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Neurological Sciences : Official... Apr 2018Acquired brain injury can produce severe impairments of alertness, cognition, behavior, and, sometimes, an impairment of consciousness. Several studies defined the... (Review)
Review
Acquired brain injury can produce severe impairments of alertness, cognition, behavior, and, sometimes, an impairment of consciousness. Several studies defined the criteria to distinguish the different level of disorders of consciousness (DOC) and many tools to evaluate awareness, alertness, and response to stimuli were created. The aim of this review is to assess the advanced research of rehabilitative protocols and which rehabilitative techniques are used in the care of DOC patients.
Topics: Awareness; Brain Injuries; Cognition; Consciousness; Consciousness Disorders; Humans; Persistent Vegetative State
PubMed: 29305661
DOI: 10.1007/s10072-017-3235-8 -
Critical Reviews in Oncology/hematology May 2017F-fluorodeoxyglucose PET/CT (F-FDG-PET/CT) is widely applied in oncology for disease staging, assessment of therapy response, relapse diagnosis, follow-up and target... (Review)
Review
F-fluorodeoxyglucose PET/CT (F-FDG-PET/CT) is widely applied in oncology for disease staging, assessment of therapy response, relapse diagnosis, follow-up and target volume delineation. In particular, it can detect early response during chemoradiotherapy (interim) because functional modifications usually precede morphological ones. This ability is crucial to the radiation oncologist for the management of patients, to avoid persisting with ineffective therapy - often leading toxicity - and to shift to potentially more effective alternatives. Interim F FDG-PET imaging in rectal and cervical cancer, the main malignancies of the pelvic district, has been applied and a broad literature is available, although some results are discordant. This systematic review summarizes the application of F FDG-PET/CT during the chemoradiotherapy of locally advanced pelvic malignancies in order to clarify its capability to predict response and prognosis and its potential role to tailor therapy, which seems to be validated in rectal cancer, whilst less conclusive in cervical cancer.
Topics: Chemoradiotherapy; Female; Fluorodeoxyglucose F18; Humans; Positron Emission Tomography Computed Tomography; Prognosis; Rectal Neoplasms; Uterine Cervical Neoplasms
PubMed: 28427517
DOI: 10.1016/j.critrevonc.2017.02.019 -
Environmental Research Jan 2023Foraminifera are considered good bioindicators of environmental stress based on morphological abnormalities, but physiological responses occur far earlier and have not... (Review)
Review
Foraminifera are considered good bioindicators of environmental stress based on morphological abnormalities, but physiological responses occur far earlier and have not been evaluated as pollution markers. The aim of this review was to collate all published articles reporting physiological changes in foraminifera after environmental and anthropogenic stressors, to evaluate their reliability as early markers of environmental stress. We reviewed 70 studies, meeting the inclusion criteria, reporting 13 physiological effects classes after exposure to 17 different stressors. Immune functions, bleaching and lifecycle disruptions, were the most reported. Amphistegina and Ammonia showed high proportion of effects with lead and mercury, with a significant relationship between these heavy metals and the number of physiological effects classes in Ammonia, and between bleaching in Amphistegina gibbosa and Amphistegina lobifera with solar light and temperature. This suggests physiological responses are potentially reliable early indicators of environmental stress. It is necessary to increase quantitative physiological measures and standard exposure protocols in order to properly evaluate these organisms as pollution bioindicators.
