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  • 文章类型: Journal Article
    背景:全氟烷基和多氟烷基物质(PFAS)是一类广泛使用的人为化学物质。对其持久性和潜在不利影响的担忧导致了多个二级研究出版物。这里,我们的目标是通过检查研究差距来评估系统二级文献中的证据基础,评估评论的质量,探索跨学科的联系。
    方法:本研究采用了系统的证据映射方法来评估有关生物学,环境,以及暴露于35种氟化化合物的医学方面。纳入标准包括发表在同行评审期刊上的系统评价,预打印,和论文。跨电子数据库和灰色文献的综合搜索确定了相关评论。数据提取和综合涉及映射文献内容和叙事描述。我们采用了AMSTAR2清单的修改版本来评估评论的方法学严谨。文献计量数据分析揭示了学术文献中的模式和趋势。该研究的研究方案先前已预先注册(osf.io/2tpn8)并已发布(Vendl等人。,环境国际158(2022)106973)。该数据库可通过https://hi-this-is-lorenzo上的此系统证据图的交互式和用户友好的Web应用程序免费访问。shinyapps.io/PFAS_SEM_Shiny_App/。
    结果:我们的地图包括总共175个系统综述。多年来,每年的出版物数量稳步增加,2021年出现显著飙升。大多数评论都集中在人类暴露上,而与环境和动物相关的综述较少,并且通常缺乏严格的系统文献检索和筛选方法。审查结果主要与人类健康相关,特别是与生殖和儿童的发育健康。动物评论主要集中在受控实验室环境中进行的研究,野生动物评论的特点是鸟类和鱼类物种的过度代表。最近的评论越来越多地纳入了定量综合方法。审查的方法优势包括对研究选择过程的详细描述和潜在利益冲突的披露。然而,在报告方法中严重缺乏细节方面观察到弱点。文献计量分析显示,最有生产力的作者在自己的国家进行合作,导致有限和集群的国际合作。
    结论:在对现有系统二级文献的概述中,我们绘制文献内容,评估评论的方法论质量,突出数据差距,并绘制研究网络集群。我们的目标是促进文献综述,指导未来的研究计划,并增加跨国合作的机会。此外,我们讨论了这个系统的证据图及其公开的数据库如何使科学家受益,监管机构,和其他利益相关者,通过提供有关PFAS暴露的当前系统二级文献。
    BACKGROUND: Per- and polyfluoroalkyl substances (PFAS) are a class of widely used anthropogenic chemicals. Concerns regarding their persistence and potential adverse effects have led to multiple secondary research publications. Here, we aim to assess the resulting evidence base in the systematic secondary literature by examining research gaps, evaluating the quality of reviews, and exploring interdisciplinary connections.
    METHODS: This study employed a systematic evidence-mapping approach to assess the secondary literature on the biological, environmental, and medical aspects of exposure to 35 fluorinated compounds. The inclusion criteria encompassed systematic reviews published in peer-reviewed journals, pre-prints, and theses. Comprehensive searches across electronic databases and grey literature identified relevant reviews. Data extraction and synthesis involved mapping literature content and narrative descriptions. We employed a modified version of the AMSTAR2 checklist to evaluate the methodological rigour of the reviews. A bibliometric data analysis uncovered patterns and trends in the academic literature. A research protocol for this study was previously pre-registered (osf.io/2tpn8) and published (Vendl et al., Environment International 158 (2022) 106973). The database is freely accessible through the interactive and user-friendly web application of this systematic evidence map at https://hi-this-is-lorenzo.shinyapps.io/PFAS_SEM_Shiny_App/.
