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Xin Y, Yuan T, Wang J. The causal relationship between atopic dermatitis and brain cancer: A bidirectional Mendelian randomization study. Skin Res Technol 2024; 30:e13715. [PMID: 38646850 PMCID: PMC11033834 DOI: 10.1111/srt.13715] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2024] [Accepted: 04/08/2024] [Indexed: 04/23/2024]
Abstract
BACKGROUND Atopic dermatitis ranks among the prevalent skin disorders. Research has indicated a potential association with brain cancer. Yet, establishing a direct causal relationship between atopic dermatitis and brain cancer continues to be challenging. MATERIALS AND METHODS We extracted single nucleotide polymorphisms (SNPs) significantly associated with atopic dermatitis (sample size = 382 254) at a genome-wide level from a large Finnish Genome-Wide Association Study (GWAS) dataset (n cases = 15 208, n controls = 367 046). Summary data for 372 622 cases of brain cancer (n cases = 606, n controls = 372 016) were obtained via the IEU Open GWAS database. We employed the Inverse Variance Weighted (IVW) method as our primary analytical approach for Mendelian Randomization (MR) analysis. Additionally, heterogeneity was measured using Cochran's Q value, and horizontal pleiotropy was evaluated using MR-Egger 、Mendelian Randomization Pleiotropy RESidual Sum and Outlier and leave-one-out analyses. RESULTS The risk of brain cancer increases with the presence of atopic dermatitis, as evidenced by the odds ratios (ORs) and 95% confidence intervals (CIs),(OR = 1.0005; 95% CI = 1.0001, 1.0009; p = 0.0096). However, when conducting the analysis in reverse, no significant link was observed. CONCLUSION The findings from our study indicate a causative link between atopic dermatitis and brain cancer, highlighting the importance of conducting broader clinical investigations into their potential association going forward.
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Affiliation(s)
- Yu Xin
- Department of DermatologyYijishan Hospital Affiliated With Wannan Medical CollegeWuhuAnhui ProvinceChina
| | - Tao Yuan
- Department of DermatologyYijishan Hospital Affiliated With Wannan Medical CollegeWuhuAnhui ProvinceChina
| | - Jun Wang
- Department of DermatologyYijishan Hospital Affiliated With Wannan Medical CollegeWuhuAnhui ProvinceChina
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Sugo N, Terazono S, Matsuura C, Fuchinoue Y, Sakaeyama Y, Abe M, Mikai M, Kubota S, Kondo K, Shimokawa S, Maehara T, Akutsu H, Ikawa F, Enomoto Y, Kamiya K, Kuroda S, Takeshima H, Tamura N, Hishikawa T, Fujii M, Fujimaki T, Horiuchi T, Yamamoto J, Yamamoto T, Kato Y. Academic Activities of Female Neurosurgeons in All Branch Meetings of the Japan Neurosurgical Society. Neurol Med Chir (Tokyo) 2023; 63:457-463. [PMID: 37495519 PMCID: PMC10687666 DOI: 10.2176/jns-nmc.2023-0051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2023] [Accepted: 05/29/2023] [Indexed: 07/28/2023] Open
Abstract
This study aims to evaluate the academic activities of female neurosurgeons at all branch meetings of the Japan Neurosurgical Society and identify related issues they encountered. The programs of all seven branch meetings of the Japan Neurosurgical Society (Hokkaido, Tohoku, Kanto, Chubu, Kinki, Chugoku/Shikoku, and Kyushu) were used to determine the number of presentations and chairpersons by sex. The covered period was from January 2008 to December 2020, which was available for viewing during the survey. Of note, only the Kinki branch used data from January 2008 to December 2019. The Neurologia Medico-chirurgica (NMC), the journal of the Japan Neurosurgical Society, was also reviewed to identify publication achievements during the same period. In all seven branches, the percentage of presentations given by female physicians increased from 7.9% in 2008 to 9.6% in 2020 (p < 0.05).Conversely, the percentage of female chairpersons in all branch meetings did not change over time and it was significantly lower (1.1%) than that of female presenters (7.9%) for all branch meetings combined in over 13 years (p < 0.01). In the NMC, the number of articles with female physicians as first authors did not increase or decrease over the years. We conclude that efforts to smoothly promote female neurosurgeons as chairpersons and increase the number of female first authors are necessary to facilitate their academic activities.