Topics: Foraminifera; Environmental Biomarkers; Ammonia; Reproducibility of Results; Metals, Heavy; Environmental Monitoring; Geologic Sediments; Water Pollutants, Chemical
PubMed: 36270533
DOI: 10.1016/j.envres.2022.114515 -
Clinical Genetics Mar 2022Advancements in genetic sequencing techniques along with the identification of specific mutations and structural changes in multiple cancer genes, make it possible to... (Review)
Review
Advancements in genetic sequencing techniques along with the identification of specific mutations and structural changes in multiple cancer genes, make it possible to identify circulating tumor cells and cell free nucleic acids as blood-based biomarkers, serving as a liquid biopsy (LB) with great utility for the diagnosis, treatment and follow-up of patients with neoplasms. This systematic review focuses on the clinical utility of LB in patients with breast cancer (BC). Articles published between 1990 and 2021 were included. Databases searched: Trip Database, WoS, EMBASE, PubMed, SCOPUS, and Clinical Keys. Variables studied: Publication year, country, number of cases, primary study design, LB detection methods, genes found, overall survival, disease-free survival, stage, response to treatment, clinical utility, BC molecular type, systemic treatment and methodological quality of primary studies. Of 2619 articles, 74 were retained representing 12 658 patients, mainly cohort studies (66.2%), the majority were from China (15%) and Japan (12.2%). All primary studies described clinical stage and type of systemic treatment used. Most used biomarker detection method: DNA (52.7%) and type of analysis: quantification of total cfDNA (35.1%). PIK3CA mutation was most frequent (62.9%). Evidence suggests clinically useful applications of BC. Though heterogeneous, publications suggest that LB will constitute part of the standard diagnostic-therapeutic process of BC.
Topics: Biomarkers, Tumor; Breast Neoplasms; Cell-Free Nucleic Acids; Female; Humans; Liquid Biopsy; Mutation
PubMed: 34687555
DOI: 10.1111/cge.14077 -
Current Pharmaceutical Design 2016Chronic Kidney Disease (CKD) is considered a silent epidemic with a continuously growing prevalence around the world. Due to uremia many functional and morphological... (Review)
Review
BACKGROUND
Chronic Kidney Disease (CKD) is considered a silent epidemic with a continuously growing prevalence around the world. Due to uremia many functional and morphological abnormalities occur in almost all systems. Mostly affected, the cardiovascular system, leads to diminished cardiac function that affects patients' functional capacity and physical activity levels, reducing survival and increasing all-cause mortality. Systematic exercise training ameliorates uremia induced body deficits and significantly improves the survival of CKD patients. Intradialytic exercise training has been recommended as a complementary therapeutic modality equally important to hemodialysis.
METHODS
The aim of this systematic review is to provide an update on recent advances in our understanding of how exercise training improves functionality of the cardiovascular system through the hemodynamic changes induced by habitual or intradialytic and/or home-based exercise training programs.
RESULTS
Systematic exercise training induces beneficial adaptive responses and influences many sensitive physiological biomarkers, such as oxidative stress biomarkers that are implicated in the development of atherosclerosis. Additionally, exercise training decreases the cardiovascular risk by improving the autonomic nervous system activity and the left ventricular function and by reducing nontraditional risk factors such as epicardial adipose tissue. It seems that all these central and peripheral adaptations to exercise training significantly contribute to improvements in functional capacity and exercise tolerance among CKD patients and result in the risk reduction of CKD-associated disorders.
CONCLUSION
Exercise training could serve as a complimentary therapeutic strategy in CKD patients while health care providers should motivate patients to engage in any type of exercise training programs.
Topics: Exercise; Hemodynamics; Humans; Kidney; Renal Insufficiency, Chronic
PubMed: 27000827
DOI: 10.2174/1381612822666160322144936 -
Arteriosclerosis, Thrombosis, and... Aug 2007Functional and morphological changes of the arterial wall already present in young children with heterozygous familial hypercholesterolemia (HeFH) suggest that treatment... (Meta-Analysis)
Meta-Analysis Review
OBJECTIVE
Functional and morphological changes of the arterial wall already present in young children with heterozygous familial hypercholesterolemia (HeFH) suggest that treatment should be initiated early in life to prevent premature atherosclerotic cardiovascular disease. The purpose of this study was to assess the efficacy and particularly safety of statin therapy in children with HeFH.
METHODS AND RESULTS
We performed a meta-analysis of randomized, double-blind, placebo-controlled trials evaluating statin therapy in children aged 8 to 18 years with HeFH. Six studies (n=798 children) with 12 to 104 weeks of treatment were included. Total cholesterol, LDL cholesterol, and apolipoprotein B were significantly reduced, whereas HDL cholesterol and apolipoprotein A1 were significantly increased by statin therapy. No statistically significant differences were found between statin- and placebo-treated children with respect to the occurrence of adverse events (RR 0.99; 95% CI: 0.79 to 1.25), sexual development (RR of advancing > or = 1 stage in Tanner classification 0.96; 95% CI: 0.79 to 1.17), muscle toxicity (RR of CK > or = 10 times the upper limit of normal [ULN] 1.38; 95% CI: 0.18 to 10.82), or liver toxicity (RR of > or = 3 times the ULN for ASAT 0.98; 95% CI: 0.23 to 4.26 and for ALAT 2.03; 95% CI: 0.24 to 16.95). We found a minimal difference in growth in favor of the statin group (0.33 cm; 95% CI: 0.03 cm to 0.63 cm).
