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Juvenile arthritis damage index predicts poor response to biological treatment:A prospective cohort study
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作者 Zarina A Kolkhidova Irina P Nikishina +2 位作者 Svetlana I Glukhova Oleg G Melikhov Mikhail M Kostik 《World Journal of Clinical Pediatrics》 2025年第4期405-419,共15页
BACKGROUND Juvenile arthritis damage index(JADI)is a tool that measures the degree of aggressiveness of the juvenile idiopathic arthritis(JIA)course and assesses articular[JADI-articular damage(JADI-A)]and extraarticu... BACKGROUND Juvenile arthritis damage index(JADI)is a tool that measures the degree of aggressiveness of the juvenile idiopathic arthritis(JIA)course and assesses articular[JADI-articular damage(JADI-A)]and extraarticular[JADI-extraarticular damage(JADI-E)]damage.While aggressive JIA often requires early bio-logic disease-modified antirheumatic drugs(bDMARDs),the utility of JADI as a predictor of treatment response remains underexplored.AIM To evaluate the potential of JADI as a predictor of bDMARD treatment response in JIA patients.METHODS This prospective study included 112 highly active non-systemic JIA biologic-naïve patients with a mean age of 12.2±4.6 years and a median disease duration of 2.5(interquartile range:1-5)years.Their clinical and radiological assessment,juvenile arthritis disease activity score 71,JADI-A,and JADI-E,were evaluated twice:Before the biologic initiation(baseline)and 12 months after(end of study).At baseline,50%had any damage,with 43%with articular damage and 23%with extraarticular damage.RESULTS During the study,JADI-A/JADI-E improved(33.9%/9.8%),worsened(8.9%/5.4%),or remained unchanged(57.1%/84.8%).Patients with baseline damage had higher markers of JIA activity:Polyarticular course,earlier onset age,ANA-positivity,and more active joints.Patients without initial structural damage(JADI“-”)were more likely(odds ratio=3.8,95%confidence interval:1.6-9.0,P<0.004)to achieve a low degree of activity or remission(46.2%),while on biological therapy,their scores were comparable to JADI-positive(18.3%).Pre-biological joint damage according to the JADI-A index(P=0.003),wrist(P=0.035),elbow(P=0.027),cervical spine limitation of motion(P=0.051),and erosions confirmed by magnetic resonance imaging(P=0.002),were associated with poor response to biological treatment and follow-up JIA activity.CONCLUSION Baseline structural damage in JIA is associated with diminished bDMARDs efficacy,increased disability,and shorter remission duration.JADI enhances conventional clinical risk stratification by facilitating timely initiation of bDMARDs,adherence to treat-to-target strategy and tailored patient care. 展开更多
关键词 juvenile idiopathic arthritis juvenile arthritis damage index Biologic disease-modified antirheumatic drugs Joint contractures Treatment response prediction Pediatric rheumatology
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Reference diagnosis and treatment process of juvenile hemochromatosis patients
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作者 Yan-Chun He Nan-Xue Wang Tao Zhong 《World Journal of Clinical Cases》 2025年第15期63-65,共3页
The compelling case report by Xie et al,published in a renowned medical journal,is an excellent example of meticulous clinical evaluation,comprehensive labo-ratory testing,advanced imaging,and genetic analysis.The aut... The compelling case report by Xie et al,published in a renowned medical journal,is an excellent example of meticulous clinical evaluation,comprehensive labo-ratory testing,advanced imaging,and genetic analysis.The authors identified novel compound heterozygous mutations in the hemojuvelin gene of a patient diagnosed with juvenile hemochromatosis.They suggested that long-term,strategic phlebotomy might offer a novel therapeutic strategy for severe juvenile hemochromatosis,challenging the traditional treatment paradigms. 展开更多
关键词 juvenile hemochromatosis Hemojuvelin gene MUTATIONS Clinical evaluation Laboratory testing IMAGING Genetic analysis
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Vaccine coverage,antibodies against measles,mumps,rubella,hepatitis B in inflammatory bowel disease and juvenile idiopathic arthritis children
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作者 Elizaveta Makarova Olga Goleva +7 位作者 Tatiana Gabrusskaya Natalia Lubimova Natalia Ulanova Natalia Volkova Elena Shilova Maria Revnova Susanna Kharit Mikhail Kostik 《World Journal of Clinical Pediatrics》 2025年第4期420-429,共10页
