HeliyonPub Date : 2024-10-31eCollection Date: 2024-11-15DOI: 10.1016/j.heliyon.2024.e40004
Jun Hyuk Lee, Yejun Son, Jaeyu Park, Hayeon Lee, Yujin Choi, Myeongcheol Lee, Sunyoung Kim, Jiseung Kang, Jiyeon Oh, Hyeon Jin Kim, Sang Youl Rhee, Lee Smith, Dong Keon Yon
{"title":"Comparison of national trends in physical activity among adolescents before and during the COVID-19 pandemic: A nationally representative serial study in South Korea.","authors":"Jun Hyuk Lee, Yejun Son, Jaeyu Park, Hayeon Lee, Yujin Choi, Myeongcheol Lee, Sunyoung Kim, Jiseung Kang, Jiyeon Oh, Hyeon Jin Kim, Sang Youl Rhee, Lee Smith, Dong Keon Yon","doi":"10.1016/j.heliyon.2024.e40004","DOIUrl":"10.1016/j.heliyon.2024.e40004","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic has dramatically altered daily routines and lifestyle behaviors worldwide, potentially significantly impacting physical activity levels, especially among adolescents. Understanding these changes is crucial for developing targeted interventions to promote health and well-being in this vulnerable population. This paper will explore longitudinal trends of physical activities (PA) in Korean adolescents, focusing on changes between the pre and late-COVID-19 pandemic periods.</p><p><strong>Methods: </strong>The data used were from the Korea Youth Risk Behavior Web-Based Survey for consecutive years from 2009 to 2022. In this study, we have separated data into the pre-COVID-19 pandemic (2009-2019) and the pandemic. Following the World Health Organization (WHO)'s guideline, we analyzed adolescent self-reported moderate-to-vigorous physical activity (MVPA).</p><p><strong>Results: </strong>A total of 890,941 adolescents, people aged between 12 and 18 years old. The 14-year trends in MVPA showed an upward trend both before the pandemic (β, 0.005; 95 % confidence interval [CI], 0.004-0.005) and during the pandemic (β, 0.004; 0.002-0.006). Furthermore, the prevalence of MVPA recovered/increased in 2022 (5.61 % in 2020, 5.22 % in 2021, and 6.34 % in 2022). Similar to the MVPA patterns, the mean metabolic equivalent task (MET) score increased during before the pandemic (β, 15.392; 12.523-18.261) and during the pandemic (β, 49.518; 41.948-57.088). However, unlike MVPA patterns, the MET slope changed positively (β<sub>diff</sub>, 34.126; 26.031-42.221).</p><p><strong>Conclusion: </strong>Present findings suggest that Korean adolescents achieving the recommended PA levels by the WHO remained steady despite the pandemic. This stability in PA levels during a significant disruption (i.e. the COVID-19 pandemic) is noteworthy and warrants further investigation into the factors that may have contributed to this resilience, including potential influences from various societal and environmental elements.</p>","PeriodicalId":12894,"journal":{"name":"Heliyon","volume":"10 21","pages":"e40004"},"PeriodicalIF":3.4,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11565447/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HeliyonPub Date : 2024-10-31eCollection Date: 2024-11-15DOI: 10.1016/j.heliyon.2024.e39899
Emma Custers, Yonta G R van der Burgh, Debby Vreeken, Frank Schuren, Tim J van den Broek, Lars Verschuren, Ivo de Blaauw, Mark Bouwens, Robert Kleemann, Amanda J Kiliaan, Eric J Hazebroek
{"title":"Gastrointestinal complaints after Roux-en-Y gastric bypass surgery. Impact of microbiota and its metabolites.","authors":"Emma Custers, Yonta G R van der Burgh, Debby Vreeken, Frank Schuren, Tim J van den Broek, Lars Verschuren, Ivo de Blaauw, Mark Bouwens, Robert Kleemann, Amanda J Kiliaan, Eric J Hazebroek","doi":"10.1016/j.heliyon.2024.e39899","DOIUrl":"10.1016/j.heliyon.2024.e39899","url":null,"abstract":"<p><p>Unexplainable gastrointestinal complaints occasionally occur after Roux-en-Y Gastric Bypass (RYGB) surgery. We therefor investigated the impact of microbiota composition and metabolites on gastrointestinal complaints after RYGB. In the BARICO study (Bariatric surgery Rijnstate and Radboudumc neuroimaging and Cognition in Obesity), microbiota and metabolites were measured before surgery, and 6, and 24 months after surgery. Gastrointestinal complaints were assessed with the Irritable Bowel Syndrome Severity Scoring System (IBS-SSS) questionnaire 24 months after surgery. 