keyword
https://read.qxmd.com/read/38558605/incidentally-found-rectal-carcinoid-tumor-in-a-46-year-old-female-the-potential-for-complications-and-the-importance-of-screening-guidelines
#21
Rebecca Lapides, Akash Shah, Shubhneet Bal
Carcinoid tumors are rare neuroendocrine tumors that can be found in the gastrointestinal tract as well as other areas throughout the body. The neurosecretory nature of these tumors can have implications for other chronic diseases that patients may have, such as diabetes. Certain treatments that may be implemented for patients who have carcinoid tumors, such as somatostatin analogs and Everolimus, can also alter blood glucose control. This highlights the importance of diagnosing and treating carcinoid tumors as early as possible to avoid complications associated with metastasis and more intense treatment...
February 2024: Curēus
https://read.qxmd.com/read/38557539/a-retrospective-study-of-covid-19-patients-a-real-life-experience-in-a-secondary-care-hospital-jashore-bangladesh
#22
JOURNAL ARTICLE
G K Acherjya, M Ali, S S Mou, A Das, K K Dan, P K Das, M M Hasan, M G Mortuza, K Tarafder
Covid-19 was first detected on 8th March of 2020 in Bangladesh after the global pandemic being started. As a new virus and disease there are scarcity of data of SARS-CoV-2 and Covid-19 respectively in our country. Aim of this study is to assess the demographic characteristics, clinical profiles, underlying co-morbid conditions, treatment pattern and outcome of the SARS-CoV-2 positive patients in Jashore, Bangladesh. This retrospective study recruited 208 RT-PCR positive Covid-19 patients from 1st April 2020 to 15th May 2020 who appeared at Flu corner centre, 250 Bedded General Hospital, Jashore, Bangladesh...
April 2024: Mymensingh Medical Journal: MMJ
https://read.qxmd.com/read/38545367/type-2-diabetes-mellitus-and-recurrent-tuberculosis-a-retrospective-cohort-in-peruvian-military-workers
#23
JOURNAL ARTICLE
Nataly T Alvarado-Valdivia, Juan A Flores, Jorge L Inolopú, Jaime A Rosales-Rimache
The role played by type 2 diabetes mellitus (DM2) in the occurrence of recurrent tuberculosis is still uncertain. Military personnel are an occupational group with an increased risk for tuberculosis exposure due to their activities. Methods. We conducted a retrospective cohort to study the association between DM2 and recurrent TB in military workers who have been previously treated for tuberculosis at the Central Military Hospital in Lima, Peru, between 2016 and 2017. We evaluated the risk between DM2 and recurrent TB using Nelson-Aalen graphical analysis and Cox regression stratified by TB cured with hazard ratio (HR) calculation adjusted for confounders...
May 2024: Journal of Clinical Tuberculosis and Other Mycobacterial Diseases
https://read.qxmd.com/read/38544629/role-of-indocyanine-green-in-diagnosing-diabetic-ulcer-a-case-report
#24
Aditi V Rokade, Abhay Mudey, Prishita Gupta, Nachiket P Rahate
Diabetic foot is a syndrome complex that presents with a serious complication arising from a diabetic ulcer. Poor blood circulation and nerve injury (neuropathy), especially in the limbs, can result from persistently elevated blood sugar levels. These elements play an important role in the formation of diabetic ulcers, which frequently occur on the feet and are prone to infection and sluggish healing. These ulcers have the potential to worsen and develop diabetic foot, a more serious ailment if left untreated...
February 2024: Curēus
https://read.qxmd.com/read/38543737/effects-of-hcv-clearance-with-direct-acting-antivirals-daas-on-liver-stiffness-liver-fibrosis-stage-and-metabolic-cellular-parameters
#25
JOURNAL ARTICLE
Joana Ferreira, Manuel Bicho, Fátima Serejo
INTRODUCTION: Chronic hepatitis C (CHC) is a clinical and pathological syndrome with various causes and is characterized by varying degrees of hepatocellular necrosis and inflammation. It is a significant cause of liver transplantation and liver-related death worldwide. The hepatic manifestations of CHC are typically characterized by slowly progressing liver fibrosis, which is a non-specific and often disproportionate response to tissue damage. A large majority of HCV patients have extrahepatic manifestations with varying degrees of severity...
February 27, 2024: Viruses
https://read.qxmd.com/read/38542495/formulating-treatment-to-cure-alzheimer-s-dementia-approach-2
#26
REVIEW
Jeffrey Fessel
There are two generic approaches to curing any medical condition. The first one treats every patient for all the known possible causes that contribute to pathogenesis; the second one individualizes potentially curative therapy by only identifying in each separate patient the components of pathogenesis that are actually operative and treating those. This article adopts the second approach for formulating a cure for Alzheimer's dementia (AD). The components of AD's pathogenesis are, in alphabetical order, as follows: circadian rhythm disturbances, depression, diabetes and insulin resistance, dyslipidemia, hypertension, inflammation, metabolic syndrome, mitochondrial dysfunction, nutritional deficiencies, TGF-β deficiency, underweight, vascular abnormalities, and Wnt/β-catenin deficiency...
