Inflammatory bowel diseases(IBD)are idiopathic chronic diseases of the gastrointestinal tract well known to be associated with both genetic and environmental risk factors.Permissive genotypes may manifest into clinica...Inflammatory bowel diseases(IBD)are idiopathic chronic diseases of the gastrointestinal tract well known to be associated with both genetic and environmental risk factors.Permissive genotypes may manifest into clinical phenotypes under certain environmental influences and these may be best studied from migratory studies.Exploring differences between first and second generation migrants may further highlight the contribution of environmental factors towards the development of IBD.There are few opportunities that have been offered so far.We aim to review the available migration studies on IBD,evaluate the known environmental factors associated with IBD,and explore modern migration patterns to identify new opportunities and candidate migrant groups in IBD migration research.展开更多
AIM:To evaluate the difference between the performance of the (CKD-EPI) and Modification of Diet in Renal Disease (MDRD) equations in cirrhotic patients. METHODS: From Jan 2004 to Oct 2008, 4127 cirrhotic patients wer...AIM:To evaluate the difference between the performance of the (CKD-EPI) and Modification of Diet in Renal Disease (MDRD) equations in cirrhotic patients. METHODS: From Jan 2004 to Oct 2008, 4127 cirrhotic patients were reviewed. Patients with incomplete data with respect to renal function were excluded; thus, a total of 3791 patients were included in the study. The glomerular filtration rate (GFR) was estimated by the 4-variable MDRD (MDRD-4), 6-variable MDRD (MDRD-6), and CKD-EPI equations.RESULTS:When serum creatinine was 0.7-6.8 mg/dL and 0.6-5.3 mg/dL in men and women, respectively, a significantly lower GFR was estimated by the MDRD-6 than by the CKD-EPI. Similar GFRs were calculated by both equations when creatinine was > 6.9 mg/dL and > 5.4 mg/dL in men and women, respectively. In predicting in-hospital mortality, estimated GFR obtained by the MDRD-6 showed better accuracy [81.72%; 95% confidence interval (CI), 0.94-0.95] than that obtained by the MDRD-4 (80.22%; 95%CI, 0.96-0.97), CKD-EPI (79.93%; 95%CI, 0.96-0.96), and creatinine (77.50%; 95%CI, 2.27-2.63). CONCLUSION: GFR calculated by the 6-variable MDRD equation may be closer to the true GFR than that calculated by the CKD-EPI equation.展开更多
Gallstone disease(GD) is a chronic recurrent hepatobiliary disease,the basis for which is the impaired metabolism of cholesterol,bilirubin and bile acids,which is characterized by the formation of gallstones in the he...Gallstone disease(GD) is a chronic recurrent hepatobiliary disease,the basis for which is the impaired metabolism of cholesterol,bilirubin and bile acids,which is characterized by the formation of gallstones in the hepatic bile duct,common bile duct,or gallbladder.GD is one of the most prevalent gastrointestinal diseases with a substantial burden to health care systems.GD can result in serious outcomes,such as acute gallstone pancreatitis and gallbladder cancer.The epidemiology,pathogenesis and treatment of GD are discussed in this review.The prevalence of GD varies widely by region.The prevalence of gallstone disease has increased in recent years.This is connected with a change in lifestyle:reduction of motor activity,reduction of the physical load and changes to diets.One of the important benefits of early screening for gallstone disease is that ultrasonography can detect asymptomatic cases,which results in early treatment and the prevention of serious outcomes.The pathogenesis of GD is suggested to be multifactorial and probably develops from complex interactions between many genetic and environmental factors.It suggests that corticosteroids and oral contraceptives,which contain hormones related to steroid hormones,may be regarded as a model system of cholelithiasis development in man.The achievement in the study of the physiology of bile formation and the pathogenesis of GD has allowed expanding indications for therapeutic treatment of GD.展开更多
We propose a theoretical study investigating the spread of the novel coronavirus(COVID-19)reported inWuhan City of China in 2019.We develop a mathematical model based on the novel corona virus’s characteristics and t...We propose a theoretical study investigating the spread of the novel coronavirus(COVID-19)reported inWuhan City of China in 2019.We develop a mathematical model based on the novel corona virus’s characteristics and then use fractional calculus to fractionalize it.Various fractional order epidemicmodels have been formulated and analyzed using a number of iterative and numerical approacheswhile the complications arise due to singular kernel.We use the well-known Caputo-Fabrizio operator for the purposes of fictionalization because this operator is based on the non-singular kernel.Moreover,to analyze the existence and uniqueness,we will use the well-known fixed point theory.We also prove that the considered model has positive and bounded solutions.We also draw some numerical simulations to verify the theoretical work via graphical representations.We believe that the proposed epidemic model will be helpful for health officials to take some positive steps to control contagious diseases.展开更多
