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Acute abdominal pain from ovarian endometriosis
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作者 Zhengyun Chen Tao Shen +3 位作者 Yongqing Zhang Yuanyuan Zhou Xiaoyong Li Jiabin Lin 《World Journal of Emergency Medicine》 SCIE CAS CSCD 2024年第5期407-409,共3页
Endometriosis is a common,estrogen-dependent,inflammatory,gynecologic disease process in which normal endometrial tissue is abnormally present outside the uterine cavity.[1]Endometriosis is a common cause of chronic p... Endometriosis is a common,estrogen-dependent,inflammatory,gynecologic disease process in which normal endometrial tissue is abnormally present outside the uterine cavity.[1]Endometriosis is a common cause of chronic pain,dyspareunia,dysmenorrhea,and infertility.Most commonly,endometriosis is found within the pelvis,specifically on the ovaries.Because of rupture,bleeding,infection,or torsion,ovarian endometriosis(OMA)may cause acute abdominal pain,which is similar to acute abdominal pain caused by other reasons and is not easy to diagnose.[2,3]Determining the clinical and pathological features of OMA is crucial for accurate assessment,diagnosis,and treatment. 展开更多
关键词 PAIN endometriosis ACUTE
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Distinct molecular targets of ProEGCG from EGCG and superior inhibition of angiogenesis signaling pathways for treatment of endometriosis
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作者 Sze Wan Hung Massimiliano Gaetani +12 位作者 Yiran Li Zhouyurong Tan Xu Zheng Ruizhe Zhang Yang Ding Gene Chi Wai Man Tao Zhang Yi Song Yao Wang Jacqueline Pui Wah Chung Tak Hang Chan Roman A.Zubarev Chi Chiu Wang 《Journal of Pharmaceutical Analysis》 SCIE CAS CSCD 2024年第1期100-114,共15页
Endometriosis is a common chronic gynecological disease with endometrial cell implantation outside the uterus.Angiogenesis is a major pathophysiology in endometriosis.Our previous studies have demonstrated that the pr... Endometriosis is a common chronic gynecological disease with endometrial cell implantation outside the uterus.Angiogenesis is a major pathophysiology in endometriosis.Our previous studies have demonstrated that the prodrug of epigallocatechin gallate(ProEGCG)exhibits superior anti-endometriotic and anti-angiogenic effects compared to epigallocatechin gallate(EGCG).However,their direct binding targets and underlying mechanisms for the differential effects remain unknown.In this study,we demonstrated that oral ProEGCG can be effective in preventing and treating endometriosis.Additionally,1D and 2D Proteome Integral Solubility Alteration assay-based chemical proteomics identified metadherin(MTDH)and PX domain containing serine/threonine kinase-like(PXK)as novel binding targets of EGCG and ProEGCG,respectively.Computational simulation and BioLayer interferometry were used to confirm their binding affinity.Our results showed that MTDH-EGCG inhibited protein kinase B(Akt)-mediated angiogenesis,while PXK-ProEGCG inhibited epidermal growth factor(EGF)-mediated angiogenesis via the EGF/hypoxia-inducible factor(HIF-1a)/vascular endothelial growth factor(VEGF)pathway.In vitro and in vivo knockdown assays and microvascular network imaging further confirmed the involvement of these signaling pathways.Moreover,our study demonstrated that ProEGCG has superior therapeutic effects than EGCG by targeting distinct signal transduction pathways and may act as a novel antiangiogenic therapy for endometriosis. 展开更多
关键词 Molecular targets ProEGCG EGCG ANGIOGENESIS TREATMENT endometriosis
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Endometriosis beyond the Pelvis: A Case Series of Cutaneous Endometriosis and Literature Review
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作者 Tompeen Isidore Nkoro Ombédé G. Anita +3 位作者 Mendouga Menye Coralie Belinga Etienne Noa Ndoua Cyrille Foumane Pascal 《Open Journal of Obstetrics and Gynecology》 2024年第1期77-88,共12页
Introduction: Cutaneous endometriosis is an uncommon but well-known skin disorder that represents about 0.5% to 1% of all endometriosis. The objective of this case series is to report clinical presentation, diagnosis,... Introduction: Cutaneous endometriosis is an uncommon but well-known skin disorder that represents about 0.5% to 1% of all endometriosis. The objective of this case series is to report clinical presentation, diagnosis, and management of various forms of cutaneous endometriosis. Material and Methods: It was an observational, retrospective and descriptive review of cases presenting with cutaneous endometriosis among Cameroonian women managed at the gynaecological outpatient department of Yaounde Gynaeco-Obstetric and Pediatric Hospital. All the following