juvenile

青少年
  • 文章类型: Journal Article
    年轻的早熟鸟类受益于与母亲和兄弟姐妹保持亲密关系,在优先考虑成年人的同时,提供更好的护理。幼鸟使用刺激的哪些特征来优先考虑方法,并最终对成年而不是兄弟姐妹的依恋尚不清楚。我们开始在新孵化的家养小鸡(Gallusgallus)中解决这个问题,专注于他们对成年鸡和幼鸡之间系统性变化的视觉特征的自发偏好,以前被认为是有吸引力的:尺寸(成年人比青少年更大)和颜色(成年人比青少年更暗,更红)。总的来说,小鸡在他们的第一次视觉体验,以前从未见过特定的,最吸引红色和大刺激(两个成人特征),并且与红色刺激相比,与黄色刺激相比,与红色刺激紧密接触的时间更多。当使用红色大对象与小对象进行测试时(实验。1),小鸡更喜欢大的形状。当使用黄色大物体和小物体进行测试时(实验。2),小鸡没有表现出偏好。小鸡对大的红色刺激有更强的偏好(与小黄色物体)比红色小刺激(vs.黄色大物体)(实验。3).这些结果表明,大小和颜色的结合形成了一种倾向,可以帮助雏鸡从生命的第一阶段自发区分成年和幼年的特征。在没有以前经验的情况下,表现出倾向于接近具有与成人物种存在相关特征的刺激。
    Young precocial birds benefit from staying close to both their mother and their siblings, while prioritising adults, which provide better care. Which features of the stimuli are used by young birds to prioritise approach and eventually attachment to adults over siblings is unknown. We started to address this question in newly hatched domestic chicks (Gallus gallus), focusing on their spontaneous preferences for visual features that systematically vary between adult and juvenile chickens, and that had previously been identified as attractive: size (larger in adults than in juveniles) and colour (darker and redder in adults than in juveniles). Overall, chicks at their first visual experience, that had never seen a conspecific beforehand, were most attracted to the red and large stimuli (two adult features) and spent more time in close proximity with red stimuli than with yellow stimuli. When tested with red large versus small objects (Exp. 1), chicks preferred the large shape. When tested with yellow large and small objects (Exp. 2), chicks did not show a preference. Chicks had a stronger preference for large red stimuli (vs. small yellow objects) than for small red stimuli (vs. a large yellow object) (Exp. 3). These results suggest that the combination of size and colour form the predisposition that helps chicks to spontaneously discriminate between adult and juvenile features from the first stages of life, in the absence of previous experience, exhibiting a preference to approach stimuli with features associated with the presence of adult conspecifics.
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  • 文章类型: Journal Article
    成人皮肌炎(DM)和青少年皮肌炎(JDM)是罕见的自身免疫性疾病,具有特征性皮疹,弱点,和其他系统特征。已经在成人和青少年DM中一致地描述了上调的干扰素信号传导,这使得janus激酶抑制剂(jakinibs)成为具有靶向作用机制的有吸引力的治疗剂。
    本文综述了越来越多的成人和青少年糖尿病患者使用jakinib的文献,包括有关该人群中雅基尼人的特定疾病特征和安全性的报告,以及成人和青少年DM之间的比较。我们使用PubMed进行了文献综述,包括2024年2月1日之前的所有英语出版物以及近期重要风湿病学会议的摘要。
    Jakinibs在成人和青少年DM中都是令人兴奋且有前途的治疗方法。目前在成人和JDM中进行的jakinibs的2期和3期随机安慰剂对照试验将为此类药物的功效提供重要见解,作为对皮肤和肌肉疾病的潜在更机械靶向治疗。事实上,这些结果可能为皮肌炎的治疗模式提供信息,因为皮肌炎甚至可能被视为一线或二线.对于患者和医疗提供者来说,青少年和成人DM治疗领域的未来五年是一个激动人心的时刻。
    UNASSIGNED: Adult dermatomyositis (DM) and juvenile dermatomyositis (JDM) are rare autoimmune diseases with characteristic skin rashes, weakness, and other systemic features. Upregulated interferon signaling has been consistently described in both adult and juvenile DM which makes janus kinase inhibitors (jakinibs) an attractive therapeutic agent that has a targeted mechanism of action.
