Revista De Investigacion Clinica-Clinical and Translational Investigation最新文献

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The relationship between liver enzymes in the blood test and non-fatal cardiovascular disease events: a systematic review and meta-analysis. 血液检测中肝酶与非致命性心血管疾病事件的关系:一项系统综述和荟萃分析
IF 1.4 4区 医学
Revista De Investigacion Clinica-Clinical and Translational Investigation Pub Date : 2026-03-01 Epub Date: 2026-02-26 DOI: 10.1016/j.ric.2026.100036
Yong Gao, Caisu Qing, Wuzhou Liu
{"title":"The relationship between liver enzymes in the blood test and non-fatal cardiovascular disease events: a systematic review and meta-analysis.","authors":"Yong Gao, Caisu Qing, Wuzhou Liu","doi":"10.1016/j.ric.2026.100036","DOIUrl":"10.1016/j.ric.2026.100036","url":null,"abstract":"<p><strong>Background: </strong>In recent years, interest in the potential of liver enzymes has increased to serve as markers for cardiovascular disease (CVD) risk. This systematic review and meta-analysis aimed to examine the relationship between liver enzymes in blood tests and non-fatal cardiovascular disease events, focusing on retrospective and prospective cohort studies.</p><p><strong>Methods: </strong>A methodical search was carried out across several academic databases, including Scopus, PubMed, and Web of Science. Relevant keywords were identified and categorized into two groups. Two reviewers independently reviewed the obtained papers to recognize related studies. Then, the authors independently gathered the necessary information. The quality of the papers was evaluated using the Newcastle-Ottawa Scale (NOS). Moreover, a meta-analysis was also performed on the values of the hazard ratio and odds ratio reported in some studies.</p><p><strong>Results: </strong>36 articles were entered into the study. Most of the studies (89.3 percent) showed that there are positive significant relationships between gamma-glutamyl transferase (GGT) enzyme and non-fatal cardiovascular disease events. While only 50.0 percent of the studies on alanine aminotransferase (ALT) and 66.7 percent of the papers on aspartate aminotransferase (AST) revealed a positive significant association with non-fatal cardiovascular disease events. The pooled value of the hazard ratio related to the GGT, ALT, and AST levels for non-fatal cardiovascular disease events was computed by 1.28 (95% CI: 1.21-1.36), 1.23 (95%CI: 1.07-1.42), and 1.35 (95%CI: 1.17-1.55).</p><p><strong>Conclusions: </strong>There is a strong agreement on GGT for diagnosing cardiovascular diseases. These results can be applied as guidance for the diagnosis of cardiovascular diseases using liver enzymes as routine blood tests.</p>","PeriodicalId":49612,"journal":{"name":"Revista De Investigacion Clinica-Clinical and Translational Investigation","volume":"78 2","pages":"100036"},"PeriodicalIF":1.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147318721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Optimizing glioma vascular analysis: A finetuned masked autoencoder self-attention mechanism approach for accurate and interactive blood vessel segmentation. 优化胶质瘤血管分析:一种微调的掩膜自编码器自注意机制方法,用于准确和互动的血管分割。
IF 1.4 4区 医学
Revista De Investigacion Clinica-Clinical and Translational Investigation Pub Date : 2026-01-01 Epub Date: 2026-01-28 DOI: 10.1016/j.ric.2025.100031
Chengyou Yang, Xiao Wang, Bo Guan, Zheng Xiao, Wenli Chen, Zhiyong Chen
{"title":"Optimizing glioma vascular analysis: A finetuned masked autoencoder self-attention mechanism approach for accurate and interactive blood vessel segmentation.","authors":"Chengyou Yang, Xiao Wang, Bo Guan, Zheng Xiao, Wenli Chen, Zhiyong Chen","doi":"10.1016/j.ric.2025.100031","DOIUrl":"10.1016/j.ric.2025.100031","url":null,"abstract":"<p><strong>Background: </strong>Accurate segmentation of blood vessels in glioma pathological images is crucial for understanding tumor vasculature and progression, yet remains challenging due to complex vessel morphology and image variations.</p><p><strong>Objective: </strong>This study aimed to develop and evaluate a novel approach using a finetuned masked autoencoder self-attention mechanism (MedSAM) framework for interactive segmentation of glioma blood vessels in pathological images called GliomaVascularSAM.