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Management of monogenic diabetes in pregnancy:A narrative review
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作者 Mohammad Sadiq Jeeyavudeen Sarah R Murray Mark W J Strachan 《World Journal of Diabetes》 SCIE 2024年第1期15-23,共9页
Pregnancy in women with monogenic diabetes is potentially complex,with significant implications for both maternal and fetal health.Among these,maturity-onset diabetes of the young(MODY)stands out as a prevalent monoge... Pregnancy in women with monogenic diabetes is potentially complex,with significant implications for both maternal and fetal health.Among these,maturity-onset diabetes of the young(MODY)stands out as a prevalent monogenic diabetes subtype frequently encountered in clinical practice.Each subtype of MODY requires a distinct approach tailored to the pregnancy,diverging from management strategies in non-pregnant individuals.Glucokinase MODY(GCK-MODY)typically does not require treatment outside of pregnancy,but special considerations arise when a woman with GCK-MODY becomes pregnant.The glycemic targets in GCK-MODY pregnancies are not exclusively dictated by the maternal/paternal MODY genotype but are also influenced by the genotype of the developing fetus.During pregnancy,the choice between sulfonylurea or insulin for treating hepatocyte nuclear factor 1-alpha(HNF1A)-MODY and HNF4A-MODY depends on the mother’s specific circumstances and the available expertise.Management of other rarer MODY subtypes is individu-alized,with decisions made on a case-by-case basis.Therefore,a collaborative approach involving expert diabetes and obstetric teams is crucial for the compre-hensive management of MODY pregnancies. 展开更多
关键词 Diabetes Pregnancy Maturity-onset diabetes of the young INSULIN SULPHONYLUREA GLUCOKINASE Hepatocyte nuclear factor 1-alpha hepatocyte nuclear factor 1-beta and hepatocyte nuclear factor 4-alpha
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Conservation genomic investigation of an endangered conifer,Thuja sutchuenensis,reveals low genetic diversity but also low genetic load
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作者 Tongzhou Tao Richard IMilne +4 位作者 Jialiang Li Heng Yang Shiyang Wang Sihan Chen Kangshan Mao 《Plant Diversity》 SCIE CAS CSCD 2024年第1期78-90,共13页
Endangered species generally have small populations with low genetic diversity and a high genetic load.Thuja sutchuenensis is an endangered conifer endemic to southwestern China.It was once considered extinct in the w... Endangered species generally have small populations with low genetic diversity and a high genetic load.Thuja sutchuenensis is an endangered conifer endemic to southwestern China.It was once considered extinct in the wild,but in 1999 was rediscovered.However,little is known about its genetic load.We collected 67 individuals from five wild,isolated T.sutchuenensis populations,and used 636,151 SNPs to analyze the level of genetic diversity and genetic load in T.sutchuenensis to delineate the conservation units of T.sutchuenensis,based on whole transcriptome sequencing data,as well as target capture sequencing data.We found that populations of T.sutchuenensis could be divided into three groups.These groups had low levels genetic diversity and were moderately genetically differentiated.Our findings also indicate that T.sutchuenensis suffered two severe bottlenecks around the Last Glaciation Period and Last Glacial Maximum.Among Thuja species,T.sutchuenensis presented the lowest genetic load and hence might have purged deleterious mutations efficiently through purifying selection.However,distribution of fitness effects analysis indicated a high extinction risk for T.sutchuenensis.Multiple lines of evidence identified three management units for T.sutchuenensis.Although T.sutchuenensis possesses a low genetic load,low genetic diversity,suboptimal fitness,and anthropogenic pressures all present an extinction risk for this rare conifer.This might also hold true for many endangered plant species in the mountains all over the world. 展开更多
关键词 Sichuan Arborvitae Genetic load Deleterious mutations Demographic history Conservation genomics
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Geochronological and geochemical constraints on the granitic gneiss in the Huozhou Complex: implications for the tectonic evolution of the Trans-North China Orogen 被引量:2
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作者 Chong Peng Haiyan Liu +3 位作者 Ruiying Zhang Cremilda Samuel Jofrisse Linfu Xue Baozhi Pan 《Acta Geochimica》 EI CAS CSCD 2023年第1期153-181,共29页
