Minerva medicaPub Date : 2024-08-01Epub Date: 2024-07-17DOI: 10.23736/S0026-4806.24.09438-2
Janusz Sielski, Małgorzata Jóźwiak, Karol Kaziród-Wolski, Magdalena Wolska, Giovanni Chiariello, Carlo Gaudio, Giuseppe Biondi-Zoccai, Francesco Versaci, Zbigniew Siudak
{"title":"Interplay between gender and pollution on the prognosis of resuscitated out-of-hospital cardiac arrest.","authors":"Janusz Sielski, Małgorzata Jóźwiak, Karol Kaziród-Wolski, Magdalena Wolska, Giovanni Chiariello, Carlo Gaudio, Giuseppe Biondi-Zoccai, Francesco Versaci, Zbigniew Siudak","doi":"10.23736/S0026-4806.24.09438-2","DOIUrl":"10.23736/S0026-4806.24.09438-2","url":null,"abstract":"<p><strong>Background: </strong>Differences between men and women in prognosis after sudden pre-hospital out-of-hospital cardiac arrest (OHCA) have been described in many studies, but the interplay between gender and pollution have not been characterized in detail. We aimed at appraising the interplay between gender and pollution on the prognosis of OHCA.</p><p><strong>Methods: </strong>Details on patients with OHCA in whom return of spontaneous circulation was obtained and transferred to a large teaching hospital were obtained from the medical charts of the ambulance service and the Polish National Health Fund. Matching pollutant concentrations (PM 2.5, PM10, As, Ni, Cd, Pb) were obtained from the Polish National Environmental Protection Inspectorate.</p><p><strong>Results: </strong>Details on 948 resuscitated OHCA, 325 (34.3%) of them in women, and occurring between 2018 and 2021, were retrieved. Notably, OHCA in women was associated with significantly higher daily concentrations of PM10 (23.37 [17.09, 37.04] vs. 21.92 [16.32, 29.98] μg/m<sup>3</sup>, P=0.023) and PM2.5 (16.83 [11.87, 28.24] vs. 15.27 [11.64, 22.72] μg/m<sup>3</sup>, P=0.026), as well as heightened concentrations of Cd, daily (0.32 [0.19, 0.44] vs. 0.27 [0.17, 0.40] ng/m<sup>3</sup>, P=0.027) and over 30 days (0.34 [0.20, 0.44] vs. 0.29 [0.18, 0.43] ng/m<sup>3</sup>, P=0.027). Concurrently, OHCA in females was associated with lower daily temperatures on the day of the incident (8.40 [0.20, 15.40] vs. 9.90 [1.40, 15.90] °C, P=0.042). Despite these differences, survival at 30 days and 12 months was similar in women and men (both P>0.05).</p><p><strong>Conclusions: </strong>OHCA events with successful resuscitation in women occurred in concomitance with higher daily contaminant levels, yet short-term and long-term prognosis was similar in men and women. The interplay between gender and air pollution on OHCA outcomes requires further population-based studies.</p>","PeriodicalId":94143,"journal":{"name":"Minerva medica","volume":" ","pages":"439-446"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141629659","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}
Minerva medicaPub Date : 2024-08-01DOI: 10.23736/S0026-4806.24.09435-7
Hendri Susilo, Budi S Pikir, Nathanael J Tjipta, Mochamad Y Alsagaff, Mochammad Thaha, Satriyo D Suryantoro, Citrawati Dk Wungu, Mochamad Amin, Derren D Rampengan, Roy N Ramadhan, Platon Papageorgiou, Ryan Gauci, Rebeka Tóthová
{"title":"Analysis of angiotensin II type 1 receptor and osteoprotegerin gene polymorphism on the risk of cardiovascular mortality risk and progressivity of chronic kidney disease.","authors":"Hendri Susilo, Budi S Pikir, Nathanael J Tjipta, Mochamad Y Alsagaff, Mochammad Thaha, Satriyo D Suryantoro, Citrawati Dk Wungu, Mochamad Amin, Derren D Rampengan, Roy N Ramadhan, Platon Papageorgiou, Ryan Gauci, Rebeka Tóthová","doi":"10.23736/S0026-4806.24.09435-7","DOIUrl":"https://doi.org/10.23736/S0026-4806.24.09435-7","url":null,"abstract":"<p><strong>Background: </strong>Chronic kidney disease (CKD) is a significant global public health issue with increased risk of atherosclerotic cardiovascular disease (ASCVD) and cardiovascular mortality. Single nucleotide polymorphisms (SNPs) on angiotensin II type 1 receptor (AT1R) A1166C and osteoprotegerin (OPG) C950T gene have received significant attention as a genetic risk factor for cardiovascular disease and CKD.</p><p><strong>Methods: </strong>This was a cross-sectional study involving 75 adults with CKD recruited from Nephrology Outpatient Clinics of Universitas Airlangga Hospital, Surabaya, Indonesia. Demographic data was obtained from interviews and medical records. The \"CKD Patch\" application was used to asses ASCVD and cardiovascular mortality risk scores. Statistical analysis was performed by using SPSS version 26.</p><p><strong>Results: </strong>We detected four different AT1R gene polymorphisms (A1166C, A1160C, G1170T, and G1181C) and two OPG gene polymorphisms (T950C and G1181C) in Indonesian CKD patients. A1160C and G1181C polymorphisms were novel SNPs, newly discovered in this research. No significant association was found between AT1R SNPs and kidney prognostic markers or ASCVD risk/mortality risk scores. However, for OPG C950T we found that TT genotype had a significantly higher ACR than TC or CC genotype (P=0.032). As for OPG G1181C, we found that GG genotype had a higher serum creatinine and albumin to creatinine ratio compared to GC and CC genotypes (P=0.004 and 0.029, respectively). Genotype GC for OPG G1181C was also shown to be protective for having better kidney markers and lowest cardiovascular mortality risk compared to GG and CC genotypes (P=0.018 and 0.032, respectively).