</p><p><strong>Methods: </strong>We utilized a dataset of 2632 image patches derived from multiple glioma datasets. These patches were obtained from tissue samples of 879 patients from The Cancer Genome Atlas and 179 patients from three hospitals. The performance of GliomaVascularSAM was compared with convolutional neural network-based models (including nnU-Net, Pathology-nnU-Net, and nnSAM) and SAM-based segmentation methods. Model performance was evaluated using the dice similarity coefficient, sensitivity, and positive predictive value.</p><p><strong>Results: </strong>The proposed GliomaVascularSAM outperformed traditional-based models, achieving a dice similarity coefficient of 0.784, sensitivity of 0.767, and positive predictive value of 0.820. Compared with the nnU-Net model (dice similarity coefficient: 0.652), our approach yielded a 13.2% improvement.</p><p><strong>Conclusion: </strong>GliomaVascularSAM significantly enhanced the accuracy and interactivity of glioma blood vessel segmentation in pathological images. This approach can assist clinicians in the precise analysis of glioma vasculature, thereby contributing to improved diagnosis and management of patients with glioma.</p>","PeriodicalId":49612,"journal":{"name":"Revista De Investigacion Clinica-Clinical and Translational Investigation","volume":"78 1","pages":"100031"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146087714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cinnamic acid ameliorates platelet activating factor-induced airway epithelial cell apoptosis and inflammation by inhibiting TGF-β1/Smad signaling pathway in an in vitro model of asthma. 在哮喘体外模型中,肉桂酸通过抑制TGF-β1/Smad信号通路改善血小板活化因子诱导的气道上皮细胞凋亡和炎症。
IF 1.4 4区 医学
Revista De Investigacion Clinica-Clinical and Translational Investigation Pub Date : 2026-01-01 Epub Date: 2026-01-20 DOI: 10.1016/j.ric.2025.100033
Huiling Zhang, Yan Zheng, Xueru Liu
{"title":"Cinnamic acid ameliorates platelet activating factor-induced airway epithelial cell apoptosis and inflammation by inhibiting TGF-β1/Smad signaling pathway in an in vitro model of asthma.","authors":"Huiling Zhang, Yan Zheng, Xueru Liu","doi":"10.1016/j.ric.2025.100033","DOIUrl":"10.1016/j.ric.2025.100033","url":null,"abstract":"<p><strong>Background: </strong>Asthma is a common chronic respiratory disease characterized by persistent airway inflammation. This study investigated the role of cinnamic acid (CA) in an in vitro model of asthma and its mechanisms.</p><p><strong>Methods: </strong>Human small airway epithelial cells (HSAECs) were stimulated with platelet-activating factor (PAF), then exposed to CA (20, 50, or 100μM). Cell viability and apoptosis were assessed using CCK-8 assay and flow cytometry. Inflammatory cytokine levels were measured by ELISA. Barrier function was evaluated via lucifer yellow permeability assay. Western blotting and RT-qPCR were used to measure levels of TGF-β1 pathway-related factors. To investigate whether CA acts through TGF-β1 inhibition, PAF-treated cells were co-incubated with CA and TGF-β1.</p><p><strong>Results: </strong>CA treatment significantly reduced PAF-induced apoptosis in HSAECs. It also attenuated the PAF-induced upregulation of TNF-α, IL-1β, and IL-6 levels as well as the downregulation of PGE2 levels. CA improved epithelial barrier function by reducing permeability. CA downregulated TGF-β1 and Smad4 levels and inhibited Smad2 and Smad3 phosphorylation. Exogenous activation of TGF-β1 abolished the protective effects of CA against apoptosis, inflammation, and barrier integrity.</p><p><strong>Conclusion: </strong>Our findings demonstrate that CA inhibits apoptosis, inflammation, and barrier dysfunction in asthmatic airway cells by inhibiting the TGF-β1/Smad pathway.</p>","PeriodicalId":49612,"journal":{"name":"Revista De Investigacion Clinica-Clinical and Translational Investigation","volume":"78 1","pages":"100033"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diagnostic and prognostic significance of IL-18 and its -607C/A polymorphism in COVID-19: Implications for CURB-65 severity scoring. IL-18及其-607C/A多态性在COVID-19中的诊断和预后意义:对CURB-65严重程度评分的影响
IF 1.4 4区 医学
