Biological research for nursing最新文献

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MicroRNA Expression in Chronic Venous Leg Ulcers and Implications for Wound Healing: A Scoping Review. 慢性静脉腿溃疡中的 MicroRNA 表达及其对伤口愈合的影响:范围综述。
Biological research for nursing Pub Date : 2024-10-16 DOI: 10.1177/10998004241291062
Magali Rezende de Carvalho, Hyehwan Yang, Joyce Stechmiller, Debra E Lyon
{"title":"MicroRNA Expression in Chronic Venous Leg Ulcers and Implications for Wound Healing: A Scoping Review.","authors":"Magali Rezende de Carvalho, Hyehwan Yang, Joyce Stechmiller, Debra E Lyon","doi":"10.1177/10998004241291062","DOIUrl":"https://doi.org/10.1177/10998004241291062","url":null,"abstract":"<p><p><b>Purpose:</b> Chronic venous leg ulcers (CVLUs) comprise the majority of lower-extremity wounds, yet their pathophysiology is not fully understood. While research has shown that microRNAs are an important component of wound inflammation, few have explored the role of microRNAs (miRNAs) in the healing of CVLUs. This scoping review examines miRNAs in CVLUs and the association with wound healing. <b>Methods:</b> In December 2023, we searched MEDLINE/PubMed, Embase, Scopus, and CINAHL for studies published in 2013-2023 examining miRNAs in CVLU healing. <b>Results:</b> Six studies met inclusion criteria. MicroRNAs were extracted from various specimens including serum, skin biopsy samples, and adipose tissue-derived mesenchymal cells from individuals with CVLUs. Overexpression of miR-221, miR-222, miR-92a, and miR-301a-3p hindered angiogenesis, while overexpression of miR-296, miR-126, miR-378, and miR-210 facilitated angiogenesis. Overexpression of miR-34a/c, miR-301a-3p, miR-450-5p, miR-424-5p, miR-516-5p, and miR-7704 increased local inflammatory responses and inhibited keratinocytes proliferation, impairing healing, while overexpression of miR-19a/b and miR-20 downregulated keratinocytes' inflammatory response, promoting healing. Downregulation of miR-205, miR-96-5p, and miR-218-5p enhanced cellular proliferation and promoted wound healing. Downregulation of miR-17-92 was linked with impaired healing. <b>Discussion:</b> MicroRNAs play a role in regulating angiogenesis, inflammatory responses, and cell migration in chronic-wound healing. However, studies of miRNAs in CVLUs are limited and lack a standardized approach to measurement and quantification. Further research is warranted to elucidate the mechanisms underlying microRNA involvement in CVLU healing to better understand the pathophysiology and for the future development of targeted therapies.</p>","PeriodicalId":93901,"journal":{"name":"Biological research for nursing","volume":" ","pages":"10998004241291062"},"PeriodicalIF":0.0,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482956","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
Development and Validation of a Prediction Model for Dysphagia in Community-Dwelling Older Adults. 开发并验证社区老年人吞咽困难预测模型
Biological research for nursing Pub Date : 2024-10-13 DOI: 10.1177/10998004241290727
Yufeng Qiu, Wenfeng Xue, Yanxin Chen, Xiaona He, Lancai Zhao, Mengling Tang, Huafang Zhang
{"title":"Development and Validation of a Prediction Model for Dysphagia in Community-Dwelling Older Adults.","authors":"Yufeng Qiu, Wenfeng Xue, Yanxin Chen, Xiaona He, Lancai Zhao, Mengling Tang, Huafang Zhang","doi":"10.1177/10998004241290727","DOIUrl":"https://doi.org/10.1177/10998004241290727","url":null,"abstract":"<p><p><b>Objectives.</b> Dysphagia is a geriatric syndrome, which may lead to complications such as dehydration, malnutrition, aspiration, pneumonia, and a significant reduction in quality of life. The purpose of this study was to construct and validate a prediction model for dysphagia in community-dwelling older adults and provide an assessment tool for the prevention and control of dysphagia. <b>Design.</b> Cross-sectional study. <b>Setting.</b> The community-dwelling Chinese older adults. <b>Participants.</b> 3655 participants aged 65 years and older were involved, who were randomly divided into the training set and the validation set. <b>Methods.