Background The new Chronic Kidney Disease Epidemiology Collaboration （CKD-EPI） equation was developed to address the systematic underestimation of glomerular filtration rate （GFR） by the Modification of Diet in Re...Background The new Chronic Kidney Disease Epidemiology Collaboration （CKD-EPI） equation was developed to address the systematic underestimation of glomerular filtration rate （GFR） by the Modification of Diet in Renal Disease （MDRD） Study equation in patients with relatively well-preserved kidney function.Performance of the new equation in the Chinese population is unknown.The goal of the present study was to compare performance of these two equations in Chinese patients with chronic kidney disease （CKD）.Methods We enrolled 450 Chinese patients （239 women and 211 men） with CKD in the present study.The renal dynamic imaging method was used to measure the referenced standard GFR （rGFR） for comparison with estimations using the two equations.Their overall performance was assessed with the Bland-Altman method and receiver-operating characteristics （ROC） analysis.Performance of the two equations in lower and higher estimated GFR （eGFR） subgroups was further investigated.Results Both eGFRs correlated well with rGFR （r=0.88,0.81,P〈0.05）.In overall performance,the CKD-EPI equation showed less bias,higher precision and improved accuracy,and was better for detecting CKD.In the higher-eGFR subgroup,the CKD-EPI equation corrected the underestimation of GFR by the abbreviated MDRD equation.Conclusions The CKD-EPI equation outperformed the abbreviated MDRD equation not only in overall performance but also in the subgroups studied.For the present,the CKD-EPI equation appears to be the first-choice prediction equation for estimating GFR.展开更多
Wilson＇s disease（WD） is an autosomal recessive disorder of copper metabolism. Its incidence is higher in China than in western countries. ATP7 B is the causative gene and encodes a P-type ATPase, which participates...Wilson＇s disease（WD） is an autosomal recessive disorder of copper metabolism. Its incidence is higher in China than in western countries. ATP7 B is the causative gene and encodes a P-type ATPase, which participates in the synthesis of holoceruloplasmin and copper excretion. Disease-causing variants of ATP7 B disrupt the normal structure or function of the enzyme and cause copper deposition in multiple organs,leading to diverse clinical manifestations. Given the variety of presentations, misdiagnosis is not rare. Genetic diagnosis plays an important role and has gradually become a routine test in China. The first Chinese spectrum of disease-causing mutations of ATP7 B has been established. As a remediable hereditary disorder, most WD patients have a good prognosis with an early diagnosis and chelation treatment. However, clinical trials are relatively few in China, and most treatments are based on the experience of experts and evidences from other countries. It is necessary to study and develop appropriate regimens specific for Chinese WD patients.展开更多
The SARS-CoV-2 virus causes the disease COVID-19,and has caused high morbidity and mortality worldwide.Empirical models are useful tools to predict future trends of disease progression such as COVID-19 over the near-t...The SARS-CoV-2 virus causes the disease COVID-19,and has caused high morbidity and mortality worldwide.Empirical models are useful tools to predict future trends of disease progression such as COVID-19 over the near-term.A modified Incidence Decay and Exponential Adjustment(m-IDEA)model was developed to predict the progression of infectious disease outbreaks.The modification allows for the production of precise daily estimates,which are critical during a pandemic of this scale for planning purposes.The m-IDEA model was employed using a range of serial intervals given the lack of knowledge on the true serial interval of COVID-19.Both deterministic and stochastic approaches were applied.Model fitting was accomplished through minimizing the sum-of-square differences between predicted and observed daily incidence case counts,and performance was retrospectively assessed.The performance of the m-IDEA for projection cases in the nearterm was improved using shorter serial intervals(1e4 days)at early stages of the pandemic,and longer serial intervals at mid-to late-stages(5e9 days)thus far.This,coupled with epidemiological reports,suggests that the serial interval of COVID-19 might increase as the pandemic progresses,which is rather intuitive:Increasing serial intervals can be attributed to gradual increases in public health interventions such as facility closures,public caution and social distancing,thus increasing the time between transmission events.In most cases,the stochastic approach captured the majority of future reported incidence data,because it accounts for the uncertainty around the serial interval of COVID-19.As such,it is the preferred approach for using the m-IDEA during dynamic situation such as in the midst of a major pandemic.展开更多
基金Supported by A Career Development Fellowship of the National Health and Medical Research Council of Australia to Leong RW
文摘Inflammatory bowel diseases(IBD)are idiopathic chronic diseases of the gastrointestinal tract well known to be associated with both genetic and environmental risk factors.Permissive genotypes may manifest into clinical phenotypes under certain environmental influences and these may be best studied from migratory studies.Exploring differences between first and second generation migrants may further highlight the contribution of environmental factors towards the development of IBD.There are few opportunities that have been offered so far.We aim to review the available migration studies on IBD,evaluate the known environmental factors associated with IBD,and explore modern migration patterns to identify new opportunities and candidate migrant groups in IBD migration research.