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Affiliation(s)
- Nobuo Sugo
- Department of Neurosurgery (Omori), School of Medicine, Faculty of Medicine, Toho University
- Committee for the Promotion of Diversity, Japan Neurosurgical Society
| | - Sayaka Terazono
- Department of Neurosurgery (Omori), School of Medicine, Faculty of Medicine, Toho University
| | - Chie Matsuura
- Department of Neurosurgery (Omori), School of Medicine, Faculty of Medicine, Toho University
| | - Yutaka Fuchinoue
- Department of Neurosurgery (Omori), School of Medicine, Faculty of Medicine, Toho University
| | - Yuki Sakaeyama
- Department of Neurosurgery (Omori), School of Medicine, Faculty of Medicine, Toho University
| | - Mitsuyoshi Abe
- Department of Neurosurgery (Omori), School of Medicine, Faculty of Medicine, Toho University
| | - Masataka Mikai
- Department of Neurosurgery (Omori), School of Medicine, Faculty of Medicine, Toho University
| | - Syuhei Kubota
- Department of Neurosurgery (Omori), School of Medicine, Faculty of Medicine, Toho University
| | - Kosuke Kondo
- Department of Neurosurgery (Omori), School of Medicine, Faculty of Medicine, Toho University
| | - Shoko Shimokawa
- Committee for the Promotion of Diversity, Japan Neurosurgical Society
- Department of Neurosurgery, Kurume University School of Medicine
| | - Taketoshi Maehara
- Committee for the Promotion of Diversity, Japan Neurosurgical Society
- Department of Neurosurgery, Tokyo Medical and Dental University
| | - Hiroyoshi Akutsu
- Committee for the Promotion of Diversity, Japan Neurosurgical Society
- Department of Neurosurgery, Dokkyo Medical University
| | - Fusao Ikawa
- Committee for the Promotion of Diversity, Japan Neurosurgical Society
- Department of Neurosurgery, Shimane Prefectural Central Hospital
| | - Yukiko Enomoto
- Committee for the Promotion of Diversity, Japan Neurosurgical Society
- Department of Neurosurgery, Gifu University Graduate School of Medicine
| | - Kazuko Kamiya
- Committee for the Promotion of Diversity, Japan Neurosurgical Society
- Department of Neurosurgery, Norikura-Tatamidaira Clinic
| | - Satoshi Kuroda
- Committee for the Promotion of Diversity, Japan Neurosurgical Society
- Department of Neurosurgery, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama
| | - Hideo Takeshima
- Committee for the Promotion of Diversity, Japan Neurosurgical Society
- Department of Neurosurgery, Faculty of Medicine, University of Miyazaki
| | - Noriko Tamura
- Committee for the Promotion of Diversity, Japan Neurosurgical Society
- Department of Neurosurgery, Gotenyama Orthopedic Rehab Clinic
| | - Tomohito Hishikawa
- Committee for the Promotion of Diversity, Japan Neurosurgical Society
- Department of Neurological Surgery, Okayama University Faculty of Medicine, Dentistry and Pharmaceutical Sciences
| | - Masazumi Fujii
- Committee for the Promotion of Diversity, Japan Neurosurgical Society
- Department of Neurosurgery, Fukushima Medical University School of Medicine
| | - Takamitsu Fujimaki
- Committee for the Promotion of Diversity, Japan Neurosurgical Society
- Department of Neurosurgery, Saitama Medical University
| | - Tetsuyoshi Horiuchi
- Committee for the Promotion of Diversity, Japan Neurosurgical Society
- Department of Neurosurgery, Shinshu University School of Medicine
| | - Junkoh Yamamoto
- Committee for the Promotion of Diversity, Japan Neurosurgical Society
- Department of Neurosurgery, University of Occupational and Environmental Health
| | - Tetsuya Yamamoto
- Committee for the Promotion of Diversity, Japan Neurosurgical Society
- Department of Neurosurgery, Yokohama City University Graduate School of Medicine
| | - Yoko Kato
- Committee for the Promotion of Diversity, Japan Neurosurgical Society
- Department of Neurosurgery, Fujita Health University, Bantane Hospital
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Ou YC, Ou HC, Juan YS, Narasimhan R, Mottrie A, Weng WC, Huang LH, Lin YS, Hsu CY, Yang CH, Tung MC. Robot-assisted radical prostatectomy using hugo RAS system: The pioneer experience in Taiwan and Northeast Asia. Int J Med Robot 2023:e2577. [PMID: 37705314 DOI: 10.1002/rcs.2577] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2023] [Revised: 08/23/2023] [Accepted: 09/05/2023] [Indexed: 09/15/2023]