</b> Data were collected and analyzed from June 2022 to September 2022. Univariate and multivariate logistic regression analysis were used to identify independent risk factors for dysphagia. We applied R software to develop a nomogram model to predict dysphagia in community-dwelling older adults. The predictive value of the model was assessed by the area under the ROC curve (AUC), the calibration curve was used to evaluate the reliability of the nomogram model for predicting dysphagia in community-dwelling older adults. The model's clinical utility was further evaluated using a Decision Curve Analysis (DCA). <b>Results.</b> The incidence of dysphagia was 11.8% (320/3655). Maximum tongue pressure, number of molars, pneumonia, ADL, sarcopenia, age, neurological diseases, and rheumatic immune diseases were selected as risk predictors for dysphagia. The prediction model demonstrated fair discriminative ability with the AUC was 0.709 (95%CI: 0.679-0.739) in the training set and 0.693 (95%Cl: 0.640-0.747) in the validation set, the calibration is adequate, and the Hosmer and Lemeshow test showed <i>p</i> values of 0.163 and 0.415, respectively. The DCA curve of our model shows a positive clinical net benefit. <b>Conclusions.</b> The prediction model established in this study was of a certain predictive value for the risk of dysphagia in community-dwelling older adults. By estimating the likelihood of future outcomes or the onset of certain diseases, it can assist medical personnel in formulating preventive strategies, lessening the workload of nurses, and also diminishing the financial burden on patients, thereby enhancing their overall quality of life.</p>","PeriodicalId":93901,"journal":{"name":"Biological research for nursing","volume":" ","pages":"10998004241290727"},"PeriodicalIF":0.0,"publicationDate":"2024-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482954","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
Effectiveness of Walking Exercise in Improving Physical Fitness and Depression in Patients With Schizophrenia. 步行锻炼在改善精神分裂症患者体能和抑郁方面的效果。
Biological research for nursing Pub Date : 2024-10-08 DOI: 10.1177/10998004241290526
Mei-Ling Huang, Miao-Chuan Chen
{"title":"Effectiveness of Walking Exercise in Improving Physical Fitness and Depression in Patients With Schizophrenia.","authors":"Mei-Ling Huang, Miao-Chuan Chen","doi":"10.1177/10998004241290526","DOIUrl":"https://doi.org/10.1177/10998004241290526","url":null,"abstract":"<p><p>Patients with schizophrenia often lack physical activity, which, together with physical complications, can lower their expected lifespan. Exercise strengthens their physical and mental health. The primary aim of this study was to examine the effectiveness of a walking exercise intervention in improving physical fitness, body mass index, waist-to-hip ratio, and depressive symptoms in patients with schizophrenia. A quasi-experimental study design was used. Seventy-six participants were recruited from the psychiatric daycare center at a hospital in Northern Taiwan. They were divided into two groups. The intervention group received a walking exercise intervention, while the control completed their daily courses at the psychiatric daycare center. The changes in both groups' physical fitness, BMI, waist-to-hip ratio, and depressive symptoms were monitored. Cardiorespiratory endurance significantly improved in the intervention group, attesting to the effectiveness of the walking exercise intervention. Their depression level significantly decreased across all measurement stages. The group walking exercise reduced sedentary behaviors and increased the participants' autonomous motivation, hip circumference, and cardiorespiratory fitness. Structured exercise programs may increase the patients' hippocampal neuroplasticity and reduce their depressive symptoms. The walking exercise intervention positively affected physiological traits, physical fitness, and mental health of the participants.</p>","PeriodicalId":93901,"journal":{"name":"Biological research for nursing","volume":" ","pages":"10998004241290526"},"PeriodicalIF":0.0,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395904","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
Mind-Body Intervention for Diabetic Neuropathy: A Pilot Study on Yoga's Effects on Muscle Strength, Proprioception, Fear of Falling, Pain, and Quality of Life. 糖尿病神经病变的身心干预:瑜伽对肌肉力量、直觉、跌倒恐惧、疼痛和生活质量影响的试点研究。