CONCLUSION
In addition to the fact that statin treatment is efficacious, our results support the notion that statin treatment in children with HeFH is safe. Thus, even though further studies are required to assess lifelong safety, statin treatment should be considered for all children aged 8 to 18 with HeFH.
Topics: Adolescent; Age Factors; Child; Cholesterol, HDL; Cholesterol, LDL; Confidence Intervals; Dose-Response Relationship, Drug; Double-Blind Method; Drug Administration Schedule; Female; Follow-Up Studies; Humans; Hydroxymethylglutaryl-CoA Reductase Inhibitors; Hyperlipoproteinemia Type II; Male; Probability; Randomized Controlled Trials as Topic; Risk Assessment; Severity of Illness Index; Sex Factors; Treatment Outcome
PubMed: 17569881
DOI: 10.1161/ATVBAHA.107.145151 -
Comparative Biochemistry and... Jun 2022Emerging pollutants (EPs) are causative for teratogenic and reproductive effects. EPs are detected in all the environmental matrices at higher levels. A suitable model... (Review)
Review
Emerging pollutants (EPs) are causative for teratogenic and reproductive effects. EPs are detected in all the environmental matrices at higher levels. A suitable model for aquatic toxicity assessment is Hydra, because of morphological, behavioral, reproductive (sexual and asexual), and biochemical changes. Many researchers have used Hydra for toxicity assessment of organic chemicals (BPA), heavy metals, pharmaceuticals, nanomaterials and microplastics. Various Hydra species were used for environmental toxicity studies; however H. magnipapillata was predominantly used due to the availability of its genome and proteome sequences. Teratogenic and reproductive changes in Hydra are species specific. Teratogenic effects were studied using sterozoom dissecting microscope, acridine orange (AO) and 4',6-diamidino-2-phenylindole (DPAI) staining. Reactive oxygen species (ROS) generation by EPs had been understood by the Dichlorodihydrofluorescein Diacetate (DCFDA) staining and comet assay. Multiple advanced techniques would aid to understand the effects at molecular level, such as real-time PCR, rapid amplification of cDNA end- PCR. EPs modulated the major antioxidant enzyme levels, therefore, defense mechanism was affected by the higher generation of reactive oxygen species. Genome sequencing helps to know the mode of action of pollutants, role of enzymes in detoxification, defense genes and stress responsive genes. Molecular techniques were used to obtain the information for evolutionary changes of genes and modulation of gene expression by EPs.
Topics: Animals; Hydra; Microplastics; Models, Animal; Reactive Oxygen Species; Water Pollutants, Chemical
PubMed: 35227876
DOI: 10.1016/j.cbpc.2022.109320 -
Chinese Journal of Traumatology =... May 2023Dental and orofacial trauma among the adult population constitutes a major public health problem. The impact is not just physical but also psychological. To analyse the... (Review)
Review
PURPOSE
Dental and orofacial trauma among the adult population constitutes a major public health problem. The impact is not just physical but also psychological. To analyse the impacts of dental and orofacial trauma on oral health-related quality of life (OHRQoL) in adults and determine whether the 2 variables are closely interlinked.
METHODS
This is a systematic review. The terms "dental trauma", "orofacial trauma", "oral health", "oral health related impact life", "OHRQoL", "positive and negative affect scale", "quality of life", "facial injuries", "adults", and "young adults" were researched in the databases of PubMed, ScienceDirect, Scopus and Google Scholar for associated studies up to December 30, 2022. A comprehensive search was designed and the articles were independently screened for eligibility by 2 reviewers. The included studies' author, year of publication, the country where the study was conducted, population demographics (number and age), an instrument used for assessing OHRQoL and the relevant result were recorded and compared. The quality of the evidence was assessed using Joanna Briggs Institute checklist for observational studies.
