4 cm from the EAS. This was followed by a loco-regional exploration through pelvic MRI scan which confirmed a lower recto-vaginal connection (fistula), situated at approximative 3 cm from the EAS, with a diameter of 8 mm (Rothenberger I). Conclusions: There are a lot of metrics in the specialized literature that emphasize the versatility and feasibility of the Martius/mMartius procedure regarding the resolution of the RVF located in the lower, respectively median sphere. This metrics are also sustained by the anatomic flexibility of the perineal area regarding the loco-regional vasculature. An important aspect of this procedure is also related to the RVF’s etiology, and that is because the local surgical intervention needs to be performed in minimum inflammatory circumstances, when the tissues do not present any tumoral impregnation.
引言:直肠阴道瘘(RVF)是直肠下部和阴道后壁之间的异常连接。它约占总肛肠瘘的6%,这是患者因观察到的丧失能力症状而导致心理崩溃的原因。病例介绍:所介绍的研究病例为一名33岁女性,先前诊断为宫颈鳞状细胞癌FIGO IIIA(2017),通过治疗性放化疗、子宫阴道腔内近距离放射治疗(GammaMed加iX 14 Gy/PTV-HR/2周)进行治疗。2021年4月,她来到手术室,声称排除了阴道排泄物和持续的会阴疼痛。Milligan会阴区的临床检查结果(阴道触摸、直肠触摸),Carey测试呈阳性(亚甲基蓝测试呈阳性,气泡空气测试呈阳性),证实直肠-阴道连接,位于距离EAS约3-4厘米处。随后,通过骨盆MRI扫描进行局部区域探查,确认下直肠阴道连接(瘘管),位于距离EAS约3厘米处,直径为8毫米(Rothenberger I)。结论:在专门的文献中,有很多指标强调了Martius/mMartius手术在解决位于下半球和中半球的RVF方面的多功能性和可行性。这一指标也通过会阴区域关于局部血管系统的解剖灵活性来维持。该手术的一个重要方面也与RVF的病因有关,这是因为局部手术干预需要在炎症程度最低的情况下进行,此时组织没有任何肿瘤浸润。
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International journal of clinical case reports and reviews : open access
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