Revista De Investigacion Clinica-Clinical and Translational Investigation Pub Date : 2026-01-01 Epub Date: 2026-01-28 DOI: 10.1016/j.ric.2026.100034
Dawan Dlshad Rafeeq, Baghawan Ahmed Othman, Ashraf Kakoo, Shukur Wasman Smail, Raya Kh Yashooa, Asmaa Ameen Ghareeb, Rebaz Hamza Salih, Christer Janson
{"title":"Diagnostic and prognostic significance of IL-18 and its -607C/A polymorphism in COVID-19: Implications for CURB-65 severity scoring.","authors":"Dawan Dlshad Rafeeq, Baghawan Ahmed Othman, Ashraf Kakoo, Shukur Wasman Smail, Raya Kh Yashooa, Asmaa Ameen Ghareeb, Rebaz Hamza Salih, Christer Janson","doi":"10.1016/j.ric.2026.100034","DOIUrl":"10.1016/j.ric.2026.100034","url":null,"abstract":"<p><strong>Background: </strong>Interleukin-18 (IL-18) is a key inflammasome-related cytokine implicated in severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection.</p><p><strong>Objective: </strong>This study investigated the diagnostic, prognostic, and immunogenetic relevance of IL-18 and its promoter polymorphism (-607C/A, rs1946518) in COVID-19 susceptibility, severity, and mortality among Kurdish coronavirus disease-2019 (COVID-19) patients.</p><p><strong>Methods: </strong>A total of 100 unvaccinated COVID-19 patients and 80 healthy controls (HCs) were enrolled. COVID-19 patients were further classified into non-severe (n=60) and severe cases (n=40), and additionally into survived (n=75) and non-survived groups (n=25). Biochemical markers, CURB-65 scores, and clinical outcomes (severity and survival) were assessed. Genotyping of the IL-18 -607C/A polymorphism was performed using polymerase chain reaction - sequence-specific primer (PCR-SSP).</p><p><strong>Results: </strong>COVID-19 patients exhibited markedly elevated IL-18 levels compared with HCs (509.1 vs. 228.8pg/mL, p<0.001). IL-18 showed a strong positive correlation with disease severity (r=0.77, p<0.001) and significantly distinguished non-severe from severe cases and survivors from non-survivors (both p<0.001). Severe and non-survived patients demonstrated higher D-dimer, ferritin, C-reactive protein (CRP), fibrinogen, neutrophils, and CURB-65 scores, alongside lower lymphocyte counts. Genotype analysis revealed that the CC genotype was significantly associated with higher IL-18 expression and more severe clinical phenotypes, including elevated CURB-65 scores and inflammatory biomarkers. In contrast, the A allele (CA and AA genotypes) conferred strong protection against severe disease (AA: OR=0.053; CA: OR=0.149) but showed no significant association with mortality. Statistical tests confirmed pronounced genotype-dependent differences in IL-18, D-dimer, ferritin, CRP, leukocyte profiles, and fibrinogen (p<0.05). Diagnostic evaluation showed that IL-18 accurately discriminated COVID-19 cases from HCs (area under curve (AUC)=0.991; sensitivity 95.0%; specificity 95.06%). As a prognostic marker for severe disease, IL-18 demonstrated moderate performance (AUC=0.671).</p><p><strong>Conclusion: </strong>The IL-18 -607C/A polymorphism influences COVID-19 susceptibility and severity, CC increases risk, while the A allele is protective, but it is not associated with mortality. IL-18 shows excellent diagnostic and moderate prognostic value and may enhance COVID-19 risk-stratification when combined with CURB-65 and genotypic data.</p>","PeriodicalId":49612,"journal":{"name":"Revista De Investigacion Clinica-Clinical and Translational Investigation","volume":"78 1","pages":"100034"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146087695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Protein tyrosine phosphatase 1B in solid tumors: Unraveling its clinical significance. 蛋白酪氨酸磷酸酶1B在实体瘤中的临床意义
IF 1.4 4区 医学
Revista De Investigacion Clinica-Clinical and Translational Investigation Pub Date : 2026-01-01 Epub Date: 2026-01-27 DOI: 10.1016/j.ric.2026.100035
José Esparza-López, Alejandro Aranda-Gutierrez, Elizabeth Escobar-Arriaga, Citlali Frayde-Aguilar, M Andrea Mac Donald Jamarillo, Eucario Leon-Rodriguez, María de Jesús Ibarra-Sánchez