Abstract
BACKGROUND Among the novel robotic platforms, the Hugo RAS system is the second most studied platform, next to the da Vinci system, and we aim to address our experiences in radical prostatectomy (RP) with the Hugo RAS system. METHODS We recorded our first 12 cases of prostate cancer undergoing RP with the Hugo RAS system. The median console time was 145 min and median hospital stay was 7 days. Hedge' g was applied to search for the cut-off case in four parameters in surgeries. RESULTS Pre-console preparation was significantly improved after the first seven cases, and the console time was remarkably shortened after the first two cases. The intraoperative pause for trouble shooting was remarkably shortened after the first three cases. CONCLUSIONS We found that RP with the Hugo RAS system was feasible, and the learning curve was short as surgeons may benefit from the previous experience with the da Vinci system.
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Affiliation(s)
- Yen-Chuan Ou
- Department of Surgery, Division of Urology, Tungs' Taichung MetroHarbor Hospital, Taichung, Taiwan
| | - Hsien-Che Ou
- Department of Surgery, Division of Urology, Tungs' Taichung MetroHarbor Hospital, Taichung, Taiwan
- Department of Urology, Kaohsiung Medical University Chung-Ho Memorial Hospital, Kaohsiung, Taiwan
| | - Yung-Shun Juan
- Department of Urology, Kaohsiung Medical University Chung-Ho Memorial Hospital, Kaohsiung, Taiwan
| | | | - Alex Mottrie
- Department of Urology, OLV Hospital, Aalst, Belgium
- ORSI Academy, Melle, Belgium
| | - Wei-Chun Weng
- Department of Surgery, Division of Urology, Tungs' Taichung MetroHarbor Hospital, Taichung, Taiwan
- Department of Nursing, Jen-Teh Junior College of Medicine, Nursing and Management, Miaoli, Taiwan
| | - Li-Hua Huang
- Department of Surgery, Division of Urology, Tungs' Taichung MetroHarbor Hospital, Taichung, Taiwan
| | - Yi-Sheng Lin
- Department of Surgery, Division of Urology, Tungs' Taichung MetroHarbor Hospital, Taichung, Taiwan
| | - Chao-Yu Hsu
- Department of Surgery, Division of Urology, Tungs' Taichung MetroHarbor Hospital, Taichung, Taiwan
- PhD Program in Translational Medicine, National Chung-Hsing University, Taichung, Taiwan
| | - Che-Hsueh Yang
- Department of Surgery, Division of Urology, Tungs' Taichung MetroHarbor Hospital, Taichung, Taiwan
| | - Min-Che Tung
- Department of Surgery, Division of Urology, Tungs' Taichung MetroHarbor Hospital, Taichung, Taiwan
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Shepard V, Al Snih S, Burke R, Downer B, Kuo YF, Malagaris I, Raji M. Characteristics Associated With Mexican-American Hospice Use: Retrospective Cohort Study Using the Hispanic Established Population for the Epidemiologic Study of the Elderly (H-EPESE). Am J Hosp Palliat Care 2023; 40:480-491. [PMID: 35731552 PMCID: PMC9772355 DOI: 10.1177/10499091221110125] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND Hospice use is lower among ethnic/racial minorities in the United States, though little is known about trends, associated factors and duration of hospice use by Mexican-Americans. AIM The purpose of this study is to examine Mexican-American characteristics associated with hospice stay, both ≤ and > 7 days. DESIGN This retrospective cohort study used data from the Hispanic Established Population for the Epidemiological Study of the Elderly (H-EPESE) and the Centers for Medicare and Medicaid Services. Multivariate logistic regression models were used to estimate the ORs and 95% CIs for hospice stay among Mexican-Americans, both ≤ and > 7 days. SETTING AND PARTICIPANTS The first cohort (N = 970) includes H-EPESE participants who died between 2004 and 2016 who had Medicare parts A and B. The second cohort (N = 403) includes participants who completed the H-EPESE survey within the last 2 years of life. RESULTS