March 20, 2024: International Journal of Molecular Sciences
https://read.qxmd.com/read/38536685/mcd-lightgbm-system-for-intelligent-analyzing-heterogeneous-clinical-drug-therapeutic-effects
#27
JOURNAL ARTICLE
Xiao-Hui Yang, Hao-Jie Liao, Pei- Yu Sun, Jing Ma, Bing Wang, Yan He, Liu-Gen Xue, Li-Min Su, Bin-Jie Wang
Causal effect estimation of individual heterogeneity is a core issue in the field of causal inference, and its application in medicine poses an active and challenging problem. In high-risk decision-making domain such as healthcare, inappropriate treatments can have serious negative impacts on patients. Recently, machine learning-based methods have been proposed to improve the accuracy of causal effect estimation results. However, many of these methods concentrate on estimating causal effects of continuous outcome variables under binary intervention conditions, and give less consideration to multivariate intervention conditions or discrete outcome variables, thus limiting their scope of application...
March 27, 2024: IEEE Journal of Biomedical and Health Informatics
https://read.qxmd.com/read/38534342/a-recombinant-peptide-device-combined-with-adipose-tissue-derived-stem-cells-enhances-subcutaneous-islet-engraftment
#28
JOURNAL ARTICLE
Takahiro Mizui, Akiko Inagaki, Yasuhiro Nakamura, Takehiro Imura, Satomi Suzuki Uematsu, Shigehito Miyagi, Takashi Kamei, Michiaki Unno, Kimiko Watanabe, Masafumi Goto
Subcutaneous space has been considered an attractive site for islet graft transplantation; however, the oxygen tension and vascularization are insufficient for islet graft survival. We investigated whether subcutaneous pre-implantation of a recombinant peptide (RCP) device with adipose tissue-derived stem cells (ADSCs) enhanced subcutaneous islet engraftment. RCP devices with/without syngeneic ADSCs were pre-implanted into the subcutaneous space of C57BL/6 mice. Syngeneic islets (300 or 120 islet equivalents (IEQs)) were transplanted into the pre-treated space after diabetes induction using streptozotocin...
March 13, 2024: Cells
https://read.qxmd.com/read/38524929/practice-of-complementary-and-alternative-medicine-use-in-north-indian-children-with-type-1-diabetes-an-exploratory-study
#29
JOURNAL ARTICLE
Priyanka Walia, Latika Rohilla, Devi Dayal
PURPOSE: Intermittent or concurrent use of Complementary and Alternative medicines (CAM) with insulin may have adverse effects in children with Type 1 Diabetes (T1DM). This study explores the practices of CAM use in children with T1DM. METHODS: An exploratory study was conducted among parents of children with T1DM attending a tertiary-level diabetes clinic. Data were collected using a structured pre-tested questionnaire. RESULTS: Two-hundred parents were invited; 183 (91...
April 2024: Diabetology International
https://read.qxmd.com/read/38518063/interventions-for-pancreatitis-new-approaches-knowledge-gaps-and-research-opportunities-summary-of-a-national-institute-of-diabetes-and-digestive-and-kidney-diseases-workshop
#30
JOURNAL ARTICLE
Anna Evans Phillips, Steven J Hughes, Dana K Andersen, Adam Bell, Randall Brand, Gregory A Coté, Adriana Cowdin, Nancy Diazgranados, Vikas Dudeja, Sinead N Duggan, Evan Fogel, Chris E Forsmark, A Jay Freeman, George Gittes, Phil A Hart, Christie Jeon, William Nealon, John Neoptolemos, Tonya M Palermo, Stephen Pandol, Kristen M Roberts, Martin Rosenthal, Vikesh K Singh, Dhiraj Yadav, David C Whitcomb, Nicholas Zyromski
There exists no cure for acute, recurrent acute or chronic pancreatitis and treatments to date have been focused on managing symptoms. A recent workshop held by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) focused on interventions that might disrupt or perhaps even reverse the natural course of this heterogenous disease, aiming to identify knowledge gaps and research opportunities that might inform future funding initiatives for NIDDK. The breadth and variety of identified active or planned clinical trials traverses the spectrum of the disease and was conceptually grouped for the workshop into behavioral, nutritional, pharmacologic and biologic, and mechanical interventions...
