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Bilateral Internal Carotid Artery Agenesis : Very Rare Cause of Bilateral Pulsatile Tinnitus 双侧颈内动脉发育不全:双侧搏动性耳鸣的罕见病因
Pub Date : 2023-04-04 DOI: 10.34257/gjmrjvol23is1pg5
A. Aliyeva, Ziya Karimov, O. Yagiz, F. R. Alekberli
Bilateral internal carotid artery agenesis is a very rare congenital anomaly. Intracranial blood circulation in the affected internal carotid artery side is provided by collateral vasculature, contralateral internal carotid artery through the anterior communicating artery, and from the vertebrobasilar system through the posterior communicating artery. People with this abnormality may be asymptomatic for many years. However, patients may also be present with ischemic stroke orsubarachnoid hemorrhage, headache, and blurred vision. Diagnosis is usually incidental by the performance of carotid artery doppler ultrasonography or cervical/cranial magnetic resonance imaging owing to other symptoms. We report a case of bilateral internal carotid artery agenesis with pulsatile tinnitus lasting five years in the light of clinical presentation and imaging findings.
双侧颈内动脉发育不全是一种非常罕见的先天性异常。受影响的颈内动脉侧的颅内血液循环由侧支血管系统、对侧颈内动脉通过前交通动脉和椎基底动脉系统通过后交通动脉提供。有这种异常的人可能多年都没有症状。然而,患者也可能出现缺血性中风或蛛网膜下腔出血、头痛和视力模糊。由于其他症状,颈动脉多普勒超声或颈/颅磁共振成像通常会附带诊断。根据临床表现和影像学表现,我们报告了一例双侧颈内动脉发育不全伴持续五年的搏动性耳鸣的病例。
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引用次数: 0
From the Thyroid to the Heart 从甲状腺到心脏
Pub Date : 2023-03-16 DOI: 10.34257/gjmrkvol23is1pg1
R. Moncayo, H. Moncayo
The pathogenesis of human disease is commonly considered to be unique to each organ or system. This has led to specialization in medical practice leaving little space for global pathogenesis concepts. In this review we have departed from a biochemical concept of coenzyme Q10 (CoQ10) deficiency and its relation to the initiation of hypoxia response in a systemic way. Several conditions of secondary CoQ10 deficiency are known in the literature by which the organs involved could be affected by hypoxia and switch to glycolytic metabolism. The most salient biomarkers of this situation are the low T3 syndrome and the elevation of IL-6. These parameters together with CoQ10 deficiency delineate a condition of acquired mitochondrial dysfunction. Additional related biochemical deficiency conditions affect magnesium, selenium, and iron levels. Visualization of glycolysis can be clearly achieved by diagnostic imaging methods based on the use of 18F-fluoro-deoxyglucose (18F-FDG). We present several examples of diagnostic imaging with 18F-FDG to demonstrate our model of acquired mitochondrial dysfunction and disease.