Although hospice use increased among Mexican-Americans between 2004 and 2016 (OR 1.88, 95% CI 1.19-2.97), 38% of participants died within the first week of hospice care. Mexican-Americans in New Mexico and Arizona were 2-4 times more likely to use hospice than those in Texas and Colorado. Dementia was associated with hospice use (OR 1.47, 95% CI 1.11-1.94). Characteristics, like church attendance and living alone, were not associated with hospice use. CONCLUSIONS The substantial proportion of Mexican-Americans with 7 days or less of hospice use underscores the need for early palliative/hospice intervention to mitigate variation in use.
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Affiliation(s)
- Victoria Shepard
- Department of Population Health, University of Texas Dell Medical School, Austin, TX, USA
| | - Soham Al Snih
- Division of Geriatrics and Palliative Care, University of Texas Medical Branch, Galveston, TX, USA
- Department of Nutrition, Metabolism & Rehabilitation Sciences, University of Texas Medical Branch, Galveston, TX, USA
- Department of Rehabilitation Sciences, University of Texas Medical Branch, Galveston, TX, USA
| | - Rebecca Burke
- Division of Geriatrics and Palliative Care, University of Texas Medical Branch, Galveston, TX, USA
- Department of Family Medicine, University of Texas Medical Branch, Galveston, TX, USA
| | - Brian Downer
- Department of Nutrition, Metabolism & Rehabilitation Sciences, University of Texas Medical Branch, Galveston, TX, USA
| | - Yong-Fang Kuo
- Division of Geriatrics and Palliative Care, University of Texas Medical Branch, Galveston, TX, USA
- Office of Biostatistics, University of Texas Medical Branch, Galveston, TX, USA
- Department of Preventive Medicine and Population Health, University of Texas Medical Branch, Galveston, TX, USA
| | - Ioannis Malagaris
- Department of Preventive Medicine and Population Health, University of Texas Medical Branch, Galveston, TX, USA
| | - Mukaila Raji
- Division of Geriatrics and Palliative Care, University of Texas Medical Branch, Galveston, TX, USA
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Muacevic A, Adler JR. Measuring the Efficacy of Myofascial Rollers and Post-isometric Relaxation Technique in Relieving Pain Intensity and Postural Deviation Using Plumb Line Assessment for the Treatment of Upper Cross Syndrome in Dental Undergraduate (UG) Students. Cureus 2022; 14:e29831. [PMID: 36337788 PMCID: PMC9626377 DOI: 10.7759/cureus.29831] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2022] [Accepted: 10/02/2022] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND In today's world, the upper cross syndrome is growing more common and becoming very prevalent among dental undergraduate practitioners. One of the most important conditions for which dentists seek physiotherapy treatment is neck pain. It is characterized by overactive pectoralis and trapezius muscles. It is frequently linked to poor posture in dental students' daily life, causing them to miss their work. OBJECTIVES The first objective of our study was to find the efficacy of myofascial rollers and post-isometric relaxation technique along with conventional therapy for pain relief and correction of postural deviation in undergraduate dental students. And, the second objective of the study was to compare the effect of myofascial rollers and post-isometric relaxation techniques in upper cross syndrome. METHODS The study was conducted with pre-test and post-test methods. The study consisted of 80 participants who were included based on our inclusion and exclusion criteria. The study sample was randomly assigned into two groups. Each group consisted of a total of 40 participants. Group A was treated using myofascial rollers and hot packs, and Group B was treated using the post-isometric relaxation technique and hot packs. Patients were asked to mark their intensity of pain on the Numerical Pain Rating Scale and an assessment of postural deviations (in mm) was noted through a plumb line in the posture grid. Posture assessment was done in lateral