    RESULTS: Our map includes a total of 175 systematic reviews. Over the years, there has been a steady increase in the annual number of publications, with a notable surge in 2021. Most reviews focused on human exposure, whereas environmental and animal-related reviews were fewer and often lacked a rigorous systematic approach to literature search and screening. Review outcomes were predominantly associated with human health, particularly with reproductive and children\'s developmental health. Animal reviews primarily focused on studies conducted in controlled laboratory settings, and wildlife reviews were characterised by an over-representation of birds and fish species. Recent reviews increasingly incorporated quantitative synthesis methodologies. The methodological strengths of the reviews included detailed descriptions of study selection processes and disclosure of potential conflicts of interest. However, weaknesses were observed in the critical lack of detail in reporting methods. A bibliometric analysis revealed that the most productive authors collaborate within their own country, leading to limited and clustered international collaborations.
    CONCLUSIONS: In this overview of the available systematic secondary literature, we map literature content, assess reviews\' methodological quality, highlight data gaps, and draw research network clusters. We aim to facilitate literature reviews, guide future research initiatives, and enhance opportunities for cross-country collaboration. Furthermore, we discuss how this systematic evidence map and its publicly available database benefit scientists, regulatory agencies, and other stakeholders by providing access to current systematic secondary literature on PFAS exposure.
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  • 文章类型: Journal Article
    器官发生,胚胎发育的阶段开始于胃泌素的结束,一直持续到出生,是了解器官发育过程中细胞分化和成熟的关键过程。单细胞转录组学技术的快速发展在理解器官发生方面带来了许多新发现,同时也积累了大量数据。为了填补这个空白,OrganogenesisDB(http://organogenesisdb.com/),这是一个全面的数据库,致力于探索器官发生过程中的细胞类型识别和基因表达动力学,已开发。OrganogenesisDB包含来自49个已发布的数据集的超过140万个细胞的单细胞RNA测序数据,这些数据涵盖了各个发育阶段。此外,针对9个人体器官和4个小鼠器官的1120种细胞类型,手动筛选3324种细胞标记。OrganogenesisDB利用各种分析工具来帮助用户注释和理解不同发育阶段的细胞类型,并帮助挖掘和呈现在细胞成熟和分化过程中表现出特定模式并发挥关键调节作用的基因。这项工作为破译细胞谱系确定和揭示器官发生机制提供了关键资源和有用的工具。
    Organogenesis, the phase of embryonic development that starts at the end of gastrulation and continues until birth is the critical process for understanding cellular differentiation and maturation during organ development. The rapid development of single-cell transcriptomics technology has led to many novel discoveries in understanding organogenesis while also accumulating a large quantity of data. To fill this gap, OrganogenesisDB (http://organogenesisdb.com/), which is a comprehensive database dedicated to exploring cell-type identification and gene expression dynamics during organogenesis, is developed. OrganogenesisDB contains single-cell RNA sequencing data for more than 1.4 million cells from 49 published datasets spanning various developmental stages. Additionally, 3324 cell markers are manually curated for 1120 cell types across 9 human organs and 4 mouse organs. OrganogenesisDB leverages various analysis tools to assist users in annotating and understanding cell types at different developmental stages and helps in mining and presenting genes that exhibit specific patterns and play key regulatory roles during cell maturation and differentiation. This work provides a critical resource and useful tool for deciphering cell lineage determination and uncovering the mechanisms underlying organogenesis.