April 1, 2024: Pancreas
https://read.qxmd.com/read/38499796/evaluation-study-of-single-anastomosis-duodenal-ileal-bypass-with-sleeve-gastrectomy-in-the-treatment-of-chinese-obese-patients-based-on-efficacy-and-nutrition
#31
JOURNAL ARTICLE
Lifu Hu, Lun Wang, Shixing Li, Yang Liu, Zheng Zhang, Minghao Xiao, Zhenhua Zhang, Zhiqiang Wei, Liang Cui, Tao Jiang
To evaluate the efficacy and nutrition of single-anastomosis duodenal-ileal bypass with sleeve gastrectomy (SADI-S) in Chinese obese patients in the first postoperative year. Clinical data of 66 obese patients who underwent SADI-S surgery at China-Japan Union Hospital of Jilin University from November 2018 to May 2022 were retrospectively collected. The weight, body mass index (BMI), percentage of excess weight loss (%EWL), and percentage of total weight loss (%TWL) were recorded at 3, 6, and 12 months after surgery...
March 19, 2024: Scientific Reports
https://read.qxmd.com/read/38496675/endocrine-islet-%C3%AE-cell-subtypes-with-differential-function-are-derived-from-biochemically-distinct-embryonic-endocrine-islet-progenitors-that-are-regulated-by-maternal-nutrients
#32
Guoqiang Gu, Monica Brown, Verda Agan, Simone Nevills, Ruiying Hu, Alan Simmons, Yanwen Xu, Yilin Yang, Mahircan Yagan, Sadia Najam, Prasanna Dadi, Leesa Sampson, Mark Magnuson, David Jacobson, Ken Lau, Emily Hodges
Endocrine islet b cells comprise heterogenous cell subsets. Yet when/how these subsets are produced and how stable they are remain unknown. Addressing these questions is important for preventing/curing diabetes, because lower numbers of b cells with better secretory function is a high risk of this disease. Using combinatorial cell lineage tracing, scRNA-seq, and DNA methylation analysis, we show here that embryonic islet progenitors with distinct gene expression and DNA methylation produce b-cell subtypes of different function and viability in adult mice...
March 7, 2024: Research Square
https://read.qxmd.com/read/38496417/beta-cells-deficient-for-renalase-counteract-autoimmunity-by-shaping-natural-killer-cell-activity
#33
Kevin Bode, Siying Wei, Isabella Gruber, Stephan Kissler, Peng Yi
Type 1 diabetes (T1D) arises from autoimmune-mediated destruction of insulin-producing pancreatic beta cells. Recent advancements in the technology of generating pancreatic beta cells from human pluripotent stem cells (SC-beta cells) have facilitated the exploration of cell replacement therapies for treating T1D. However, the persistent threat of autoimmunity poses a significant challenge to the survival of transplanted SC-beta cells. Genetic engineering is a promising approach to enhance immune resistance of beta cells as we previously showed by inactivating of the Renalase ( Rnls ) gene...
March 4, 2024: bioRxiv
https://read.qxmd.com/read/38481259/can-single-disease-payment-impact-hospitalization-expenses-and-quality-in-district-hospital-a-case-study-in-fujian-china
#34
JOURNAL ARTICLE
Liangwen Zhang, Wanqiu Sha, Qiyu Lin, Ya Fang
BACKGROUND: China is exploring payment reform methods for patients to address the escalating issue of increasing medical costs. While most district hospitals were still in the stage of Single Disease Payment (SDP) due to conditions, there is a scarcity of research on comprehensive assessment of SDP. This study aims to evaluate the implementation of SDP in a district hospital, and provided data support and scientific reference for improving SDP method and accelerating medical insurance payment reform at district hospitals...
March 13, 2024: International Journal for Equity in Health
https://read.qxmd.com/read/38479993/pancreatic-%C3%AE-cell-failure-clinical-implications-and-therapeutic-strategies-in-type-2-diabetes
#35
JOURNAL ARTICLE
Daxin Cui, Xingrong Feng, Siman Lei, Hongmei Zhang, Wanxin Hu, Shanshan Yang, Xiaoqian Yu, Zhiguang Su
Pancreatic β-cell failure due to a reduction in function and mass has been defined as a primary contributor to the progression of type 2 diabetes (T2D). Reserving insulin-producing β-cells and hence restoring insulin production are gaining attention in translational diabetes research, and β-cell replenishment has been the main focus for diabetes treatment. Significant findings in β-cell proliferation, transdifferentiation, pluripotent stem cell differentiation, and associated small molecules have served as promising strategies to regenerate β-cells...