{"title":"Protein tyrosine phosphatase 1B in solid tumors: Unraveling its clinical significance.","authors":"José Esparza-López, Alejandro Aranda-Gutierrez, Elizabeth Escobar-Arriaga, Citlali Frayde-Aguilar, M Andrea Mac Donald Jamarillo, Eucario Leon-Rodriguez, María de Jesús Ibarra-Sánchez","doi":"10.1016/j.ric.2026.100035","DOIUrl":"https://doi.org/10.1016/j.ric.2026.100035","url":null,"abstract":"<p><p>The protein tyrosine phosphatase 1B (PTP1B) participates in diseases such as cardiometabolic disorders and malignancies. We investigated in depth the expression and clinical significance of PTP1B in various solid tumors. The PTP1B clinical duality is evident. In HER2-positive breast cancer, gastric cancer, and non-small cell lung cancer, PTP1B often acts as an oncogene, which is linked to more advanced disease, more metastasis, and a worse prognosis. In breast cancer with ER+ and some kidney cancers, PTP1B works as a tumor suppressor, which is associated with better survival and a better response to treatment. This duality emphasizes that PTP1B's involvement in cancer is not specific and does determines specific clinical outcomes or therapeutic responses. We also analyzed how PTP1B can halt tumor growth by affecting pathways like PI3K/Akt and JAK/STAT, but it can also promote tumor growth by activating pathways like EGFR, RAS-MAPK, and Src signaling. We examined the existing landscape of PTP1B inhibitors, highlighting ongoing deficiencies in efficacy, selectivity, and bioavailability that have led to clinical failures. Ultimately, a better understanding of the mechanisms underlying PTP1B expression and its context-dependent influencing tumor behavior is crucial for advancing of cancer prevention and treatment, especially for patients with metabolic risk factors.</p>","PeriodicalId":49612,"journal":{"name":"Revista De Investigacion Clinica-Clinical and Translational Investigation","volume":"78 1","pages":"100035"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
MicroRNA-138-2-3p inhibits cell migration, invasion and EMT process in non-small-cell lung cancer by targeting antizyme inhibitor 1. MicroRNA-138-2-3p通过靶向抗酶抑制剂1抑制非小细胞肺癌细胞迁移、侵袭和EMT过程。
IF 1.4 4区 医学
Revista De Investigacion Clinica-Clinical and Translational Investigation Pub Date : 2026-01-01 Epub Date: 2026-01-12 DOI: 10.1016/j.ric.2025.100032
Ang Cai, Zhuocui She, Jun Lv, Xiaokang Zhou, Miaomiao Xie
{"title":"MicroRNA-138-2-3p inhibits cell migration, invasion and EMT process in non-small-cell lung cancer by targeting antizyme inhibitor 1.","authors":"Ang Cai, Zhuocui She, Jun Lv, Xiaokang Zhou, Miaomiao Xie","doi":"10.1016/j.ric.2025.100032","DOIUrl":"10.1016/j.ric.2025.100032","url":null,"abstract":"<p><strong>Objective: </strong>Non-small cell lung cancer (NSCLC) represents over 85% of lung cancer diagnoses and is a leading cause of cancer-related mortality worldwide. The study investigated the role of microRNA-138-2-3p (miR-138-2-3p) in regulating NSCLC cell migration, invasion, and epithelial-mesenchymal transition (EMT).</p><p><strong>Methods: </strong>MiR-138-2-3p and target gene expression were measured by RT-qPCR or western blotting. Cell viability, migration, and invasion were analyzed using cell counting kit-8, wound healing, and Transwell assays. RNA pull-down assays were performed to determine the enrichment of antizyme inhibitor 1 (AZIN1) by biotinylated miR-138-2-3p, while luciferase reporter assay confirmed direct binding between miR-138-2-3p and AZIN1.</p><p><strong>Results: </strong>MiR-138-2-3p was significantly downregulated in NSCLC cells and tissues. Its overexpression markedly suppressed NSCLC cell viability, migration, invasion, and epithelial-mesenchymal transition. AZIN1 was upregulated in NSCLC cells and tissues and directly targeted by miR-138-2-3p via binding to its 3'untranslated region, showing a negative correlation in expression. Moreover, AZIN1 overexpression reversed the suppressive effects of miR-138-2-3p on the malignant phenotype in NSCLC cells. Notably, bioinformatics analysis shows that lung adenocarcinoma patients with high AZIN1 expression exhibit significantly worse overall survival than those with low AZIN1 expression.</p><p><strong>Conclusion: </strong>The results suggest that miR-138-2-3p inhibits the malignant phenotype of NSCLC cells by targeting AZIN1.</p>","PeriodicalId":49612,"journal":{"name":"Revista De Investigacion Clinica-Clinical and Translational Investigation","volume":"78 1","pages":"100032"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145967676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Efficacy and safety of delayed thrombolysis for ischemic stroke within 4.5-24h: A systematic review and meta-analysis of randomized controlled trials. 4.5-24h延迟溶栓治疗缺血性卒中的疗效和安全性:随机对照试验的系统评价和荟萃分析