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  • 文章类型: Journal Article
    微生物与人类疾病和健康密切相关。了解微生物群落的组成和功能需要广泛的研究。最近,元蛋白质组学已成为对微生物进行全面和深入研究的重要方法。然而,样品处理方面的主要挑战,质谱数据采集,由于微生物群落样本的复杂性和高度异质性,数据分析限制了元蛋白质组学的发展。在元蛋白质组学分析中,优化不同类型样品的预处理方法,采用不同的微生物分离,富集,提取,和裂解方案通常是必要的。类似于单物种蛋白质组学,元蛋白质组学的质谱数据采集模式包括数据依赖采集(DDA)和数据独立采集(DIA).DIA可以从样品中收集全面的肽信息,并具有未来开发的巨大潜力。然而,DIA的数据分析受到元蛋白质组样本复杂性的挑战,这阻碍了元蛋白质组的更深覆盖。数据分析中最重要的步骤是构建蛋白质序列数据库。数据库的大小和完整性不仅强烈影响识别的数量,而且还在物种和功能层面进行分析。当前元蛋白质组数据库构建的金标准是基于元基因组测序的蛋白质序列数据库。基于迭代数据库搜索的公共数据库过滤方法已被证明具有很强的实用价值。以肽为中心的DIA数据分析方法是主流的数据分析策略。深度学习和人工智能的发展将极大地促进精度,覆盖范围,和元蛋白质组学分析的速度。在下游生物信息学分析方面,一系列可以对蛋白质进行物种注释的注释工具,肽,和基因水平已经在最近几年发展,以确定微生物群落的组成。与其他组学方法相比,微生物群落的功能分析是元蛋白质组学的独特功能。元蛋白质组学已成为微生物群落多组学分析的重要组成部分,在覆盖深度方面具有巨大的发展潜力,检测灵敏度,和数据分析的完整性。
    Microorganisms are closely associated with human diseases and health. Understanding the composition and function of microbial communities requires extensive research. Metaproteomics has recently become an important method for throughout and in-depth study of microorganisms. However, major challenges in terms of sample processing, mass spectrometric data acquisition, and data analysis limit the development of metaproteomics owing to the complexity and high heterogeneity of microbial community samples. In metaproteomic analysis, optimizing the preprocessing method for different types of samples and adopting different microbial isolation, enrichment, extraction, and lysis schemes are often necessary. Similar to those for single-species proteomics, the mass spectrometric data acquisition modes for metaproteomics include data-dependent acquisition (DDA) and data-independent acquisition (DIA). DIA can collect comprehensive peptide information from a sample and holds great potential for future development. However, data analysis for DIA is challenged by the complexity of metaproteome samples, which hinders the deeper coverage of metaproteomes. The most important step in data analysis is the construction of a protein sequence database. The size and completeness of the database strongly influence not only the number of identifications, but also analyses at the species and functional levels. The current gold standard for metaproteome database construction is the metagenomic sequencing-based protein sequence database. A public database-filtering method based on an iterative database search has been proven to have strong practical value. The peptide-centric DIA data analysis method is a mainstream data analysis strategy. The development of deep learning and artificial intelligence will greatly promote the accuracy, coverage, and speed of metaproteomic analysis. In terms of downstream bioinformatics analysis, a series of annotation tools that can perform species annotation at the protein, peptide, and gene levels has been developed in recent years to determine the composition of microbial communities. The functional analysis of microbial communities is a unique feature of metaproteomics compared with other omics approaches. Metaproteomics has become an important component of the multi-omics analysis of microbial communities, and has great development potential in terms of depth of coverage, sensitivity of detection, and completeness of data analysis.
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  • 文章类型: Journal Article
    截至2019年,这是菲律宾皮肤病中第二常见的残疾原因。没有大规模的全国性研究描述该国sc疮的流行病学特征。
    本研究旨在描述人口统计,季节性,以及菲律宾的sc疮的地理特征。
    我们比较了两个当地患者登记处的次要数据(菲律宾皮肤病学会,PDS,2010年至2021年;菲律宾儿科学会,PPS,2009年至2021年)菲律宾报告的sc疮病例。我们根据年龄报告了频率和百分比分布,性别,月,Year,和诊断类型,和区域。