人类疾病的发病机制通常被认为是每个器官或系统独有的。这导致医学实践的专业化,为全球发病机制概念留下了很少的空间。在这篇综述中,我们偏离了辅酶Q10(CoQ10)缺乏的生化概念及其与缺氧反应启动的系统关系。文献中已知继发性辅酶Q10缺乏的几种情况,通过这些情况,相关器官可能受到缺氧的影响并转变为糖酵解代谢。这种情况下最显著的生物标志物是低T3综合征和IL-6的升高。这些参数与辅酶Q10缺乏一起描述了获得性线粒体功能障碍的状况。其他相关的生化缺乏状况会影响镁、硒和铁的水平。糖酵解的可视化可以通过基于使用18F-氟脱氧葡萄糖(18F-FDG)的诊断成像方法清楚地实现。我们介绍了几个18F-FDG诊断成像的例子,以证明我们的获得性线粒体功能障碍和疾病模型。
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引用次数: 0
Inflammatory Markers and Risk Factors in Hypertensive Patients: A Cross-Sectional Study 高血压患者炎症标志物和危险因素的横断面研究
Pub Date : 2023-02-23 DOI: 10.34257/gjmrfvol23is2pg29
Bettanin, Francelise Susan Mihara, Bacci, Marcelo Rodrigues, Fonseca, Fernando Luiz Affonso
Objective: To observe risk factors that hypertensive patients present in the outpatient segment from the nursing perspective care. Method: Cross-sectional study where essential hypertensives of legal age belonging to the hypertension program of a municipality in Bahia were included. Those with cancer, hepatitis, HIV, lupus, arthritis, pregnant women, and chronic corticosteroid users were excluded. Collected patient demographic information and cardiovascular risk factors. Results: Included 61 patients with a mean age of 58±11, 56% women. A relationship was established between age/glucose; IL6/LDL; vitamin D/ferritin; waist circumference/BMI; BMI/CRP; smoking, age, blood pressure, LDL, and neutrophil/lymphocyte ratio. The statistical analysis evaluated predictive variables for developing hypertension and high cardiovascular risk. In the cardiovascular risk stratification, 09 patients had low chance; one was intermediate, 37 high risk, and 02 very high risk.
目的:从护理角度观察高血压患者门诊就诊的危险因素。方法:纳入巴伊亚市高血压项目中法定年龄的原发性高血压患者的横断面研究。那些患有癌症、肝炎、艾滋病毒、狼疮、关节炎、孕妇和慢性皮质类固醇使用者被排除在外。收集患者人口统计信息和心血管风险因素。结果:61例患者平均年龄58±11岁,女性占56%。年龄/血糖之间建立了关系;IL6/LDL;维生素D/铁蛋白;腰围/BMI;BMI/CRP;吸烟、年龄、血压、低密度脂蛋白和中性粒细胞/淋巴细胞比率。统计分析评估了发展为高血压和心血管高风险的预测变量。在心血管风险分层中,09名患者的发病率较低;1例为中度,37例为高风险,02例为极高风险。
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引用次数: 0
Cancer Stem Cells as the Key to Cancer: Special Emphasis on Prostate Cancer 癌症干细胞是癌症的关键:特别关注癌症
Pub Date : 2023-02-23 DOI: 10.34257/gjmrfvol23is2pg17
Ghayeel Abo Kassm, Gaelle Antar, Maya Atwi, Tony Butrus, Elias Hajjar, Osamah Jaafar, Marita Machrekeki, Eddy Mikhael, Jessica Swesa, Fadi Mikhae, Muriel T. Zaata
Recent research into cancer stem cells has refined our knowledge of the origins, maintenance, and progression of cancer. The characteristics of tumor initiating cells and the stem-like properties of tumor side populations that appear to be responsible for tumor maintenance and metastasis have given insights into potential targets for the elimination of treatment-resistant and residual tumor cells. These insights have also provided inroads to understanding and preventing invasive and metastatic progression of cancer. In this review, we discuss recent advancements in understanding of tumor initiating cells and cancer stem cells and their implications on cancer pathobiology and treatment. The role of tumor initiating cell phenotypes on routes of metastasis and the use of stemness markers to guide prognosis and treatment are also discussed. Particular emphasis sections are included that focus on the role of stemness in the pathobiology and treatment of prostate cancer. Of particular interest is the correlation of stemness with decreased androgen receptor expression and resistance to anti-androgen therapy. The overview provided herein represents a primer for the understanding of current knowledge regarding cancer stem cells and their clinical implications in prostate and other cancer types.