BACKGROUND Children with juvenile idiopathic arthritis(JIA)and inflammatory bowel disease(IBD)face an elevated risk of severe infection owing to their diseases and the immunosuppressive treatment for disease control.A... BACKGROUND Children with juvenile idiopathic arthritis(JIA)and inflammatory bowel disease(IBD)face an elevated risk of severe infection owing to their diseases and the immunosuppressive treatment for disease control.AIM To compare scheduled vaccination coverage and the levels of post-vaccine antibodies against measles,mumps,rubella(MMR)and hepatitis B in pediatric patients with IBD and JIA.METHODS A comparative cohort study included 97 patients with IBD and 170 patients with JIA.Vaccination history was obtained from medical records,while post-vaccination immunity was assessed prospectively by measuring specific IgG antibody titers using enzyme-linked immunosorbent assays(Vector-Best JSC,Russia;IBL International,Germany)during routine visits between January 2022 and April 2023.RESULTS A complete two-dose MMR course had been administered to 66.3%of IBD patients and 55.9%of JIA patients(P=0.121).By contrast,the three-dose hepatitis B schedule was completed in 74.2%of IBD and 100%of JIA patients(P<0.001).Protective level of anti-vaccine antibodies against measles(47.7%vs 57.7%;P=0.168);mumps(75.3%vs 80.0%;P=0.366);rubella(74.4%vs 98.2%;P<0.0001);and hepatitis B(44.8%vs 50.0%;P=0.514)were detected in IBD and JIA patients,respectively.CONCLUSION Patients with IBD and JIA demonstrated different vaccination coverage patterns and levels of anti-vaccine antibodies.Routine baseline serology and timely booster vaccination should be implemented for all pediatric patients receiving chronic immunosuppression. 展开更多
关键词 juvenile idiopathic arthritis Inflammatory bowel disease Vaccines MEASLES MUMPS RUBELLA Hepatitis B Antivaccine antibodies
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Uveitis associated with juvenile idiopathic arthritis and chronic idiopathic uveitis in children:A retrospective cohort study
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作者 Alexandr Alexandrovich Yakovlev Ekaterina Vladimirovna Gaidar +3 位作者 Lyubov Sergeevna Sorokina Tatiana Nikolaevna Nikitina Olga Valerievna Kalashnikova Mikhail Mikhailovich Kostik 《World Journal of Clinical Pediatrics》 2025年第2期56-68,共13页
BACKGROUND Chronic idiopathic uveitis(CIU)and juvenile idiopathic arthritis-associated uveitis(U-JIA)are both vision-threatening conditions that share similar autoimmune mechanisms,but treatment approaches differ sign... BACKGROUND Chronic idiopathic uveitis(CIU)and juvenile idiopathic arthritis-associated uveitis(U-JIA)are both vision-threatening conditions that share similar autoimmune mechanisms,but treatment approaches differ significantly.In managing U-JIA,various treatment options are employed,including biological and non-biological disease-modifying anti-rheumatic drugs.These drugs are effective in clinical trials.Given the lack of established diagnostic and treatment guidelines as well as the limited number of therapeutic options available,patients with CIU frequently do not receive optimal and timely immunosuppression.This study highlighted the necessity for additional research to develop novel diag-nostic techniques,targeted therapies,and enhanced treatment outcomes for young individuals with CIU.AIM To compare the characteristics and outcomes of U-JIA and CIU.METHODS A retrospective cohort study analyzed data from 110 pediatric patients(under 18 years old)with U-JIA and 40 pediatric patients with CIU.Data was collected between 2012 and 2023.The study focused on demographic,clinical,treatment,and outcome variables.RESULTS The median onset age of arthritis was 6.4 years(2.7 years;9.3 years).In 28.2%of cases uveitis preceded the onset of arthritis.In 17.3%of cases it occurred simultan-eously.In 53.6%of cases it followed arthritis.Both groups had similar onset ages,antinuclear antibodies/human leukocyte antigen positivity rates,and ESR levels,with a slight predominance of females(60.9%vs 42.5%,P=0.062),and higher C-reactive protein levels in the U-JIA group.Anterior uveitis was more prevalent in patients with U-JIA(P=0.023),although the frequency of symptomatic,unilateral,and complicated forms did not differ significantly.The use of methotrexate(83.8%vs 96.4%)and biologics(64.7%vs 82.1%)was comparable,as was the rate of remission on methotrexate treatment(70.9%vs 56.5%)and biological therapy(77.8%vs 95%),but a immunosuppressive treatment delay in CIU observed.Patients with CIU were less likely to receive methotrexate[hazard ratio(HR)=0.48,P=0.005]or biological treatment(HR=0.42,P=0.004),but they were more likely to achieve remission with methotrexate(HR=3.70,P=0.001).CONCLUSION Treatment of uveitis is often limited to topical measures,which can delay systemic therapy and affect the outcome.Methotrexate and biological agents effectively manage eye inflammation.It is essential to develop standardized protocols for the diagnosis and management of uveitis,and collaboration between rheumatologists and ophthal-mologists is needed to achieve optimal outcomes in the treatment of CIU. 展开更多