parameters were analysed: age, parity, previous pelvic surgery, presenting symptoms and duration, associated symptoms, localizations, imaging, size of the lesion, other localization of endometriosis, management and histopathological results. Results: we reported 4 cases of cutaneous endometriosis, with 3 umbilical endometriosis and 1 abdominal scar endometriosis. Patient age ranged from 28 to 39 years with an average of 33 years. All patients described infertility (two primary and two secondary) and two had a history of abdominal surgery. All patients presented local cyclical signs such as pain, swelling, color change and bleeding. The duration of symptoms varied from 2 to 3 years and the size of lesions ranged from 2 to 3.5 cm for umbilical lesions and was 9 cm for abdominal scar endometriosis. In all cases, no imaging was required for the diagnosis, which was suspected on the basis of patient’s history and the cyclical nature of local signs, followed by wide surgical excision and confirmation on histopathology. Conclusion: Cutaneaous endometriosis is a rare benign condition. Umbilical endometriosis seems to be the main cutaneous localization and can be described as primary or secondary. Even if its diagnosis must be confirmed by histopathology, it should be considered in patient with cutaneous cyclic signs such as pain, swelling or bleeding with or without history of abdominal surgery. 展开更多
关键词 endometriosis Cutaneous endometriosis Umbilical endometriosis Cyclic Umbilical Swelling Cameroon
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Comparison of ovarian preservation versus oophorectomy on fertility outcomes in patients with endometriosis post-laparoscopic surgery:A prospective study
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作者 Jin-Jin Zhou Ke Yu +1 位作者 Hai-Yan Mao Cen Li 《World Journal of Clinical Cases》 SCIE 2024年第21期4652-4660,共9页
BACKGROUND Endometriosis is a chronic inflammatory condition affecting a significant proportion of women of reproductive age.Although laparoscopic surgery is commonly the preferred treatment,the decision to preserve o... BACKGROUND Endometriosis is a chronic inflammatory condition affecting a significant proportion of women of reproductive age.Although laparoscopic surgery is commonly the preferred treatment,the decision to preserve or remove the ovaries remains controversial.Previous studies have yielded inconsistent results regarding the impact of ovarian preservation vs oophorectomy on fertility outcomes and disease recurrence.This prospective study aimed to address this knowledge gap by comparing the effects of these surgical approaches on spontaneous pregnancy rates,time to pregnancy,recurrence rates,and postoperative pain in patients with endometriosis.AIM To compare the reproductive outcomes and recurrence rates between ovarian preservation and oophorectomy in women undergoing laparoscopic surgery for endometriosis.METHODS This study was conducted at a tertiary care hospital between January 2019 and December 2023.A total of 312 women aged 18 to 40 years,diagnosed with endometriosis and undergoing laparoscopic surgery,were included.The patients were categorized into the ovarian preservation group(n=204)and the oophorectomy group(n=108).The primary outcome measure was the achievement of spontaneous pregnancy within 24 months post-surgery.Secondary outcomes included time to spontaneous pregnancy,recurrence rates,and postoperative pain scores.RESULTS The ovarian preservation group exhibited a significantly higher spontaneous pregnancy rate than that in the oophorectomy group(43.6%vs 28.7%,P=0.006).Moreover,the median time to spontaneous pregnancy was shorter in the ovarian preservation group(8.2 months vs 11.4 months,P=0.018).Nonetheless,endometriosis recurrence was more prevalent in the ovarian preservation group(22.1%vs 11.1%,P=0.014).The postoperative pain scores demonstrated similar improvements in both groups,with no significant differences observed.Subgroup analyses indicated that the benefit of ovarian preservation on spontaneous pregnancy rates was more evident among younger women(≤35 years)and those with advanced-stage endometriosis.CONCLUSION Ovarian preservation is associated with a high spontaneous pregnancy rate and a short time to pregnancy.However,because of the increased risk of recurrence,the decision should be based on age,fertility aspirations,and disease severity. 展开更多
关键词 endometriosis OVARIAN PREGNANCY OOPHORECTOMY LAPAROSCOPIC Spontaneous pregnancy
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Analysis of risk factors for postoperative anxiety and depression in endometriosis patients with reproductive intention
