Frontiers in bioscience (Scholar edition)最新文献

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Disease Characteristics and Psychiatric Comorbidities in Adolescents with Anorexia Nervosa Hospitalized During COVID-19 Pandemic. COVID-19大流行期间住院青少年神经性厌食症的疾病特征和精神合并症
Frontiers in bioscience (Scholar edition) Pub Date : 2022-10-14 DOI: 10.31083/j.fbs1404028
Martina Girardi, Chiara Assalone, Evelina Maines, Aldo Genovese, Aldo Naselli, Laura Nai Fovino, Massimo Soffiati, Roberto Franceschi
{"title":"Disease Characteristics and Psychiatric Comorbidities in Adolescents with Anorexia Nervosa Hospitalized During COVID-19 Pandemic.","authors":"Martina Girardi,&nbsp;Chiara Assalone,&nbsp;Evelina Maines,&nbsp;Aldo Genovese,&nbsp;Aldo Naselli,&nbsp;Laura Nai Fovino,&nbsp;Massimo Soffiati,&nbsp;Roberto Franceschi","doi":"10.31083/j.fbs1404028","DOIUrl":"https://doi.org/10.31083/j.fbs1404028","url":null,"abstract":"<p><strong>Background: </strong>Since the beginning of COVID-19 pandemic, an increase in new diagnoses and pediatric hospital admission for anorexia nervosa (AN) or atypical AN in adolescents have been reported, suggesting an adverse effect of COVID-19 on youth mental health. We hypothesized possible differences in prevalence of hospitalization and/or disease severity, related to socio-economic status and/or ethnicity.</p><p><strong>Methods: </strong>Retrospectively, patients were divided into two subgroups and compared according to the date of first hospital admission: \"pre SARS-COV2 era\" group (n. 45, 8th March 2016-8th March 2020) and \"SARS-COV2 era\" group (n. 43, 9th March 2020-8th March 2022).</p><p><strong>Results: </strong>During the two years of the SARS-COV2 era, we reported an increase in hospital admission incidence more than doubled respect to the \"pre-SARS-COV2 era\". The \"SARS-COV2 era group\" showed a more rapid weight loss (<i>p</i> = 0.005), a minor duration of weight loss from lifetime maximum to admission (<i>p</i> = 0.019) and needed most frequently treatments with intravenous fluids (<i>p <</i> 0.0001), oral dietetic supplements (<i>p <</i>0.001) and enteral nutrition by nasogastric tube (<i>p</i> = 0.002). The same group presented higher prevalence of psychiatric comorbidities (63% <i>vs.</i> 22%, <i>p <</i> 0.0001) and required most frequently treatments with psychotropic drugs (56% <i>vs.</i> 24%, <i>p</i> = 0.002). We found higher family socioeconomic status (SES) in our patients with AN in both the periods and we did not find a shift in social class distribution over time.</p><p><strong>Conclusions: </strong>Our study confirms a significant increase in incidence of hospitalization and of psychiatric comorbidity in the pediatric population with AN during the second year of COVID-19 pandemic, regardless of SES or ethnic background. Further studies are needed to understand potential mechanisms that during COVID-19 pandemic trigger eating disorder symptoms.</p>","PeriodicalId":73070,"journal":{"name":"Frontiers in bioscience (Scholar edition)","volume":"14 4","pages":"28"},"PeriodicalIF":0.0,"publicationDate":"2022-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10480158","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}
引用次数: 3
A New Drug-Free Cancer Therapy Using Ultraviolet Pulsed Irradiation. PDT (PhotoDynamic Therapy) to PPT (Pulsed Photon Therapy). 一种新的无药物治疗癌症的紫外线脉冲照射。PDT(光动力疗法)到PPT(脉冲光子疗法)。
Frontiers in bioscience (Scholar edition) Pub Date : 2022-09-30 DOI: 10.31083/j.fbs1404027
Johbu Itoh, Yoshiko Itoh