March 13, 2024: Chinese Medical Journal
https://read.qxmd.com/read/38477463/improving-diabetic-wound-healing-outcomes-with-topical-growth-factor-therapies-systematic-review-and-network-meta-analysis-of-randomised-controlled-trials
#36
JOURNAL ARTICLE
Andrew Yew Wei Wong, Natalie Ming Foong Hooi, Brian Sheng Yep Yeo, Rehena Sultana, Yong Mong Bee, Ainsley Ryan Yan Bin Lee, Sook Muay Tay
CONTEXT: Diabetes mellitus is associated with morbid complications such as diabetic foot ulcers (DFUs) that may lead to amputations or mortality if not managed adequately. OBJECTIVE: New adjunctive interventions to treat diabetic wounds include topical biologics and growth factors. This study aims to evaluate their efficacy in improving wound healing outcomes and safety. DATA SOURCES: Comprehensive database searches of MEDLINE via PubMed, EMBASE and Cochrane performed from inception to December 2022...
March 13, 2024: Journal of Clinical Endocrinology and Metabolism
https://read.qxmd.com/read/38476227/combined-islet-and-kidney-xenotransplantation-for-diabetic-nephropathy-an-update-in-ongoing-research-for-a-clinically-relevant-application-of-porcine-islet-transplantation
#37
REVIEW
Daniel L Eisenson, Hayato Iwase, Weili Chen, Yu Hisadome, Wanxing Cui, Michelle R Santillan, Alexander C Schulick, Du Gu, Amanda Maxwell, Kristy Koenig, Zhaoli Sun, Daniel Warren, Kazuhiko Yamada
Combined islet and kidney xenotransplantation for the treatment of diabetic nephropathy represents a compelling and increasingly relevant therapeutic possibility for an ever-growing number of patients who would benefit from both durable renal replacement and cure of the underlying cause of their renal insufficiency: diabetes. Here we briefly review immune barriers to islet transplantation, highlight preclinical progress in the field, and summarize our experience with combined islet and kidney xenotransplantation, including both challenges with islet-kidney composite grafts as well as our recent success with sequential kidney followed by islet xenotransplantation in a pig-to-baboon model...
2024: Frontiers in Immunology
https://read.qxmd.com/read/38471572/type-1-diabetes-lessons-from-a-decade-of-preclinical-studies-on-phytotherapy
#38
REVIEW
Ahmad Ghorbani, Leila Mobasheri, Mostafa Moshirian, Mohaddeseh Sadat Alavi, Omid Fakharzadeh Moghaddam, Niloofar Nikpasand, Elham Einafshar, Mahdyar Esmaeilizadeh
BACKGROUND: In recent decades, numerous herbal products have been shown to have antihyperglycemic and beta cell-regenerative effects in animal studies. However, there is no clinical evidence that those products completely cure patients with type-1 diabetes (T1D). Therefore, it seems that most of the phytochemicals do not have a significant impact on human beta cells, and the results of experimental studies conducted on them may not be generalizable to the clinic. PURPOSE: The present work aims to review extensively the methods and results of preclinical studies on phytotherapy of T1D published in the last 10 years...
March 10, 2024: Fitoterapia
https://read.qxmd.com/read/38452330/diabetes-and-obesity-pathophysiology-as-a-teaching-tool-to-emphasize-physiology-core-concepts
#39
JOURNAL ARTICLE
Brandon Remmelgas, Shanna L Lowes, Holly E Bates
Diabetes mellitus and obesity are major public health issues that significantly impact the health care system. The next generation of health-care providers will need a deep understanding of the pathophysiology of these diseases if we are to prevent, treat, and eventually cure these diseases and ease the burden on patients and the health care system. Physiology Core Concepts are a set of core principles, or "big ideas", identified by physiology educators that are thought to promote long-term retention, create a deeper understanding, and help with formation of critical thinking skills...
March 7, 2024: Advances in Physiology Education
https://read.qxmd.com/read/38438099/comparison-of-two-techniques-for-proximal-margin-analysis-of-toe-amputations-a-retrospective-review
#40
JOURNAL ARTICLE
Jennifer Kipp-Jones, Bryanna D Vesely, Madeline Fram, Gregory Russell, Jung Wha Kim-Shapiro, Ashleigh W Medda, Paula Gangopadhyay
Toe amputations are a common podiatric procedure for treatment of osteomyelitis. Whether or not the surgeon obtains a surgical cure, thus resolving the infection, can be difficult to assess. Obtaining a proximal bone margin can assist the treatment team in deciding the duration of postoperative antibiotics, need for re-operation, and postoperative care. The two senior surgeons use different methods to analyze proximal bone margins. The first surgeon obtains a microbiologic culture from the remaining bone, either at the proximal phalanx or metatarsal head, following the removal of the toe to be reviewed for osteomyelitis...
March 2, 2024: Journal of Foot and Ankle Surgery
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