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作者 Chun-Mei Wu Cai-Hua Li +6 位作者 You-Yan Fang Huan Wu Dong-Mei Ji Ping Zhou Yun-Xia Cao Ye He Zhao-Lian Wei 《World Journal of Psychiatry》 SCIE 2024年第9期1364-1374,共11页
BACKGROUND The occurrence of postoperative depression and anxiety in patients with endomet-riosis(EMS)not only causes psychological distress,but may also harm their physical health.AIM To explore the postoperative dep... BACKGROUND The occurrence of postoperative depression and anxiety in patients with endomet-riosis(EMS)not only causes psychological distress,but may also harm their physical health.AIM To explore the postoperative depression status,and its influencing factors,of EMS patients with reproductive intention.METHODS A total of 321 EMS patients with reproductive intent were included.Using the self-rating anxiety scale and self-rating depression scale,EMS patients with anxiety or depression were distinguished.A clinical model for predicting anxiety or depression in EMS patients was constructed and evaluated using a nomogram,receiver operating characteristic curve,and calibration curve.RESULTS The results of the single factor analysis showed that smoking,coffee,EMS stage,chronic pelvic pain,and sexual discomfort may be related to anxiety.Further,smoking,drinking,spouse,annual household income and EMS stage may be related to depression in EMS patients.Multivariate logistic regression illustrated that smoking,coffee,chronic pelvic pain and sexual discomfort may be inde-pendent risk factors for anxiety in EMS patients,while smoking,EMS stage(Phase III and Phase IV),spouse and high annual household income may be independent risk factors for depression in EMS patients.Additionally,the models used to predict the risk of anxiety or depression in EMS patients have good predictive value.CONCLUSION The anxiety and depression of EMS patients may be related to many factors.In clinical treatment,additional attention should be paid to the psychological status of EMS patients. 展开更多
关键词 endometriosis Reproductive intention ANXIETY DEPRESSED
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Effect of dienogest treatment on uterine fibroid volume in patients with endometriosis or adenomyosis complicated by uterine fibroids
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作者 De-Yu Zhang Yan Huang +1 位作者 Chao Peng Ying-Fang Zhou 《World Journal of Clinical Cases》 SCIE 2024年第21期4601-4608,共8页
BACKGROUND Currently,the use of dienogest in clinical practice has increased significantly,and many studies have focused on its effectiveness and safety in the treatment of endometriosis and adenomyosis;however,the ef... BACKGROUND Currently,the use of dienogest in clinical practice has increased significantly,and many studies have focused on its effectiveness and safety in the treatment of endometriosis and adenomyosis;however,the effects of treatment with dienogest on uterine fibroid size in patients with endometriosis or adenomyosis have not been investigated.AIM To explore changes in fibroid size in patients with concomitant uterine fibroids undergoing dienogest treatment for endometriosis or adenomyosis and to evaluate the effectiveness and safety of the drug.METHODS The clinical data of patients with uterine fibroids treated with dienogest for endometriosis or adenomyosis at Peking University First Hospital from January 2021 to January 2023 were retrospectively analyzed.RESULTS The maximum uterine fibroid diameter and volume increased after 3 months,6 months and 1 year of dienogest treatment compared with those before treatment(P<0.01).The maximum diameter and volume of the uterine adenomyoma increased after 3 months of dienogest treatment but decreased after 6 months and 1 year of treatment compared with those before treatment,but the difference was not significant(P>0.05).Endometrial thickness and antigen 125 levels were significantly thinner and decreased,respectively,after dienogest treatment(P<0.01).Pearson's correlation analysis revealed that the increase in uterine fibroid volume after 3 months of dienogest treatment was positively correlated with the basic uterine fibroid volume(r=0.792,P<0.01).Among 64 patients with dysmenorrhea,63 experienced significant relief of dysmenorrhea after 6 months of treatment with dienogest,and all patients experienced significant relief of dysmenorrhea after 12 months.Patients were able to tolerate the drugs,with an average drug tolerance score of 8.73.CONCLUSION The use of dienogest in patients with endometriosis or adenomyosis combined with uterine fibroids can effectively relieve the patient's pain symptoms and significantly reduce the sizes of ovarian endometriotic cysts,but it cannot inhibit uterine fibroid growth. 展开更多
关键词 DIENOGEST Uterine fibroids endometriosis ADENOMYOSIS Long-term postoperative management