IF 1.4 4区 医学
Revista De Investigacion Clinica-Clinical and Translational Investigation Pub Date : 2025-11-01 Epub Date: 2025-12-16 DOI: 10.1016/j.ric.2025.100030
Jesús Fernando Briceño-Domínguez, Grecia Bejarano-Carabeo, Rodrigo Góes de Oliveira Galvão, Barbara Alessandra Jacobs Rodrigues, Alejandro Quintero-Villegas, Sergio Iván Valdes-Ferrer
{"title":"Efficacy and safety of delayed thrombolysis for ischemic stroke within 4.5-24h: A systematic review and meta-analysis of randomized controlled trials.","authors":"Jesús Fernando Briceño-Domínguez, Grecia Bejarano-Carabeo, Rodrigo Góes de Oliveira Galvão, Barbara Alessandra Jacobs Rodrigues, Alejandro Quintero-Villegas, Sergio Iván Valdes-Ferrer","doi":"10.1016/j.ric.2025.100030","DOIUrl":"10.1016/j.ric.2025.100030","url":null,"abstract":"<p><strong>Background: </strong>The efficacy and safety of thrombolytics within the first 4.5h of ischemic stroke symptom onset are well documented; however, evidence beyond this timeframe remains contentious.</p><p><strong>Objective: </strong>To assess the efficacy and safety of delayed thrombolysis (4.5-24-h window) for ischemic stroke.</p><p><strong>Methods: </strong>We conducted a systematic search to identify studies comparing thrombolytics to placebo or standard care in ischemic stroke patients treated within 4.5-24h of symptom onset. The primary outcome was functional independence at 90 days, with additional efficacy outcomes exploring recanalization and reperfusion at 24h, as well as safety outcomes of 90-day mortality and symptomatic intracranial hemorrhage. The statistical analysis was performed using R studio.</p><p><strong>Results: </strong>We included five randomized controlled trials with 1398 patients. The mean age was 70.2 years, 61% were male, and the median NIHSS score was 10.2. Compared with controls, thrombolysis improved functional independence at 90 days (OR 1.32; 95% CI: 1.06-1.63; p=0.01; I<sup>2</sup>=0%), although it increased the risk of symptomatic intracranial hemorrhage (OR 2.5; 95% CI: 1.10-5.71; p=0.02; I<sup>2</sup>=0%). No significant difference in mortality at 90 days was observed (OR 1.15; 95% CI: 0.84-1.57; p=0.39; I<sup>2</sup>=0%).</p><p><strong>Conclusions: </strong>In ischemic stroke, thrombolytics administered within 4.5-24h improve functional independence at 90 days, also increasing the risk of symptomatic intracranial hemorrhage. At this point, careful and individualized patient selection, including advanced imaging, is mandatory for thrombolysis beyond the conventional 4.5-h treatment window.</p>","PeriodicalId":49612,"journal":{"name":"Revista De Investigacion Clinica-Clinical and Translational Investigation","volume":"77 6","pages":"100030"},"PeriodicalIF":1.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145776249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Associations of coagulation function indicators and intestinal function impairment markers with clinical outcomes in septic patients with gastrointestinal dysfunction. 脓毒症合并胃肠功能障碍患者凝血功能指标和肠功能障碍标志物与临床结局的关系
IF 1.4 4区 医学
Revista De Investigacion Clinica-Clinical and Translational Investigation Pub Date : 2025-11-01 Epub Date: 2025-11-14 DOI: 10.1016/j.ric.2025.100027
Jing Ma, Fan Yang, Gaifeng Liu
{"title":"Associations of coagulation function indicators and intestinal function impairment markers with clinical outcomes in septic patients with gastrointestinal dysfunction.","authors":"Jing Ma, Fan Yang, Gaifeng Liu","doi":"10.1016/j.ric.2025.100027","DOIUrl":"10.1016/j.ric.2025.100027","url":null,"abstract":"<p><strong>Background: </strong>Sepsis, a systemic inflammatory response to acute infections.</p><p><strong>Objective: </strong>We aimed to explore the associations of coagulation function indicators and intestinal function impairment markers with clinical outcomes in septic patients with gastrointestinal dysfunction.