检索结果-南通市图书馆

Herpes Simplex Virus Encephalitis Complicated by Acute Ischemic Stroke

Advances in Infectious diseases 2024年第2期14卷 387-392页

作者： Simona Zlatanova Oliana Boykinova Clinic of Infectious diseases Parasitology University Hospital St George Plovdiv Bulgaria Department of Infectious diseases Parasitology and Tropical Medicine Medical Faculty Medical University Plovdiv Plovdiv Bulgaria

Introduction: Herpes simplex virus is the most common etiology for life-threatening sporadic encephalitis worldwide. Antiviral therapy with acyclovir has been shown to reduce mortality and should be started promptly in patients with clinically suspected viral encephalitis before serological confirmation of the diagnosis. Despite antiviral treatment, it is associated with significant mortality and a wide range of neurologic sequelae or neuropsychiatric disorders. Clinical presentation includes fever, headache, altered mental status, and focal or generalized seizures. In some cases, it can present with focal neurological deficits, such as an acute stroke. The aim of this study is to identify rare complications of HSVE. Presentation: We present a case of a 71-year-old female patient with herpes virus encephalitis and an ischemic cerebral accident. The findings of CT scan of the brain revealed an extensive right temporal hypodensity. CSF findings include an elevated protein level, normal glucose level and pleocytosis with lymphocyte predominance. The lumbar tap confirmed the presence of herpes simplex virus type 1 with polymerase chain reaction (PCR) in the CSF. Neurological manifestations include focal neurological deficit with left-sided hemiparesis and coma. After 40 days of complex therapy, an improvement in the mental state was observed. Conclusion: There are varying degrees of neurologic sequelae among survivors in children and adults despite the antiviral treatment. Herpes simplex encephalitis has significant morbidity and high mortality due to the lack of prophylactic treatment and preventable strategies.

关键词： Herpes Virus Encephalitis Focal Neurological Deficit Altered Mental Status Stroke Chameleon Persistently Positive CSF

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Mycoplasma hominis Pneumonia Presented as a Cavitary Mass with a Halo Sign in an Immunocompetent Adult Male:A Case Report

引用

Infectious diseases & Immunity 2024年第3期4卷 142-145页

作者： Pan-Pan Xie Yao Yao Ning Yang Wen-Kai Niu Xin Yuan Department of Respiratory and Critical Care diseases Senior Department of Infectious Diseasesthe Fifth Medical Center of Chinese PLA General HospitalNational Clinical Research Center for Infectious DiseasesBeijing 100039China Anhui Medical University PLA 307 Clinical College Beijing 100039China.

Mycoplasma hominis is an opportunistic microorganism that colonizes the genitourinary tract and causes genitourinary ***,pulmonary infections caused by *** have rarely been reported in immunocompetent ***,we report a rare case of an immunocompetent adult male with *** pneumonia who presented with multiple pulmonary nodules that progressed to a cavitary mass with a halo *** presence of *** infection was confirmed using multiplex polymerase chain reaction(mPCR)of the bronchoalveolar lavage *** patient demonstrated no response to the initial levofloxacin therapy;however,the symptoms subsequently improved after the administration of *** may be an underestimated causative agent of community-acquired pneumonia of unknown etiology in immunocompetent adults,and the involvement of the organism should be especially suspected in sexually active *** diagnostic methods,such as mPCR,can be used to identify the etiology of atypical *** antibiotics are crucial for effective treatment.

关键词： M.hominis Halo sign Cavitary pneumonia Extragenital infections Case report

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Hepatic amyloidosis in a patient with chronic liver failure:A case report

引用

World Journal of Clinical Cases 2024年第19期12卷 3918-3924页

作者： Yan Chen Jing Peng Yao Wang Li-Hua Xiao Fang Liu Yin-Bin Wei Xiong-Fei Wu Lu-Wen Wang Department of Infectious diseases Hanchuan People's HospitalHanchuan 431699Hubei ProvinceChina Department of Infectious diseases Renmin Hospital of Wuhan UniversityWuhan 430060Hubei ProvinceChina

BACKGROUND Amyloidosis is a rare disorder that can be classified into various types,and the most common type is the systemic light chain *** prognosis of this disease is extremely *** general,amyloidosis mainly affects the kidneys and heart and manifests as abnormal proliferation of clonal plasma *** in which the liver is the primary organ affected by amyloidosis,as in this report,are less common in clinical *** SUMMARY A 62-year-old man was admitted with persistent liver dysfunction of unknown cause and poor treatment *** condition persisted,and he developed chronic liver failure,with severe cholestasis in the later stage that was gradually accompanied by renal ***,he was diagnosed with hepatic amyloidosis through liver biopsy and pathological *** Hepatic amyloidosis rarely occurs in the clinic,and liver biopsy and pathological examination can assist in the accurate and effective diagnosis of this condition.