Biological research for nursing Pub Date : 2024-10-01 Epub Date: 2024-05-29 DOI: 10.1177/10998004241256097
Mohammad Ali Faridi Dastjerdi, Gholamali Ghasemi, Hamed Esmaeili, Negin Ghasemi Kahrizsangi
{"title":"Mind-Body Intervention for Diabetic Neuropathy: A Pilot Study on Yoga's Effects on Muscle Strength, Proprioception, Fear of Falling, Pain, and Quality of Life.","authors":"Mohammad Ali Faridi Dastjerdi, Gholamali Ghasemi, Hamed Esmaeili, Negin Ghasemi Kahrizsangi","doi":"10.1177/10998004241256097","DOIUrl":"10.1177/10998004241256097","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to investigate the effects of an 8-week yoga intervention on muscle strength, proprioception, pain, concerns about falling, and quality of life in individuals diagnosed with diabetic neuropathy.</p><p><strong>Methods: </strong>A quasi-experimental design incorporating a pretest-posttest methodology and a control group was implemented in the present study. A total of 30 patients who were diagnosed with type 2 diabetes and neuropathy were recruited and randomly assigned to intervention (<i>n</i> = 15) or non-exercise control (<i>n</i> = 15). Yoga sessions were conducted for a duration of 60 min on three occasions per week, with participants requested to practice at home on other days.</p><p><strong>Results: </strong>The results showed significant main effects of time on the muscle strength (both flexor and extensor muscles, <i>p</i> < .001, ηp<sup>2</sup> = 0.652 and <i>p</i> < .001, ηp<sup>2</sup> = 0.539, respectively), proprioception error (<i>p</i> < .001, ηp<sup>2</sup> = 0.807), pain intensity (<i>p</i> < .001, ηp<sup>2</sup> = 0.538), concerns about falling (<i>p</i> < .001, ηp<sup>2</sup> = 0.700), and overall score of quality of life (<i>p</i> < .001, ηp<sup>2</sup> = 0.475). Moreover, there were significant group-by-time interactions for all variables (<i>p</i> < .001 for all).</p><p><strong>Conclusion: </strong>The study reveals that yoga intervention can be an effective alternative therapeutic approach to medication for individuals with diabetic neuropathy. Yet, future studies are needed on a larger sample size to strengthen the present understanding of the advantageous impact of yoga intervention in this population.</p>","PeriodicalId":93901,"journal":{"name":"Biological research for nursing","volume":" ","pages":"537-546"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141177102","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
Preoperative Oral Carbohydrates for Children: A Meta-Analysis and Systematic Review. 儿童术前口服碳水化合物:元分析和系统回顾
Biological research for nursing Pub Date : 2024-10-01 Epub Date: 2024-06-11 DOI: 10.1177/10998004241253536
Yan Li, Luxi Chen, Yang Su, Xin Zhang
{"title":"Preoperative Oral Carbohydrates for Children: A Meta-Analysis and Systematic Review.","authors":"Yan Li, Luxi Chen, Yang Su, Xin Zhang","doi":"10.1177/10998004241253536","DOIUrl":"10.1177/10998004241253536","url":null,"abstract":"<p><p><b>Background:</b> Many studies have reported the use of preoperative oral carbohydrates (CHO) in children, but the results are inconsistent. The aim of this meta-analysis is to assess the effectiveness and safety of oral CHO administration in children prior to surgery, with the goal of offering a dependable reference for clinical nursing practices and surgical interventions. <b>Methods:</b> Two authors searched PubMed, Clinical trials, Web of Science, Embase, Cochrane Library, China national knowledge infrastructure (CNKI), Wanfang and Weipu databases for randomized controlled trial (RCT) on the effects of preoperative oral CHO in children up to April 12, 2024. We used RevMan 5.4 software for data analysis. <b>Results:</b> Nine RCTs involving a total of 1279 children were included. The meta-analysis showed that there was statistical difference in the pH of gastric juice (MD = 1.54, 95%CI: 1.40-1.67, <i>p <</i> .001), intraoperative sedation score (MD = 0.62, 95%CI: 0.27-0.97, <i>p <</i> .001), and the incidence of postoperative nausea and vomiting (OR = 0.40, 95%CI: 0.20-0.80, <i>p</i> = .009) between the CHO and control groups. There was no statistical difference in the RGV (MD = -0.23, 95%CI: -0.47-0.01, <i>p =</i> .06) and the postoperative blood glucose level (MD = -0.91, 95%CI: -5.03-3.21, <i>p =</i> .67) between the CHO and control groups. Egger regression analysis showed that there were no publication biases amongst the synthesized outcomes (all <i>p</i> > .05). <b>Conclusion:</b> The administration of oral CHO to children before surgery is safe and practicable. There is a need for additional, well-conducted studies with more participants to further elucidate the role of preoperative CHO administration.