最近对癌症干细胞的研究完善了我们对癌症起源、维持和发展的认识。肿瘤起始细胞的特征和肿瘤侧群的干细胞样特性似乎负责肿瘤维持和转移,这为消除治疗耐药和残留肿瘤细胞的潜在靶点提供了见解。这些见解也为理解和预防癌症的侵袭性和转移性进展提供了进展。本文就肿瘤起始细胞和肿瘤干细胞的研究进展及其在肿瘤病理生物学和治疗中的意义进行综述。本文还讨论了肿瘤启动细胞表型在转移途径中的作用以及干细胞标记物在指导预后和治疗中的应用。特别强调部分包括集中在干性在前列腺癌的病理生物学和治疗中的作用。特别令人感兴趣的是雄激素受体表达减少和抗雄激素治疗的相关性。本文提供的概述是了解当前关于癌症干细胞及其在前列腺癌和其他癌症类型中的临床意义的基础。
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引用次数: 0
A Cancer Prevention and Treatment Opportunity 癌症预防和治疗的机会
Pub Date : 2023-02-23 DOI: 10.34257/gjmrfvol23is2pg7
Vladimir N Pak
Cancer disease results from mutations leading to apoptosis failure and immune system dysfunction. Because one in two people in developed counties will be diagnosed with cancer in their lifetimes, cancer and metastasis prevention should be ahead of therapies.The immune system in cancer patients is compromised and can be fixed with a reboot. The major oncofetal protein –alpha-feto protein –can deliver toxins instead of nutrients to the immune suppressor cells and kill them. The death of myeloid suppressor cells unleashes the immune attack on cancer cells, cancer stem cells, and metastases. Injectable and oral formulations of alpha-feto protein with toxins provide an opportunity to prevent and treat the disease.
癌症疾病是由导致细胞凋亡失败和免疫系统功能障碍的突变引起的。因为在发达国家,每两个人中就有一个人会在一生中被诊断出患有癌症,所以癌症和转移的预防应该先于治疗。癌症患者的免疫系统受损,可以通过重启来修复。主要的癌胎蛋白——甲胎蛋白——可以将毒素而不是营养物质传递给免疫抑制细胞并杀死它们。骨髓抑制细胞的死亡释放了对癌细胞、癌症干细胞和转移瘤的免疫攻击。含有毒素的甲胎蛋白注射剂和口服制剂为预防和治疗该疾病提供了机会。
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引用次数: 0
Relationship between COVID-19 and use of Chlorine Dioxide Gas-Releasing Agents in Elementary Schools 新冠肺炎与小学使用二氧化氯气体释放剂的关系
Pub Date : 2023-02-23 DOI: 10.34257/gjmrfvol23is2pg1
Yoshinori Kubo, T. Miura, K. Obinata, K. Hisata, Mitsuyoshi Suzuki, Eisuke Inage, N. Yanagisawa, H. Shoji, N. Ogata, Jo Shibata, T. Shibata, T. Shimizu
Chlorine dioxide has an inactivating effect on various types of viruses in vitro, including severe acute respiratory syndrome coronavirus 2. Therefore, chlorine dioxide gas can be used as a new preventive measure against coronavirus disease 19 (COVID-19). However, no studies have been conducted to investigate the relationship between the incidence of COVID-19 and chlorine dioxide. We retrospectively studied the occurrence of COVID-19 in 164 public elementary schools under the jurisdiction of boards of education located in urban areas in Japan, provided with chlorine dioxide gas-releasing agents or not, from January to March 2022. The odds of developing COVID-19 were lower (odds ratio: 0.934, 95% confidence interval: 0.895–0.975) in schools provided with chlorine dioxide gas-releasing agents than in schools without them. This suggested a relationship between the use of chlorine dioxide-releasing agents and the incidence of COVID-19. Further studies are needed to prove a causal relationship between them.