{"title":"A New Drug-Free Cancer Therapy Using Ultraviolet Pulsed Irradiation. PDT (PhotoDynamic Therapy) to PPT (Pulsed Photon Therapy).","authors":"Johbu Itoh,&nbsp;Yoshiko Itoh","doi":"10.31083/j.fbs1404027","DOIUrl":"https://doi.org/10.31083/j.fbs1404027","url":null,"abstract":"<p><strong>Background: </strong>Pulsed ultraviolet (UV) irradiation can be used to generate a broad UV-C spectrum. The pulsing nature of such a spectrum helps increase the damage to cancer cells, leading to their injury and death. In contrast, non-tumor cells repair the damage and survive the same pulsed UV irradiation energy. Herein, we describe the development of a pulsed UV irradiation method for cancer cell dysfunction that irradiates cells with pulsed light by generating tremendous instantaneous UV energy-tens of thousands of times greater than that generated by UV lamps-to cause specific cell injury and dysfunction of cancer cells.</p><p><strong>Methods: </strong>A newly developed pulsed ultraviolet irradiation device was used. Features of the device used in this study. This device employs a quartz discharge xenon lamp. Cultured tumor cells and non-tumor cells were irradiated with pulsed light at different irradiation doses, and their reactions were observed using optical, electron, and laser microscopes.</p><p><strong>Results: </strong>Cancer cells have more FAS (CD95) receptor domains than non-cancer cells, and pulsed UV irradiation stimulates the production of reactive oxygen species (ROS) and OH, which exceeds the oxidative stress removal function, resulting in cell injury and death. That is, at low UV doses, only cancer cells underwent cell death, whereas non-cancer cells did not. The pulsed UV irradiation technique directly destroys cancer cells and minimizes the number of residual cancer cells while allowing minimum invasion into non-tumor cells, thereby improving their survival. This suggests the possibility of activating the host's local immune response to eliminate residual cancer cells.</p><p><strong>Conclusions: </strong>A newly developed pulsed UV radiation system shows potential for use in the development of a drug-free cancer treatment system that selectively kills tumor cells by irradiating them with high-intensity pulsed UV rays over a broad UV-C range of 230-280 nm.</p>","PeriodicalId":73070,"journal":{"name":"Frontiers in bioscience (Scholar edition)","volume":"14 4","pages":"27"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10474100","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}
引用次数: 0
Nosocomial Infections in COVID-19 Patients Treated with Immunomodulators: A Narrative Review. 免疫调节剂治疗COVID-19患者的医院感染:一项叙述性综述
Frontiers in bioscience (Scholar edition) Pub Date : 2022-09-26 DOI: 10.31083/j.fbs1404026
Chidambaram Ramasamy, Gayatri Narayan, Ajay Kumar Mishra, Kevin John John, Amos Lal
{"title":"Nosocomial Infections in COVID-19 Patients Treated with Immunomodulators: A Narrative Review.","authors":"Chidambaram Ramasamy,&nbsp;Gayatri Narayan,&nbsp;Ajay Kumar Mishra,&nbsp;Kevin John John,&nbsp;Amos Lal","doi":"10.31083/j.fbs1404026","DOIUrl":"https://doi.org/10.31083/j.fbs1404026","url":null,"abstract":"<p><p>Nosocomial infections pose an imminent challenge to hospitalized Coronavirus disease-19 (COVID-19) patients due to complex interplay of dysregulated immune response combined with immunomodulator therapy. In the pre-pandemic era, immunomodulatory therapy has shown benefit in certain autoimmune conditions with untamed inflammatory response. Efforts to recapitulate these immunomodulatory effects in COVID-19 patients has gained impetus and were followed by NIH COVID-19 expert panel recommendations. The current NIH guideline recommends interleukin-6 inhibitors (tocilizumab and sarilumab) and Janus kinase inhibitors (baricitinib and tofacitinib). Several landmark research trials like COVAVTA, EMPACTA, REMDACTA, STOP-COVID and COV BARRIER have detailed the various effects associated with administration of immunomodulators. The historical evidence of increased infection among patients receiving immunomodulators for autoimmune conditions, raised concerns regarding administration of immunomodulators in COVID-19 patients. The aim of this review article is to provide a comprehensive update on the currently available literature surrounding this issue. We reviewed 40 studies out of which 37 investigated IL-6 inhibitors and 3 investigated JAK inhibitors. Among the studies reviewed, the reported rates of nosocomial infections among the COVID-19 patients treated with immunomodulators were similar to patients receiving standard of care for COVID-19. However, these studies were not powered to assess the side effect profile of these medications. Immunomodulators, by dampening the pyrogenic response and inflammatory markers may delay detection of infections among the patients. This underscores the importance of long-term surveillance which are necessary to discover the potential risks associated with these agents.