关键词 UVEITIS juvenile idiopathic arthritis IRIDOCYCLITIS Anterior uveitis Idiopathic uveitis BIOLOGICS Cohort study
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Adult juvenile polyp bleeding detected by extravascular contrast leakage and treated with endoscopic clipping:A case report
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作者 Fumiya Kataoka Takayuki Nakanishi +7 位作者 Hiroshi Araki Shoichi Ichino Makoto Kamei Hiroyuki Makino Ryotaro Nagao Takayuki Asano Atsushi Tagami Hisataka Moriwaki 《World Journal of Gastrointestinal Endoscopy》 2025年第2期65-71,共7页
BACKGROUND Juvenile polyps(JPs)are non-neoplastic polyps.In adults,JPs present with hematochezia in only approximately half the patients and are often found incidentally during endoscopic screening.JPs have no mucosal... BACKGROUND Juvenile polyps(JPs)are non-neoplastic polyps.In adults,JPs present with hematochezia in only approximately half the patients and are often found incidentally during endoscopic screening.JPs have no mucosal fascia at the tip,and spontaneous shedding and massive gastrointestinal hemorrhage may occur.Thus,the JP bleeding detected in this case by extravascular contrast leakage on computed tomography scans and treated with endoscopic clipping is rare.CASE SUMMARY A previously healthy 31-year-old male patient presented with a 2-day history of bloody stools.Upon hospital arrival,rectal examination revealed fresh blood,and abdominal computed tomography scans showed extravascular contrast leakage from the lower rectum’s left-side wall.His blood pressure was slightly low at 104/62 mmHg.However,his pulse rate(69 bpm)and oxygen level(99%on room air)were within normal limits.Emergency endoscopy revealed a pedunculated lesion in the rectum covered by a non-neoplastic mucosal epithelium.No neoplastic lesions were observed at the tip of the polyp;however,pulsatile bleeding was detected at the distal end.We performed endoscopic hemostasis by clipping the stem and then performed a polypectomy above the stem to examine the lesion tissue.Histopathological evaluation revealed a cystically dilated gland without neoplastic lesions.A subsequent total colonoscopy revealed two JPs with characteristic edematous,smooth,and reddish surfaces close to the hemorrhagic lesion.Subsequent histopathological evaluation indicated findings characteristic of JP,such as severe inflammatory cell infiltration of the stroma and cystic dilatation of the glandular ducts.CONCLUSION There are no reports of adult JPs presenting with contrast extravasation where endoscopic hemostasis was successful,as in this case. 展开更多
关键词 Contrast-enhanced computed tomography Endoscopic clipping juvenile polyp Rectal bleeding Contrast extravasation Case report
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Petrogenesis of late Cretaceous high Ba-Sr granodiorites,SE Lhasa block,China:implications for the reworking of juvenile crust and continental growth
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作者 Li-Hang Lin Ren-Zhi Zhu +4 位作者 Shao-Cong Lai Jiang-Feng Qin Yu Zhu Shao-Wei Zhao Min Liu 《Acta Geochimica》 2025年第1期86-111,共26页
The high Ba-Sr rocks can provide significant clues about the evolution of the continent lithosphere,but their petrogenesis remains controversial.Identifying the Late Cretaceous high Ba-Sr granodiorites in the SE Lhasa... The high Ba-Sr rocks can provide significant clues about the evolution of the continent lithosphere,but their petrogenesis remains controversial.Identifying the Late Cretaceous high Ba-Sr granodiorites in the SE Lhasa Block could potentially provide valuable insights into the continent evolution of the Qinghai-Tibet Plateau.Zircon U-Pb ages suggest that the granodiorites were emplaced at 87.32±0.43 Ma.Geochemically,the high Ba-Sr granodiorites are characterized by elevated K_(2)O+Na_(2)O contents(8.18-8.73 wt%)and K_(2)O/Na_(2)O ratios(0.99-1.25,mostly>1),and belong to high-K calc-alkaline to shoshonitic series.The Yonglaga granodiorites show notably high Sr(653-783 ppm)and Ba(1346-1531 ppm)contents,plus high Sr/Y(30.92-38.18)and(La/Yb)_(N)(27.7-34.7)ratios,but low Y(20.0-22.8 ppm)and Yb(1.92-2.19 ppm)contents with absence of negative Eu anomalies(δEu=0.83-0.88),all similar to typical high Ba-Sr granitoids.The variable zirconεHf(t)values of-4.58 to+12.97,elevated initial^(87)Sr/^(86)Sr isotopic ratios of 0.707254 to 0.707322 and lowεNd(t)values