view. The protocol covered four weeks of treatment based on the defined protocol. Finally, the t-square test and Chi-square test were used to compare the difference in the result. Also, the level of significance was kept at <0.05. RESULT Statistical analysis was done using descriptive and inferential statistics using student paired, unpaired, and chi-square test. IBM SPSS Statistics for Windows, Version 27.0 (Released 2020; IBM Corp., Armonk, New York, United States) was used. The Numerical Pain Rating Scale showed mean deviations of (4.15±1.29) for Group A and (3.30±1.01) for Group B. Plumb line assessment showed mean deviations of (9.09±4.31) for Group A and (6.33±2.36) for Group B. Also, Numerical Pain Rating Scale showed (t=3.26, p=0.002) and Plumb line deviation showed (t=3.57, p=0.001). CONCLUSION Through our study, we conclude that statistically no significant differences were found in pre-intervention and post-intervention, but myofascial rollers gave better results as compared to the post-isometric relaxation technique in alleviating pain and correcting postural deviation.
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Seminario-Vidal L, Fox LP, Grant-Kels JM, Elston D. JAAD Consultative Dermatology-Relaunched. J Am Acad Dermatol 2020; 84:905-906. [PMID: 32889010 DOI: 10.1016/j.jaad.2020.08.104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- Lucia Seminario-Vidal
- Department of Dermatology, University of South Florida, Tampa, Florida; Department of Cutaneous Oncology, Moffitt Cancer Center, Tampa, Florida
| | - Lindy P Fox
- Department of Dermatology, University of California, San Francisco, San Francisco, California.
| | - Jane M Grant-Kels
- Dermatology Department, University of Connecticut, Farmington, Connecticut
| | - Dirk Elston
- Department of Dermatology and Dermatologic Surgery, Medical University of South Carolina, Charleston, South Carolina
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Bhattacharya S, Kumar R, Vyas S, Singh A, Hossain MM, Marzo RR. A holistic approach to remove the bottlenecks and to improve the quality of medical research in India. J Family Med Prim Care 2019; 8:3469-3474. [PMID: 31803638 PMCID: PMC6881927 DOI: 10.4103/jfmpc.jfmpc_218_19] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2019] [Revised: 08/22/2019] [Accepted: 10/10/2019] [Indexed: 11/24/2022] Open
Abstract
The current trend of conducting research and publishing the same to fulfill the academic or professional requirements can jeopardise what research actually means in health sciences. Rather than highlighting how many publications one can have, or showcase the expertise as a researcher, research can inform knowledge gaps and address the same in a replicable and scientific manner. More importantly, for low- and middle- income countries like India, research can be a powerful tool to assess healthcare problems at the primary care and develop innovative solutions to strengthen health systems at the grass root level. It can be argued that, enriching research portfolio for an individual is a misleading approach whereas research has much more to offer to the society at large. In the context of in primary care, academic and implementation research is important for several distinct reasons. The practice-based research can inform better practice through communicating the concerns or findings from research with key stakeholders of primary care. If the primary care practitioners are equipped with fundamental research skills, it may help them to become better critics and evidence-based practitioners. Publishing research findings in a good scientific journal is not an easy job. A lot of time and resources are often required from the submission process to publication. There are many obstacles for publishing a research, some are inherent some are man-made. In this article we describe our experiences about the bottlenecks that we have faced while conducting medical research and we have also prescribed some possible solutions which can help to the researchers in future while conducting medical research.