    UNASSIGNED: Herein is a review of the growing literature of jakinib use in adult and juvenile DM, including reports on specific disease features and safety of jakinibs in this population and a comparison between adult and juvenile DM. We performed a literature review using PubMed including all English-language publications before 1 February 2024 and abstracts from key recent rheumatology conferences.
    UNASSIGNED: Jakinibs are an exciting and promising treatment in both adult and juvenile DM. Current Phase 2 and 3 randomized placebo-controlled trials of jakinibs in both adult and JDM will provide significant insights into the efficacy of this class of medication as a potentially more mechanistically targeted treatment of both skin and muscle disease. In fact, these results will likely inform the treatment paradigm of dermatomyositis in that it may even be considered as first or second line. The next five years in the therapeutic landscape of both juvenile and adult DM is an exciting time for both patients and medical providers.
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  • 文章类型: Journal Article
    在迁徙动物中,从没有经验的青少年到繁殖的成年人的发育期可能是塑造人口迁移模式的关键生命阶段。然而,早期迁移程序的发展仍未得到充分探索。虽然在义务移民中描述了与年龄相关的移民路线和时间变化,大多数对部分移民的个体发育的调查仅集中在移民的年龄依赖性上,这是一种二元策略(移民或居民),很少考虑被归类为“移民”的个人之间的路线和时间差异。为了填补这个空白,我们研究迁徙目的地的个体发育,部分迁徙的红色风筝(Milvusmilvus)种群的路线和时间。使用广泛的GPS跟踪数据集(292个雏鸟和38个成年人,每个人跟踪1-5次迁移),我们研究了九种不同的迁徙特征如何随年龄和繁殖状况而变化,其中许多人在以后的生活中成为居民。随着年龄的增长,个人离开繁殖区的时间较晚,到达繁殖区的时间也较早,导致从第一次到第五次迁徙,在繁殖区的停留时间逐渐延长2个月。个人在获得领土的前一年推迟了向南迁移,他们在占领领土后进一步拖延了。随着年龄的增长,迁移路线变得更加直接。个人对他们的越冬地点非常忠诚。随着年龄的增长,迁移距离仅略有缩短,兄弟姐妹之间的迁移距离比无关个体之间的迁移距离更相似。向北和向南迁移的大量逐渐变化表明,在发育窗口期间,时间特征具有高度的可塑性。然而,较高的越冬地点保真度表明了地点熟悉度的巨大好处,促使空间迁移可塑性通过转换为居住区来表达。时空迁移特征之间与年龄相关的变化轨迹的对比模式可能反映了可塑性表达的不同机制。在整个迁徙策略范围内研究物种之间的这种模式,将能够进一步了解迁徙物种对快速环境变化表现出的可塑性反应。
    In migratory animals, the developmental period from inexperienced juveniles to breeding adults could be a key life stage in shaping population migration patterns. Nevertheless, the development of migration routines in early life remains underexplored. While age-related changes in migration routes and timing have been described in obligate migrants, most investigations into the ontogeny of partial migrants only focused on age-dependency of migration as a binary tactic (migrant or resident), and variations in routes and timing among individuals classified as \'migrants\' is rarely considered. To fill this gap, we study the ontogeny of migration destination, route and timing in a partially migratory red kite (Milvus milvus) population. Using an extensive GPS-tracking dataset (292 fledglings and 38 adults, with 1-5 migrations tracked per individual), we studied how nine different migration characteristics changed with age and breeding status in migrant individuals, many of which become resident later in life. Individuals departed later from and arrived earlier at the breeding areas as they aged, resulting in a gradual prolongation of stay in the breeding area by 2 months from the first to the fifth migration. Individuals delayed southward migration in the year prior to territory acquirement, and they further delayed it after occupying a territory. Migration routes became more direct with age. Individuals were highly faithful to their wintering site. Migration distance shortened only slightly with age and was more similar among siblings than among unrelated individuals. The large gradual changes in northward and southward migrations suggest a high degree of plasticity in temporal characteristics during the developmental window. However, the high wintering site fidelity points towards large benefits of site familiarity, prompting spatial migratory plasticity to be expressed through a switch to residency. The contrasting patterns of trajectories of age-related changes between spatial and temporal migration characteristics might reflect different mechanisms underlying the expression of plasticity. Investigating such patterns among species along the entire spectrum of migration tactics would enable further understanding of the plastic responses exhibited by migratory species to rapid environmental changes.