    PDS(从2010年开始)的sc疮病例(主要是门诊)的年中位数为4087(范围([QR],342-6422[3271.5]),当它是183(范围[IQR],64-234[96.5])(所有住院患者)用于PPS(从2009年起)。在大流行期间(2020-2021年),大流行前的数字减少了三分之一(PDS)和四分之一(PPS)。sc疮病例的高峰月份是较凉爽的月份:1月(中位数,年度病例的12.1%;范围[IQR],2.6%-31.4%[3.6%])至2月(中位数,10.0%的年度病例;范围[IQR],1.5%-27.8%[2.5%])基于PDS数据,和11月(中位数,10.0%的年度病例;范围[IQR],0.0%-24.3%[7.0%])至1月(中位数,9.0%的年度病例;范围[IQR],0.0%-24.3%[6.6%])用于PPS数据。总的来说,对于PDS,1-4岁是受影响最大的年龄组(中位数,PDS,17.5%的年度病例;范围[IQR],11.9%-25.4%[8.1%]),虽然是不到1岁的儿童(年病例中位数,48.9%;范围[IQR],29.1%-67.3%[13.20%])在0至18岁的PPS儿科人群中。男性(中位数,53.9%的年度病例;范围[IQR],在PPS中,45.0%-67.2%[8.8%])的受影响大于女性。而对于PDS在早些年(2015年之前),男性(中位数,2010年至2014年的年度病例占51.6%;范围[IQR],47.4%-52.9%[0.2%])的受影响程度高于女性。然而,男性比女性受影响小,从2015年起,占年度病例的44.7%(范围[IQR],43.4%-46.5%[1.2%])。NCR是PPS病例发生频率最高的地区(中位数,52.6%的年度病例;范围[IQR],22.7%-75.0%[20.4%])。受影响第二大的地区是中东部米沙yas(34.2%,2009-2013;范围[IQR],17.9%-54.1%[5.3%]),比科尔地区(12%;2014年至2018年;范围[IQR],17.9%-54.1%[7.4%]),吕宋岛中部(18%;2019年),中部/东部米沙群岛(29%,2020),和棉兰老岛北部/中部(17%,2021)。
    镰刀常见于年轻年龄组,PDS中的女性略多,虽然PPS中的男性稍多,在一年中凉爽的月份,在城市化的NCR中。
    UNASSIGNED: Scabies is the second most common cause of disability among skin diseases in the Philippines as of 2019. There is no large nationwide study describing the epidemiologic profile of scabies in the country.
    UNASSIGNED: This study aimed to describe the demographic, seasonal, and geographic profile of scabies in the Philippines.
    UNASSIGNED: We compared secondary data of two local patient registries (Philippine Dermatological Society, PDS, 2010 to 2021; and Philippine Pediatric Society, PPS, 2009 to 2021) for reported cases of scabies in the Philippines. We reported the frequency and percentage distribution according to age, sex, month, year, and type of diagnosis, and region.
    UNASSIGNED: The median annual frequency of scabies cases (mostly outpatient) for PDS (from year 2010) was 4087 (range ([QR], 342-6422 [3271.5]), while it was 183 (range [IQR], 64-234 [96.5]) (all inpatient) for PPS (from year 2009). There was a reduction to one-third (PDS) and one-fourth (PPS) of pre-pandemic numbers during the pandemic years (2020-2021). The peak months for scabies cases were the cooler months: January (median, 12.1% of annual cases; range [IQR], 2.6%-31.4% [3.6%]) to February (median, 10.0% of annual cases; range [IQR], 1.5%-27.8% [2.5%]) based on PDS data, and November (median, 10.0% of annual cases; range [IQR], 0.0%-24.3% [7.0%]) to January (median, 9.0% of annual cases; range [IQR], 0.0%-24.3% [6.6%]) for PPS data. Overall, for PDS, age 1-4 years is the most affected age group (median, PDS, 17.5% of annual cases; range [IQR], 11.9%-25.4% [8.1%]), while it was the less than 1-year-olds (median annual cases, 48.9%; range [IQR], 29.1%-67.3% [13.20%]) among PPS pediatric population aged 0 to 18 years. Males (median, 53.9% of annual cases; range [IQR], 45.0%-67.2% [8.8%]) were more affected than females in PPS. While for PDS during earlier years (prior to 2015), males (median, 51.6% of annual cases from 2010 to 2014; range [IQR], 47.4%-52.9% [0.2%]) were more affected than females. However, males became less affected than females with median, 44.7% of annual cases from 2015 onwards (range [IQR], 43.4%-46.5% [1.2%]). NCR was the region with the highest frequency of cases in PPS (median, 52.6% of annual cases; range [IQR], 22.7%-75.0% [20.4%]). The 2nd most affected regions were Central/Eastern Visayas (34.2%, 2009-2013; range [IQR], 17.9%-54.1% [5.3%]), Bicol region (12%; 2014 to 2018; range [IQR], 17.9%-54.1% [7.4%]), Central Luzon (18%; 2019), Central/Eastern Visayas (29%, 2020), and Northern/Central Mindanao (17%, 2021).