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Can Tibetan medicine Honghua Ruyi pills relieve endometriosisassociated dysmenorrhea?Protocol for a randomized placebocontrolled trial
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作者 Mei Han Jiahui Cao +7 位作者 Jiali Wei Hui Luo Chaoqin Yu Xuefang Liang Nyangmotse Guoyan Yang Huilan Du Jianping Liu 《Journal of Traditional Chinese Medical Sciences》 CAS 2024年第1期78-85,共8页
Objective:To provide high-quality clinical evidence of the efficacy of Tibetan medicine Honghua Ruyi(HHRY)pills for endometriosis-associated dysmenorrhea.Methods:This study constitutes a multicenter,randomized,double-... Objective:To provide high-quality clinical evidence of the efficacy of Tibetan medicine Honghua Ruyi(HHRY)pills for endometriosis-associated dysmenorrhea.Methods:This study constitutes a multicenter,randomized,double-blind,placebo-controlled trial encompassing a three-menstrual cycle intervention followed by a three-menstrual cycle follow-up period.A total of 164 eligible females with endometriosis-associated dysmenorrhea were randomly divided into HHRY pills and placebo groups in a 1:1 ratio.The primary outcome included dysmenorrhea symptoms assessed using Visual Analog Scale(VAS)scores and quality of life,whereas the secondary outcome measures included the maximum VAS for non-menstrual pelvic pain,duration of pain episodes(in days),frequency and quantity of the consumption of ibuprofen sustained-release capsules(or other non-steroidal anti-inflammatory drugs),and days off work/study for staff/student due to dysmenorrhea,ovarian cyst,and/or pelvic nodule size.The safety was monitored throughout the treatment period.All the analyses were based on the intention-to-treat principle.For continuous outcomes,simple or multiple linear regressions were used to estimate the differences between the HHRY pills and placebo groups,with categorical data expressed as the number and percentage of occurrences.Differences were compared using the chi-square test or Fisher's exact test.The predefined analysis was adjusted for concomitant treatment,a variable considered to be associated with outcomes but unaffected by treatment allocation.Estimates of treatment effects were reported with 95%confidence intervals.Two-tailed P values≤.05 were considered statistically significant.Conclusion:Positive results from this trial,upon completion would provide robust evidence for the efficacy and safety of HHRY pills in treating dysmenorrhea in patients with endometriosis. 展开更多
关键词 endometriosis DYSMENORRHEA Honghua Ruyi pills Randomized controlled trial Traditional Chinese medicine
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Hupo powder promotes autophagy of menstrual blood-derived stem cells from patients with endometriosis 被引量:2
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作者 Yuejian Zhang Changxiang Li +5 位作者 Conglu Sui Xiuping Zhang Ya'nan Guo Tiantian He Taoxiu Lin Xiaona Ma 《Journal of Traditional Chinese Medical Sciences》 CAS 2023年第2期179-185,共7页
Objective:To explore the effect of Hupo powder(HP)on autophagy in menstrual blood-derived stem cells(MenSCs)with endometriosis(EMT).Methods:EMT MenSCs(E-MenSCs)and healthy MenSCs(H-MenSCs)were isolated from the menstr... Objective:To explore the effect of Hupo powder(HP)on autophagy in menstrual blood-derived stem cells(MenSCs)with endometriosis(EMT).Methods:EMT MenSCs(E-MenSCs)and healthy MenSCs(H-MenSCs)were isolated from the menstrual blood of patients with EMT and healthy female participants,respectively.We identified their stem cells’characteristics via adipogenic and osteogenic differentiation.Twelve male SpragueeDawley rats received 0.9% NaCl and HP-dispensing granules by gastric irrigation to prepare blank serum and medicated serum,respectively.We used serum concentrations of 5%,10%,and 20%,each at administered times of 12,24,and 48 h to select the best condition.These cells were divided into three groups:blank serum of the control group,blank serum of the model group,and medicated serum of the HP group.H-MenSCs were used in the control group,while E-MenSCs were used in the model and HP groups.We analyzed cell viability using a cell counting kit-8 assay,observed cell morphology,evaluated the amounts of auto-phagosomes and autolysosomes by transmission electron microscopy,and detected the protein expression of autophagy markers(LC3-II and Beclin1)by Western blot.Results:E-MenSCs and H-MenSCs became long fusiform with a diffuse radial pattern,forming lipid droplets and calcium nodules after adipogenic and osteogenic differentiation.We then used the best conditiond 20% serum and 48 hdfor the subsequent experiments.In contrast to the model group,the HP group exhibited lower cell viability(=0.007),larger amounts of autophagosomes and autolysosomes(P<0.001 and P=0.001,respectively),and higher expression of LC3-II and Beclin1(P=0.021 and P=0.019,respectively).Conclusion:Hupo powder can promote autophagy in E-MenSCs,which might be one of the mechanisms underlying its therapeutic effects. 展开更多