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Affiliation(s)
| | - Raman Kumar
- President, Academy of Family Physicians of India, New Delhi, India
| | - Shaili Vyas
- Department of Community Medicine, HIMS, Dehradun, Uttarakhand, India
| | - Amarjeet Singh
- Department of Community Medicine, PGIMER, Chandigarh, India
| | - Md Mahbub Hossain
- Department of Health Promotion and Community Health Sciences, School of Public Health, Texas A and M University, Texas, USA
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Kapetanakis S, Dermon A, Gkantsinikoudis N, Kommata V, Soukakos P, Dermon CR. Acetabular labrum of hip joint in osteoarthritis: A qualitative original study and short review of the literature. J Orthop Surg (Hong Kong) 2018; 25:2309499017734444. [PMID: 29017383 DOI: 10.1177/2309499017734444] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
PURPOSE Histological architecture of normal acetabular labrum regarding free nerve endings (FNEs) and mechanoreceptors (MRs) has been satisfactorily described in the literature. However, the presence of FNEs and MRs in acetabular labrum of hip joint has been analyzed only once in patients with osteoarthritis (OA). Aim of this article is to report histological distribution pattern of FNEs and MRs in acetabular labrum of patients with severe OA, at the same time conducting a comparison with normal acetabular labrum described in the literature. METHODS Seven patients with severe hip OA were enrolled in this study. Patient selection was assisted by the utilization of specific clinical scales delineated by the American College of Rheumatology. After successful total hip arthroplasty, tissue samples of acetabular labra of seven patients were histologically processed and stained with the gold standard chloride method, which was subsequently examined under a compound microscope. RESULTS FNEs and MRs constituted the major histological structures. Identified MRs included Pacini corpuscles, Ruffini corpuscles, and Golgi-Mazzoni corpuscles. The presence of FNEs was predominant in the middle part of the acetabular labrum, featuring a remarkable decrease in peripheral parts. In contrast, MRs were detected basically in peripheral parts and less in the middle part. CONCLUSIONS Differentiation of the distribution pattern of MRs and FNEs in acetabular labrum of hip joint is remarkable between normal patients and patients with severe OA. The abundance of FNEs in the middle part of the pathologic labrum is mainly responsible for the observed discrimination. A "conversion" of MRs to FNEs may occur during OA progression, modulating therefore this pattern as well as the upcoming clinical manifestations.
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Affiliation(s)
- S Kapetanakis
- 1 Department of Anatomy, Medical School of Alexandroupolis, Democritus University of Thrace, Greece
| | - A Dermon
- 2 Department of Orthopaedic Surgery, Amalia Fleming Hospital, Athens, Greece
| | - N Gkantsinikoudis
- 1 Department of Anatomy, Medical School of Alexandroupolis, Democritus University of Thrace, Greece
| | - V Kommata
- 3 Laboratory of Human and Animal Physiology, Department of Biology, University of Patras, Rion, Greece
| | - P Soukakos
- 2 Department of Orthopaedic Surgery, Amalia Fleming Hospital, Athens, Greece
| | - C R Dermon
- 3 Laboratory of Human and Animal Physiology, Department of Biology, University of Patras, Rion, Greece
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Kapetanakis S, Gkantsinikoudis N, Dermon A, Kommata V, Papathanasiou J, Soukakos P, Dermon C. Normal microscopic architecture of acetabular labrum of hip joint: a qualitative original study with clinical aspects. Muscles Ligaments Tendons J 2017; 7:279-285. [PMID: 29264339 DOI: 10.11138/mltj/2017.7.2.279] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Background Normal histologic architecture of acetabular labrum, regarding presence of Free Nerve Endings (FNEs) and Nerve End Organs (NEOs) has been four times described. Nevertheless, elderly cadaveric specimens and individuals were recruited, leading to considerably high unreliability probability due to microscopic degenerative alterations. Aim of this paper is to analyze distribution pattern of FNEs and NEOs in acetabular labra of healthy middle-aged individuals, configuring thus more reliably acetabular labrum microscopic profile. Materials and methods Six patients with middle age 52 ± 2.5 years were enrolled in this study. Injury of acetabular labrum and normal hip radiograph were present in all cases. Patients were all subjected to successful hip hemi-arthroplasty and derived acetabular labra were subsequently histologically processed and observed under a compound microscope. Results FNEs and NEOs were detected in all specimens. All types of NEOs were identified, including Paccini, Golgi-Mazzoni, Ruffini and Krause corpuscles. FNEs and NEOs were both in ventral part and in chondral side of labrum predominantly detected. Conclusion FNEs and NEOs presence was greater in ventral side of labrum, being thus in partial agreement with previous studies results. Further study is required, in order to elucidate the exact acetabular labrum normal microscopic anatomy. Level of evidence IV.