</p>","PeriodicalId":73070,"journal":{"name":"Frontiers in bioscience (Scholar edition)","volume":"14 4","pages":"26"},"PeriodicalIF":0.0,"publicationDate":"2022-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10474106","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}
引用次数: 1
Antioxidant Activity and Inhibition of Carbohydrate Digestive Enzymes Activities of Artemisia campestris L. 青蒿抗氧化活性及对碳水化合物消化酶活性的抑制作用。
Frontiers in bioscience (Scholar edition) Pub Date : 2022-09-21 DOI: 10.31083/j.fbs1404025
Mohamed Marghich, Nour Elhouda Daoudi, Ouafa Amrani, Mohamed Addi, Christophe Hano, Jen-Tsung Chen, Hassane Mekhfi, Abderrahim Ziyyat, Mohamed Bnouham, Mohammed Aziz
{"title":"Antioxidant Activity and Inhibition of Carbohydrate Digestive Enzymes Activities of <i>Artemisia campestris</i> L.","authors":"Mohamed Marghich,&nbsp;Nour Elhouda Daoudi,&nbsp;Ouafa Amrani,&nbsp;Mohamed Addi,&nbsp;Christophe Hano,&nbsp;Jen-Tsung Chen,&nbsp;Hassane Mekhfi,&nbsp;Abderrahim Ziyyat,&nbsp;Mohamed Bnouham,&nbsp;Mohammed Aziz","doi":"10.31083/j.fbs1404025","DOIUrl":"https://doi.org/10.31083/j.fbs1404025","url":null,"abstract":"<p><strong>Background: </strong>Carbohydrate digestive enzymes play a major role in the management of the postprandial hyperglycemia. A chronic hyperglycemia can lead to serious health problems due to excessive production of several reactive oxygen species. Therefore, the inhibition of carbohydrate digestive enzyme and the use of antioxidant natural product can be an important strategy to control the glycaemia level and prevent against the complication of diabetes.</p><p><strong>Aim: </strong>The study aims to perform a phytochemical analysis, antioxidant activity, inhibitory effect on α -amylase, α -glucosidase (<i>in vitro</i> and <i>in vivo</i>) and the intestinal glucose absorption in Wistar rats of <i>Artemisia campestris</i> aqueous extract (AcAE) and hydro-ethanolic extract (AcEE).</p><p><strong>Results: </strong>The test of total phenolic content, show that the AcAE has the highest quantity of polyphenol (44.65 ± 0.54 μ g GAE/mg extract) compared to the AcEE (31.7 ± 0.53 μ g GAE/mg extract) significantly. The amount of flavonoid and condensed tannins content in AcAE is 24.41 ± 3.57 μ g QrE/mg extract, 14.31 ± 5.26 μ g CE/mg respectively. The AcAE has also exhibit a great antioxidant activity in DPPH-scavenging and Ferric reducing antioxidant power assay (FRAP) compared to AcEE with an IC 50 = 0.355 ± 0.057 mg/mL and IC 50 = 0.269 ± 0.025 mg/mL. However, in a β -carotene bleaching assay the AcEE has the highest effect with an IC 50 = 0.319 ± 0.097 mg/mL. The both extract of <i>Artemisia campestris</i> L. (250 mg/kg) decreased postprandial hyperglycemia in the normal and alloxane diabetic rats in a very significant manner after starch or sucrose administration as an α -amylase and α -glucosidase substrate respectively. This result is confirmed <i>in vitro</i> by a remarkable inhibitory effect on α -amylase digestive enzymes by an IC 50 = 1.259 ± 0.128 mg/mL and IC 50 = 0.602 ± 0.072 mg/mL receptively for AcAE and AcEE. For the α -glucosidase enzyme, the both extracts significantly inhibit α -glucosidase activity compared to the control and they are almost similar to each other. Using a jejunum perfusion technique (<i>in situ</i>), <i>Artemisia campestris</i> L. decrease the intestinal D-glucose absorption activity significantly compared to the control and comparable to the Phlorizin used as a positive control by an amount of glucose absorbed equal a 6.53 ± 0.57, 5.34 ± 0.64 and 4.71 ± 0.24 mg/10 cm/h, for AcAE, AcEE and Phlorizin respectively.</p><p><strong>Conclusions: </strong>These results showed that the <i>Artemisia campestris</i> L. has highest phenolic content, antioxidant activity and demonstrated a postprandial anti-hyperglycemic effect <i>via</i> the inhibiting of the carbohydrate digestive enzyme ( α -amylase and α -glucosidase) and the intestinal glucose absorption.</p>","PeriodicalId":73070,"journal":{"name":"Frontiers in bioscience (Scholar edition)","volume":"14 4","pages":"25"},"PeriodicalIF":0.0,"publicationDate":"2022-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10474104","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}