The Trans-North China Orogen is a major Neoarchean Paleoproterozoic collisional orogenic belt above the North China Craton, formed due to prolonged and complex processes. Even though many NeoarcheanPaleoproterozoic ma... The Trans-North China Orogen is a major Neoarchean Paleoproterozoic collisional orogenic belt above the North China Craton, formed due to prolonged and complex processes. Even though many NeoarcheanPaleoproterozoic magmatic and metamorphic activities have been reported, due to the Huozhou Complex’s small outcropping range, little attention has been paid to the origin of various igneous rocks of the Huozhou Complex in the center of the Trans-North China Orogen. The Huozhou Complex, located south of the Luè liang, Wutai, and Hengshan complexes, is an important window into the Early Precambrian structure and evolution of the North China Craton. Its magma and metamorphism are crucial to understanding the development of the structural evolution of the Trans-North China Orogen. The Huozhou metamorphic complex area exposes a range of Precambrian metamorphic rocks, among which the most extensively dispersed is felsic biotite plagioclase gneiss. In this study comprehensive geological field survey, micropetrology,chronology, geochemistry, and Hf isotope analysis were carried out for the Qinggangping and Anziping gneiss in the north of the Huozhou Complex. The results show that the magmatic zircon age of the Qinggangping gneiss is2196 ± 14 Ma, and its protolith is I-type granite, formed by partial melting of igneous rocks in the absence of weathering. Its source is mainly the juvenile crust from depleted mantle dating 2431–2719 Ma, with a small amount of mantle-derived material. The Anziping gneiss has a metamorphic zircon age of 1931 ± 13 Ma with an S-type granite protolith belonging to peraluminous granite.The Anziping gneiss is formed by recycling pre-existing crustal components at 2613–2848 Ma. A minor quantity of mantle-derived magma is also introduced to the crust simultaneously. The samples of Qinggangping gneiss and Anziping gneiss show the characteristics of obvious negative Nb, Ti, and P elements in the spider diagram of primitive mantle standardization. This implies that the rocks have the characteristics of magmatic rocks in an island arc or subduction environment, which could have formed in the tectonic environment of the continental margin arc. 展开更多
关键词 Zircon U–Pb dating Geochemistry Huozhou complex Trans-North China orogen Biotite plagioclase gneiss North China craton
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Management of metabolic-associated fatty liver disease: The diabetology perspective 被引量:1
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作者 Mohammad Sadiq Jeeyavudeen Shahanas K A Khan +1 位作者 Sherouk Fouda Joseph M Pappachan 《World Journal of Gastroenterology》 SCIE CAS 2023年第1期126-143,共18页
The metabolic syndrome as a consequence of the obesity pandemic resulted in a substantial increase in the prevalence of metabolic-associated fatty live disease(MAFLD)and type 2 diabetes mellitus(T2DM).Because of the s... The metabolic syndrome as a consequence of the obesity pandemic resulted in a substantial increase in the prevalence of metabolic-associated fatty live disease(MAFLD)and type 2 diabetes mellitus(T2DM).Because of the similarity in pathobiology shared between T2DM and MAFLD,both disorders coexist in many patients and may potentiate the disease-related outcomes with rapid progression and increased complications of the individual diseases.In fact,awareness about this coexistence and the risk of complications are often overlooked by both hepatologists and diabetologists.Management of these individual disorders in a patient should be addressed wholistically using an appropriate multidisciplinary team approach involving both the specialists and,when necessary,liaising with dieticians and surgeons.This comprehensive review is to compile the current evidence from a diabetologist's perspective on MAFLD and T2DM and to suggest optimal management strategies. 展开更多
关键词 Metabolic syndrome Metabolic-associated fatty liver disease Type 2 diabetes mellitus Nonalcoholic fatty liver disease Nonalcoholic steatohepatitis Diabetology perspective OBESITY
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Management of diabesity:Current concepts 被引量:1
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作者 Maria Michaelidou Joseph M Pappachan Mohammad Sadiq Jeeyavudeen 《World Journal of Diabetes》 SCIE 2023年第4期396-411,共16页