二氧化氯在体外对多种病毒有灭活作用,包括严重急性呼吸综合征冠状病毒2。因此,二氧化氯气体可作为新型冠状病毒病(COVID-19)的一种新的预防措施。然而,目前还没有研究调查COVID-19发病率与二氧化氯之间的关系。我们回顾性研究了2022年1月至3月在日本城市教育局管辖的164所公立小学(是否提供二氧化氯气体释放剂)中COVID-19的发生情况。使用二氧化氯气体释放剂的学校比未使用二氧化氯气体释放剂的学校发生COVID-19的几率低(优势比:0.934,95%可信区间:0.895-0.975)。这表明二氧化氯释放剂的使用与COVID-19的发病率之间存在关系。需要进一步的研究来证明它们之间的因果关系。
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引用次数: 0
The Resilience of 3rd and 4th Grade Students. Semester, in Times of Covid 19, at the Autonomous University of Chihuahua. Case: Faculty of Accounting and Administration 三、四年级学生的心理弹性。新冠肺炎疫情期间,奇瓦瓦自治大学的学期。案例:会计与管理学院
Pub Date : 2023-02-22 DOI: 10.34257/gjmrcvol23is1pg11
Dra. Myrna Isela García Bencomo, Dra. Brenda Guadalupe Burciaga Sánchez, Dr. Jesús Robles Villa, M. A. K. I. Holguín Magallane
The general objective was to identify the resilience of 3rd and 4th grade students. Semester in time of Covid 19 at the Faculty of Accounting and Administration of the Autonomous University of Chihuahua. It was carried out from March to December 2021. It was a mixed research, of an applied, non-experimental, transactional, hypothetical-deductive, field type with bibliographic support, with a sampling frame obtained from the list of students from the periods January-June and August-December 2021 for the 3rd and 4th semester, provided by the Academic Secretary of the Faculty of Accounting and Administration of the Autonomous University of Chihuahua. Non-probabilistic sampling, for convenience.
总体目标是确定三年级和四年级学生的心理弹性。新冠肺炎疫情期间在奇瓦瓦自治大学会计与管理学院学习。该研究于2021年3月至12月进行。这是一项混合研究,具有应用,非实验,交易,假设-演绎,实地类型,有文献支持,抽样框架来自2021年1月至6月和8月至12月第三和第四学期的学生名单,由奇瓦瓦自治大学会计与管理学院学术秘书提供。为了方便,非概率抽样。
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引用次数: 0
Paraneoplastic Syndrome of Myasthenia Gravis Presenting as Isolated Vocal Cord Paralysis in a Patient with Breast Cancer: Case Report and Literature Review 一例乳腺癌症患者并发孤立性声带麻痹的重症肌无力副肿瘤综合征:病例报告和文献回顾
Pub Date : 2023-02-08 DOI: 10.34257/gjmravol23is1pg27
David G. Morrison, Chrystina Castellon
53-year-old lady presented with progressively worsening loss of voice. Over time she could only be heard upon speaking directly into the ears of her family or physicians. She lost her job as a receptionist due to her loss of voice. She was still on adjuvant treatment for breast cancer. She underwent CT/PET, ENT consultation and a battery of paraneoplastic antibody tests. ENT consultation confirmed vocal cord paralysis. ENT exam and CT/PET found no evidence of vocal cord mass or any lesion compressing the laryngeal nerves. No mass was found in the superior mediastinum. She had a positive antibody test for anti-acetylcholine receptors. Treatment with pyridostigmine reversed her vocal cord paralysis. This is the first report of a patient with breast cancer associated paraneoplastic myasthenia gravis syndrome.