关键词 Hupo powder endometriosis Menstrual blood-derived stem cells AUTOPHAGY Beclin1 LC3-II
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Immune pathway through endometriosis to ovarian cancer
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作者 Mariana Santos Calmon Fabian Fellipe Bueno Lemos +5 位作者 Marcel Silva Luz Samuel Luca Rocha Pinheiro Luis Guilherme de Oliveira Silva Gabriel Lima Correa Santos Gabriel Reis Rocha Fabrício Freire de Melo 《World Journal of Clinical Oncology》 2024年第4期496-522,共27页
Endometriosis is an estrogen-dependent inflammatory disease,defined by the presence of functional endometrial tissue outside of the uterine cavity.This disease is one of the main gynecological diseases,affecting aroun... Endometriosis is an estrogen-dependent inflammatory disease,defined by the presence of functional endometrial tissue outside of the uterine cavity.This disease is one of the main gynecological diseases,affecting around 10%-15%women and girls of reproductive age,being a common gynecologic disorder.Although endometriosis is a benign disease,it shares several characteristics with invasive cancer.Studies support that it has been linked with an increased chance of developing endometrial ovarian cancer,representing an earlier stage of neoplastic processes.This is particularly true for women with clear cell carcinoma,low-grade serous carcinoma and endometrioid.However,the carcinogenic pathways between both pathologies remain poorly understood.Current studies suggest a connection between endometriosis and endometriosis-associated ovarian cancers(EAOCs)via pathways associated with oxidative stress,inflammation,and hyperestrogenism.This article aims to review current data on the molecular events linked to the development of EAOCs from endometriosis,specifically focusing on the complex relationship between the immune response to endometriosis and cancer,including the molecular mechanisms and their ramifications.Examining recent developments in immunotherapy and their potential to boost the effectiveness of future treatments. 展开更多
关键词 Ovarian neoplasms endometriosis endometriosis-associated ovarian cancers Immune response IMMUNOTHERAPY
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Vaginal endoscopy combined with gonadotropin-releasing hormone agonist successfully treated a patient with cervical endometriosis:a case report
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作者 Ying Lin Pei-Fang Chen +2 位作者 Qian Guo De-Ye Zeng Xiu-Shan Feng 《Clinical Research Communications》 2024年第4期29-32,共4页
A 36-year-old unmarried woman with no sexual history presented with 12 days of uncontrollable yellowish vaginal discharge,bloating,lower back pain,frequent urination,and urgency.Her menstrual cycles were regular with ... A 36-year-old unmarried woman with no sexual history presented with 12 days of uncontrollable yellowish vaginal discharge,bloating,lower back pain,frequent urination,and urgency.Her menstrual cycles were regular with moderate flow and worsening dysmenorrhea.Ultrasound and magnetic resonance imaging identified uterine and cervical masses.Laparoscopic surgery and postoperative gonadotropin-releasing hormone agonist injections led to significant lesion reduction.The patient is currently on oral dienogest acetate with ongoing follow-up. 展开更多
关键词 endometriosis cervical endometriosis ruptured cyst vaginal discharge pelvic pain
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Clinical Effectiveness of Dienogest in the Treatment of Endometriosis
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作者 Qiumin Li Feifei Liu 《Journal of Clinical and Nursing Research》 2024年第8期232-236,共5页
Objective:This paper aims to investigate the efficacy of desogestrel in the treatment of endometriosis.Methods:In this study,61 patients with endometriosis in our hospital from January 2023 to December 2023 were selec... Objective:This paper aims to investigate the efficacy of desogestrel in the treatment of endometriosis.Methods:In this study,61 patients with endometriosis in our hospital from January 2023 to December 2023 were selected and divided using the random sampling method.All the patients were treated with desogestrel and the pain symptom scores and HDL-C(high-density lipoprotein cholesterol)levels of the patients were compared before and after the treatment.The treatment effects and adverse effects during the administration of the drug were closely observed.Results:After the patients were treated with desogestrel,the effective rate of treatment was as high as 98.36%,and the incidence of adverse reactions during treatment was 6.55%.Compared with the pre-treatment period,the scores of various pain symptoms were significantly reduced and the HDL-C level was improved after treatment,with P<0.05.Conclusion:Desogestrel showed significant efficacy in the treatment of endometriosis,effectively relieving patients’pain while elevating HDL-C levels.In addition,the incidence of adverse reactions to this drug is relatively low,which is worth utilizing. 展开更多