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  • 文章类型: Case Reports
    儿童中最常见的良性喉肿瘤是乳头状瘤。喉乳头状瘤病是一种慢性疾病,在儿童中很少见。我们报告了一个四岁的马来女孩,她患有慢性喉乳头状瘤病,最有可能在分娩过程中垂直获得,被检测到。她三年来一直声音嘶哑,柔性喉镜检查显示声门区乳头状瘤的特征。患者接受了直接喉镜检查,然后使用冷仪器切除肿块。手术干预是喉乳头状瘤病的主要治疗方式,以维持气道通畅和语音质量。
    The most common benign laryngeal neoplasm in children is a papilloma. Laryngeal papillomatosis is a chronic disease and is rare in children. We report the case of a four-year-old Malay girl in whom chronic laryngeal papillomatosis, most likely acquired vertically during labor, was detected. She presented with hoarseness of voice for three years, and a flexible laryngoscopy examination revealed features of papilloma in the glottis area. The patient underwent direct laryngoscopy followed by excision of mass using the cold instrument. Surgical intervention is the primary treatment modality for laryngeal papillomatosis to maintain airway patency and voice quality.
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  • 文章类型: Journal Article
    本研究评估了深色肌肉中镉(Cd)水平和Cd的时间变化,白色肌肉,和幼年Thunnusalbacares的肝脏。在2021年4月至2022年5月期间,从斯里兰卡周围的印度洋水域收集了72个人(标准长度:50-67厘米;体重:0.8-2.5千克)。使用电感耦合等离子体质谱仪分析总Cd水平。不同组织中的平均Cd水平(平均值±SDmgkg-1干重)在肝脏中的水平显着升高(13.62±0.98,p<0.05),与深色肌肉相比(0.52±0.05),白肌(0.42±0.04)。肝脏组织中Cd含量与鱼体重呈正相关(p<0.05)。在深色肌肉中报告的Cd水平,白色的肌肉,在第二次季风期间,肝脏组织显着高于其他季风制度(p<0.05),并且超过了欧盟(EU)设定的最大允许水平(0.1mgkg-1湿重)。然而,测得的白色和深色肌肉中的Cd水平低于粮农组织/世界卫生组织设定的最大允许水平(0.2mgkg-1湿重)。所有肝脏组织中的Cd水平均高于欧盟和FAO/WHO设定的水平。因此,人们应该避免食用来自印度洋的T.albacares的肝脏组织。体重为60公斤的人每周可以消耗高达4.667公斤的白色肌肉,而不会超过临时耐受每周摄入量。
    The present study evaluated the cadmium (Cd) levels and temporal variation of Cd in dark muscle, white muscle, and liver of juvenile Thunnus albacares. 72 individuals (Standard length: 50-67 cm; weight: 0.8-2.5 kg) were collected from Indian Oceanic water around Sri Lanka during the period between April 2021 to May 2022. Total Cd levels were analyzed using an Inductively Coupled Plasma Mass Spectrophotometer. The mean Cd levels (mean ± SD mg kg-1 dry weight) in different tissues varied with significantly higher levels in the liver (13.62 ± 0.98, p < 0.05), compared to dark muscle (0.52 ± 0.05), and white muscle (0.42 ± 0.04). Cd levels in liver tissues were positively correlated (p < 0.05) with the fish weight. The Cd levels reported in dark muscles, white muscles, and liver tissues were significantly higher (p < 0.05) during 2nd inter-monsoon than in the other monsoonal regimes and exceeded the maximum permissible level (0.1 mg kg-1 wet weight) set by the European Union (EU). However, the measured Cd levels in white and dark muscles were below the maximum permissible level (0.2 mg kg-1 wet weight) set by FAO/WHO. The Cd levels in all the liver tissues were above the levels set by the EU and FAO/WHO. Accordingly, people should avoid the consumption of liver tissues of T. albacares from the Indian Ocean. A human with a body weight of 60 kg can consume white muscles up to 4.667 kg per week without exceeding the Provisional Tolerable Weekly Intake.