of-2.8 to-3.6 with decoupling from the Hf system suggest that a metasomatized mantle source included significant recycled ancient materials.The occurrence of such high Ba-Sr intrusions indicates previous contributions of metasomatized mantle-derived juvenile material to the continents,which imply the growth of continental crust during the Late Cretaceous in the SE Lhasa.Together with regional data,we infer that the underplated mafic magma provides a significant amount of heat,which leads to partial melting of the juvenile crust.The melting of the metasomatized mantle could produce a juvenile mafic lower crust,from which the high Ba-Sr granitoids were derived from reworking of previous mafic crust during the Late Cretaceous(ca.100-80 Ma)in the SE Lhasa. 展开更多
关键词 Late Cretaceous High Ba-Sr granodiorites SE Lhasa Growth of continental crust juvenile crust
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Ethnic heterogeneity of juvenile arthritis in the Republic of Sakha(Yakutia)related to a high human leukocyte antigen B27 frequency
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作者 Sargylana Boeskorova Marina Afonskaya +4 位作者 Vera Argunova Polina Sleptsova Liudmila Leonteva Tatiana Burtseva Mikhail Mikhailovich Kostik 《World Journal of Clinical Pediatrics》 2025年第2期69-78,共10页
BACKGROUND Prevalence of the main rheumatic diseases in the Republic of Sakha(Yakutia)[RS(Y)],one of the regions of the Russian Federation,differs from the other regions of the Russian Federation due to its ethnic and... BACKGROUND Prevalence of the main rheumatic diseases in the Republic of Sakha(Yakutia)[RS(Y)],one of the regions of the Russian Federation,differs from the other regions of the Russian Federation due to its ethnic and geographic features.Knowledge regarding the prevalence and structure of juvenile idiopathic arthritis(JIA)allows us to shape the work of the pediatric rheumatology service in the region correctly,and optimize the healthcare system and the need for medica-tions.AIM To describe the epidemiological,demographic,clinical,and laboratory characteristics of children with JIA in the RS(Y)and evaluate the main outcomes.METHODS This retrospective cohort study assessed all the data from the medical histories of the patients(n=225)diagnosed with JIA(2016-2023)in the Cardiorheumatology Department of the M.E.Nikolaev National Center of Medicine.Pearson'sχ²test,Fisher's exact test,Mann–Whitney and Kruskal-Wallis tests were used for statistical analyses.RESULTS The ethnic prevalence of JIA is higher in Sakha than in Russian children at 110.1 per 100000 children and 69.4 per 100000 children,respectively.The prevalence of JIA among boys and girls in Sakha was similar,unlike in Russians,where the number of girls predominated.The JIA categories were as follows:(1)Systemic arthritis:3.5%;(2)Oligoarthritis(persistent and extended):33.8%;(3)Rheumatoid factor(RF)(+)polyarthritis:0.9%;(4)RF(-)polyarthritis:14.7%;(5)Enthesitis-related arthritis(ERA):44%;and(6)Psoriatic arthritis:3.1%.Prevalence of the ERA category was 4.4 times higher in Sakha children,but the prevalence of systemic arthritis was 2.9 times lower compared to Russians(P=0.0005).The frequency of uveitis was 10.2%,and the frequency of human leukocyte antigen(HLA)B27 was 39.6%in JIA children.Biologic treatment was received by 40.4%of JIA children and 45.3%achieved remission.CONCLUSION Higher JIA prevalence,male and ERA predominance,related to a higher frequency of HLA B27 are typical in RS(Y).These data might improve the pediatric rheumatology health service. 展开更多
关键词 juvenile idiopathic arthritis Human leukocyte antigen B27 Seronegative spondyloarthritis Enthesitis-related arthritis Epidemiology ARTHRITIS YAKUTIA Sakha Human leukocyte antigen B27-associated arthritis Ethnic variation
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Ocular involvement and visual prognosis in juvenile idiopathic arthritis associated uveitis
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作者 Gonçalo Cavaco Tardão Pedro Carreira +6 位作者 Filipe Moraes Rita Carreira Tomás Loureiro Ana Vide Escada Maria JoséSantos Ana Melo Cardoso Nuno Campos 《International Journal of Ophthalmology(English edition)》 2025年第7期1302-1306,共5页