关键词 endometriosis Adverse reactions DIENOGEST
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Difficulties Faced by Physicians in the Diagnosis of Endometriosis in the Brazilian Public Health System
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作者 Carla Patrícia Alves Barbosa Tayná Maria Dantas Carozo Calumby +7 位作者 Ana Paula Portela Andrade Júlia de Araújo Gomes Maria Renata Suyane Silva de Farias Maria Eduarda Dantas Donald Gabrielly Pinheiro Marinho Antônia Iva Sampaio Bisneta Francisco Expedito Ramos Aguiar Sobrinho Elizabeth Bacha 《Health》 2023年第7期788-795,共8页
Endometriosis is a clinical and recurrent condition characterized by the presence of functional endometrial tissue outside the uterine cavity and myometrium. It is estimated that 6% to 10% of women of reproductive age... Endometriosis is a clinical and recurrent condition characterized by the presence of functional endometrial tissue outside the uterine cavity and myometrium. It is estimated that 6% to 10% of women of reproductive age, 50% to 60% of adolescents and adults with pelvic pain, and up to 50% of women with infertility are pregnant from the condition. However, this proportion tends to be even greater due to the difficulty in diagnosing it: because it presents different symptoms, lack of information from health professionals, and a high-cost diagnostic test. Another aggravating factor is the average time from the onset of symptoms to the medical diagnosis, which even today ranges from five to ten years;this delay has consequences for disease progression, as it prevents early treatment, which is important for improving pain levels and physical and psychological well-being. Aware of these mishaps, it is therefore important to assess the difficulties faced by doctors in the diagnosis of endometriosis in the public health system, in Brazil, the Unified Health System (SUS). With this purpose, a cross sectional was carried out, developed in the virtual environment using traffic in Google forms, with the difficulties quantified in the Likert scale. Participating physicians pointed out a medium difficulty for patients with endometriosis to access the consultation (58%) and moderate difficulty (52%) to perform an ultrasound examination;also signaled great difficulty in performing magnetic resonance imaging (77%) and laparotomy (61%) in these patients. It is hoped that knowledge about the difficulties faced by physicians in the diagnosis of endometriosis in the SUS will give these physicians a voice and corroborate, even if minimally, so that there is more research that provokes the search for these difficulties, in order to improving the quality of life of these women. 展开更多
关键词 endometriosis DIAGNOSIS Public Health System
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Identification of EML4 as a key hub gene for endometriosis and its molecular mechanism and potential drug prediction based on the GEO database
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作者 XIANBAO FANG MINGYAN TANG +3 位作者 ZIYANG YU JIAQI DING CHONG CUI HONG ZHANG 《BIOCELL》 SCIE 2023年第9期2059-2068,共10页
Objective:Key genes were screened to analyze molecular mechanisms and their drug targets of endometriosis by applying a bioinformatics approach.Methods:Gene expression profiles of endometriosis and healthy controls we... Objective:Key genes were screened to analyze molecular mechanisms and their drug targets of endometriosis by applying a bioinformatics approach.Methods:Gene expression profiles of endometriosis and healthy controls were obtained from the Gene Expression Omnibus database.Significant differentially expressed genes were screened using the limma package.Correlation pathways were screened by Spearman correlation analysis on the echinoderm microtubule-associated protein-like 4(EML4)and enrichment in endometriosis pathways and estimated by the GSVA package.Immune characteristics were assessed by the“ESTIMATE”R package.Potential regulatory pathways were determined by enrichment analysis.The SWISS-MODE website was used in homology modeling with EML4 and