53岁的女士出现了逐渐恶化的失声症状。随着时间的推移,她只能直接对着家人或医生的耳朵说话。由于失声,她丢掉了接待员的工作。她还在接受乳腺癌辅助治疗。她接受了CT/PET,耳鼻喉科咨询和一系列副肿瘤抗体测试。耳鼻喉科检查证实声带麻痹。耳鼻喉检查和CT/PET未发现声带肿块或任何压迫喉神经的病变。上纵隔未见肿块。她的抗乙酰胆碱受体抗体测试呈阳性。吡哆斯的明治疗逆转了她的声带麻痹。这是第一个报告患者与乳腺癌相关的副肿瘤重症肌无力综合征。
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引用次数: 0
Theuse of LCZ-696(Sacubitril/Valsartan) and SGLT2inhibitors: A Real World Experience in a Rural African Patient with Heart Failure with Reduced Ejection Fraction (HFrEF). A Case Series LCZ-696(Sacubitril/缬沙坦)和sgl2抑制剂的使用:非洲农村心力衰竭伴射血分数降低(HFrEF)患者的真实世界经验案例系列
Pub Date : 2023-02-06 DOI: 10.34257/gjmrfvol23is1pg1
D. Raphael, G. Makuka, Abdu Hussein Mogella, Beatrice Kabuka, Rosemary T. Mushi, Collins Boamah
Objective: To observe the outcomes of the use of both Angiotensin Receptor-Neprilysin inhibitor (ARNI) and sodium-glucose cotransport 2-inhibitor (SGLT2Ii) in terms of echocardiographic parameters, clinical symptoms, cardiovascular death, and Heart failure hospitalization in patient with heart failure reduced ejection fraction (HFrEF) in the hard-to-reach rural area of Africa.Background: Angiotensin Receptor-Neprilysin inhibitor (ARNI) is preferred over angiotensin-converting enzymes inhibitor or an angiotensin II receptor blocker as foundation therapy for patients with heart failure with reduced ejection fraction to reduce the risk of cardiovascular death, Heart failure hospitalization, and Heart failure symptoms. SGLT2 inhibitor (Dapagliflozin and Empagliflozin) is among the four foundation drugs in managing HFrEF.
目的:观察在难以到达的非洲农村地区,使用血管紧张素受体-奈普赖素抑制剂(ARNI)和钠-葡萄糖协同转运2抑制剂(SGLT2Ii)对心力衰竭射血分数降低(HFrEF)患者的超声心动图参数、临床症状、心血管死亡和心力衰竭住院治疗的影响。背景:与血管紧张素转换酶抑制剂或血管紧张素II受体阻滞剂相比,血管紧张素受体尼泊尔赖氨酸抑制剂(ARNI)更适合作为射血分数降低的心力衰竭患者的基础治疗,以降低心血管死亡、心力衰竭住院和心力衰竭症状的风险。SGLT2抑制剂(达格列嗪和恩帕列嗪)是治疗HFrEF的四种基础药物之一。
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引用次数: 0
Comparison of Subjective Dizziness, Tinnitus, Headache, Taste, and Smell Results by Age Group in Yakumo Town Residents Health Checkup Conducted in 2019 with Measured Taste and Smell Test Results 2019年屋云镇居民健康体检中各年龄组主观头晕、耳鸣、头痛、味觉、嗅觉结果与味觉、嗅觉实测结果的比较
Pub Date : 2023-01-16 DOI: 10.34257/gjmrlvol22is3pg1
N. Katayama
A self-administered questionnaire survey is conducted on various items related to health at the residents’ examination conducted in Yakumo Town, Nikai-gun, Hokkaido, where population migration is small. We will report on the results of the otolaryngology questionnaire survey conducted in 2019.The target population is 128 males and 169 females who are residents of Yakumo Town over 40 years old, for a total of 297 people.Self-administered questionnaire survey (feeling conscious: vertigo, tinnitus, headache, hearing, taste, smell), taste test (Salt taste: Salseve; manufactured by Advantech), and smell test (12 kinds of odors: Smell sticks; Daiichi Factory C0., Ltd).
在人口迁移较少的北海道二开郡屋库摩町进行的居民检查中,对与健康有关的各种项目进行了自我管理问卷调查。我们将报告2019年进行的耳鼻喉科问卷调查的结果。目标人群为128名男性和169名女性,他们是雅库莫镇40岁以上的居民,共297人。自我管理问卷调查(感觉清醒:眩晕、耳鸣、头痛、听力、味觉、嗅觉)、味觉测试(盐味:Salseve;Advantech制造)和嗅觉测试(12种气味:气味棒;Daiichi Factory C0.,Ltd)。
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引用次数: 0
期刊
Global journal of medical research
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