AIM:To characterize a Portuguese population of patients with juvenile idiopathic arthritis(JIA)and to evaluate possible associations between clinical factors and ocular involvement.METHODS:Patients diagnosed with JIA ... AIM:To characterize a Portuguese population of patients with juvenile idiopathic arthritis(JIA)and to evaluate possible associations between clinical factors and ocular involvement.METHODS:Patients diagnosed with JIA in the previous 20y in Hospital Garcia de Orta were included.Data were assessed from Reuma.pt database.Associations between demographic(age and sex),clinical(articular involvement,extra-articular manifestations,biological therapy),laboratory data[anti-nuclear antibodies,anti-cyclic citrullinated peptide(CCP)antibodies,rheumatoid factor,human leukocyte antigen B27(HLA-B27),C-reactive protein,erythrocyte sedimentation rate]and ocular involvement were assessed.Statistical analysis was performed using Chi-square for categorical variables and Mann-Whitney test for continuous variables.RESULTS:Totally 91 patients were included,11(12%)with previous episodes of uveitis.There was a statistically significant preponderance of early age at JIA diagnosis(mean 4.73 vs 9.58y,P=0.008),antinuclear antibodies positivity(P=0.01),and oligoarticular subtype(P=0.04)in the Juvenile idiopathic arthritis-associated uveitis(JIA-U)group.Ocular complications occurred in 36.4%of patients(n=4):cataracts(n=2),band keratopathy(n=1)and posterior synechiae(n=1).The occurrence of complications was corelated with a shorter period between JIA diagnosis and the first JIA-U episode(mean 0.67 vs 4.88y,P=0.012)but not with age at JIA diagnosis or articular involvement.There was erythrocyte sedimentation rate elevation in the 12mo preceding uveitis(mean 40.5 mm/h,range 13-83).CONCLUSION:The occurrence of JIA-U shortly after JIA diagnosis is shown to be a potential risk factor for ocular complications. 展开更多
关键词 juvenile idiopathic arthritis UVEITIS erythrocyte sedimentation rate
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Adolescent-Onset Triple-Antibody Positive Juvenile Dermatomyositis Found in Hispanic Male Wrestler: A Case Report and Literature Review
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作者 Rajvee Sanghavi Patrycja Tesmer +1 位作者 Deepika Singh Sukesh Sukumaran 《Open Journal of Rheumatology and Autoimmune Diseases》 2025年第1期36-42,共7页
In this manuscript, we present a case report of a child with 16-year-old previously healthy Hispanic male who presented for progressive proximal muscle weakness, rash, and dysphagia. He was admitted to the acute care ... In this manuscript, we present a case report of a child with 16-year-old previously healthy Hispanic male who presented for progressive proximal muscle weakness, rash, and dysphagia. He was admitted to the acute care floor and diagnosed with juvenile dermatomyositis and found to be positive for anti-Mi-2 alpha, anti-Mi-2 beta, and anti-MDA-5 antibodies. He gradually improved with a combination of steroid, immunomodulatory treatment, and physical therapy. This case outlines the clinical course of a patient with this rare disorder as well as the importance of understanding the role of associated antibodies to manage potential long-term sequelae. 展开更多
关键词 juvenile Dermatomyositis Myositis-Associated Antibodies Myositis-Specific Antibodies
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Juvenile Xanthogranuloma Presenting as a Solitary Tracheal Mass in a Child: A Case Report and Literature Review 被引量:2
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作者 李军 刘立刚 +4 位作者 Alfred Omo 管汉雄 万婕 陈涛 潘铁成 《The Chinese-German Journal of Clinical Oncology》 CAS 2006年第3期219-221,共3页
Juvenile xanthogranuloma (JXG) is an uncommon benign disease, which usually occurs on the skin of head and neck region, as a single or multiple nodular lesions. Tracheal involvement of JXG is extremely rare, and onl... Juvenile xanthogranuloma (JXG) is an uncommon benign disease, which usually occurs on the skin of head and neck region, as a single or multiple nodular lesions. Tracheal involvement of JXG is extremely rare, and only few cases have been reported in literature. Herein we presented an additional new case and discussed the optimal management of this uncommon disease. 展开更多
关键词 juvenile xanthogranuloma (JXG) TRACHEA CHILD
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Effects of Two Different Apple Dwarf Stocks on Juvenile Phase of Fuji Seedlings
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作者 李学营 郝婕 +3 位作者 鄢新民 王献革 冯建忠 索相敏 《Agricultural Science & Technology》 CAS 2017年第12期2517-2519,共3页
The effects of apple dwarf stocks P22 and SH3 on the juvenile phase of Fuji seedlings were studied. The results showed that the juvenile phase could be shortened by more than two years when 2-year seedlings were graft... The effects of apple dwarf stocks P22 and SH3 on the juvenile phase of Fuji seedlings were studied. The results showed that the juvenile phase could be shortened by more than two years when 2-year seedlings were grafted on the dwarf stocks. The effects of P22 and SH3 were significantly different. Grafted on P22, the flowering node was less, the first flowing site was lower, and the juvenile phase was shorter than SH3. With the two stocks, the average first flowering site was more than 200 cm, the average flowering node was more than 100, and the lateral branch top bud was more than 50% in all first flowing seedlings. 展开更多