    UNASSIGNED: Scabies was commonly seen in the younger age group, slightly more in females in the PDS, while slightly more among males in the PPS, in the cooler months of the year, and in the urbanized NCR.
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  • 文章类型: Journal Article
    一些草药提取物含有相对高量的脂多糖(LPS)。因为口服LPS激活先天免疫而不诱导炎症,它在草药提取物中起着活性成分的作用。然而,草药提取物中的LPS含量仍未评估。本研究旨在建立草药提取物中LPS含量的数据库;因此,测定了414种草药提取物的LPS含量,并评估了巨噬细胞活化潜能.使用动力学比浊法确定这些热水提取物的LPS含量。LPS浓度范围为几ng/g至数百μg/g(标准大肠杆菌LPS当量)。12个样品具有>100μg/g的高LPS含量,包括七个来自根的样品和三个来自草药提取物叶子的样品。这些样品显示出高吞噬作用和NO产生能力,使用多粘菌素B进行进一步调查,LPS抑制剂,显著抑制巨噬细胞活化。这项研究表明,一些草药提取物含有足够的LPS浓度来激活先天免疫。因此,提出了一种基于LPS含量评估草药提取物功效的新方法.列出不同草药提取物的LPS含量的数据库对于这种方法是必不可少的。
    Some herbal extracts contain relatively high amounts of lipopolysaccharide (LPS). Because orally administered LPS activates innate immunity without inducing inflammation, it plays a role as an active ingredient in herbal extracts. However, the LPS content in herbal extracts remains extensively unevaluated. This study aimed to create a database of LPS content in herbal extracts; therefore, the LPS content of 414 herbal extracts was measured and the macrophage activation potential was evaluated. The LPS content of these hot water extracts was determined using the kinetic-turbidimetric method. The LPS concentration ranged from a few ng/g to hundreds of μg/g (Standard Escherichia coli LPS equivalent). Twelve samples had a high-LPS-content of > 100 μg/g, including seven samples from roots and three samples from leaves of the herbal extracts. These samples showed high phagocytosis and NO production capacity, and further investigation using polymyxin B, an LPS inhibitor, significantly inhibited macrophage activation. This study suggests that some herbal extracts contain sufficient LPS concentration to activate innate immunity. Therefore, a new approach to evaluate the efficacy of herbal extracts based on their LPS content was proposed. A database listing the LPS content of different herbal extracts is essential for this approach.
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  • 文章类型: Journal Article
    背景:心脏病仍然是美国的主要死亡原因,而慢性下呼吸道疾病(CLRD)是第六大死因。已显示患有CLRD的患者具有升高的心脏病死亡风险。然而,关于这种风险在不同人口群体中的变化知之甚少。
    方法:我们使用来自疾病控制中心的多种死亡原因数据库,用于流行病学研究的广泛在线数据,以获得1999-2020年心脏病作为主要死亡原因和CLRD作为促成原因的死亡信息。我们计算了随时间推移和人口统计亚组的年龄调整死亡率(AAMR)。
    结果:在1999-2020年期间,45岁以上的人群中有1,178,048例与CLRD相关的心脏病死亡。CLRD相关心脏病死亡的AAMR为每100,000人中45.713人。AAMR在65岁以上的人群中最高(108.56/100,000)。男性发病率升高(AAMR比率=1.744,95%CI:1.741-1.748),居住在中西部的人(AAMR比率=1.196,95%CI:1.190-1.202),以及农村地区的人群(AAMR比率=1.309,95%CI:1.304-1.313)与相应的人群相比。在1999年至2004年和2016年至2020年期间,所有人口亚组的比率都有所下降,除45-64岁的人群外,其中死亡人数增加(AAMR比率=1.016,95%CI:1.003-1.030)。
    结论:随着时间的推移,CLRD相关心脏病死亡率有所下降,但巨大的差距仍然存在。加强干预措施,特别是老年人(65岁以上),生活在农村地区的人们,生活在中西部的人们,在美国,男性可能会减少CLRD相关心脏病的死亡。
    BACKGROUND: Heart disease remains the leading cause of death in the United States, while chronic lower respiratory diseases (CLRD) are the sixth leading cause of death. Patients with CLRD have been shown to have an elevated risk of heart disease death. However, less is known regarding how this risk varies across demographic groups.