</p><p><strong>Methods: </strong>Subjects (n=105) were selected from septic patients with gastrointestinal dysfunction treated between January 2022 and December 2024. Detection of coagulation function indicators [platelets (PLT), fibrinogen (Fib), and D-dimer (D-D)] and intestinal function impairment markers [endotoxin (ET) and d-lactate (d-Lac)] was completed on the day of admission. Patients were divided into two groups based on their 28 day survival status (dead or alive): a group of patients that died and survival group.</p><p><strong>Results: </strong>The APACHE II score, SOFA score, D-D and d-Lac were influencing factors of clinical outcomes (P<0.05). The sensitivity and specificity of Fib, D-D, ET and d-Lac alone and their combination for predicting death were 67.44%, 74.42%, 81.40%, 65.17% and 77.74%, and 75.81%, 74.19%, 67.74%, 75.81% and 83.87%, respectively, and the areas under the curves were 0.737, 0.815, 0.779, 0.748 and 0.868, respectively (P<0.05).</p><p><strong>Conclusion: </strong>The coagulation function indicators and intestinal function impairment markers have associations with the clinical outcomes in septic patients with gastrointestinal dysfunction.</p>","PeriodicalId":49612,"journal":{"name":"Revista De Investigacion Clinica-Clinical and Translational Investigation","volume":"77 6","pages":"100027"},"PeriodicalIF":1.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145530718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The origins of oral contraception: The role of Mexican scientists in developing the first synthetic oral contraceptive progestin. 口服避孕药的起源:墨西哥科学家在开发第一种合成口服避孕药黄体酮中的作用。
IF 1.4 4区 医学
Revista De Investigacion Clinica-Clinical and Translational Investigation Pub Date : 2025-11-01 Epub Date: 2025-12-01 DOI: 10.1016/j.ric.2025.100028
Fernando Larrea, Mario Morales-Esponda, Mayel Chirinos, Vicente Díaz-Sánchez
{"title":"The origins of oral contraception: The role of Mexican scientists in developing the first synthetic oral contraceptive progestin.","authors":"Fernando Larrea, Mario Morales-Esponda, Mayel Chirinos, Vicente Díaz-Sánchez","doi":"10.1016/j.ric.2025.100028","DOIUrl":"10.1016/j.ric.2025.100028","url":null,"abstract":"<p><p>Between 1949 and 1964, advancements in chemistry and medicine, along with societal demands, made fertility regulation possible. Most of the chemical work occurred outside traditional centers, and it was at Syntex S.A. in Mexico City that the pioneering work of George Rosenkranz, Carl Djerassi, and Luis Miramontes achieved a breakthrough, resulting in the synthesis of norethindrone (19-nor-17α-ethynyl testosterone) on October 15, 1951. This compound was a potent and orally active progestogen, establishing the basis for modern contraception. Meanwhile, Syntex's simultaneous success in synthesizing cortisone from diosgenin (a compound found in Mexican yams) demonstrated how an industrial laboratory in a developing scientific country could compete with and outperform better-funded international rivals. Meanwhile, across the border, research on contraceptive steroids gained momentum. Frank B. Colton (G.D. Searle) synthesized norethynodrel in the United States, which became the first FDA-approved oral contraceptive in 1960. However, history would restore its balance. In fact, norethindrone and its derivatives from Syntex were soon available worldwide, becoming the most widely used progestins in oral contraceptives. This review examines the interactions between scientific and social history, clarifying the roles of key figures and situating Mexico's contributions within a broader global context of reproductive autonomy.</p>","PeriodicalId":49612,"journal":{"name":"Revista De Investigacion Clinica-Clinical and Translational Investigation","volume":"77 6","pages":"100028"},"PeriodicalIF":1.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145662559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cystic prostatic ductal adenocarcinoma simulating cystic atrophy. 囊性前列腺导管腺癌模拟囊性萎缩。
IF 1.4 4区 医学
Revista De Investigacion Clinica-Clinical and Translational Investigation Pub Date : 2025-11-01 Epub Date: 2025-12-02 DOI: 10.1016/j.ric.2025.100029
Julián Arista Nasr, Abril Bautista Escutia, María Fernanda Contreras Solís, Javier Ríos Valencia
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