The global prevalence of obesity is increasing rapidly with an exponential rise in incidence of type 2 diabetes mellitus in recent years.‘Diabesity’,the term coined to show the strong interlink between obesity and d... The global prevalence of obesity is increasing rapidly with an exponential rise in incidence of type 2 diabetes mellitus in recent years.‘Diabesity’,the term coined to show the strong interlink between obesity and diabetes,is the direct cons-equence of the obesity pandemic,and poses significant challenges in the management of the disease.Without addressing the clinical and mechanistic complications of obesity such as metabolic-associated fatty liver disease and obstructive sleep apnoea,a rational management algorithm for diabesity cannot be developed.Several classes of anti-diabetic medications including insulins,sulphonylureas,thiazolidinediones and meglitinides are associated with the risk of weight gain and may potentially worsen diabesity.Therefore,appropriate selection of antidiabetic drug regimen is crucial in the medical management of diabesity.The role of non-pharmacological measures such as dietary adjustments,exercise interventions and bariatric procedures should also be emphasised.Unfortunately,the importance of appropriate and optimal management of diabesity is often overlooked by medical professionals when achieving adequate glycemic control which results in inappropriate management of the disease and its complications.This review provides a narrative clinical update on the evidence behind the management of diabesity. 展开更多
关键词 OBESITY DIABESITY Metabolic-associated fatty liver disease Antidiabetic medications Glycemic control Metabolic surgery
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The impact of market coordination on urban green total factor productivity:An analysis of the mediating effect of factor misallocation
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作者 Yafei Wang Jinxin Yu +4 位作者 Zihan Zhao Huanhuan Huang Xi Wang Yuhang Zheng Jun He 《Chinese Journal of Population,Resources and Environment》 2023年第3期155-162,共8页
Promoting market coordination and enhancing the efficiency of green growth is a necessity for China’s effective economic development.Using panel data from 2007 to 2020,this paper conducts a comprehensive study on 226... Promoting market coordination and enhancing the efficiency of green growth is a necessity for China’s effective economic development.Using panel data from 2007 to 2020,this paper conducts a comprehensive study on 226 cities at the prefecture-level and above,combining theoretical analysis and empirical tests to systematically explore the impact of market cohesion on urban green total factor productivity(GTPF)and the mediating role of factor mismatch.Findings demonstrate that market coordination maximizes urban GTPF.At the mechanism level,factor mismatch plays a mediating role,and market coordination can enhance GTPF by addressing capital and labor mismatch.In terms of heterogeneity analysis,market coordination significantly promotes GTPF positively in the east-central region and negatively in the western region.In terms of technological progress and technical efficiency,the eastern region shows a larger significance than the central and western regions combined.In view of the above,the concept of market coordination development has been implemented to promote GTFP in cities. 展开更多
关键词 MARKET COORDINATION Urban green TOTAL factor PRODUCTIVITY ELEMENTAL MISMATCH
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2.7-Ga-old mafic dike in the Trans-North China Orogen of the North China Craton and its tectonic significance
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作者 Haiyan Liu Chong Peng 《Acta Geochimica》 EI CAS CSCD 2023年第6期1124-1129,共6页
We studied an Archean mafic dike in the TransNorth China Orogen of the North China Craton, which has a magmatic age of 2701 ± 83 Ma and is currently the oldest mafic dike in the North China Craton. Such an old di... We studied an Archean mafic dike in the TransNorth China Orogen of the North China Craton, which has a magmatic age of 2701 ± 83 Ma and is currently the oldest mafic dike in the North China Craton. Such an old dike is extremely rare in the world. The presence of mafic dikes indicates that the North China Craton was in a tensional tectonic environment at 2.7 Ga. Geochemical characteristics reveal that this mafic dike belongs to continental tholeiitic basalt. Results from Hf isotope analysis reveal that the mafic dike originates from a depleted mantle. The plate assembly in the North China landmass was realized during the Archean era(2.7 Ga), and a thick and stable continental crust was formed. Therefore, the first cratonization of the North China Craton was completed before 2.7 Ga. The intrusion of the 2.7-Ga-old mafic dike from the deep lithospheric mantle of the continent indicates that the North China Craton has undergone a period of extensional tectonic activity. This event marks a significant extensional event that occurred after the cratonization of the North China Craton. 展开更多
关键词 ARCHEAN Mafic dike Trans-North China Orogen North China Craton Hf CRATONIZATION
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Thermodynamic analysis, synthesis, characterization, and evaluation of 1-ethyl-3-methylimidazolium chloride: Study of its effect on pretreated rice husk