</p>","PeriodicalId":93901,"journal":{"name":"Biological research for nursing","volume":" ","pages":"624-635"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141302236","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
Not All Frailty Assessments Are Created Equal: Comparability of Electronic Health Data-Based Frailty Assessments in Assessing Older People in Residential Care. 并非所有的虚弱评估都一样:基于电子健康数据的虚弱评估在评估养老院老人时的可比性。
Biological research for nursing Pub Date : 2024-10-01 Epub Date: 2024-05-13 DOI: 10.1177/10998004241254459
Jonathan Kong, Kelly Trinh, Kathrine Hammill, Carla Chia-Ming Chen
{"title":"Not All Frailty Assessments Are Created Equal: Comparability of Electronic Health Data-Based Frailty Assessments in Assessing Older People in Residential Care.","authors":"Jonathan Kong, Kelly Trinh, Kathrine Hammill, Carla Chia-Ming Chen","doi":"10.1177/10998004241254459","DOIUrl":"10.1177/10998004241254459","url":null,"abstract":"<p><p><b>Objectives:</b> To evaluate the comparability of frailty assessment tools - the electronic frailty index (eFI), retrospective electronic frailty index (reFI), and clinical frailty scale (CFS) - in older residents of care facilities. <b>Methods:</b> Data from 813 individuals aged 65 or older, with frailty and co-morbidities, collected between 2022 and 2023, were analysed using various statistical methods. <b>Results:</b> The results showed significant differences in frailty classification among the tools: 78.3% were identified as moderately to severely frail by eFI, 59.6% by reFI, and 92.1% by CFS. Statistical tests confirmed significant differences (<i>p</i> < .05) in their assessments, indicating variability in measurement methods. <b>Discussion:</b> This study advances the understanding of frailty assessment within aged-care settings, highlighting the differences in the efficacy of these assessment tools. It underscores the challenges in frailty assessments and emphasizes the need for continuous refinement of assessment methods to address the diverse facets of frailty in aged care.</p>","PeriodicalId":93901,"journal":{"name":"Biological research for nursing","volume":" ","pages":"526-536"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11439236/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140916821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nonpharmacological Interventions for Managing Symptom Clusters in Adults: A Systematic Review. 用于控制成人症状群的非药物干预措施:系统回顾。
Biological research for nursing Pub Date : 2024-10-01 Epub Date: 2024-06-20 DOI: 10.1177/10998004241261258
Taekyeong Lee, Jongmin Park
{"title":"Nonpharmacological Interventions for Managing Symptom Clusters in Adults: A Systematic Review.","authors":"Taekyeong Lee, Jongmin Park","doi":"10.1177/10998004241261258","DOIUrl":"10.1177/10998004241261258","url":null,"abstract":"<p><p><b>Objectives</b>: The complex effects of multiple co-occurring symptoms are a major cause of reduced quality of life; thus, it is necessary to identify symptom clusters experienced by patients and explore interventions. This study aimed to provide an overview of non-pharmacological interventions based on symptom clusters in adults to identify effective intervention strategies and methods. <b>Methods</b>. This systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) reporting guidelines. For the search databases, PubMed, Embase, Cochrane Library, CINAHL, RISS, KISS, and KISTI were used. It includes English and Korean experimental studies published up to May 2023. The literature quality was evaluated using the Joanna Briggs Institute Quality Assessment Tool. <b>Results</b>. Of the 18 studies selected, 15 were randomized controlled trials and three were quasi-experimental studies, all of which were conducted on patients with cancer. The symptom clusters-based interventions in the literature are classified as