EML4 protein activity was predicted.VarElect was employed in molecular docking for screening potential compound inhibitors targeting endometriosis.Results:Ten endometriosis and 10 normal samples were included.EML4 was significantly upregulated in endometriosis(p<0.05).Thirty significantly correlated pathways involving 18 positive and 12 negative correlations,including GLYCOSAMINOGLYCAN_BIOSYNTHESIS_HEPARAN_SULFATE and GLYCOSPHINGOLIPID_BIOSYNTHESIS_GANGLIO_SERIES were screened between EML4 and endometriosis.Immunocorrelation analysis showed a significant difference in immune-related pathways in endometriosis and normal samples(p<0.05).In endometriosis,EML4 was associated with T-cell CD4 resting memory,activated mast cells,plasma cells,activated NK cells,M2 macrophages,and follicular helper T cells(p<0.05).Molecular docking identified five potential inhibitors of EML4,and compound DB05104(asimadoline)bound well to EML4 protein to exert its physiological effects.Conclusion:Differential gene expression and immune correlation analyses revealed that EML4 may affect endometriosis through multiple targets and pathways,the mechanism of which involved immune cell activation and infiltration.Molecular docking and dynamics simulation verified DB05104 as a potential inhibitor of EML4 and a powerful target for endometriosis treatment. 展开更多
关键词 endometriosis emL4 IMMUNE Drug prediction
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Epidemiological Profile and Location of Lesions According to #ENZIAN of Patients Operated on for Endometriosis in a Public Endoscopic Surgery Centre, Yaounde, Cameroon
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作者 Ngono Akam Marga Vanina Adjessa Abega +9 位作者 Nyada Serge Mpono Pascale Nsahlai Christiane Mendoua Michelle Sharon Mbacham Ngwafor Kasia Yves Kasia Florence Soppo Blandine Belinga Etienne Kasia Jean Marie 《Open Journal of Obstetrics and Gynecology》 2023年第12期1919-1927,共9页
Introduction: Endometriosis is a chronic disease affecting approximately 10% of women. Our aim was to describe the epidemiological profile, clinical presentation and location of lesions in patients operated on for end... Introduction: Endometriosis is a chronic disease affecting approximately 10% of women. Our aim was to describe the epidemiological profile, clinical presentation and location of lesions in patients operated on for endometriosis. Methodology: We conducted an analytical cross-sectional study with retrospective data collection over a period of 05 years from 1 January 2017 to 31 March 2022. Our study population consisted of women who had undergone laparoscopy for endometriosis. Data analysis was performed using SPSS software version 23.0. Results: In total we included 159 patients who had undergone laparoscopy for endometriosis. The mean age was 32.9 ± 5.9 years, most of whom were nuligravida 61.6% (n = 99). Infertility was the most frequent reason for consultation, accounting for 72.3% (n = 115), followed by dysmenorrhoea in 60.8% (n = 96) of cases and chronic pelvic pain in 37.7% (n = 60). In addition, 46 (28.9%) patients complained of deep dyspareunia, 17 (10.7%) of dyschezia and nine (5.7%) of dysuria. Magnetic Resonance Imaging (MRI) was used in one patient. Diagnostic laparoscopy was performed directly in 77 (48.4%) patients. The lesions were multifocal, according to the #ENZIAN classification nomenclature. Tubal lesions were most frequently found 107 (67.3%) on the left, followed by compartment B (uterosacral ligaments, cardinal ligaments and lateral pelvic wall) 49.7% (n = 79), and endometriomas 40.9% (n = 65). Conclusion: Women operated on for endometriosis were of a more advanced age, and predominantly nulliparous. Infertility was the most frequent reason for consultation and tubal location most frequently encountered for superficial lesions and compartiment B for deep lesions according to #ENZIA. 展开更多
关键词 EPIDemIOLOGY Clinical Manifestations LAPAROSCOPY #ENZIA endometriosis
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Exploring the potential molecular mechanism of JinlingziSan in the treatment of endometriosis based on network pharmacology system
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作者 Li-Jun Zhou Wen Li +1 位作者 Yuan Wang Ke-Feng Sun 《Drug Combination Therapy》 2023年第2期13-20,共8页