引用次数: 3
Naturally-Occurring Bioactives in Oral Cancer: Preclinical and Clinical Studies, Bottlenecks and Future Directions. 口腔癌中天然存在的生物活性物质:临床前和临床研究、瓶颈和未来方向。
Frontiers in bioscience (Scholar edition) Pub Date : 2022-08-19 DOI: 10.31083/j.fbs1403024
Monica Butnariu, Cristina Quispe, Javad Sharifi-Rad, Eduardo Pons-Fuster, Pia Lopez-Jornet, Wissam Zam, Tuyelee Das, Abhijit Dey, Manoj Kumar, Marius Pentea, Ali H Eid, Almagul Umbetova, Jen-Tsung Chen
{"title":"Naturally-Occurring Bioactives in Oral Cancer: Preclinical and Clinical Studies, Bottlenecks and Future Directions.","authors":"Monica Butnariu,&nbsp;Cristina Quispe,&nbsp;Javad Sharifi-Rad,&nbsp;Eduardo Pons-Fuster,&nbsp;Pia Lopez-Jornet,&nbsp;Wissam Zam,&nbsp;Tuyelee Das,&nbsp;Abhijit Dey,&nbsp;Manoj Kumar,&nbsp;Marius Pentea,&nbsp;Ali H Eid,&nbsp;Almagul Umbetova,&nbsp;Jen-Tsung Chen","doi":"10.31083/j.fbs1403024","DOIUrl":"https://doi.org/10.31083/j.fbs1403024","url":null,"abstract":"Oral cancer (OC) is the eighth most common cancer, particularly prevalent in developing countries. Current treatment includes a multidisciplinary approach, involving chemo, radio, and immunotherapy and surgery, which depends on cancer stage and location. As a result of the side effects of currently available drugs, there has been an increasing interest in the search for naturally-occurring bioactives for treating all types of cancer, including OC. Thus, this comprehensive review aims to give a holistic view on OC incidence and impact, while highlights the preclinical and clinical studies related to the use of medicinal plants for OC prevention and the recent developments in bioactive synthetic analogs towards OC management. Chemoprophylactic therapies connect the use of natural and/or synthetic molecules to suppress, inhibit or revert the transformation of oral epithelial dysplasia (DOK) into oral squamous cell carcinoma (OSCC). Novel searches have underlined the promising role of plant extracts and phytochemical compounds, such as curcumin, green tea extract, resveratrol, isothiocyanates, lycopene or genistein against this malignancy. However, poor bioavailability and lack of in vivo and clinical studies and complex pharmacokinetic profiles limit their huge potential of application. However, recent nanotechnological and related advances have shown to be promising in improving the bioavailability, absorption and efficacy of such compounds.","PeriodicalId":73070,"journal":{"name":"Frontiers in bioscience (Scholar edition)","volume":"14 3","pages":"24"},"PeriodicalIF":0.0,"publicationDate":"2022-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33470132","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}
引用次数: 7
The Role of the Gut-Lung Axis in COVID-19 Infections and Its Modulation to Improve Clinical Outcomes. 肠-肺轴在COVID-19感染中的作用及其调节对改善临床预后的作用
Frontiers in bioscience (Scholar edition) Pub Date : 2022-08-03 DOI: 10.31083/j.fbs1403023
Jiezhong Chen, Luis Vitetta