65 participants (86.2 % female) with a mean age of 46.2 ± 6.0 years, and mean BMI of 41.2 ± 3.6 kg/m<sup>2</sup> were included. According to the IBS-SSS questionnaire, 32.3 % had moderate/severe gastrointestinal complaints 24 months after surgery. Microbiota alpha diversity remained stable, while beta diversity significantly changed over time. Bile acids and short-chain fatty acids were significantly higher, and inflammatory markers significantly lower after surgery. <i>Barnesiella</i> sp., <i>Escherichia</i>/<i>Shigella</i> sp., and <i>Faecalibacterium prausnitzii</i> correlated positively, while <i>Akkermansia</i> sp correlated inversely with gastrointestinal complaints. Patients with mild and moderate/severe gastrointestinal complaints showed higher levels of GLC-3S. These findings suggest involvement of microbiota and metabolite changes in gastrointestinal complaints after surgery. However, it remains unclear whether bacteria influence gastrointestinal complaints directly or indirectly. Further exploration is required for development of interventions against gastrointestinal symptoms after surgery.</p>","PeriodicalId":12894,"journal":{"name":"Heliyon","volume":"10 21","pages":"e39899"},"PeriodicalIF":3.4,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11570293/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142667687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HeliyonPub Date : 2024-10-30eCollection Date: 2024-11-15DOI: 10.1016/j.heliyon.2024.e39992
Rong Chen, Meng Li, Mingxing Ding
{"title":"Optogenetic stimulation of the \"Zusanli\" acupoint alleviates inflammatory pain through active Wnt/β-Catenin and MAPK signaling pathway in rats.","authors":"Rong Chen, Meng Li, Mingxing Ding","doi":"10.1016/j.heliyon.2024.e39992","DOIUrl":"10.1016/j.heliyon.2024.e39992","url":null,"abstract":"<p><p>Inflammatory pain, an important form of common pain, negatively influences the quality of life. Pathway-selective optogenetic control is a popular tool in neuronal function research; however, attempts to modulate rodent behavior using pathway-selective optogenetics remain unverified. We developed a methodology for pathway-selective optogenetics in rats, focusing on the delivery of recombinant adeno-associated virus (rAAV) containing channelrhodopsin-2 (ChR2) injected at the \"Zusanli\" acupoints to the dorsal root ganglia (DRG) and toes, which is a part of the complex neuron network. Optogenetic stimulation of gamma-aminobutyric acid (GABA) projections to the \"Zusanli\" acupoints delivered several rAAV9-GAD1-ChR2-mcherry particles to the spinal cord horn (SCDH) and DRG and few rAAV9-GAD1-ChR2-mcherry particles to toes, thereby evoking an analgesic effect in complete Freund's adjuvant (CFA) rats similar to those of acupuncture. Furthermore, blue light stimulation (LED) and electroacupuncture (EA) reduced inflammatory pain in CFA rats, as evidenced by the changes in the paw edema, paw withdrawal latency (PWL), and paw withdrawal threshold (PWT) values. Further exploration of the mechanisms underlying this phenomenon revealed that optogenetic stimulation upregulates the decarboxylase-65 (GAD65) and decarboxylase-67 (GAD67) protein levels and downregulates the levels of GABA transporter-1 (GAT1) and GABA transporter-3 (GAT3) to alleviate inflammatory pain. The activation of the p38 mitogen-activated protein kinases (MAPK) and Wnt signal transduction pathways decreased the release of interleukin 6 (IL-6), interleukin 10 (IL-10), and tumor necrosis factor-α (TNFα). These findings indicate that optogenetic stimulation of the \"Zusanli\" acupoint alleviated inflammatory pain.</p>","PeriodicalId":12894,"journal":{"name":"Heliyon","volume":"10 21","pages":"e39992"},"PeriodicalIF":3.4,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11566834/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HeliyonPub Date : 2024-10-30eCollection Date: 2024-11-15DOI: 10.1016/j.heliyon.2024.e39999
Dragana Ljubojević Pelić, Sava Lazić, Milica Živkov Baloš
{"title":"Chemical contaminants in donkey milk: A review of literature on sources, routes and pathways of contamination, regulatory framework, health risks, and preventive measures.","authors":"Dragana Ljubojević Pelić, Sava Lazić, Milica Živkov Baloš","doi":"10.1016/j.heliyon.2024.e39999","DOIUrl":"10.1016/j.heliyon.2024.e39999","url":null,"abstract":"<p><p>Donkey milk has garnered increasing attention due to its potential health benefits and nutritional properties, positioning it as a valuable alternative to cow's milk for specific consumer groups, such as individuals with allergies, young children, elderly populations, and those with compromised immune systems. However, the presence of chemical contaminants in donkey milk presents a significant concern for food safety and public health. This review aims to provide an assessment of the types and sources of chemical contaminants in donkey milk, including heavy metals, mycotoxins, pesticides, polychlorinated biphenyls, and antimicrobial and antiparasitic veterinary drugs. Through a comprehensive analysis of available literature, we examine the routes and pathways through which these contaminants enter the milk, their prevalence, and the associated health risks. The review also briefly discusses analytical methods for detecting these contaminants and the existing legislative framework that regulates these contaminants, underscoring its critical role in safeguarding public health and promoting safe consumption of donkey milk products. By identifying gaps in existing research and suggesting areas for further study, this review seeks to contribute to the development of more effective strategies for monitoring and mitigating chemical contamination in donkey milk, ultimately safeguarding consumer health and supporting the sustainable production of this niche dairy product.