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作者 Eileen Katherine Coronado-Aldana Cindy Lizeth Ferreira-Salazar +2 位作者 Nubia Yineth Piñeros-Castro Rubén Vázquez-Medina Felipe A.Perdomo 《Chinese Journal of Chemical Engineering》 SCIE EI CAS CSCD 2023年第8期143-154,共12页
This work is focused on the determination of the optimal reaction conditions to synthesize the ionic liquid 1-ethyl-3-methylimidazolium chloride([EMIM][Cl]) and assess its suitability for the pretreatment of rice husk... This work is focused on the determination of the optimal reaction conditions to synthesize the ionic liquid 1-ethyl-3-methylimidazolium chloride([EMIM][Cl]) and assess its suitability for the pretreatment of rice husk. The modified UNIFAC(UNIversal quasi-chemical Functional-group Activity Coefficients)approach for ionic liquids is used to develop a thermodynamic model that describes the reactive system methylimidazole(MIM), chloroethane(C_(2)H_(5)Cl) and [EMIM][Cl]. The model allows to study the phase equilibria coexistence(vapor–liquid equilibria and solid–liquid equilibria) and yields the theoretically optimal conditions to synthesize the ionic liquid. The model predictions are validated with the available experimental and reported data. By implementing the developed model, a simple way to synthesize ionic liquid [EMIM][Cl] was found allowing to study its influence on the structure and morphology of pretreated rice husk. The lignocellulosic materials involved in this study are characterized by their composition, enzymatic digestibility, scanning electron microscopy, and crystallinity. Compared to untreated material, [EMIM][Cl]-pretreated rice husk produces cellulose that can be efficiently enzymatic hydrolyzed with high sugar yields. This work offers a suitable methodology to include the synthesis and thermodynamics of the solvent media within the design of low-cost ionic liquids for lignocellulosic biomass pretreatment. 展开更多
关键词 Ionic liquids Fluid-phase equilibria THERMODYNAMICS Waste treatment UNIFAC approach
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Reduction of ice adhesion on nanostructured and nanoscale slippery surfaces
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作者 Luke Haworth Deyu Yang +4 位作者 Prashant Agrawal Hamdi Torun Xianghui Hou Glen McHale Yongqing Fu 《Nanotechnology and Precision Engineering》 CAS CSCD 2023年第1期56-62,共7页
Ice nucleation and accretion on structural surfaces are sources of major safety and operational concerns in many industries including aviation and renewable energy.Common methods for tackling these are active ones suc... Ice nucleation and accretion on structural surfaces are sources of major safety and operational concerns in many industries including aviation and renewable energy.Common methods for tackling these are active ones such as heating,ultrasound,and chemicals or passive ones such as surface coatings.In this study,we explored the ice adhesion properties of slippery coated substrates by measuring the shear forces required to remove a glaze ice block on the coated substrates.Among the studied nanostructured and nanoscale surfaces[i.e.,a superhydrophobic coating,a fluoropolymer coating,and a polydimethylsiloxane(PDMS)chain coating],the slippery omniphobic covalently attached liquid(SOCAL)surface with its flexible polymer brushes and liquid-like structure significantly reduced the ice adhesion on both glass and silicon surfaces.Further studies of the SOCAL coating on roughened substrates also demonstrated its low ice adhesion.The reduction in ice adhesion is attributed to the flexible nature of the brush-like structures of PDMS chains,allowing ice to detach easily. 展开更多
关键词 HYDROPHOBIC SUPERHYDROPHOBIC Polymer surface Ice adhesion WETTABILITY SOCAL
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Enhanced ortho-selective t–butylation of phenol over sulfonic acid functionalized mesopore MTW zeolites
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作者 Baoyu Liu Feng Xiong +4 位作者 Jianwen Zhang Manna Wang Yi Huang Yanxiong Fang Jinxiang Dong 《Chinese Journal of Chemical Engineering》 SCIE EI CAS CSCD 2023年第8期1-7,共7页
Novel organo-inorganic hybrid materials(MTW-x-SO_(3)H) have been fabricated by immobilizing 3-mercap topropyltriethoxysilane onto mesopore MTW zeolites, which is treated via a simple oxidation process with hydrogen pe... Novel organo-inorganic hybrid materials(MTW-x-SO_(3)H) have been fabricated by immobilizing 3-mercap topropyltriethoxysilane onto mesopore MTW zeolites, which is treated via a simple oxidation process with hydrogen peroxide as the oxidant to transform sulfhydryl group into sulfonic acid group. The organic sulfhydryl groups are covalently bonded to the external surface of MTW zeolites through the condensation between siloxane arising from organic fragments with silanol groups on the surface of MTW zeolites, the hybrids contain sulfonic acid group within the external surface of MTW zeolites and an opened mesoporous system in the matrix of MTW zeolites, which provide enough accessible Brùnsted acid sites for the alkylation between phenol with tert-butyl alcohol. Through this methodology it's possible to prepare multifunctional materials where the plenty of mesopores are benefit for the introduction of larger numbers of sulfonic acid groups that contributes to activity during reactions, resulting in high activity(>55%) of MTW-4-SO_(3)H and desired selectivity(>56%) of 2-TBP(2-tert-butyl phenol) in the alkylation between phenol with tert-butyl alcohol. 展开更多