{"title":"The Role of the Gut-Lung Axis in COVID-19 Infections and Its Modulation to Improve Clinical Outcomes.","authors":"Jiezhong Chen,&nbsp;Luis Vitetta","doi":"10.31083/j.fbs1403023","DOIUrl":"https://doi.org/10.31083/j.fbs1403023","url":null,"abstract":"<p><p>The main entry point of SARS-CoV-2 is the respiratory tract and as such immune defence in this site determines if the virus will spill-over to the systemic circulation and circulate and infect other major organs. The first line of mucosal immune defence is composed of mucins, an epithelial barrier, and immune cells in the nasal cavity. The lung immune defence is carried out by numerous alveoli. The lung microbiota is a key factor in determining the efficacy of lung mucosal immunity protection. The intestinal microbiota has been demonstrated to affect the severity of COVID-19. Gut dysbiosis is involved in hyperinflammation and multiple organ failure through communications with multiple organs. The gut lung axis could be the earliest axis affected in COVID-19. Through the gut-lung axis, gut dysbiosis can affect the pathogenesis of the lung in COVID-19. In this review, we summarise the effects that gut dysbiosis can progress on the lung, and the lung microbiota. The possible mechanisms and approaches for modulation are discussed.</p>","PeriodicalId":73070,"journal":{"name":"Frontiers in bioscience (Scholar edition)","volume":"14 3","pages":"23"},"PeriodicalIF":0.0,"publicationDate":"2022-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33470209","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}
引用次数: 2
Raman Spectroscopy Techniques for the Investigation and Diagnosis of Alzheimer's Disease. 拉曼光谱技术用于阿尔茨海默病的调查和诊断。
Frontiers in bioscience (Scholar edition) Pub Date : 2022-08-01 DOI: 10.31083/j.fbs1403022
Panagis Polykretis, Martina Banchelli, Cristiano D'Andrea, Marella de Angelis, Paolo Matteini
{"title":"Raman Spectroscopy Techniques for the Investigation and Diagnosis of Alzheimer's Disease.","authors":"Panagis Polykretis,&nbsp;Martina Banchelli,&nbsp;Cristiano D'Andrea,&nbsp;Marella de Angelis,&nbsp;Paolo Matteini","doi":"10.31083/j.fbs1403022","DOIUrl":"https://doi.org/10.31083/j.fbs1403022","url":null,"abstract":"<p><p>Alzheimer's disease (AD) is the most common neurodegenerative disorder, resulting in memory loss, cognitive decline, bodily function impairment, and finally death. The growing number of people suffering from AD increasingly urges the development of effective early diagnosis and monitoring techniques. Here, we review the most recent developments in the field of Raman-based techniques, which have shown a significant potential in identifying AD by detecting specific biomarkers in biological fluids, as well as in providing fundamental insights into key molecules involved in the disease progression or in the analysis of histological specimens of patients with AD. These techniques comprise spontaneous and resonant Raman spectroscopies, exploit plasmon- or fiber- enhanced effects, such as surface-, tip- or fiber- enhanced Raman spectroscopies, or involve non-linear techniques like coherent Raman scattering. The scientific efforts employed up to now as well as the rapid technological advancements in optical detection instruments (spectrometers, lasers, substrates for analysis, etc.) and the diffusion of advanced data processing methods suggest a leading role of Raman techniques in the perspective of a preclinical or clinical detection of AD.</p>","PeriodicalId":73070,"journal":{"name":"Frontiers in bioscience (Scholar edition)","volume":"14 3","pages":"22"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33470208","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}
引用次数: 5
Direct Oral Anticoagulants in Patients on Chronic Dialysis and Concomitant Atrial Fibrillation: A Common Clinical Impasse. 慢性透析合并心房颤动患者的直接口服抗凝剂:一个常见的临床僵局。
Frontiers in bioscience (Scholar edition) Pub Date : 2022-07-21 DOI: 10.31083/j.fbs1403021
Nikolaos Ktenopoulos, Marios Sagris, Panagiotis Theofilis, Sophia Lionaki, Loukianos S Rallidis
