{"title":"Overlap between Sjogren’s syndrome and anti-synthetase syndrome: association or coincidence?","authors":"Gang Wang, N. Zhuo, F. Tian, Zhenhua Wen","doi":"10.5114/aoms/147430","DOIUrl":"https://doi.org/10.5114/aoms/147430","url":null,"abstract":"Sjogren’s syndrome is a chronic autoimmune disease characterized by lymphocytic infiltration of the exocrine glands and B-cell dysfunction In recent years, with the detection of myositis-specific antibodies, a small number of patients with Sjogren’s syndrome have been found to be positive for anti-synthetase syndrome (ASS). A and and be heard and erythrocyte sedimentation rate of mm/h;","PeriodicalId":190584,"journal":{"name":"Archives of Medical Science : AMS","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125312138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Heng Wang, Wei-jie Dong, Jun Fan, T. Lan, Yuan Li, Kai Tang, Guangxuan Yan, Shibing Qin
{"title":"Application of three-dimensional printing technology for spinal tuberculosis","authors":"Heng Wang, Wei-jie Dong, Jun Fan, T. Lan, Yuan Li, Kai Tang, Guangxuan Yan, Shibing Qin","doi":"10.5114/aoms/148090","DOIUrl":"https://doi.org/10.5114/aoms/148090","url":null,"abstract":"there are few studies reporting the application of 3D printing in spinal tuberculosis treatment. In paper, we report the case of a female patient with spinal tuberculosis for whom a 3D printing-assisted vertebral body was used to reconstruct a diseased vertebra. An 18-year-old Imaging examination in diagnosis of was made. Conservative persisted. For further The results indicate that 3D printing technology can be used surgery for spinal tuberculosis.","PeriodicalId":190584,"journal":{"name":"Archives of Medical Science : AMS","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133017022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Grisel syndrome and peripheral arthritis simultaneously occurred in a 7-year-old Chinese boy with Kawasaki disease","authors":"Huang Huang Luo, Guo Zhen Fan, Y. Wu, P. Hu","doi":"10.5114/aoms/148123","DOIUrl":"https://doi.org/10.5114/aoms/148123","url":null,"abstract":"from In the present report, encountered an unusual case of KD in an older boy with GS and peripheral arthritis.","PeriodicalId":190584,"journal":{"name":"Archives of Medical Science : AMS","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132824626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gang Wang, N. Zhuo, F. Tian, Jingyang Li, Zhenhua Wen
{"title":"Two complications in patients with systemic lupus erythematosus: lupus cystitis and lupus enteritis","authors":"Gang Wang, N. Zhuo, F. Tian, Jingyang Li, Zhenhua Wen","doi":"10.5114/aoms/146547","DOIUrl":"https://doi.org/10.5114/aoms/146547","url":null,"abstract":"Attribution-NonCommercial-ShareAlike 4.0 International (CC BY -NC -SA 4.0). License (http://creativecommons.org/licenses/by-nc-sa/4.0/). Corresponding author: Zhenhua Wen Department of Rheumatology and Immunology Zhuzhou Hospital Affiliated to Xiangya Medical College Central South University Zhuzhou Hunan, China E-mail: zhenhuawen2021@126.com 1 Department of Rheumatology and Immunology, Zhuzhou Hospital Affiliated to Xiangya Medical College, Central South University, Zhuzhou, Hunan, China 2 Department of Nephrology, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China","PeriodicalId":190584,"journal":{"name":"Archives of Medical Science : AMS","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134496867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Liangliang Hao, Lina Alkry, Abdullah Alattar, Muhammad Faheem, Reem Alshaman, F. Shah, Shupeng Li
{"title":"Ibrutinib attenuated DSS-induced ulcerative colitis, oxidative stress, and the inflammatory cascade by modulating the PI3K/Akt and JNK/NF-κB pathways","authors":"Liangliang Hao, Lina Alkry, Abdullah Alattar, Muhammad Faheem, Reem Alshaman, F. Shah, Shupeng Li","doi":"10.5114/aoms/146792","DOIUrl":"https://doi.org/10.5114/aoms/146792","url":null,"abstract":"The mammalian gastrointestinal tract is continuously vulnerable to numerous bacteria and food additives as well as to environmental tox-ins that damage the epithelia of the gut [1]. Disturbance in intestinal","PeriodicalId":190584,"journal":{"name":"Archives of Medical Science : AMS","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130701622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Multiple endocrine neoplasia type 1 with ectopic parathyroid adenoma","authors":"Qiaorui Liu, Liming Wu, Xulei Zheng, Cong Ma, Risu Na, L. Qiu, Zhiwen Liu, Liyan Liao","doi":"10.5114/aoms/147737","DOIUrl":"https://doi.org/10.5114/aoms/147737","url":null,"abstract":"Multiple endocrine neoplasia type 1 (MEN1) syndrome, also known as Wermer’s syndrome, is a rare, autosomal dominant inherited syndrome caused by mutations in the MEN-1 tumor suppressor gene [1, 2]. The estimated prevalence of MEN1 syndrome is 