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  • 文章类型: Case Reports
    毛霉和根霉被认为是毛霉菌病的主要罪魁祸首,以其机会性而闻名的严重真菌感染。这种感染主要针对免疫系统受损的个体,包括糖尿病患者和接受糖皮质激素治疗的患者,免疫反应减弱的地方。本文旨在强调及时诊断和强化治疗在控制毛霉菌病中的关键作用。特别是在儿科患者中,因为它可以避免死亡和减轻严重的发病率。该病例报告强调了早期识别糖尿病患者的真菌感染并随后积极治疗以防止不良结局的紧迫性。当及时诊断毛霉菌病并通过强化治疗进行管理时,它强调了出色治疗结果的潜力。通过这样做,可以有效预防与这种情况相关的显著发病率和死亡率,强调对有真菌感染易感因素的患者保持警惕和积极管理的重要性。
    Mucor and Rhizopus species are recognized as the primary culprits responsible for mucormycosis, a severe fungal infection known for its opportunistic nature. This infection primarily targets individuals with compromised immune systems, including those with diabetes mellitus and patients undergoing glucocorticoid therapy, where the immune response is weakened. This article aims to underscore the pivotal role of prompt diagnosis and intensive treatment in managing mucormycosis, particularly in pediatric patients, as it can avert death and mitigate serious morbidity. This case report emphasizes the urgency of identifying fungal infections in patients with diabetes early on and subsequently treating them aggressively to prevent adverse outcomes. It highlights the potential for excellent treatment outcomes when mucormycosis is promptly diagnosed and managed with intensive therapy. By doing so, significant morbidity and mortality associated with this condition can be effectively prevented, underscoring the importance of vigilance and proactive management in patients with predisposing factors for fungal infections.
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  • 文章类型: Journal Article
    睡眠是一种基本的行为,人们仍然知之甚少。睡眠异常伴随着各种精神和神经系统疾病,睡眠可以作为治疗这些疾病的一种可改变的行为。斑马鱼(Daniorerio)已被证明是研究睡眠以及睡眠与这些疾病之间相互作用的强大模型生物,这是由于控制斑马鱼和人类之间睡眠和觉醒状态的神经调节机制的高度保守性。斑马鱼是一种昼夜脊椎动物,与哺乳动物模型相比神经系统相对简单,表现出不同生命阶段的睡眠个体发育的保护。斑马鱼幼虫是建立的高通量模型,用于评估睡眠表型和睡眠障碍的生物学基础。迄今为止,幼年和成年斑马鱼的睡眠测量尚未以标准化和可重复的方式进行,因为相对于其幼虫对应物而言,其通量相对较低。这在理解与许多精神病和神经退行性疾病相关的生命后期阶段的睡眠方面留下了空白。几个研究小组已经使用自制系统来解决这一差距。这里,我们报告使用市售设备来跟踪幼年和成年斑马鱼的活动和睡眠/觉醒模式。该设备使研究人员能够在隔离的环境中进行自动行为测定,并进行多天的亮/暗和温度控制。我们首先解释跟踪成年斑马鱼的睡眠和活动的实验程序,然后通过测量褪黑激素和DMSO给药的效果来验证方案。主要特点•允许在一个隔离和可控的环境中对幼年和成年斑马鱼进行活动和睡眠测定。•衡量斑马鱼在生命阶段的活动晚于早期发育,这需要在测定期间喂养动物。•需要使用商用设备系统和六个储罐。•斑马鱼的活动可以跟踪五天,包括适应步骤。
    Sleep is an essential behavior that is still poorly understood. Sleep abnormalities accompany a variety of psychiatric and neurological disorders, and sleep can serve as a modifiable behavior in the treatment of these disorders. Zebrafish (Danio rerio) has proven to be a powerful model organism to study sleep and the interplay between sleep and these disorders due to the high conservation of the neuro-modulatory mechanisms that control sleep and wake states between zebrafish and humans. The zebrafish is a diurnal