文摘AIM:To evaluate the difference between the performance of the (CKD-EPI) and Modification of Diet in Renal Disease (MDRD) equations in cirrhotic patients. METHODS: From Jan 2004 to Oct 2008, 4127 cirrhotic patients were reviewed. Patients with incomplete data with respect to renal function were excluded; thus, a total of 3791 patients were included in the study. The glomerular filtration rate (GFR) was estimated by the 4-variable MDRD (MDRD-4), 6-variable MDRD (MDRD-6), and CKD-EPI equations.RESULTS:When serum creatinine was 0.7-6.8 mg/dL and 0.6-5.3 mg/dL in men and women, respectively, a significantly lower GFR was estimated by the MDRD-6 than by the CKD-EPI. Similar GFRs were calculated by both equations when creatinine was > 6.9 mg/dL and > 5.4 mg/dL in men and women, respectively. In predicting in-hospital mortality, estimated GFR obtained by the MDRD-6 showed better accuracy [81.72%; 95% confidence interval (CI), 0.94-0.95] than that obtained by the MDRD-4 (80.22%; 95%CI, 0.96-0.97), CKD-EPI (79.93%; 95%CI, 0.96-0.96), and creatinine (77.50%; 95%CI, 2.27-2.63). CONCLUSION: GFR calculated by the 6-variable MDRD equation may be closer to the true GFR than that calculated by the CKD-EPI equation.
文摘Gallstone disease(GD) is a chronic recurrent hepatobiliary disease,the basis for which is the impaired metabolism of cholesterol,bilirubin and bile acids,which is characterized by the formation of gallstones in the hepatic bile duct,common bile duct,or gallbladder.GD is one of the most prevalent gastrointestinal diseases with a substantial burden to health care systems.GD can result in serious outcomes,such as acute gallstone pancreatitis and gallbladder cancer.The epidemiology,pathogenesis and treatment of GD are discussed in this review.The prevalence of GD varies widely by region.The prevalence of gallstone disease has increased in recent years.This is connected with a change in lifestyle:reduction of motor activity,reduction of the physical load and changes to diets.One of the important benefits of early screening for gallstone disease is that ultrasonography can detect asymptomatic cases,which results in early treatment and the prevention of serious outcomes.The pathogenesis of GD is suggested to be multifactorial and probably develops from complex interactions between many genetic and environmental factors.It suggests that corticosteroids and oral contraceptives,which contain hormones related to steroid hormones,may be regarded as a model system of cholelithiasis development in man.The achievement in the study of the physiology of bile formation and the pathogenesis of GD has allowed expanding indications for therapeutic treatment of GD.
基金supported by Princess Nourah bint Abdulrahman University Researchers Supporting Project No. (PNURSP2022R14),Princess Nourah bint Abdulrahman University,Riyadh,Saudi Arabia。
文摘We propose a theoretical study investigating the spread of the novel coronavirus(COVID-19)reported inWuhan City of China in 2019.We develop a mathematical model based on the novel corona virus’s characteristics and then use fractional calculus to fractionalize it.Various fractional order epidemicmodels have been formulated and analyzed using a number of iterative and numerical approacheswhile the complications arise due to singular kernel.We use the well-known Caputo-Fabrizio operator for the purposes of fictionalization because this operator is based on the non-singular kernel.Moreover,to analyze the existence and uniqueness,we will use the well-known fixed point theory.We also prove that the considered model has positive and bounded solutions.We also draw some numerical simulations to verify the theoretical work via graphical representations.We believe that the proposed epidemic model will be helpful for health officials to take some positive steps to control contagious diseases.