关键词： Hepatic amyloidosis rare disease Chronic liver failure Liver biopsy Pathological examination Case report

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Successful treatment of severe hepatic impairment in erythropoietic protoporphyria:A case report and review of literature

引用

World Journal of Hepatology 2024年第6期16卷 966-972页

作者： Tao Zeng Shu-Ru Chen Hao-Qiang Liu Yu-Tian Chong Xin-Hua Li Department of Infectious diseases Key Laboratory of Liver Disease of Guangdong ProvinceThe Third Affiliated Hospital of Sun Yat-sen UniversityGuangzhou 510630Guangdong ProvinceChina Department of Infectious diseases The Third Affiliated Hospital of Sun Yat-sen UniversityGuangzhou 510630Guangdong ProvinceChina Department of Blood Transfusion The Third Affiliated Hospital of Sun Yat-sen UniversityGuangzhou 510630Guangdong ProvinceChina

BACKGROUND Erythropoietic protoporphyria(EPP)is a rare genetic disorder stemming from ferrochelatase gene mutations,which leads to abnormal accumulation of protoporphyrin IX primarily in erythrocytes,skin,bone marrow and *** porphyria-related severe liver damage is rare,its consequences can be severe with limited treatment *** SUMMARY This case study highlights a successful intervention for a 35-year-old male with EPP-related liver impairment,employing a combination of red blood cell(RBC)exchange and therapeutic plasma exchange(TPE).The patient experienced significant symptom relief and a decrease in bilirubin levels following multiple PE sessions and an RBC *** The findings suggest that this combined approach holds promise for managing severe hepatic impairment in EPP.

关键词： Erythropoietic protoporphyria Red blood cell exchange Plasma exchange Delta-aminolevulinic acid Ferrochelatase Case report

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Anesthesia Management in Hereditary Pheochromocytoma and Paraganglioma:Updated Insights into Clinical Features and Perioperative Care

引用

Chinese Medical Sciences Journal 2024年第3期39卷 217-223页

作者： Yao-Han Li Le Shen Department of Anesthesiology Peking Union Medical College HospitalPeking Union Medical College&Chinese Academy of Medicine ScienceBeijing 100730China State Key Laboratory of Complex Severe and rare diseases Peking Union Medical College HospitalPeking Union Medical College&Chinese Academy of Medicine ScienceBeijing 100730China

Approximately 40%of pheochromocytoma and paraganglioma(PPGL)cases are familial,typically presenting earlier with more complex *** paper synthesizes literature and guidelines to inform on clinical characteristics and perioperative care for *** in von Hippel-Lindau(VHL)disease exhibits heightened secretion activity without significant perioperative hemodynamic *** in multiple endocrine neoplasia type 2(MEN2)have a stronger endocrine function,which may induce hemodynamic fluctuations during surgery Therefore,pheochromocytoma screening is essential at all stages of *** type 1(NF1)often presents multisystem lesions and can result in dificult *** should be evaluated when NF1 patients present *** and paraganglioma type 5 may present multiple lesions of pheochromocytoma or *** summary,hereditary PPGLs may present with severe lesions in other systems,beyond tumor function.A multi-disciplinary team(MDT)approach is often invaluable in perioperative management.

关键词： pheochromocytoma paraganglioma genetic disease anesthetic management hemodynamic perioperative care

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Lanthanum promoting bone formation by regulating osteogenesis,osteoclastogenesis and angiogenesis

引用

Journal of rare Earths 2024年第3期42卷 621-628,I0007页

作者： Dandan Zou Runlian Lin Yu Han Juan Jia Guoqiang Zhou Haisong Zhang Kun Ge Hebei Key Laboratory of Chronic Kidney diseases and Bone Metabolism Affiliated Hospital of Hebei UniversityBaoding071000China Key Laboratory of Medicinal Chemistry and Molecular Diagnosis of the Ministry of Education Key Laboratory of Chemical Biology of Hebei ProvinceCollege of Chemistry and Environmental ScienceHebei UniversityBaoding071002China

With lanthanum(La) in agriculture, medicine, and the chemical industry, La shows accumulation in the body, especially in the bone, because of its similar structure to calcium. Moreover, La has a direct role in bone formation regulating osteoblasts and osteoclasts. Nevertheless, bone formation is complex under the regulation of osteogenesis, osteoclastogenesis, and angiogenesis in the bone microenvironment. It is difficult to comprehensively understand the regulation of bone homeostasis from a single kind of ***, some bone microenvironment-related cells and mouse calvaria culture models were used to study the regulatory effect of La-based compound-lanthanum nitrate(La(NO_(3))_(3)) on bone ***(NO_(3))_(3) has good biological safety, and the osteogenic differentiation is significantly increased under La(NO_(3))_(3) treatment for bone marrow mesenchymal stem cells(BMMSC). In contrast, the differentiation,maturation, and bone erosion ability of osteoclasts are significantly decreased. Meanwhile, the angiogenesis ability of human umbilical vein endothelial cells(HUVEC) is significantly promoted when treated with La(NO_(3))_(3). Furthermore, bone metabolism and angiogenesis are improved under La(NO_(3))_(3) treatment in the calvaria ex vivo culture model and BMMSC-HUVEC co-culture system. These results suggest that La has the beneficial effect of promoting bone metabolism and improving bone formation in the bone microenvironment.