vertebrate with a relatively simple nervous system compared to mammalian models, exhibiting conservation of sleep ontogeny across different life stages. Zebrafish larvae are an established high-throughput model to assess sleep phenotypes and the biological underpinnings of sleep disturbances. To date, sleep measurement in juvenile and adult zebrafish has not been performed in a standardized and reproducible manner because of the relatively low-throughput nature in relation to their larval counterparts. This has left a gap in understanding sleep across later stages of life that are relevant to many psychiatric and neurodegenerative disorders. Several research groups have used homemade systems to address this gap. Here, we report employing commercially available equipment to track activity and sleep/wake patterns in juvenile and adult zebrafish. The equipment allows researchers to perform automated behavior assays in an isolated environment with light/dark and temperature control for multiple days. We first explain the experimental procedure to track the sleep and activity of adult zebrafish and then validate the protocol by measuring the effects of melatonin and DMSO administration. Key features • Allows an isolated and controllable environment to carry out activity and sleep assays in juvenile and adult zebrafish. • Measures activity of zebrafish in life stages later than early development, which requires feeding animals during the assay. • Requires use of a commercially available equipment system and six tanks. • The activity of zebrafish can be tracked for five days including an acclimation step.
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  • 文章类型: Journal Article
    这项回顾性队列研究评估了Janus激酶(JAK)抑制剂的疗效和安全性。托法替尼和巴利替尼,在14例难治性皮肌炎(DM)患者中,治疗选择有限的多系统自身免疫性疾病。结果表明,皮肤皮肌炎疾病面积和严重程度指数(CDASI)评分中位数显着下降21分,下降76%,以及64%的患者肌肉症状的完全缓解。JAK抑制剂可有效治疗各种亚型的难治性DM,并伴有轻度和可控制的不良事件。
    This retrospective cohort study assessed the efficacy and safety of Janus kinase (JAK) inhibitors, tofacitinib and baricitinib, in 14 patients with refractory dermatomyositis (DM), a multisystemic autoimmune disorder with limited therapeutic options. Results demonstrated a significant median decrease of 21 points and a 76% reduction in the Cutaneous Dermatomyositis Disease Area and Severity Index (CDASI) scores, along with a complete resolution of muscular symptoms in 64% of the patients. JAK inhibitors were effective in managing refractory DM across various subtypes with mild and manageable adverse events.
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  • 文章类型: Journal Article
    背景:鉴于家族性地中海热(FMF)的强烈遗传背景,FMF患儿中经常报告的共存疾病也应在其他家庭成员中进行调查。因此,在本研究中,我们旨在检查FMF儿科患者的一级亲属(FDRs)的医疗状况.