关键词 MTW Zeolites ACIDITY Catalysis ALKYLATION
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Surgical management of pancreatic neuroendocrine neoplasms
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作者 Piero Alberti David Martin +1 位作者 Georgios Gemenetzis Rowan Parks 《Laparoscopic, Endoscopic and Robotic Surgery》 2023年第3期83-90,共8页
Pancreatic neuroendocrine neoplasms are a rare and complex group of neoplastic lesions that develop from pancreatic islet cells.Their incidence has dramatically increased during the last two decades.Due to its complex... Pancreatic neuroendocrine neoplasms are a rare and complex group of neoplastic lesions that develop from pancreatic islet cells.Their incidence has dramatically increased during the last two decades.Due to its complex nature and pathophysiological behaviour,surgical management continues to evolve.Surgery remains the cornerstone of treatment for most non-functional and functional pancreatic neuroendocrine tumours,while lymphadenectomy remains a controversial subject.Different techniques,such as pancreas-preserving and minimally invasive approaches,continue to evolve and offer the same overall outcomes as open surgery.This comprehensive review describes in detail the current and most up-todate classification and staging of pancreatic neuroendocrine tumours,explores the rationale for nonsurgical and surgical management,and focuses on surgical treatment and more specifically,on minimally invasive approaches. 展开更多
关键词 Pancreatic neuroendocrine neoplasms Non-functional pancreatic neuroendocrine tumours Functional pancreatic neuroendocrine tumours LYMPHADENECTOMY Minimally invasive surgery Pancreas preserving techniques
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Erratum to “Optical Detection of Distal Lung Enzyme Activity in Human Inflammatory Lung Disease”
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作者 Alicia Megia-Fernandez Adam Marshall +17 位作者 Ahsan R.Akram Bethany Mills Sunay V.Chankeshwara Emma Scholefield Amy Miele Bruce C.McGorum Chesney Michaels Nathan Knighton Tom Vercauteren Francois Lacombe Veronique Dentan Annya M.Bruce Joanne Mair Robert Hitchcock Nik Hirani Chris Haslett Mark Bradley Kevin Dhaliwal 《Biomedical Engineering Frontiers》 CAS 2023年第1期30-30,共1页
In the research article“Optical Detection of Distal Lung Enzyme Activity in Human Inflammatory Lung Disease”[1],the data availability statement was inadvertently omitted by the publisher.This has now been corrected ... In the research article“Optical Detection of Distal Lung Enzyme Activity in Human Inflammatory Lung Disease”[1],the data availability statement was inadvertently omitted by the publisher.This has now been corrected in the PDF and HTML(full text). 展开更多
关键词 HTML HUMAN OPTICAL
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Signatures of positive selection for local adaptation of African native cattle populations:A review
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作者 Wondossen AYALEW WU Xiao-yun +4 位作者 Getinet Mekuriaw TAREKEGN CHU Min LIANG Chun-nian Tesfaye SISAY TESSEMA YAN Ping 《Journal of Integrative Agriculture》 SCIE CAS CSCD 2023年第7期1967-1984,共18页
Cattle are central to the lives and diverse cultures of African people.It has played a crucial role in providing valuable protein for billions of households and sources of income and employment for producers and other... Cattle are central to the lives and diverse cultures of African people.It has played a crucial role in providing valuable protein for billions of households and sources of income and employment for producers and other actors in the livestock value chains.The long-term natural selection of African cattle typically signals signatures in the genome,contributes to high genetic differentiations across breeds.This has enabled them to develop unique adaptive traits to cope with inadequate feed supply,high temperatures,high internal and external parasites,and diseases.However,these unique cattle genetic resources are threatened by indiscriminate cross-breeding,breed replacements with exotic cosmopolitan breeds,and climate change pressures.Although there are no functional genomics studies,recent advancements in genotyping and sequencing technologies have identified and annotated limited functional genes and causal variants associated with unique adaptive and economical traits of African cattle populations.These genome-wide variants serve as candidates for breed improvement and support conservation efforts for endangered cattle breeds against future climate changes.Therefore,this review plans to collate comprehensive information on the identified selection footprints to support genomic studies in African cattle to confirm the validity of the results and provide a framework for further genetic association and QTL fine mapping studies. 展开更多