</p>","PeriodicalId":12894,"journal":{"name":"Heliyon","volume":"10 21","pages":"e39999"},"PeriodicalIF":3.4,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11566849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142650516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HeliyonPub Date : 2024-10-30eCollection Date: 2024-11-15DOI: 10.1016/j.heliyon.2024.e39986
Dumas Gálvez, Emilio Romero, Daniel Murcia-Moreno, Braulio Bonilla, Roderick Valdés
{"title":"Daily activity patterns in agoutis (<i>Dasyprocta</i> spp) in response to relaxed predation.","authors":"Dumas Gálvez, Emilio Romero, Daniel Murcia-Moreno, Braulio Bonilla, Roderick Valdés","doi":"10.1016/j.heliyon.2024.e39986","DOIUrl":"10.1016/j.heliyon.2024.e39986","url":null,"abstract":"<p><p>Animals' fitness is determined in a large proportion by the balance in energetic requirements maintained during daily activities, in response to environmental factors. Predation is a major environmental factor influencing the activity patterns of prey, and the deployment of adaptive responses to predation represents a significant cost to prey populations and communities. Experimental removal of predators to study the effect on activity patterns of prey is impractical for vertebrate species. However, islands are often deprived of predators and provide an excellent arena to study prey's responses in the absence of any cue related to predation risk. Here, we investigated whether natural absence of predators in islands has influenced the activity patterns of diurnal agoutis in Panama, by monitoring activity in three sites in each habitat type (predator-free vs predator). We predicted that agoutis in predator-free sites can expand their activity patterns towards the night, which is the period of highest predation risk, in sites with predators. One of our predator-free sites showed relative high activity at night, with no evidence of nocturnality in sites with predators. A clear pattern across our three predator-free sites was that agoutis started their daily activity earlier, before sunrise, which is a period with significant predation risk as well. Our study highlights the role that felids play in regulating agoutis' daily activity patterns and we discuss the implications of our finding. Finally, we also offer a review on agoutis' activity pattern in the Neotropics.</p>","PeriodicalId":12894,"journal":{"name":"Heliyon","volume":"10 21","pages":"e39986"},"PeriodicalIF":3.4,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11566868/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142650517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"SPICT tool among intubated elderly patients at emergency department.","authors":"Thanat Tangpaisarn, Ponpich Prajammuang, Sukanya Khemtong, Pariwat Phungoen, Phraewa Thatphet","doi":"10.1016/j.heliyon.2024.e39905","DOIUrl":"10.1016/j.heliyon.2024.e39905","url":null,"abstract":"<p><strong>Background: </strong>The global rise in the aging population necessitates a proactive approach to palliative care, with a substantial gap between the demand for and access to such care. The Supportive and Palliative Care Indicators Tool (SPICT) has emerged as a valuable instrument for identifying patients at risk of deterioration and death, enhancing the timely initiation of palliative care. This study aimed to investigate the characteristics and outcomes of patients aged 60 and above who got intubated in the emergency department (ED), with and without fulfilling SPICT criteria.</p><p><strong>Methods: </strong>This retrospective single-center study was conducted at a tertiary care teaching hospital in Thailand. The research involved 408 adults aged 60 and older who underwent ED intubation and subsequent admission. Baseline characteristics and follow-up data were collected, encompassing vital signs, comorbidities, and SPICT criteria. Mortality rates between SPICT criteria-fulfilled and non-fulfilled groups were compared.</p><p><strong>Results: </strong>Out of 408 analyzed patients, SPICT criteria were met by 39.7 % of patients, exhibiting distinctive features such as a higher respiratory rate and lower diastolic blood pressure. Hypertension and diabetes mellitus were most prevalent comorbidities. Respiratory and neurological disorders were the leading final diagnoses. The overall in-hospital mortality rate was 28 %, significantly higher in the SPICT criteria-fulfilled group compared to the non-fulfilled group (34.0 % vs 23.6 %, P = 0.022). SPICT criteria demonstrated moderate sensitivity (48.7 %) and specificity (63.7 %) for predicting mortality.