关键词： Lanthanum Bone microenvironment Osteogenic differentiation Angiogenesis rare earths

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Left atrial appendage occluder detachment treated with transthoracic ultrasound combined with digital subtraction angiography guided catcher:A case report

引用

World Journal of Clinical Cases 2024年第6期12卷 1157-1162页

作者： Kai Yu Yun-Hua Mei Department of Ultrasound Wuhan Dongxihu District People's HospitaWuhan 430400Hubei ProvinceChina Department of Infectious diseases Wuhan Dongxihu District People's HospitalWuhan 430400Hubei ProvinceChina

BACKGROUND There are very few cases of cardiac occluder detachment,and it is rare to completely remove the occluder using interventional methods without undergoing thoracotomy surgery after *** case innovatively used ultrasound guidance combined with digital subtraction angiography(DSA)to completely remove the occluder,accumulating some *** SUMMARY The patient underwent left atrial appendage occlusion surgery in our hospital due to atrial *** the surgery,the occluder fell off and became free in the left ventricle,which is very *** innovatively used ultrasound guidance,combined with DSA,and interventional surgery to successfully capture the free occluder using a catcher,completely remove it,and then re implant a new left atrial appendage *** the surgery,the patient recovered very *** The size selection of the occluder is slightly conservative,and the shape of the left atrial appendage opening is irregular.

关键词： Left atrial appendage occluder Detachment Ultrasound combined with digital subtraction angiography Interventional operation Successfully captured Case report

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Prediction of sepsis within 24 hours at the triage stage in emergency departments using machine learning

引用

World Journal of Emergency Medicine 2024年第5期15卷 379-385页

作者： Jingyuan Xie Jiandong Gao Mutian Yang Ting Zhang Yecheng Liu Yutong Chen Zetong Liu Qimin Mei Zhimao Li Huadong Zhu Ji Wu Department of Electronic Engineering Tsinghua UniversityBeijing 100084China Center for Big Data and Clinical Research Institute for Precision MedicineTsinghua UniversityBeijing 100084China Institute of Medical Technology Peking University Health Science CenterBeijing 100091China Emergency Department State Key Laboratory of Complex Severe and Rare DiseasesPeking Union Medical College HospitalChinese Academy of Medical Science and Peking Union Medical CollegeBeijing 100005China Department of Health Care Peking Union Medical College HospitalChinese Academy of Medical Sciences and Peking Union Medical CollegeBeijing 100005China

BACKGROUND:Sepsis is one of the main causes of mortality in intensive care units(ICUs).Early prediction is critical for reducing *** approximately 36%of sepsis occur within 24 h after emergency department(ED)admission in Medical Information Mart for Intensive Care(MIMIC-IV),a prediction system for the ED triage stage would be *** methods such as the quick Sequential Organ Failure Assessment(qSOFA)are more suitable for screening than for prediction in the ED,and we aimed to fi nd a light-weight,convenient prediction method through machine ***:We accessed the MIMIC-IV for sepsis patient data in the *** dataset comprised demographic information,vital signs,and synthetic *** Gradient Boosting(XGBoost)was used to predict the risk of developing sepsis within 24 h after ED ***,SHapley Additive exPlanations(SHAP)was employed to provide a comprehensive interpretation of the model's *** percent of the patients were randomly selected as the testing set,while the remaining patients were used for training with 10-fold ***:For 10-fold cross-validation on 14,957 samples,we reached an accuracy of 84.1%±0.3%and an area under the receiver operating characteristic(ROC)curve of 0.92±*** model achieved similar performance on the testing set of 1,662 *** values showed that the fi ve most important features were acuity,arrival transportation,age,shock index,and respiratory ***:Machine learning models such as XGBoost may be used for sepsis prediction using only a small amount of data conveniently collected in the ED triage *** may help reduce workload in the ED and warn medical workers against the risk of sepsis in advance.