关键词 adaptive trait African cattle production traits reproduction traits
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Clinical implications of COVID-19 in patients with metabolicassociated fatty liver disease
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作者 Mohammad Sadiq Jeeyavudeen Rahul Chaudhari +1 位作者 Joseph M Pappachan Sherouk Fouda 《World Journal of Gastroenterology》 SCIE CAS 2023年第3期487-502,共16页
People across the world are affected by the"coronavirus disease 2019(COVID-19)",brought on by the"SARS-CoV type-2 coronavirus".Due to its high incidence in individuals with diabetes,metabolic syndr... People across the world are affected by the"coronavirus disease 2019(COVID-19)",brought on by the"SARS-CoV type-2 coronavirus".Due to its high incidence in individuals with diabetes,metabolic syndrome,and metabolic-associated fatty liver disease(MAFLD),COVID-19 has gained much attention.The metabolic syndrome's hepatic manifestation,MAFLD,carries a significant risk of type-2-diabetes.The link between the above two conditions has also drawn increasing consideration since MAFLD is intricately linked to the obesity epidemic.Independent of the metabolic syndrome,MAFLD may impact the severity of the viral infections,including COVID-19 or may even be a risk factor.An important question is whether the present COVID-19 pandemic has been fueled by the obesity and MAFLD epidemics.Many liver markers are seen elevated in COVID-19.MAFLD patients with associated comorbid conditions like obesity,cardiovascular disease,renal disease,malignancy,hypertension,and old age are prone to develop severe disease.There is an urgent need for more studies to determine the link between the two conditions and whether it might account for racial differences in the mortality and morbidity rates linked to COVID-19.The role of innate and adaptive immunity alterations in MAFLD patients may influence the severity of COVID-19.This review investigates the implications of COVID-19 on liver injury and disease severity and viceversa.We also addressed the severity of COVID-19 in patients with prior MAFLD and its potential implications and therapeutic administration in the clinical setting. 展开更多
关键词 Metabolic-associated fatty liver disease COVID-19 Metabolic syndrome Non-alcoholic steatohepatitis Angiotensin converting enzyme 2
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围产期护理缺失量表的汉化及信效度检验
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作者 丁胜兰 王鑫 +10 位作者 王清霞 沈涓 谢惠莉 付秀娟 廖露茜 陈娇娇 朱莲 黄静 杨思源 黄秀华 张轶岚 《International Journal of Nursing Sciences》 CSCD 2024年第1期106-112,共7页
目的翻译围产期护理缺失量表,并对其进行信度和效度检验,为国内开展围产期护理缺失的量性研究提供可靠的测评工具。方法采用美国矫形外科医师学会循证医学委员会推荐的跨文化调试量表指南对英文版围产期护理缺失量表进行翻译、回译-文... 目的翻译围产期护理缺失量表,并对其进行信度和效度检验,为国内开展围产期护理缺失的量性研究提供可靠的测评工具。方法采用美国矫形外科医师学会循证医学委员会推荐的跨文化调试量表指南对英文版围产期护理缺失量表进行翻译、回译-文化调适及内容验证,形成中文版围产期护理缺失量表,并通过横断面研究验证其信效度。于2023年2月至4月采用便利抽样法,选取西南地区14所不同级别医院491名助产士进行问卷调查。采用项目分析检验中文版量表条目的鉴别度,采用探索性和验证性因子分析评价量表的结构效度,采用内容效度指数和Cronbach'sa系数评价内容效度和信度。结果围产期护理缺失.量表包括A、B两部分。中文版围产期护理缺失量表A部分的项目-总量表相关系数为0.641 -0.866, B部分为0.644~0.819(P<0.01)。A部分和B部分的量表水平内容效度指数均为0.95,条目水平内容效度指数为0.86~1.00。探索性因子分析分别提取了A部分(必要性护理、基本护理和产后护理)和B部分(沟通、人力资源和物质资源)各3个因子,占总方差的70.186%和71.984%。量表A、B部分的Cronbach's a系数分别为0.968、0.940。结论中文版围产期护理缺失量表具有良好的信度和效度,可作为国内评价围产期护理缺失情况和相关原因的工具。未来需要进行更大样本量的研究,以验证该工具在中国本土的适用性。 展开更多
关键词 助产士 护理缺失 围产期护理 信度 调查及问卷 效度
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A Health Service Transition to Adult Patient Care for Sickle Cell Disease
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作者 Qianyi Zhang 《Journal of Clinical and Nursing Research》 2024年第1期244-252,共9页