1 : 30,000 in the general population [1]. This low frequency is the main reason for the rarity of controlled clinical trials. Patients can be diagnosed with MEN1 when 2 or more primary endocrine tumors, including pituitary tumors, pancreatic tumors, and parathyroid adenomas, are present. Among them, the most common pathological type is parathyroid adenoma with primary hyperparathyroidism (HPT). MEN1 with HPT is characterized by asynchronous and asymmetrical growth of the parathyroid glands. Ectopic parathyroid adenomas can also be observed in MEN1 patients, which can be easily misdiagnosed. In the present case, we report a man with persistent HPT, who was diagnosed with MEN1 based on the results of a genetic study. He was found to have an ectopic parathyroid adenoma in the retroesophageal region, which was the main gland to affect HPT. of a a","PeriodicalId":190584,"journal":{"name":"Archives of Medical Science : AMS","volume":"103 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124488891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Banach, J. Kaźmierczak, P. Mitkowski, K. Wita, M. Broncel, M. Gąsior, M. Gierlotka, R. Gil, P. Jankowski, M. Niewada, A. Witkowski
{"title":"Which patients at risk of cardiovascular disease might benefit the most from inclisiran? Polish experts’ opinion. The compromise between EBM and possibilities in healthcare","authors":"M. Banach, J. Kaźmierczak, P. Mitkowski, K. Wita, M. Broncel, M. Gąsior, M. Gierlotka, R. Gil, P. Jankowski, M. Niewada, A. Witkowski","doi":"10.5114/aoms/147435","DOIUrl":"https://doi.org/10.5114/aoms/147435","url":null,"abstract":"It is the statement of the Polish Experts on the group of patients that might benefit the most from inclisiran. We indicated the fastest way to have inclisiran available for the polish patients, with the necessary changes of the existing drug program for PCSK9 inhibitors (B-101), explaining why it is the optimal way, and why, taking into account available EBM data (the ORION program), inclisiran should be added to this program. We also present some perspective on the future necessary changes in the availability of the innovative therapies such us PCSK9 targeted therapy, what, taking into account the effectiveness of LDL-C goal achievement in Poland for very high CVD risk patients (only 17%), seems to be critically important. Obviously it needs to be combined with our continuous attempts to improve the effectiveness and therapy adherence to available cheap therapy with statins and ezetimibe.","PeriodicalId":190584,"journal":{"name":"Archives of Medical Science : AMS","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121960604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Laino, E. Generali, T. Tommasini, G. Angelotti, A. Aghemo, A. Desai, Pierandrea Morandini, G. Stefanini, A. Lleo, A. Voza, V. Savevski
{"title":"An individualized algorithm to predict mortality in COVID-19 pneumonia: a machine learning based study","authors":"M. Laino, E. Generali, T. Tommasini, G. Angelotti, A. Aghemo, A. Desai, Pierandrea Morandini, G. Stefanini, A. Lleo, A. Voza, V. Savevski","doi":"10.5114/aoms/144980","DOIUrl":"https://doi.org/10.5114/aoms/144980","url":null,"abstract":"Introduction Identifying SARS-CoV-2 patients at higher risk of mortality is crucial in the management of a pandemic. Artificial intelligence techniques allow one to analyze large amounts of data to find hidden patterns. We aimed to develop and validate a mortality score at admission for COVID-19 based on high-level machine learning. Material and methods We conducted a retrospective cohort study on hospitalized adult COVID-19 patients between March and December 2020. The primary outcome was in-hospital mortality. A machine learning approach based on vital parameters, laboratory values and demographic features was applied to develop different models. Then, a feature importance analysis was performed to reduce the number of variables included in the model, to develop a risk score with good overall performance, that was finally evaluated in terms of discrimination and calibration capabilities. All results underwent cross-validation. Results 1,135 consecutive patients (median age 70 years, 64% male) were enrolled, 48 patients were excluded, and the cohort was randomly divided into training (760) and test (327) groups. During hospitalization, 251 (22%) patients died. After feature selection, the best performing classifier was random forest (AUC 0.88 ±0.03). Based on the relative importance of each variable, a pragmatic score was developed, showing good performances (AUC 0.85 ±0.025), and three levels were defined that correlated well with in-hospital mortality. Conclusions Machine learning techniques were applied in order to develop an accurate in-hospital mortality risk score for COVID-19 based on ten variables. The application of the proposed score has utility in clinical settings to guide the management and prognostication of COVID-19 patients.","PeriodicalId":190584,"journal":{"name":"Archives of Medical Science : AMS","volume":"438 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122789792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chunhong Wei, Pengjun Jiang, Guang-Yan Li, Mengyang Li, L. Wang