</p><p><strong>Conclusion: </strong>SPICT criteria identified elderly patients at an elevated mortality risk following intubation in the emergency setting. The early implementation of SPICT as a screening tool for identifying palliative care candidates is advocated for more effective advance care planning.</p>","PeriodicalId":12894,"journal":{"name":"Heliyon","volume":"10 21","pages":"e39905"},"PeriodicalIF":3.4,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11566668/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HeliyonPub Date : 2024-10-30eCollection Date: 2024-11-15DOI: 10.1016/j.heliyon.2024.e39917
Sharif Neaz, Md Mahbub Alam, Abu Bin Imran
{"title":"Advancements in cyclodextrin-based controlled drug delivery: Insights into pharmacokinetic and pharmacodynamic profiles.","authors":"Sharif Neaz, Md Mahbub Alam, Abu Bin Imran","doi":"10.1016/j.heliyon.2024.e39917","DOIUrl":"10.1016/j.heliyon.2024.e39917","url":null,"abstract":"<p><p>This article discusses and summarizes some fascinating outcomes and applications of cyclodextrins (CDs) and their derivatives in drug delivery. These applications include the administration of protein, peptide medications, and gene delivery. Several innovative drug delivery systems, including NPs, microspheres, microcapsules, and liposomes, are designed with the help of CD, which is highlighted in this article. The use of these compounds as excipients in medicine formulation is reviewed, in addition to their well-known effects on drug solubility and dissolution, as well as their bioavailability, safety, and stability. Furthermore, the article focuses on many factors that influence the development of inclusion complexes, as having this information is necessary to manage these diverse materials effectively. An overview of the commercial availability, regulatory status, and patent status of CDs for pharmaceutical formulation is also presented. Due to the fact that CDs can discover new uses in drug delivery consistently, it is predicted that they will solve a wide range of issues related to the distribution of a variety of unique medications through various delivery channels.</p>","PeriodicalId":12894,"journal":{"name":"Heliyon","volume":"10 21","pages":"e39917"},"PeriodicalIF":3.4,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11567044/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142646642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Structure-based virtual screening of natural compounds in preventing skin senescence: The role of epigallocatechin gallate in protein kinase C alpha-specific inhibition against UV-induced photoaging.","authors":"Cheol Hyeon Cho, Woo-Jin Sim, Nam-Chul Cho, Wonchul Lim, Tae-Gyu Lim","doi":"10.1016/j.heliyon.2024.e39933","DOIUrl":"10.1016/j.heliyon.2024.e39933","url":null,"abstract":"<p><p>This study combines high-throughput screening and virtual molecular docking to identify natural compounds targeting PKC in skin aging. Go 6983, a PKC inhibitor, showed potent suppression of MMP-1 transcription. EGCG was one of the candidates that showed it could significantly lower UVB-induced MMP-1 expression in HaCaT cells, and it had a strong affinity for PKCα. Interestingly, EGCG is exclusively bound to PKCα, not the δ and ζ isoforms. Blocking PKCα did not elevate UVB-induced MMP-1 expression in HaCaT cells. In a model of human skin, EGCG stopped collagen breakdown and changes in epidermal thickness that were caused by UV light from the sun. This suggests that EGCG could be useful in dermatology and drug development. These findings highlight the role of structure-based screening in identifying candidate compounds with applications in the cosmetic, dermatological, preventive health, and pharmaceutical fields.</p>","PeriodicalId":12894,"journal":{"name":"Heliyon","volume":"10 21","pages":"e39933"},"PeriodicalIF":3.4,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11567019/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HeliyonPub Date : 2024-10-30eCollection Date: 2024-11-15DOI: 10.1016/j.heliyon.2024.e39943
Pham Xuan Hoa, Vu Ngoc Xuan, Nguyen Thi Phuong Thu