{"title":"Direct Oral Anticoagulants in Patients on Chronic Dialysis and Concomitant Atrial Fibrillation: A Common Clinical Impasse.","authors":"Nikolaos Ktenopoulos,&nbsp;Marios Sagris,&nbsp;Panagiotis Theofilis,&nbsp;Sophia Lionaki,&nbsp;Loukianos S Rallidis","doi":"10.31083/j.fbs1403021","DOIUrl":"https://doi.org/10.31083/j.fbs1403021","url":null,"abstract":"<p><p>The most frequent arrhythmia treated is atrial fibrillation (AF), which necessitates the use of oral anticoagulants (OACs) to reduce the risk of thromboembolism and stroke. Patients with chronic kidney disease are more likely to develop AF, with a 10% frequency among those on chronic dialysis. Warfarin is the most widely prescribed OAC for individuals with end-stage kidney disease (ESKD). On the other hand, direct OACs (DOACs) are generally safer than warfarin, with fewer fatal bleeding events and a fixed dose that does not require close international normalized ratio (INR) monitoring. For those patients, warfarin and apixaban appear to be FDA-approved, whereas dabigatran, rivaroxaban, and edoxaban are not recommended yet. Due to a lack of large randomized studies, data from major trials cannot be extended to dialysis patients. In this review, we summarize the available data and literature referring to patients on chronic hemodialysis with concomitant AF. Due to the scarcity of data, we try to assist clinicians in selecting the appropriate therapy according to the specific characteristics of each patient. Finally, future directions are provided in two key areas of focus: left atrial appendage closure therapies and genetic research.</p>","PeriodicalId":73070,"journal":{"name":"Frontiers in bioscience (Scholar edition)","volume":"14 3","pages":"21"},"PeriodicalIF":0.0,"publicationDate":"2022-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33470207","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}
引用次数: 4
Safety and Appropriateness in the Management of the Treatment Pathway of Pregnant Women with Gestational Diabetes. 妊娠期糖尿病孕妇治疗途径管理的安全性和适宜性。
Frontiers in bioscience (Scholar edition) Pub Date : 2022-07-21 DOI: 10.31083/j.fbs1403020
Giulia Fornasier, Riccardo Candido, Giulia Zamagni, Marta Paulina Trojniak, Barbara Brunato, Erika Specogna, Sandra Agus, Paola Rossi, Anna Arbo
{"title":"Safety and Appropriateness in the Management of the Treatment Pathway of Pregnant Women with Gestational Diabetes.","authors":"Giulia Fornasier,&nbsp;Riccardo Candido,&nbsp;Giulia Zamagni,&nbsp;Marta Paulina Trojniak,&nbsp;Barbara Brunato,&nbsp;Erika Specogna,&nbsp;Sandra Agus,&nbsp;Paola Rossi,&nbsp;Anna Arbo","doi":"10.31083/j.fbs1403020","DOIUrl":"https://doi.org/10.31083/j.fbs1403020","url":null,"abstract":"<p><p>Gestational diabetes (GDM) is quite common during pregnancy, and its prevalence is rising because of the increased overweight and obesity rates. In patients with GDM, proper glycemic control, adherence to a suitable diet and antidiabetic treatments can reduce the likelihood of maternal-neonatal complications. For this reason, this study aims to assess the therapy adherence of pregnant women with GDM. Treatment adherence was assessed by both glucometer and diabetologist's analysis reported in the electronic medical record. Cohen's Kappa was used to assess the agreement between the two classifications. Moreover, a multivariate logistic regression analysis was performed to identify potential risk factors for non-adherence to treatment. Overall, 287 patients were enrolled, and 271 were available for follow-up. Low concordance between the glucometer and the diabetologist's analysis was found, mainly due to the complexity of patients with GDM. Indeed, 46% of patients were classified as not adherent due to glucometer results and 42% based on medical assessment. This study highlights the importance of monitoring patients with gestational diabetes to assess and increase adherence to therapy properly.</p>","PeriodicalId":73070,"journal":{"name":"Frontiers in bioscience (Scholar edition)","volume":"14 3","pages":"20"},"PeriodicalIF":0.0,"publicationDate":"2022-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33470213","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}
引用次数: 0
Inducible Heat Shock Protein 70 Levels in Patients and the mdx Mouse Affirm Regulation during Skeletal Muscle Regeneration in Muscular Dystrophy. 诱导热休克蛋白70水平在肌萎缩症骨骼肌再生中的调节作用。
Frontiers in bioscience (Scholar edition) Pub Date : 2022-07-15 DOI: 10.31083/j.fbs1403019
Gwenny Cosemans, Caroline Merckx, Jan L De Bleecker, Boel De Paepe
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引用次数: 2
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