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Affiliation(s)
- Stylianos Kapetanakis
- Department of Anatomy, Medical School of Alexandroupolis, Democritus University of Thrace, Greece
| | - Nikolaos Gkantsinikoudis
- Department of Anatomy, Medical School of Alexandroupolis, Democritus University of Thrace, Greece
| | - Antonios Dermon
- Department of Orthopaedic Surgery, Amalia Fleming Hospital, Athens, Greece
| | - Vassiliki Kommata
- Lab of Human and Animal Physiology, Department of Biology, University of Patras, Rion, Greece
| | - Jannis Papathanasiou
- Department of Medical Imaging, Allergology & Physiotherapy, Medical University of Plovdiv, Bulgaria Department of Kinesitherapy, Faculty of Public Health, Medical University of Sofia, Bulgaria
| | | | - Caterina Dermon
- Lab of Human and Animal Physiology, Department of Biology, University of Patras, Rion, Greece
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Sahebari M, Nabavi N, Salehi M. Correlation between serum 25(OH)D values and lupus disease activity: an original article and a systematic review with meta-analysis focusing on serum VitD confounders. Lupus 2014; 23:1164-77. [PMID: 24961748 DOI: 10.1177/0961203314540966] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
Notwithstanding that several original studies and some systematic reviews have been undertaken on the subject "correlation between serum values of vitamin D (VitD) and lupus disease activity," there is still no consensus on the importance of sectional measurement of serum VitD in the prediction of disease activity and important confounders in estimation of serum VitD. Medline, Web of Knowledge, and Scopus databases were searched from 1995 to 2013. The following medical subject heading (MeSH) terms and/or text words were used: "Vitamin D" OR "25OHD" OR "25(OH)D" combined with "systemic lupus erythematosus" OR "lupus" OR "SLE." References cited in the identified articles were also manually searched. Human studies in any language were included. Original research on this topic was also carried out on 82 lupus patients, considering important VitD confounders according to our systematic review and we included them in the meta-analysis. A total of 35 studies were registered for this study. Only 11 of these pointed to this correlation by Pearson test. The pooled Pearson correlation (r) of associations between disease activity and VitD was -0.365 (95% CI: -0.536, -0.165) with significant heterogeneity (p = 0.001 I (2 )= 93%). Sensitivity analysis resulted in no significant differences. The most important adjustable confounders considered by researchers were drugs, especially hydroxychloroquine, prednisolone and supplementary VitD, body mass index (BMI) and proteinuria or renal function. Only proteinuria was reported to influence VitD concentration strongly. BMI was another probable influencing factor. Our original research presented no correlation between VitD and SLEDAI (p = 0.68, r s = 0.003). This meta-analysis demonstrated that most of the studies on the relationship between VitD and lupus disease activity that found no correlation did not present the details of the statistics. However, analyzing 11 studies, most of which found a reverse correlation and reported it in detail, and our study found a weak reverse correlation between those two items. Systematic review of confounders showed that BMI, medications and kidney involvement were the most remarkable ones reported by researchers.
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Affiliation(s)
- M Sahebari
- Rheumatic Diseases Research Center (RDRC), School of Medicine, Mashhad Universality of Medical Sciences, Mashhad, Iran
| | - N Nabavi
- Rheumatic Diseases Research Center (RDRC), School of Medicine, Mashhad Universality of Medical Sciences, Mashhad, Iran
| | - M Salehi
- Departments of Community Medicine, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran Research Center for Patient Safety, Mashhad University of medical sciences, Mashhad, Iran
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