关键词： Sepsis Machine learning Emergency department Triage Informatics

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Association between coronary artery stenosis and myocardial injury in patients with acute pulmonary embolism: A case-control study

引用

中华医学杂志(英文版) 2024年第16期137卷 2024 Jul 12页

作者： Yang Yinjian Liu Chao Ma Jieling Zhu Xijie Ma Jingsi Lu Dan Yan Xinxin Gao Xuan Wang Jia Wang Liting Zhang Sijin Li Xianmei Wu Bingxiang Sun Kai Mao Yimin Xu Xiqi Lian Tianyu Cheng Chunyan Jing Zhicheng Medical Science Research Center Institute of Clinical Medicine State Key Laboratory of Complex Severe and Rare Diseases Peking Union Medical College Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing China Department of Cardiology Guangdong Cardiovascular Institute Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences) Southern Medical University Guangzhou Guangdong China Department of Cardiology State Key Laboratory of Complex Severe and Rare Diseases Peking Union Medical College Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing China Department of School of Pharmacy Henan University Kaifeng Henan China Cardiac Department Aerospace Center Hospital Peking University Aerospace School of Clinical Medicine Beijing China Department of Cardiology State Key Laboratory of Cardiovascular Disease National Center for Cardiovascular Diseases Fuwai Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing China Department of Cardiovascular Medicine The Second Affiliated Hospital of Harbin Medical University Harbin Heilongjiang China Department of Medical Laboratory Weifang Medical University Weifang Shandong China Department of Respiratory Medicine The First Affiliated Hospital of Henan University of Science and Technology Luoyang Henan China Center of Basic Medical Research Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences) Southern Medical University Guangzhou Guangdong China

Background: The potential impact of pre-existing coronary artery stenosis (CAS) on acute pulmonary embolism (PE) episodes remains underexplored. This study aimed to investigate the association between pre-existing CAS and the elevation of high-sensitivity cardiac troponin I (hs-cTnI) levels in patients with ***: In this multicenter, prospective case-control study, 88 cases and 163 controls matched for age, sex, and study center were enrolled. Cases were patients with PE with elevated hs-cTnI. Controls were patients with PE with normal hs-cTnI. Coronary artery assessment utilized coronary computed tomographic angiography or invasive coronary angiography. CAS was defined as ≥50% stenosis of the lumen diameter in any coronary vessel >2.0 mm in diameter. Conditional logistic regression was used to evaluate the association between CAS and hs-cTnI ***: The percentage of CAS was higher in the case group compared to the control group (44.3% [39/88]vs. 30.1% [49/163];P = 0.024). In multivariable conditional logistic regression model 1, CAS (adjusted odds ratio [OR], 2.680; 95% confidence interval [CI], 1.243–5.779), heart rate >75 beats/min (OR, 2.306; 95% CI, 1.056–5.036) and N-terminal pro-B type natriuretic peptide (NT-proBNP) >420 pg/mL (OR, 12.169; 95% CI, 4.792–30.900) were independently associated with elevated hs-cTnI. In model 2, right CAS (OR, 3.615; 95% CI, 1.467–8.909) and NT-proBNP >420 pg/mL (OR, 13.890; 95% CI, 5.288–36.484) were independently associated with elevated ***: CAS was independently associated with myocardial injury in patients with PE. Vigilance towards CAS is warranted in patients with PE with elevated cardiac troponin levels.

关键词： Pulmonary embolism Coronary artery stenosis Myocardial injury Cardiac troponin I Myocardial ischemia Right ventricular dysfunction Case-control study Coronary computed tomography angiography

来源：

同方期刊数据库评论

在线全文

同方期刊数据库

学校读者我要写书评

暂无评论

DNA-based nanostructures for RNA delivery

引用

Medical Review 2024年第3期4卷 207-224页

作者： Yuanyuan Wu Liangzhi Luo Ziyang Hao Dongsheng Liu Beijing SupraCirc Biotechnology Co. LtdBeijingChina School of Pharmaceutical Sciences Capital Medical UniversityBeijingChina School of Pharmaceutical Sciences Capital Medical UniversityBeijing 100069China Department of Chemistry Engineering Research Center of Advanced Rare Earth Materials(Ministry of Education)Tsinghua UniversityBeijing 100084China

RNA-based therapeutics have emerged as a promising approach for the treatment of various diseases,including cancer,genetic disorders,and infectious ***,the delivery of RNA molecules into target cells has been a major challenge due to their susceptibility to degradation and inefficient cellular *** overcome these hurdles,DNA-based nano technology offers an unprecedented opportunity as a potential delivery platform for RNA *** to its excellent characteristics such as programmability and biocompatibility,these DNA-based nanostructures,composed of DNA molecules assembled into precise and programmable structures,have garnered significant attention as ideal building materials for protecting and delivering RNA payloads to the desired cellular *** this review,we highlight the current progress in the design and application of three DNA-based nanostructures:DNA origami,lipid-nanoparticle(LNP)technology related to frame guided assembly(FGA),and DNA hydrogel for the delivery of RNA *** biomedical applications are briefly discussed and the challenges and future perspectives in this field are also highlighted.

关键词： DNA origami frame guided assembly(FGA) DNA hydrogel RNA delivery gene therapy DNA-based nanostructures

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：