movement-based, relaxation-based, integrated, and miscellaneous interventions. Integrated interventions, which were effective in all studies, might prove to be very effective for managing symptom clusters. Movement-based intervention studies, which include dance, Qigong, and Tai Chi, might be very effective in improving health-related quality of life (HRQoL). <b>Conclusions</b>. This review demonstrates that non-pharmacological interventions reduce the occurrence and severity of symptom clusters, thereby improving HRQoL. Further studies are required to evaluate the effects of these interventions in patients with various chronic conditions other than cancer.</p>","PeriodicalId":93901,"journal":{"name":"Biological research for nursing","volume":" ","pages":"657-674"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141428509","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
DNA Methylation, Inflammation, and Neurobehavior in Preterm Infants. 早产儿的 DNA 甲基化、炎症和神经行为
Biological research for nursing Pub Date : 2024-10-01 Epub Date: 2024-06-05 DOI: 10.1177/10998004241257664
Marliese Dion Nist, Rita H Pickler, Abigail B Shoben, Yvette P Conley
{"title":"DNA Methylation, Inflammation, and Neurobehavior in Preterm Infants.","authors":"Marliese Dion Nist, Rita H Pickler, Abigail B Shoben, Yvette P Conley","doi":"10.1177/10998004241257664","DOIUrl":"10.1177/10998004241257664","url":null,"abstract":"<p><p><b>Objectives:</b> Inflammation contributes to disparate neurodevelopmental outcomes between preterm and term-born infants. In this context, DNA methylation may contribute to inflammation by affecting gene expression. Brain-derived neurotrophic factor (<i>BDNF</i>) and nuclear factor-kappa-B-inhibitor alpha (<i>NFKBIA</i>) are important genes for targeted DNA methylation analysis. The aims of this study were to (1) identify associations between inflammatory factors and <i>BDNF</i> and <i>NFKBIA</i> methylation<i>,</i> and (2) identify associations between <i>BDNF</i> and <i>NFKBIA</i> methylation and early neurobehavior in preterm infants. <b>Methods:</b> In a longitudinal cohort study of preterm infants born 28-31 weeks gestational age, blood samples were collected weekly for the quantification of inflammatory factors. We extracted DNA from saliva samples and quantified methylation of six <i>BDNF</i> cytosine-phosphate-guanine (CpG) sites and five <i>NFKBIA</i> CpG sites. Neurobehavior was assessed using the Neurobehavioral Assessment of the Preterm Infant. <b>Results:</b> Sixty-five infants were included in the analysis. In females, inflammatory factors were positively associated with <i>BDNF</i> methylation of most CpG sites. Interleukin-1 receptor antagonist was negatively associated with <i>NFKBIA</i> methylation at two CpG sites. In males, interleukin-6 was negatively associated with <i>BDNF</i> and <i>NFKBIA</i> methylation at most CpG sites. In females, <i>BDNF</i> methylation at two sites was inversely associated with motor performance. In males, <i>NFKBIA</i> methylation at one site was inversely associated with motor performance. <b>Conclusion:</b> This study provides evidence for the relationship between inflammation and neurobehavior in preterm infants, working mechanistically through DNA methylation. The finding of a difference between males and females suggests that female infants are potentially more vulnerable to inflammation and warrants future study.</p>","PeriodicalId":93901,"journal":{"name":"Biological research for nursing","volume":" ","pages":"547-558"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263039","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
MicroRNA Profiles in Hematopoietic Stem Cell Transplant Recipients. 造血干细胞移植受者的微 RNA 图谱
Biological research for nursing Pub Date : 2024-10-01 Epub Date: 2024-05-31 DOI: 10.1177/10998004241257847
Lathika Mohanraj, Christiane Carter, Jinze Liu, Theresa Swift-Scanlan