RESULTS
Out of 482 unique records, 3 articles were included for data extraction. Observational studies were included. Two studies did not mention confounding factors. Different scales were used for dental and orofacial trauma and OHRQoL. OHRQoL has a directly proportional relationship with orofacial trauma. Adolescents with orofacial trauma have a significant impact on this value with a prevalence of 88.4%.
CONCLUSION
The highest impact on OHRQoL was seen immediately after the diagnosis of an orofacial trauma. The impact increases with the severity of the trauma. Therefore, to promote overall dental and general health, health education initiatives should include information on the causes, prevention, and requirement for prompt responses by the populace in seeking dental intervention.
PubMed: 37344288
DOI: 10.1016/j.cjtee.2023.05.003 -
Frontiers in Plant Science 2022Plant root traits play a crucial role in resource acquisition and crop performance when soil nutrient availability is low. However, the respective trait responses are...
Plant root traits play a crucial role in resource acquisition and crop performance when soil nutrient availability is low. However, the respective trait responses are complex, particularly at the field scale, and poorly understood due to difficulties in root phenotyping monitoring, inaccurate sampling, and environmental conditions. Here, we conducted a systematic review and meta-analysis of 50 field studies to identify the effects of nitrogen (N), phosphorous (P), or potassium (K) deficiencies on the root systems of common crops. Root length and biomass were generally reduced, while root length per shoot biomass was enhanced under N and P deficiency. Root length decreased by 9% under N deficiency and by 14% under P deficiency, while root biomass was reduced by 7% in N-deficient and by 25% in P-deficient soils. Root length per shoot biomass increased by 33% in N deficient and 51% in P deficient soils. The root-to-shoot ratio was often enhanced (44%) under N-poor conditions, but no consistent response of the root-to-shoot ratio to P-deficiency was found. Only a few K-deficiency studies suited our approach and, in those cases, no differences in morphological traits were reported. We encountered the following drawbacks when performing this analysis: limited number of root traits investigated at field scale, differences in the timing and severity of nutrient deficiencies, missing data (e.g., soil nutrient status and time of stress), and the impact of other conditions in the field. Nevertheless, our analysis indicates that, in general, nutrient deficiencies increased the root-length-to-shoot-biomass ratios of crops, with impacts decreasing in the order deficient P > deficient N > deficient K. Our review resolved inconsistencies that were often found in the individual field experiments, and led to a better understanding of the physiological mechanisms underlying root plasticity in fields with low nutrient availability.
PubMed: 36684760
DOI: 10.3389/fpls.2022.1067498 -
Journal of Musculoskeletal & Neuronal... Jun 2016Oestrogen deprivation has been shown to have a negative effect on connective tissue and its turnover. A link may exist between supplemental oestrogen, preservation of... (Review)
Review
OBJECTIVES
Oestrogen deprivation has been shown to have a negative effect on connective tissue and its turnover. A link may exist between supplemental oestrogen, preservation of tendon collagen and less tendon abnormality. The aim was to determine the effects of female sex hormone supplementation (FSHS) on tendon.
METHODS
A systematic search of nine key health databases; Medline, CINAHL, EMBASE, SPORTDiscus, AUSPORT and AMI, Cochrane Library, SafetyLit and PEDro was completed (to Feb 24, 2016). The search yielded 6378 records using terms relating to hormone (oestrogen, estrogen, hormone replacement therapy, HRT, estrogen therapy, oestrogen therapy, oral contraceptive pill) and tendon. Quality assessment, data extraction and data synthesis of included papers was undertaken.
RESULTS
Low level of evidence for all outcomes; no positive or negative link between FSHS and molecular, mechanical and morphological tendon response outcomes, and the addition of exercise to FSHS, had minimal effects on tendon CSA.
CONCLUSIONS
The effect of oestrogen supplementation on tendon is contradictory and inconsistent. This review suggests there is a need for further studies to understand the effects of FSHS on tendon tissue at a mechanical, morphological and molecular level.
Topics: Female; Hormone Replacement Therapy; Humans; Postmenopause; Premenopause; Tendons
PubMed: 27282453
DOI: No ID Found