</p><p><strong>Conclusions: </strong>Increased ASCVD risk and mortality risk score was not found on individuals with AT1R gene SNPs. However, for OPG gene polymorphism, C950T and G1181C were associated with kidney progression and cardiovascular mortality.</p>","PeriodicalId":94143,"journal":{"name":"Minerva medica","volume":"115 4","pages":"447-457"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142396451","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}
Minerva medicaPub Date : 2024-08-01DOI: 10.23736/S0026-4806.24.09097-9
Juliana Trujillo-Gómez, Cristian E Navarro, Santiago Atehortúa-Muñoz, Ivan D Florez
{"title":"Acute infections of the central nervous system in children and adults: diagnosis and management.","authors":"Juliana Trujillo-Gómez, Cristian E Navarro, Santiago Atehortúa-Muñoz, Ivan D Florez","doi":"10.23736/S0026-4806.24.09097-9","DOIUrl":"https://doi.org/10.23736/S0026-4806.24.09097-9","url":null,"abstract":"<p><p>Central nervous system infections are due to different microorganisms such as viruses, bacteria, mycobacteria, fungi, amoebas, and other parasites. The etiology depends on multiple risk factors, and it defines the infection location because some microorganisms prefer meninges, brain tissue, cerebellum, brain stem or spinal cord. The microorganisms induce diseases in the nervous system through direct invasion, neurotoxin production, and the triggered immune response. To determine the infection etiology, there are several diagnostic tests which may be conducted with cerebrospinal fluid, blood, respiratory and stool samples. These tests include but are not limited to direct microscopic examination of the sample, stains, cultures, antigenic tests, nucleic acid amplification tests, metagenomic next-generation sequencing, immunologic biomarker and neuroimaging, especially contrast-enhanced magnetic resonance imaging. The treatment may consist of specific antimicrobial treatment and supportive standard care. Since viruses have no specific antiviral treatment, antimicrobial treatment is mainly targeted at non-viral infections. This article will focus on diagnosis and treatment of acute acquired infections of the central nervous system beyond the neonatal period. The discussion defines the disease, provides the clinical presentation, explains the etiology and risk factors, and briefly mentions potential complications. This updated review aims to provide the reader with all the elements needed to adequately approach a patient with a central nervous system infection. Mycobacterium tuberculosis infection, Cryptococcus spp. infection and vaccines are not within the scope of this article.</p>","PeriodicalId":94143,"journal":{"name":"Minerva medica","volume":"115 4","pages":"476-502"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142396450","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}
Minerva medicaPub Date : 2024-07-30DOI: 10.23736/S0026-4806.24.09294-2
Qingchuan Ma, Ni Mu, Xi Wu, Bing Yang, Na Xu
{"title":"Exploring the impact of Cyp2C19 genetic polymorphism on the neurological and endothelial functions of acute cerebral infarction patients treated with dibenzyline.","authors":"Qingchuan Ma, Ni Mu, Xi Wu, Bing Yang, Na Xu","doi":"10.23736/S0026-4806.24.09294-2","DOIUrl":"https://doi.org/10.23736/S0026-4806.24.09294-2","url":null,"abstract":"","PeriodicalId":94143,"journal":{"name":"Minerva medica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141794452","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}
Minerva medicaPub Date : 2024-07-22DOI: 10.23736/S0026-4806.24.09330-3
Yeshan Li, Ling Lin, Zhaoyan Wu, Fangfang Bai, Yao Lu, Gang Yang, Shirong Li
{"title":"Diagnostic efficiency and safety evaluation of different groups of lymph nodes in 193 cases of conventional transbronchial needle aspiration (C-TBNA).","authors":"Yeshan Li, Ling Lin, Zhaoyan Wu, Fangfang Bai, Yao Lu, Gang Yang, Shirong Li","doi":"10.23736/S0026-4806.24.09330-3","DOIUrl":"https://doi.org/10.23736/S0026-4806.24.09330-3","url":null,"abstract":"","PeriodicalId":94143,"journal":{"name":"Minerva medica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141736219","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}
Minerva medicaPub Date : 2024-07-08DOI: 10.23736/S0026-4806.24.09380-7
Juan Tang, Lei Wang, Yang Wang, Chun Man, Ji Li
{"title":"Changes and clinical significance of miR-24 expression in peripheral blood of patients with severe pneumonia.","authors":"Juan Tang, Lei Wang, Yang Wang, Chun Man, Ji Li","doi":"10.23736/S0026-4806.24.09380-7","DOIUrl":"https://doi.org/10.23736/S0026-4806.24.09380-7","url":null,"abstract":"","PeriodicalId":94143,"journal":{"name":"Minerva medica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141556474","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}