    METHODS: We used the Multiple Cause of Death database from the Centers for Disease Control Wide-ranging ONline Data for Epidemiologic Research to obtain 1999-2020 information on deaths with heart disease as a primary cause of death and CLRD as a contributing cause. We calculated age-adjusted mortality rates (AAMR) over time and for demographic subgroups.
    RESULTS: During 1999-2020, there were 1,178,048 heart disease deaths related to CLRD among people aged 45+. The AAMR for CLRD-associated heart disease deaths was 45.713 per 100,000 people. AAMR was highest among those aged 65+ (108.56 per 100,000). Elevated rates were seen among males (AAMR ratio = 1.744, 95% CI: 1.741-1.748), people living in the Midwest (AAMR ratio = 1.196, 95% CI: 1.190-1.202), and among people in rural areas (AAMR ratio = 1.309, 95% CI: 1.304-1.313) compared to their corresponding counterparts. Between 1999 and 2004 and 2016-2020 rates decreased among all demographic subgroups, except for among people aged 45-64, among whom deaths increased (AAMR ratio = 1.016, 95% CI: 1.003-1.030).
    CONCLUSIONS: Rates of CLRD-associated heart disease deaths have declined over time, but significant disparities remain. Enhanced interventions particularly among older people (65+), people living in rural areas, people living in the Midwest, and men may reduce CLRD-associated heart disease deaths in the United States.
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  • 文章类型: Journal Article
    由于激酶之间的相似性和多样性,小分子激酶抑制剂(SMKIs)通常表现出多靶点效应或选择性,与这些抑制剂的疗效和安全性有很强的相关性。然而,由于著名的流行数据库数量有限,数据挖掘能力有限,随着专注于SMIKIs药理学相似性和多样性的数据库的显著稀缺,研究人员发现快速访问相关信息具有挑战性。KLIFS数据库是该领域专业应用数据库的代表,专注于激酶结构和共晶激酶-配体相互作用,而本文中的KLSD数据库强调了SMKIs在所有报道的激酶靶标中的分析。为解决目前激酶研究缺乏专业应用数据库的问题,标准化,激酶研究人员的可靠和有效的数据资源,本文提出了一种基于ChEMBL数据库的研究方案。它侧重于激酶配体活性比较。该方案提取激酶数据并对其进行标准化和规范化,然后进行激酶靶点差异分析,实现激酶活性阈值判断。然后,它构建了一个专门的和个性化的激酶数据库平台,采用SpringBoot架构的前端和后端分离技术,构造一个可扩展的WEB应用程序,处理存储,检索和分析数据,最终实现数据的可视化和交互。本研讨旨在开辟一个激酶数据库收集平台,组织,并提供与激酶相关的标准化数据。通过提供必要的资源和工具,它支持激酶研究和药物开发,从而推进激酶相关领域的科学研究和创新。它可以在http://ai免费访问。njucm.edu.cn:8080。
    Due to the similarity and diversity among kinases, small molecule kinase inhibitors (SMKIs) often display multi-target effects or selectivity, which have a strong correlation with the efficacy and safety of these inhibitors. However, due to the limited number of well-known popular databases and their restricted data mining capabilities, along with the significant scarcity of databases focusing on the pharmacological similarity and diversity of SMIKIs, researchers find it challenging to quickly access relevant information. The KLIFS database is representative of specialized application databases in the field, focusing on kinase structure and co-crystallised kinase-ligand interactions, whereas the KLSD database in this paper emphasizes the analysis of SMKIs among all reported kinase targets. To solve the current problem of the lack of professional application databases in kinase research and to provide centralized, standardized, reliable and efficient data resources for kinase researchers, this paper proposes a research program based on the ChEMBL database. It focuses on kinase ligands activities comparisons. This scheme extracts kinase data and standardizes and normalizes them, then performs kinase target difference analysis to achieve kinase activity threshold judgement. It then constructs a specialized and personalized kinase database platform, adopts the front-end and back-end separation technology of SpringBoot architecture, constructs an extensible WEB application, handles the storage, retrieval and analysis of the data, ultimately realizing data visualization and interaction. This study aims to develop a kinase database platform to collect, organize, and provide standardized data related to kinases. By offering essential resources and tools, it supports kinase research and drug development, thereby advancing scientific research and innovation in kinase-related fields. It is freely accessible at: http://ai.njucm.edu.cn:8080.