Background:Chinese herbal medicines have been proven to be effective in clinical treatment and disease prevention.Jinlingzi San is a herbal medicine used for the treatment of endometriosis.However,a comprehensive netw... Background:Chinese herbal medicines have been proven to be effective in clinical treatment and disease prevention.Jinlingzi San is a herbal medicine used for the treatment of endometriosis.However,a comprehensive network pharmacology approach has not been used to understand the active ingredients and therapeutic mechanisms behind Jinlingzi San in the treatment of endometriosis.Methods:A network pharmacology approach and a molecular docking approach were used to predict the active ingredients and potential targets of Jinlingzi San in the treatment of endometriosis.Results:The integrated network pharmacology approach successfully identified 60 active ingredients and 540 key targets of action in Jinlingzi San dispersion.Among them,STAT3,TP53,MAPK3,RELA,MAPK1,JUN and other key genes were mainly regulated through pathways in cancer,lipid and atherosclerosis,AGE-RAGE signaling pathway in diabetic complications,pancreatic cancer,prostate cancer,PI3K-Akt signaling pathway,Th17 cell differentiation,and other signaling pathways in the cell body,receptor complexes,cytoplasm,nucleoplasm,and plasma membrane.Conclusion:Based on a systems network pharmacology approach,our work successfully predicts the active components and potential targets of Jinlingzi San for the treatment of endometriosis and helps to illustrate the mechanism of action at an integrative level.This demonstrates that Jinlingzi San for the treatment of endometriosis is regulated through a multi-component,multi-target,multi-system co-regulation.This study identifies key genes and pathways associated with endometriosis and pathogenesis from new insights,and also provides a viable approach to the chemical basis and pharmacological studies of Jinlingzi San. 展开更多
关键词 JinlingziSan network pharmacology endometriosis mechanism of action
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基于EM-KF算法的微地震信号去噪方法
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作者 李学贵 张帅 +2 位作者 吴钧 段含旭 王泽鹏 《吉林大学学报(信息科学版)》 CAS 2024年第2期200-209,共10页
针对微地震信号能量较弱,噪声较强,使微地震弱信号难以提取问题,提出了一种基于EM-KF(Expectation Maximization Kalman Filter)的微地震信号去噪方法。通过建立一个符合微地震信号规律的状态空间模型,并利用EM(Expectation Maximizati... 针对微地震信号能量较弱,噪声较强,使微地震弱信号难以提取问题,提出了一种基于EM-KF(Expectation Maximization Kalman Filter)的微地震信号去噪方法。通过建立一个符合微地震信号规律的状态空间模型,并利用EM(Expectation Maximization)算法获取卡尔曼滤波的参数最优解,结合卡尔曼滤波,可以有效地提升微地震信号的信噪比,同时保留有效信号。通过合成和真实数据实验结果表明,与传统的小波滤波和卡尔曼滤波相比,该方法具有更高的效率和更好的精度。 展开更多
关键词 微地震 em算法 卡尔曼滤波 信噪比
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不同EMS处理时间对大豆诱变后代主要品质含量变化影响分析 被引量:1
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作者 王新风 汪辉 +1 位作者 侯云龙 王跃强 《大豆科技》 2024年第2期14-18,共5页
为探究不同EMS处理时间对大豆诱变后代主要品质含量变化的影响,文章利用0.5%EMS溶液处理大豆高蛋白品系公交1057-1,分别浸泡4、7和10 h(清水冲洗处理为对照),对播种后获得的连续4代诱变后代主要品质含量变化进行分析。结果表明,与对照相... 为探究不同EMS处理时间对大豆诱变后代主要品质含量变化的影响,文章利用0.5%EMS溶液处理大豆高蛋白品系公交1057-1,分别浸泡4、7和10 h(清水冲洗处理为对照),对播种后获得的连续4代诱变后代主要品质含量变化进行分析。结果表明,与对照相较,经EMS处理后的植株成活率随处理时间延长而降低。其中,经EMS-4处理后的植株成活率最高,为43.5%;经EMS-10处理后的植株成活率最低,仅为16.0%。不同EMS处理时间对大豆诱变后代的蛋白质含量影响显著,对脂肪含量影响不明显。其中经EMS-4处理的诱变后代蛋白质含量高于其他3组处理;经EMS-4处理后的M2代蛋白质含量发生显著分离,并出现超亲个体,脂肪含量变化不显著。 展开更多
关键词 甲基磺酸乙酯(emS) 大豆 蛋白质含量 脂肪含量
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甲基磺酸乙酯(EMS)对谷子种子及幼苗活力的影响
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作者 闫锋 董扬 +7 位作者 赵富阳 侯晓敏 李清泉 王冰雪 周超 杨慧莹 范国权 刘凯 《现代农业研究》 2024年第7期1-5,共5页
为了探明甲基磺酸乙酯(EMS)诱变嫩选18种子构建突变体库的最适条件,加快品种选育进程,本研究对嫩选18种子进行了3种处理时间、3种EMS处理浓度的化学诱导,并对M1种子发芽及幼苗生长的诱变效应进行研究。结果表明:与对照相比,EMS处理在浓... 为了探明甲基磺酸乙酯(EMS)诱变嫩选18种子构建突变体库的最适条件,加快品种选育进程,本研究对嫩选18种子进行了3种处理时间、3种EMS处理浓度的化学诱导,并对M1种子发芽及幼苗生长的诱变效应进行研究。结果表明:与对照相比,EMS处理在浓度0.4%下浸种6 h对嫩选18的发芽率及幼苗生长影响差异不显著,随着EMS浸种浓度、时间增加,种子萌发及幼苗生长逐渐受到抑制,在1.2%浓度下浸种14 h对种子萌发及幼苗生长抑制作用最强,极大降低了嫩选18的发芽势、发芽率、成苗率,并且导致幼苗生长缓慢。以存活率达到50%为标准,通过回归方程计算出在6 h、10 h、14 h浸种时间下,EMS浓度的半致死剂量分别为0.99%、0.72%、0.38%,可作为嫩选18 EMS诱变建立突变体库的适合条件。 展开更多
关键词 谷子 种子萌发 幼苗生长 甲基磺酸乙酯(emS)
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双边定时截尾下Pareto分布的参数的极大似然估计的EM算法
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作者 田霆 刘次华 《电子产品可靠性与环境试验》 2024年第3期52-54,共3页
给出了当寿命分布为Pareto分布时,双边定时截尾寿命试验下形状参数的极大似然估计。由于似然方程形式较复杂,无法得到参数的显式表达式。但可证明此极大似然估计是唯一存在的,并利用EM算法求出了此参数的一种估计。
关键词 PARETO分布 双边定时截尾 极大似然估计 em算法
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EM菌发酵兔粪浸出液对小球藻生长及生化成分的影响
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作者 罗静波 陈树睿 《长江大学学报(自然科学版)》 2024年第4期120-125,共6页
研究了EM厨余堆肥菌发酵处理的兔粪浸出液对小球藻(Chlorella vulgaris)的生长及蛋白质、可溶性糖、叶绿素等生化成分的影响。结果表明,兔粪浸出液处理组中,7%浓度组小球藻在第12天时达到最大现存量,为1.06×10^(7)个/mL,而对照组... 研究了EM厨余堆肥菌发酵处理的兔粪浸出液对小球藻(Chlorella vulgaris)的生长及蛋白质、可溶性糖、叶绿素等生化成分的影响。结果表明,兔粪浸出液处理组中,7%浓度组小球藻在第12天时达到最大现存量,为1.06×10^(7)个/mL,而对照组最大现存量只有6.45×10^(6)个/mL;7%浓度组的小球藻与对照组相比生长差异表现明显。5%、7%浓度组在第8天时其藻细胞密度已接近对照组的最大现存量,分别为6.02×10^(6)个/mL和6.80×10^(6)个/mL,表明适宜浓度的兔粪浸出液处理对小球藻的生长有刺激作用。低浓度组中3%浓度组的小球藻生长不理想,但蛋白质积累最高,含量达到17.31 mg/L,与对照组相比差异显著(P<0.05)。6%浓度组的可溶性糖含量最高,为332.7 mg/L,其叶绿素a、叶绿素b和类胡萝卜素含量分别为3.19、1.58 mg/L和0.57 mg/L,与对照组相比差异显著。 展开更多
关键词 em 兔粪浸出液 小球藻(Chlorella vulgaris) 生长 生化成分
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