{"title":"MicroRNA Profiles in Hematopoietic Stem Cell Transplant Recipients.","authors":"Lathika Mohanraj, Christiane Carter, Jinze Liu, Theresa Swift-Scanlan","doi":"10.1177/10998004241257847","DOIUrl":"10.1177/10998004241257847","url":null,"abstract":"<p><p><b>Background:</b> Hematopoietic Stem Cell Transplant (HCT) is a potentially curative treatment for hematologic malignancies, including multiple myeloma. Biomarker investigation can guide identification of HCT recipients at-risk for poor outcomes. MicroRNAs (miRNAs) are a class of non-coding RNAs involved in the modulation and regulation of pathological processes and are emerging as prognostic and predictive biomarkers for multiple health conditions. This pilot study aimed to examine miRNA profiles associated with HCT-related risk factors and outcomes in patients undergoing autologous HCT. <b>Methods:</b> Patients eligible for autologous HCT were recruited and blood samples and HCT-related variables were collected. Differential expression analysis of miRNA was conducted on 24 patient samples to compare changes in miRNA profile in HCT eligible patients before and after transplant. <b>Results:</b> Unsupervised clustering of differentially expressed (<i>p <</i> .05) miRNAs pre- and post- HCT identified clusters of up- and down-regulated miRNAs. Four miRNAs (miR-125a-5p, miR-99b-5p, miR-382-5p, miR-145-5p) involved in hematopoiesis (differentiation of progenitor cells, granulocyte function, thrombopoiesis, and tumor suppression) were significantly downregulated post-HCT. Correlation analyses identified select miRNAs associated with risk factors (such as frailty, fatigue, cognitive decline) and quality of life pre- and post-HCT. Select miRNAs were correlated with platelet engraftment. <b>Conclusion:</b> Future studies should examine miRNA signatures in larger cohorts in association with HCT outcomes; and expand investigations in patients receiving allogeneic transplants. This will lead to identification of biomarkers for risk stratification of HCT recipients.</p>","PeriodicalId":93901,"journal":{"name":"Biological research for nursing","volume":" ","pages":"559-568"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141181704","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
Association Between Systemic Immune Inflammation Indexes and DVT in Patients With Malignancy Requiring PICC Insertion. 需要插入 PICC 的恶性肿瘤患者全身免疫炎症指数与深静脉血栓之间的关系
Biological research for nursing Pub Date : 2024-10-01 Epub Date: 2024-05-07 DOI: 10.1177/10998004241252468
Na Li, Jing Huang, You Feng, Hucheng Yan, Shihui Min, Xin Chen
{"title":"Association Between Systemic Immune Inflammation Indexes and DVT in Patients With Malignancy Requiring PICC Insertion.","authors":"Na Li, Jing Huang, You Feng, Hucheng Yan, Shihui Min, Xin Chen","doi":"10.1177/10998004241252468","DOIUrl":"10.1177/10998004241252468","url":null,"abstract":"<p><p><b>Background</b>: In order to reduce the risk of leakage of cytotoxic agents, peripherally inserted central catheters (PICC) are widely used in patients diagnosed with malignancy before chemotherapy. While inflammation has been demonstrated to be associated with deep vein thrombosis (DVT), the connection between systemic immune inflammation indexes and the formation of PICC-DVT remains unclear. <b>Purpose</b>: This study aims to evaluate the association between PICC-DVT and systemic immune inflammation indexes including platelet-to-lymphocyte ratio (PLR), systemic immune-inflammatory index (SII), and systemic inflammatory response index (SIRI). <b>Methods</b>: From August 2018 to October 2021, we enrolled consecutive patients diagnosed with malignancy who underwent PICC implantation before chemotherapy. DVT was assessed using color Doppler ultrasonography. <b>Results</b>: Among the 513 patients, 57 patients (11.1%) developed PICC-DVT. The optimal cutoff values for PLR, SII and SIRI were 260.1, 1318.7, and 2.7, respectively. Based on the multiple logistic regression analysis, correlations were found between PICC-DVT and elevated PLR (<i>p</i> = .014), SII (<i>p</i> = .012), and SIRI (<i>p</i> = .022). Patients with malignancy having higher values of PLR, SII or SIRI tended to be more likely to develop PICC-DVT. <b>Conclusions</b>: The systemic immune inflammation indexes increases the risk of PICC-DVT and could be used as auxiliary predictive tests for PICC-DVT.</p>","PeriodicalId":93901,"journal":{"name":"Biological research for nursing","volume":" ","pages":"518-525"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140878118","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
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