关键词 FUJI APPLE Dwarf stock SEEDLINGS juvenile phase
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Preliminary Study of 12 Chinese Herbs as Feed Attractants on Turbot Juvenile(Scophthalmus maximus)
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作者 朱国霞 白东清 +3 位作者 李玉华 马静 吴旋 宁博 《Agricultural Science & Technology》 CAS 2010年第6期115-116,120,共3页
[Objective] The paper aims to study the attractive effects of 12 Chinese medicinal herbs on Scophthalmus maximus juvenile.[Method] We took 200 Scophthalmus maximus with the average body length of 3 cm,average weight o... [Objective] The paper aims to study the attractive effects of 12 Chinese medicinal herbs on Scophthalmus maximus juvenile.[Method] We took 200 Scophthalmus maximus with the average body length of 3 cm,average weight of 1 g and 60 days of age as the research object,and 12 Chinese medicinal herbs as feed attractants were selected,including Cloves,Cinnamon,Star anise,Kaempferol,Mint,Coptis,Phellodendron,skullcap,Gardenia,Sophora flavescens,Mume,Myrobalan meat were selected.The amount added to the basic diet was 2‰..The times of turbot juveniles going into each inducing room and the times of turbot juveniles biting the feed ball were recorded by maze experiments.Inducing effects of the Chinese herbal medicines were analyzed.[Result] The results showed that the attractant effect of Mume,Gardenia,Scutellaria and kaempferol had the significantly inducing effect on Scophthalmus maximus juvenile.And 2‰ Gardenia,5‰ Matrine,5‰ Scutellaria and 2‰ Kaempferol have the best attractant effects.In compound experients,the attractive effect of mixture of 2‰ matrine and gardenia on Scophthalmus maximus was the best.[Conclusion] The attractive effect on Scophthalmus maximus has something to do with the kind and concentration of Chinese medicinal herbs. 展开更多
关键词 Chinese medicinal herbs Scophthalmus maximus juvenile ATTRACTANT
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Current Review of Systemic Juvenile Idiopathic Arthritis: What Do Paediatricians Need to Know?
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作者 Asma R. Albaker 《Open Journal of Pediatrics》 2020年第4期769-801,共33页
Systemic </span><span><span style="font-family:Verdana;">juvenile idiopathic arthritis is classified as an autoimmune entity and a subtype of juvenile idiopathic arthritis, although it has ... Systemic </span><span><span style="font-family:Verdana;">juvenile idiopathic arthritis is classified as an autoimmune entity and a subtype of juvenile idiopathic arthritis, although it has many features of autoinflammatory-type of diseases. This review article will elaborate on the disease’s pathogenesis and its proposed relation to autoinflammatory diseases including defective innate immunity and phagocytosis response leading </span><span style="font-family:Verdana;">excessive</span><span style="font-family:Verdana;"> cytokine release. It also explains the disease’s epidemiology, clinical phenotype, diagnostic challenges, complications </span><span style="font-family:Verdana;">and</span><span style="font-family:Verdana;"> current advancements in the treatment of systemic juvenile idiopathic arthritis, such as IL-1 and IL-6 antagonists </span><span style="font-family:Verdana;">and</span><span style="font-family:Verdana;"> their impact on the disease trajectory. Care of patients with systemic juvenile idiopathic arthritis requires a comprehensive multidisciplinary team to optimize the care and avoid complications of the disease itself such as growth impairment, macrophage activation syndrome </span><span style="font-family:Verdana;">or</span><span style="font-family:Verdana;"> the complications of immunosuppressant and immun</span></span><span style="font-family:Verdana;">omodulatory treatments. 展开更多
关键词 juvenile Idiopathic Arthritis Systemic juvenile Idiopathic Arthritis AUTOINFLAMMATORY ARTHRITIS BIOLOGICS
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Assessing the anti-estrogenic activity of sodium pentachlorophenol in primary cultures of juvenile goldfish (Carassius auratus) hepatocytes using vitellogenin as a biomarker 被引量:9
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作者 ZHAO Bing LIU Zheng-tao XU Zhang-fa 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2006年第3期519-524,共6页