This paper explores the challenges related to long-term conditions,focusing on sickle cell disease(SCD)as a case study.Long-term conditions,characterized by the need for ongoing management,present a substantial burden... This paper explores the challenges related to long-term conditions,focusing on sickle cell disease(SCD)as a case study.Long-term conditions,characterized by the need for ongoing management,present a substantial burden on healthcare systems globally.A careful transition from pediatric to adult healthcare is needed for SCD.The discussion extends to the broader health service transition to adult patient care in SCD,emphasizing the World Health Organization’s definition of care transitions and the necessity for an integrated healthcare service.The emphasis is on a multidisciplinary approach to medical,mental health,and educational problems.A person-centered model of care should be used more consistently to resolve these long-term condition-related challenges.To evaluate the effectiveness of new interventions in improving the transition of care from pediatrics to adult patients with SCD,continuous quality improvement strategies should be implemented and prospectively measured in younger patients.In conclusion,this study highlights the critical importance of an effective transition from pediatric to adult healthcare.The continued research of effective transition practices is essential for the future and there is still a requirement to develop pragmatic approaches to enhance research on the transition to improve the quality of healthcare for patients with long-term conditions. 展开更多
关键词 Sickle cell disease Care transition Multidisciplinary team Person-centered care
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Continuous glucose monitoring metrics in pregnancy with type 1 diabetes mellitus
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作者 Mohammad Sadiq Jeeyavudeen Mairi Crosby Joseph M Pappachan 《World Journal of Methodology》 2024年第1期6-17,共12页
Managing diabetes during pregnancy is challenging,given the significant risk it poses for both maternal and foetal health outcomes.While traditional methods involve capillary self-monitoring of blood glucose level mon... Managing diabetes during pregnancy is challenging,given the significant risk it poses for both maternal and foetal health outcomes.While traditional methods involve capillary self-monitoring of blood glucose level monitoring and periodic HbA1c tests,the advent of continuous glucose monitoring(CGM)systems has revolutionized the approach.These devices offer a safe and reliable means of tracking glucose levels in real-time,benefiting both women with diabetes during pregnancy and the healthcare providers.Moreover,CGM systems have shown a low rate of side effects and high feasibility when used in pregnancies complicated by diabetes,especially when paired with continuous subcutaneous insulin infusion pump as hybrid closed loop device.Such a combined approach has been demonstrated to improve overall blood sugar control,lessen the occurrence of preeclampsia and neonatal hypoglycaemia,and minimize the duration of neonatal intensive care unit stays.This paper aims to offer a comprehensive evaluation of CGM metrics specifically tailored for pregnancies impacted by type 1 diabetes mellitus. 展开更多
关键词 Type 1 diabetes mellitus Continuous glucose monitoring PREGNANCY Glycaemic control Continuous glucose monitoring system
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Human thrombin for the treatment of gastric and ectopic varices 被引量:11
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作者 Norma C McAvoy John N Plevris Peter C Hayes 《World Journal of Gastroenterology》 SCIE CAS CSCD 2012年第41期5912-5917,共6页
AIM:To evaluate the efficacy of human thrombin in the treatment of bleeding gastric and ectopic varices.METHODS:Retrospective observational study in a Tertiary Referral Centre.Between January 1999-October 2005,we iden... AIM:To evaluate the efficacy of human thrombin in the treatment of bleeding gastric and ectopic varices.METHODS:Retrospective observational study in a Tertiary Referral Centre.Between January 1999-October 2005,we identified 37 patients who were endoscopically treated with human thrombin injection therapy for bleeding gastric and ectopic varices.Patient details including age,gender and aetiology of liver disease/segmental portal hypertension were documented.The thrombin was obtained from the Scottish National Blood Transfusion Service and prepared to give a solution of 250 IU/mL which was injected via a standard injection needle.All patient case notes were reviewed and the total dose of thrombin given along with the number of endoscopy sessions was recorded.Initial haemostasis rates,rebleeding rates and mortality were catalogued along with the incidence of any immediate complications which could be attributable to the thrombin therapy.The duration of follow up was also listed.The study was conducted according to the United Kingdom research ethics guidelines.RESULTS:Thirty-seven patients were included.33 patients(89%) had thrombin(250 U/mL) for gastric varices,2(5.4%) for duodenal varices,1 for rectal varices and 1 for gastric and rectal varices.(1) Gastric varices,an average of 15.2 mL of thrombin was used per patient.Re-bleeding occurred in 4 patients(10.8%),managed in 2 by a transjugular intrahepatic portosystemic shunt(TIPSS)(one unsuccessfully who died) and in other 2 by a distal splenorenal shunt;(2) Duodenal varices(or type 2 isolated gastric varices),an average of 12.5 mL was used per patient over 2-3 endoscopy sessions.Re-bleeding occurred in one patient,which was treated by TIPSS;and(3) Rectal varices,an average of 18.3 mL was used per patient over 3 endoscopy sessions.No re-bleeding occurred in this group.CONCLUSION:Human thrombin is a safe,easy to use and effective therapeutic option to control haemorrhage from gastric and ectopic varices. 展开更多