{"title":"Factors affecting carbon dioxide emissions for sustainable development goals - New insights into six asian developed countries.","authors":"Pham Xuan Hoa, Vu Ngoc Xuan, Nguyen Thi Phuong Thu","doi":"10.1016/j.heliyon.2024.e39943","DOIUrl":"10.1016/j.heliyon.2024.e39943","url":null,"abstract":"<p><p>The worldwide economic scene faces the dual challenges of rising sea levels and escalating carbon dioxide (CO2) emissions. Environmental contamination impedes sustainable growth, increasing the demand for sustainable energy resources as a fundamental aspect of sustainable economies. The present research uses an analytical model to examine the elements influencing carbon dioxide output in six economically developed Asian nations, intending to assist in realizing the UNSDG- United Nations' Sustainable Development Goals. The manuscript applies the fixed effect model- FEM and the random effects approach- REM method. The research contributes to the science of the environment, climate research, and long-term environmental growth. Data for this investigation were sourced from the World Bank, covering the period from 2000 to 2020, about Hong Kong, Israel, Japan, Korea, Singapore, and China. This paper investigates the nexus between power usage (ECO), fossil fuel use (FFU), sustainable energy adoption (REC), foreign direct investment (FDI), imports, exports, economic development, population, and ecological contamination across six developed Asian countries. The study uses panel data regression analysis to examine how these factors influence carbon dioxide output, aiming to provide insights for long-term environmental growth policies. Key findings highlight the considerable effect of energy consumption patterns and economic activities on pollution levels, emphasizing the need for enhancements in energy conservation, a shift towards sustainable energy sources, and practical rules protecting the environment to mitigate environmental degradation. The empirical findings indicate that various factors, such as power usage, fossil fuel-based energy, sustainable energy usage, foreign direct investment (FDI), import and export activities, economic development, and population size, impact ecological contamination within these six nations. Specifically, FDI, economic development, and green energy influenced environmental degradation negatively. Conversely, factors such as power usage, energy from fossil sources usage, imports, exports, and population size correlate positively with ecological contamination. The research consequently advocates for developing green, circular, and sustainable economic frameworks within these six developed Asian countries in the foreseeable future.</p>","PeriodicalId":12894,"journal":{"name":"Heliyon","volume":"10 21","pages":"e39943"},"PeriodicalIF":3.4,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11564035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HeliyonPub Date : 2024-10-30eCollection Date: 2024-11-15DOI: 10.1016/j.heliyon.2024.e39907
Gengyu Chen, Huibin Kang
{"title":"An updated review for clinical and radiological predictors of acute intraparenchymal hematoma progression in cerebral contusion.","authors":"Gengyu Chen, Huibin Kang","doi":"10.1016/j.heliyon.2024.e39907","DOIUrl":"10.1016/j.heliyon.2024.e39907","url":null,"abstract":"<p><strong>Backgrounds: </strong>The rapid expansion of an intraparenchymal hematoma following cerebral contusion often results in high mortality rates and a poor prognosis. Effective tools are essential for predicting and monitoring the incidence of traumatic intraparenchymal hematoma (tICH) and identifying patients at high risk of tICH expansion. This enables timely surgical interventions and appropriate medical management. Recently, numerous novel predictive tools have been developed and employed to predict tICH progression. Therefore, this review aims to outline the latest advancements in predicting tICH expansion.</p><p><strong>Methods: </strong>To find relevant studies, a search was conducted on PubMed and Google Scholar for articles published from January 2020 to April 2024. The search string used was (Cerebral Contusion) AND (Intraparenchymal Hematoma Progression OR Parenchymal Hematoma Expansion OR Intracerebral Hemorrhage Progression) AND (Predictor or Forecasting Tool).</p><p><strong>Results: </strong>In this narrative review, we focused on various radiological, clinical, and innovative indicators of acute tICH progression that have been developed and/or validated in recently years. Additionally, we explore the impact of tICH progression on long-term outcomes, suggesting potential avenues for future research. The spread of depolarization in the cortex could be a key factor in forecasting and controlling the growth of tICH in the times ahead.</p><p><strong>Conclusions: </strong>This study offers a comprehensive look at various cutting-edge imaging predictors, inflammatory indices, and integrated predictors that can aid neurosurgeons in categorizing, handling, and treating high-risk patients with acute tICH expansion.</p>","PeriodicalId":12894,"journal":{"name":"Heliyon","volume":"10 21","pages":"e39907"},"PeriodicalIF":3.4,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11566669/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}