{"title":"5,7,2,5-tetrahydroxy-8,6-dimethoxyflavone up-regulates miR-145 expression and inhibits proliferation of gastric cancer cells","authors":"Chunhong Wei, Pengjun Jiang, Guang-Yan Li, Mengyang Li, L. Wang","doi":"10.5114/aoms/121038","DOIUrl":"https://doi.org/10.5114/aoms/121038","url":null,"abstract":"Introduction Gastric cancer is a frequently detected malignancy, and its incidence has increased over the past decades in East Asia. The present study investigated the effect of 5,7,2, 5-tetrahydroxy-8,6-dimethoxyflavone (THDMF) on gastric cancer cells and explored the underlying mechanism. The study analysed cell viability changes, apoptotic features, and metastasis potential of treatment with THDMF. Material and methods MTT colorimetric assay was used for measurement of MKN28, MKN45, and GES-1 cell proliferation and flow cytometry for the detection of apoptosis. Transwell and wound healing assays were used to observe the invasion and migration abilities of MKN28 cells. The expression of p21, MMP2/-9, PI3K, and c-Myc proteins was detected by western blotting. Results The THDMF treatment significantly (p < 0.05) reduced MKN28 and MKN45 cell proliferation without changing GES-1 cell viability. A significant increase in apoptotic cell population on treatment with THDMF was observed. Treatment of MKN28 cells with THDMF increased the percentage of cells in the G1 phase. Exposure of MKN28 cells to THDMF caused a marked decrease in invasion and migration potential in comparison to control cells. The expression of miR-145 was markedly increased in MKN28 cells on treatment with THDMF. In MKN28 cells expression of c-Myc, PI3K, p-AKT, MMP-2, and MMP-9 was suppressed markedly on exposure to THDMF. The expression of p21 protein in MKN28 cells was markedly promoted on exposure to THDMF. Conclusions THDMF exhibits anti-cancer effect on gastric cancer cells in vitro by activation of cell apoptosis and arrest of cell cycle. In addition, THDMF promoted miR-145 expression and down-regulation of PI3K/AKT signalling pathway in MKN28 cells. Therefore, THDMF may be utilised as a potential novel therapeutic agent for the treatment of gastric cancer.","PeriodicalId":190584,"journal":{"name":"Archives of Medical Science : AMS","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128642682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Keqiang Wan, C. Su, Ling-Xi Kong, J. Liao, Wen-guang Tian, Hua-li Luo
{"title":"Clinical characteristics of COVID-19 in young patients differ from middle-aged and elderly patients","authors":"Keqiang Wan, C. Su, Ling-Xi Kong, J. Liao, Wen-guang Tian, Hua-li Luo","doi":"10.5114/aoms/133090","DOIUrl":"https://doi.org/10.5114/aoms/133090","url":null,"abstract":"Introduction Coronavirus disease-2019 (COVID-19) has spread worldwide. The study aimed to understand the clinical characteristics of young COVID-19 patients. Material and methods Ninety patients with severe COVID-19 infection in western Chongqing were collected from 21 January to 14 March 2020. They were divided into 4 groups based on age: youth (< 39 years), middle-aged (39–48 years), middle-elderly aged (49–60 years), and elderly (> 60 years). The clinical symptoms, laboratory findings, imaging findings, and treatment effects were compared among the groups. Results There were 22, 27, 19, and 22 cases in the youth, middle-aged, middle-elderly, and elderly groups, respectively. There were no significant differences with respect to gender or smoking status among the four groups. The clinical indicators of severe disease in the youth group were significantly different from the other three groups, and included the lymphocyte count (p < 0.001), C-reactive protein level (p = 0.03), interleukin-6 level (p = 0.01), chest computed tomography (CT) findings (p < 0.001), number of mild cases (p = 0.02), education level (p < 0.001), and CD4 + T lymphocyte level (p = 0.02) at the time of admission, and the pneumonia severity index (PSI) at the time of discharge (p < 0.001). The complications (p < 0.001) among the youth group were also significantly different from the other groups. Conclusions Young patients have milder clinical manifestations, which may be related to higher education level, higher awareness and higher acceptance of the prevention and control of the COVID-19 epidemic, as well as their good immune function.","PeriodicalId":190584,"journal":{"name":"Archives of Medical Science : AMS","volume":"122 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133762633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}