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  • 文章类型: Journal Article
    沙特国家糖尿病登记处主要关注成人患者。2020年,国民警卫队卫生局(NGHA)启动了沙特儿科和青少年糖尿病登记处(SPYDR)。适用于患有糖尿病的儿童和青少年。本报告是关于SPYDR启动期间我们面临的第一个数据和挑战。使用国际疾病分类(ICD-10)从沙特NGHA医院的电子病历中识别患者。经过培训的协调员验证了诊断,并将患者的详细信息输入注册表,并由经验丰富的内分泌学家验证了随机样本。数据根据患者人口统计学进行分析,糖尿病亚型,持续时间,control,和并发症。小组面临的挑战得到了确认和解决。在投稿时,2,344人被登记。诊断时的平均年龄为9.08(±4.27)岁,女性为1,136(48.46%)。其中,91.3%有1型(T1D),6.4%患有2型糖尿病(T2D)。平均HbA1c为10.45%(±2.36),糖尿病持续时间为5.31(±3.05)年。主要挑战包括COVID-19大流行,数据验证,和中心的参与。然而,在开始的12个月内纳入的受试者与预期人数相匹配.尽管面临挑战,实现了SPYDR的第一步。初步数据证实,T1D是儿童糖尿病最常见的形式,T2D的频率与区域和国际数据相当。SPYDR为其他沙特医疗机构的患者注册提供数据共享和合作研究的基础设施。
    The Saudi National Diabetes Registry focuses mainly on adult patients. In 2020, the National Guard Health Authority (NGHA) launched the Saudi Pediatric and Youth Diabetes Registry (SPYDR), for children and adolescents with diabetes. This report is about the first data and the challenges we faced during SPYDR initiation. Patients were identified from the electronic medical records of the Saudi NGHA hospitals using the International Classification of Disease (ICD-10). A trained coordinator verified the diagnosis and entered patients\' details into the registry and a random sample was validated by experienced endocrinologists. The data were analyzed according to patients\' demography, diabetes subtypes, duration, control, and complications. The challenges faced by the team were identified and addressed. At the time of manuscript submission, 2,344 individuals were enrolled. Their mean age at diagnosis was 9.08 (±4.27) years and 1,136 (48.46%) were females. Of these, 91.3% have type 1 (T1D), and 6.4% have type 2 diabetes (T2D). The mean HbA1c was 10.45% (±2.36) and duration of diabetes was 5.31 (±3.05) years. The main challenges included the COVID-19 pandemic, data validation, and centers\' participation. However, within 12 months of initiation enrolled subjects matched the expected number. Despite the challenges, the first step of SPYDR was achieved. The initial data confirmed that T1D is the most common form of childhood diabetes, and the frequency of T2D is comparable to regional and international data. SPYDR provides the infrastructure for data sharing and collaborative research with the enrollment of patients from other Saudi healthcare institutes.