Both pentachlorophenol and 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) had been studied widely because of their probable anti-estrogenic activity. Sodium pentachlorophenol (PCP-Na), as a industrial product used in ... Both pentachlorophenol and 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) had been studied widely because of their probable anti-estrogenic activity. Sodium pentachlorophenol (PCP-Na), as a industrial product used in many fields, usually contains a trace of TCDD. The aim of this study was to assess the anti-estrogenic effect of PCP-Na in juvenile goldfish (Gurassius auratus) hepatocyte cultures using vitellogenin (VTG) as the biomarker. The ID50 of PCP-Na was investigated and then a series of concentrations (0.001 0.5 μg/ml) of PCP-Na were evaluated to estimate the anti-estrogenic activity. Results showed that PCP-Na was cytotoxic for hepatocytes even at very low concentration 〈1.21 μg/ml, and it could not induce VTG at any concentrations tested. Since it failed to stimulate VTG production, the possibility of its anti-estrogenic effect was tested, and a well-known anti-estrogenic compound-tamoxifen was used as positive control. PCP-Na caused a reduction in VTG synthesis in juvenile goldfish (Carassius auratus) hepatocytes at concentrations 〉0.1μg/ml when co-exposure with 1μg/ml 17β-estradiol (E2), making its anti-estrogenic activity approximately as potent as tamoxifen. Our results indicate that PCP-Na can act as negative modulators of estrogenic function in juvenile goldfish (Carassius auratus) hepatocytes. 展开更多
关键词 PCP-Na VITELLOGENIN juvenile goldfish HEPATOCYTES anti-estrogenic activity
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Effects of gas supersaturation on lethality and avoidance responses in juvenile rock carp(Procypris rabaudi Tchang) 被引量:13
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作者 Xiang HUANG Ke-feng LI +1 位作者 Jun DU Ran LI 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2010年第10期806-811,共6页
Laboratory experiments were conducted to determine the effects of total dissolved gas (TDG) supersaturation on acute lethality and avoidance responses in juvenile rock carp (Procypris rabaudi Tchang). The juvenile... Laboratory experiments were conducted to determine the effects of total dissolved gas (TDG) supersaturation on acute lethality and avoidance responses in juvenile rock carp (Procypris rabaudi Tchang). The juvenile rock carp were exposed to water with different levels of supersaturation (105%, 115%, 120%, 125%, 130%, 135%, 140%, and 145%) and depth of 0.20 m at 25℃ for 60 h. Median lethal time (LT50) was used to assess the lethal responses corresponding to different levels of gas supersaturation. The results show that half of the juvenile rock carp died at the 120%, 125%, 130%, 135%, 140%, and 145% levels of supersaturation, and the LT50 corresponding to different levels of supersaturation was 18.7, 15.4, 8.2, 6.6, 3.5, and 1.7 h. When the level of supersaturated water is below 115%, the mortality is negligible. Avoidance responses were observed 5 min after the fish were put into equilibrated water (99%, 0.08 m deep) and water with different supersaturated levels (105%, 115%, 125%, 135%, and 145%, 0.08 m deep) at 25 ℃. The fish exhibited strong avoidance responses in supersaturated water when the gas supersaturation was above 135%. However, they exhibited an obvious preference to supersaturated water when the gas supersaturation was below 115%. Thus, the juvenile rock carp can likely survive in water with a supersaturated level of 115%. 展开更多
关键词 Gas supersaturation LETHALITY AVOIDANCE juvenile rock carp (Procypris rabaudi Tchang)
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Effects of Salinity and Temperature on Growth and Survival of Juvenile Iwagaki Oyster Crassostrea nippona 被引量:7
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作者 WANG Tao LI Qi 《Journal of Ocean University of China》 SCIE CAS CSCD 2018年第4期941-946,共6页
Iwagaki oyster Crassostrea nippona occurs naturally along the coasts of Japan and Korea. Because of its unique flavor, delicious taste, edibility during the summer and high commercial value, it has been identified as ... Iwagaki oyster Crassostrea nippona occurs naturally along the coasts of Japan and Korea. Because of its unique flavor, delicious taste, edibility during the summer and high commercial value, it has been identified as a potential aquaculture species. To determine the optimum aquaculture conditions and provide necessary information for mass production of the juvenile, the effects of six salinities(15, 20, 25, 30, 35 and 40) and five temperatures(16, 20, 24, 28 and 32℃) on growth and survival of juvenile C. nippona were examined in this study. In the salinity experiment, the largest values of mean shell height and growth rate were observed at salinity 