文摘Background The new Chronic Kidney Disease Epidemiology Collaboration （CKD-EPI） equation was developed to address the systematic underestimation of glomerular filtration rate （GFR） by the Modification of Diet in Renal Disease （MDRD） Study equation in patients with relatively well-preserved kidney function.Performance of the new equation in the Chinese population is unknown.The goal of the present study was to compare performance of these two equations in Chinese patients with chronic kidney disease （CKD）.Methods We enrolled 450 Chinese patients （239 women and 211 men） with CKD in the present study.The renal dynamic imaging method was used to measure the referenced standard GFR （rGFR） for comparison with estimations using the two equations.Their overall performance was assessed with the Bland-Altman method and receiver-operating characteristics （ROC） analysis.Performance of the two equations in lower and higher estimated GFR （eGFR） subgroups was further investigated.Results Both eGFRs correlated well with rGFR （r=0.88,0.81,P〈0.05）.In overall performance,the CKD-EPI equation showed less bias,higher precision and improved accuracy,and was better for detecting CKD.In the higher-eGFR subgroup,the CKD-EPI equation corrected the underestimation of GFR by the abbreviated MDRD equation.Conclusions The CKD-EPI equation outperformed the abbreviated MDRD equation not only in overall performance but also in the subgroups studied.For the present,the CKD-EPI equation appears to be the first-choice prediction equation for estimating GFR.
基金supported by the National Natural Science Foundation of China(81125009)
文摘Wilson＇s disease（WD） is an autosomal recessive disorder of copper metabolism. Its incidence is higher in China than in western countries. ATP7 B is the causative gene and encodes a P-type ATPase, which participates in the synthesis of holoceruloplasmin and copper excretion. Disease-causing variants of ATP7 B disrupt the normal structure or function of the enzyme and cause copper deposition in multiple organs,leading to diverse clinical manifestations. Given the variety of presentations, misdiagnosis is not rare. Genetic diagnosis plays an important role and has gradually become a routine test in China. The first Chinese spectrum of disease-causing mutations of ATP7 B has been established. As a remediable hereditary disorder, most WD patients have a good prognosis with an early diagnosis and chelation treatment. However, clinical trials are relatively few in China, and most treatments are based on the experience of experts and evidences from other countries. It is necessary to study and develop appropriate regimens specific for Chinese WD patients.
基金I would like to thank the Knowledge Synthesis team members within the Public Health Risk Sciences Division of Public Health Agency of Canada.Their daily literature scans and summarization of Sars-CoV-2 publications contributed to the quick preparation of the work presented here.Thanks to Charly Phillips(Public Health Risk Sciences Division of Public Health Agency of Canada)for her assistance summarizing serial interval values from the literature.
文摘The SARS-CoV-2 virus causes the disease COVID-19,and has caused high morbidity and mortality worldwide.Empirical models are useful tools to predict future trends of disease progression such as COVID-19 over the near-term.A modified Incidence Decay and Exponential Adjustment(m-IDEA)model was developed to predict the progression of infectious disease outbreaks.The modification allows for the production of precise daily estimates,which are critical during a pandemic of this scale for planning purposes.The m-IDEA model was employed using a range of serial intervals given the lack of knowledge on the true serial interval of COVID-19.Both deterministic and stochastic approaches were applied.Model fitting was accomplished through minimizing the sum-of-square differences between predicted and observed daily incidence case counts,and performance was retrospectively assessed.The performance of the m-IDEA for projection cases in the nearterm was improved using shorter serial intervals(1e4 days)at early stages of the pandemic,and longer serial intervals at mid-to late-stages(5e9 days)thus far.This,coupled with epidemiological reports,suggests that the serial interval of COVID-19 might increase as the pandemic progresses,which is rather intuitive:Increasing serial intervals can be attributed to gradual increases in public health interventions such as facility closures,public caution and social distancing,thus increasing the time between transmission events.In most cases,the stochastic approach captured the majority of future reported incidence data,because it accounts for the uncertainty around the serial interval of COVID-19.As such,it is the preferred approach for using the m-IDEA during dynamic situation such as in the midst of a major pandemic.