关键词 静脉曲张 人凝血酶 治疗 平均年龄 十二指肠 持续时间 道德准则
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The role of dietary fibre in pig production,with a particular emphasis on reproduction 被引量:13
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作者 Selene Jarrett Cheryl J.Ashworth 《Journal of Animal Science and Biotechnology》 SCIE CAS CSCD 2018年第4期783-793,共11页
Fibres from a variety of sources are a common constituent of pig feeds. They provide a means to utilise locallyproduced plant materials which are often a by-product of the food or drink industry. The value of a high f... Fibres from a variety of sources are a common constituent of pig feeds. They provide a means to utilise locallyproduced plant materials which are often a by-product of the food or drink industry. The value of a high fibre diet in terms of producing satiety has long been recognised. However the addition of fibre can reduce feed intake, which is clearly detrimental during stages of the production cycle when nutrient needs are high, for example in growing piglets and during lactation. More recently, fibre has been found to promote novel benefits to pig production systems,particularly given the reduction in antimicrobial use world-wide, concern for the welfare of animals fed a restricted diet and the need to ensure that such systems are more environmentally friendly. For example, inclusion of dietary fibre can alter the gut microbiota in ways that could reduce the need for antibiotics, while controlled addition of certain fibre types may reduce nitrogen losses into the environment and so reduce the environmental cost of pig production.Of particular potential value is the opportunity to use crude fibre concentrates as 'functional' feed additives to improve young pig growth and welfare. Perhaps the greatest opportunity for the use of high fibre diets is to improve the reproductive efficiency of pigs. Increased dietary fibre before mating improves oocyte maturation, prenatal survival and litter size; providing a consumer-acceptable means of increasing the amount of saleable meat produced per sow. The mechanisms responsible for these beneficial effects remain to be elucidated. However, changes in plasma and follicular fluid concentrations of key hormones and metabolites, as well as effects of the hypothalamic satiety centre on gonadotrophin secretion and epigenetic effects are strong candidates. 展开更多
关键词 FIBRE PIG PREGNANCY Production REPRODUCTION
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Dissecting the molecular pathophysiology of drug-induced liver injury 被引量:19
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作者 Hui Ye Leonard J Nelson +2 位作者 Manuel Gómez del Moral Eduardo Martínez-Naves Francisco Javier Cubero 《World Journal of Gastroenterology》 SCIE CAS 2018年第13期1373-1385,共13页
Drug-induced liver injury(DILI) has become a major topic in the field of Hepatology and Gastroenterology. DILI can be clinically divided into three phenotypes: hepatocytic, cholestatic and mixed. Although the clinical... Drug-induced liver injury(DILI) has become a major topic in the field of Hepatology and Gastroenterology. DILI can be clinically divided into three phenotypes: hepatocytic, cholestatic and mixed. Although the clinical manifestations of DILI are variable and the pathogenesis complicated, recent insights using improved preclinical models, have allowed a better understanding of the mechanisms that trigger liver damage. In this review, we will discuss the pathophysiological mechanisms underlying DILI. The toxicity of the drug eventually induces hepatocellular damage through multiple molecular pathways, including direct hepatic toxicity and innate and adaptive immune responses. Drugs or their metabolites, such as the common analgesic, acetaminophen, can cause direct hepatic toxicity through accumulation of reactive oxygen species and mitochondrial dysfunction. The innate and adaptive immune responses play also a very important role in the occurrence of idiosyncratic DILI. Furthermore, we examine common forms of hepatocyte death and their association with the activation of specific signaling pathways. 展开更多
关键词 signaling PATHWAYS ACETAMINOPHEN DRUG-INDUCED liver injury cell DEATH reactive oxygen species
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