    方法:儿童449FMF的FDRs慢性疾病,147名青少年特发性关节炎(JIA)患者和93名健康对照(HC)在连续9个月的常规临床就诊中接受了询问。
    结果:共1975个FDR,共449个FMF,147名JIA患者的690名FDRs,研究中纳入了406例93HC的FDRs。最常见的医疗条件是非特应性哮喘(n=71,3.6%),2型DM(n=14,2%),FMF的扁桃体切除术史(n=12,2.95%),JIA,和HC组,分别。特应性疾病(FMF与JIA:p=0.013;FMF与HC:p=0.014),风湿性疾病(FMF与JIA:p=0.030;FMF与HC:p=0.017),和手术史(FMF与JIA:p<0.01;FMF与HC:p=0.026),包括腺样体切除术,扁桃体切除术,和阑尾切除术,在FMF组中明显高于其他组。
    结论:我们的新发现可能有助于了解FMF患儿共存疾病的遗传负担,并鼓励涉及遗传筛查的进一步研究。
    BACKGROUND: Given the strong genetic background of familial Mediterranean fever (FMF), the frequently reported co-existing diseases in children with FMF should also be investigated in other family members. Therefore, we aimed to examine the medical conditions of first-degree relatives (FDRs) of our pediatric patients with FMF in the present study.
    METHODS: Chronic diseases of FDRs of pediatric 449 FMF, 147 juvenile idiopathic arthritis (JIA) patients and 93 healthy controls (HC) were questioned during their routine clinical visits for 9 consecutive months.
    RESULTS: A total of 1975 FDRs of 449 FMF, 690 FDRs of 147 JIA patients, and 406 FDRs of 93 HC were included into the study. The most common medical conditions were non-atopic asthma (n=71, 3.6%), type 2 DM (n=14, 2%), and tonsillectomy history (n=12, 2.95%) in the FMF, JIA, and HC groups, respectively. Atopic diseases (FMF vs. JIA: p=0.013; FMF vs. HC: p=0.014), rheumatic diseases (FMF vs. JIA: p=0.030; FMF vs. HC: p=0.017), and surgical histories (FMF vs. JIA: p<0.01; FMF vs. HC: p=0.026), including adenoidectomy, tonsillectomy, and appendectomy, were significantly more common in the FMF group than in other groups.
    CONCLUSIONS: Our novel findings may contribute to understanding the hereditary burden of co-existing diseases in children with FMF and encourage further studies involving genetic screenings.
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  • 文章类型: Journal Article
    从市政废水排放中释放的药物对水生生物构成风险。在虹鳟鱼中评估了5种具有不同治疗作用的药物的毒性:奥氮平(抗精神病药),红霉素(抗生素),霉酚酸(免疫抑制),匹维胺(抗炎)和曲唑酮(镇静剂)。青少年暴露于这些药物96小时,浓度在32µg/L至40mg/L之间,以达到致死率。确定了生存率,并分析了一系列生物标志物用于药物生物转化,氧化应激/损伤和代谢活动。数据显示以下毒性:奥氮平>曲唑酮>霉酚酸酯>匹维溴红霉素基于死亡率。数据还显示,毒性与质量有关,pKa和疏水性以及以下亚致死效应:GST,LPO和DNA链断裂。分子量较低的药物,生理pKa,中等疏水性,低生物转化和DNA链断裂通常对鱼类毒性更大。然而,这应该被视为非靶标生物中药物毒性研究的指南。
    Pharmaceuticals released from municipal effluents discharges pose a risk to aquatic organisms. The toxicity of 5 pharmaceuticals with distinct therapeutic actions were assessed in rainbow trout: olanzapine (antipsychotic), erythromycin (antibiotic), mycophenoate (immunosuppression), pinaverium (anti-inflammatory) and trazodone (sedative). Juveniles were exposed to these drugs for 96 h at concentrations between 64 µg/L up to 40 mg/L to reach lethality. Survival was determined and a suite of biomarkers was analyzed for drug biotransformation, oxidative stress/damage and metabolic activity at sublethal concentrations. The data revealed the following toxicity: olanzapine >trazodone>mycophenolate>pinaverium∼erythromycin based on mortality. The data also revealed that toxicity was associated to mass, pKa and hydrophobicity and the following sublethal effects: GST, LPO and DNA strand breaks. Pharmaceuticals with lower molecular weight, physiological pKa, moderate hydrophobicity, low biotransformation and DNA strand breaks were generally more toxic to fish. However, this should be considered as a general guide in identifying toxic pharmaceuticals in non-target organisms.
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