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  • 文章类型: Journal Article
    目的:探讨与成骨不全症(OI)相关的骨外表现的程度以及住院转归和并发症。
    方法:这项横断面研究利用儿童住院数据库(KID)作为医疗保健成本和利用项目(HCUP)的一部分,调查1997年至2016年OI患者的住院结果和管理。有关医院特征的数据,治疗费用,住院结果,和程序进行了收集和分析。
    结果:从1997年到2016年,有7,291名入院者在KID数据库中将OI列为诊断。出乎意料的是,在这些OI患儿中,超过三分之一的入院患者表现为骨骼外表现。主要并发症发生率为3.85%。轻微并发症发生率为19.4%,最常见的呼吸问题。新生儿期的死亡率为18.2%,所有其他入院的死亡率为1.0%。多年来,住院总费用有所增加。
    结论:我们确定了OI中骨骼外表现的惊人患病率以及与OI相关的住院结局和并发症,其中以呼吸道并发症为主。我们观察到OI患者的巨大经济负担,并确定了财务危机的额外风险,除了社会经济群体之间在护理方面的差异。这些数据有助于从诊断到管理更全面地理解OI。
    OBJECTIVE: To investigate the extent of extra-skeletal manifestations along with inpatient outcomes and complications associated with osteogenesis imperfecta (OI).
    METHODS: This cross-sectional study utilized the Kids\' Inpatient Database (KID) as part of the Healthcare Cost and Utilization Project (HCUP) to investigate inpatient hospital outcomes and management in patients with OI from 1997 through 2016. Data regarding hospital characteristics, cost of treatment, inpatient outcomes, and procedures were collected and analyzed.
    RESULTS: There were 7,291 admissions that listed OI as a diagnosis in the KID database from 1997 through 2016. Unexpectedly, over one third of all admissions in these children with OI presented with an extra-skeletal manifestation. The rate of major complications was 3.85%. The rate of minor complications was 19.4%, most commonly respiratory problems. Mortality rate was 18.2 % in the neonatal period and 1.0% in all other admissions. Total charges of hospital stay increased over the years.
    CONCLUSIONS: We identified a striking prevalence of extra-skeletal manifestations in OI along with inpatient outcomes and complications associated with OI, of which respiratory complications were predominant. We observed a significant financial burden for patients with OI and identified additional risks for financial crisis, in addition to disparities in care identified among socioeconomic groups. These data contribute to a more holistic understanding of OI from diagnosis to management.
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  • 文章类型: Journal Article
    线粒体蛋白/基因突变和表达变异有助于各种疾病的发病机制,如神经退行性疾病和代谢性疾病。对跨疾病的线粒体蛋白编码(MPE)基因的详细研究可以为新的治疗策略提供线索。这里,我们收集,编译,并在名为mitoPADdb的单个平台中手动整理MPE基因突变和表达变异数据及其与疾病的关联。该数据库包含810个基因,具有18,356个突变和1284个与1793种疾病相关的定性表达变异,分为15类。它允许用户对317个疾病类别的转录组研究进行比较定量基因表达分析。Further,它提供了有关MPE基因相关分子途径的信息。mitoPADdb是研究线粒体功能障碍相关疾病的宝贵资源。它可以通过http://bicresources访问。jcbose.AC.in/ssaha4/mitopaddb/index.html.
    Mitochondrial protein/gene mutations and expression variations contribute to the pathogenesis of various diseases, such as neurodegenerative and metabolic diseases. Detailed studies on mitochondrial protein-encoding (MPE) genes across diseases can provide clues for novel therapeutic strategies. Here, we collected, compiled, and manually curated the MPE gene mutation and expression variations data and their association with diseases in a single platform named mitoPADdb. The database contains 810 genes with 18,356 mutations and 1284 qualitative expression variations associated with 1793 diseases, grouped into 15 categories. It allows users to perform a comparative quantitative gene expression analysis for 317 transcriptomic studies across disease categories. Further, it provides information on MPE genes-associated molecular pathways. The mitoPADdb is a valuable resource for investigating mitochondrial dysfunction-related diseases. It can be accessed via http://bicresources.jcbose.ac.in/ssaha4/mitopaddb/index.html.
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