25(20.96 ± 0.36 mm and 172.0 μm d^(-1), respectively), which were significantly different(P < 0.05) with those of other treatments, except at salinity 30(20.56 ± 1.05 mm and 160.3 μm d^(-1), respectively)(P > 0.05). The maximum survival rate 84.44% was always observed at salinity 20, and there was no significant difference(P > 0.05) in survival rate among salinities varying between 15 and 35. In the temperature-related experiments, the highest growth and survival rates of juvenile were observed at 24℃(180.8 μm d^(-1) and 84.4%) and 28℃(190.7 μm d^(-1) and 83.3%), respectively, on day 20, and showed significantly(P < 0.05) larger size and higher survival rate than any other groups. Both juvenile survival and growth were significantly depressed at extreme salinities(15, 40) and temperatures(16℃, 32℃). Based on the results of the present study, a salinity range from 25 to 30 and a temperature range from 24℃ to 28℃ are considered optimal conditions for survival and growth of juvenile C. nippona. 展开更多
关键词 CRASSOSTREA nippona juvenile SALINITY temperature SURVIVAL GROWTH
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Sub-Lethal Effects of Fenvalerate on the Development, Fecundity, and Juvenile Hormone Esterase Activity of Diamondback Moth, Plutella xylostella (L.) 被引量:19
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作者 WEI Hui WANG Juan +2 位作者 LI Hong-shan DAI Hua-guo GU Xiao-jun 《Agricultural Sciences in China》 CSCD 2010年第11期1612-1622,共11页
The toxicities of fenvalerate (20% EC) to the 3rd instar larvae of diamondback moth (DBM), Plutella xylostella (L.), reared on three host plants viz., radish, oilseed rape, and cabbage were tested. The LC50 valu... The toxicities of fenvalerate (20% EC) to the 3rd instar larvae of diamondback moth (DBM), Plutella xylostella (L.), reared on three host plants viz., radish, oilseed rape, and cabbage were tested. The LC50 values of fenvalerate to the 3rd instar larvae of DBM varied with host plants, however, there wasn't any significant difference among them (P〉 0.05). Similarly, DBM fed on three host plants had same pupal weight, pupal period, pupation rate, adult emergence rate, female ratio, and fecundity. The activity of juvenile hormone esterase (JHE, EC 3.1.1.1) in the 3rd instar larvae of DMB did not significantly vary with host plants, either. These suggested that DBM had similar fitness on the three host plant species. When fed on the host plants pretreated with fenvalerate at the concentrations equivalent to LC20, LC50 and LC50, the pupation rate, pupal weight, adult emergence rate, female ratio, fecundity, and JHE activity of the tested insects were declined as compared with insects in control treatments fed on the same host plant species. Furthermore, the pupal period of the tested insects was extended after fenvalerate treatment. The decrease in JHE activity after fenvalerate treatment in the tested insects could partly explain the changes in the mentioned growth parameters. Whether the role of fenvalerate in the inhibition of JHE activity could serve as a new way to control DBM needs further investigation. 展开更多
关键词 crucifer plants FENVALERATE sublethal effect juvenile hormone esterase (JHE) diamondback moth (DBM) Plutella xylostella (L.)
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Effectiveness of Huai Qi Huang Granules on Juvenile Collagen-induced Arthritis and Its Influence on Pyroptosis Pathway in Synovial Tissue 被引量:5
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作者 Ting HE Xie XU +6 位作者 Xin-yan ZHANG Pan SHEN Jia-yun LING Yan-xin-li HAN Yu WEN Xiu-fen HU Hui-ling LU 《Current Medical Science》 SCIE CAS 2019年第5期784-793,共10页
Summary:Huai Qi Huang(HQH)exerts great effects in clinic,such as anti-inflammation,immune-regulation,anti-cancer,and so on.However,the mechanism by which HQH protects juvenile idiopathic arthritis(JIA)is obscure.Thus,... Summary:Huai Qi Huang(HQH)exerts great effects in clinic,such as anti-inflammation,immune-regulation,anti-cancer,and so on.However,the mechanism by which HQH protects juvenile idiopathic arthritis(JIA)is obscure.Thus,we explored deeply the protective mechanisms in juvenile collagen-induced arthritis(CIA)rat model.Pyroptosis is Gasdermin D(GSDMD)-dependent programmed cell death,involved in many diseases,such as sepsis.We investigated whether GSDMD-induced pyroptosis take part in mechanisms of juvenile CIA arthritis.Juvenile Wistar rats(3-4 weeks)were injected intradermally with fully emulsified bovine typeⅡcollagen and complete Freund's adjuvant to establish CIA rat models.Later,the CIA rats received oral administration of HQH(4.16 g/kg)once a day from the day 21 of modeling,with the treatment lasting for 28 days.Varieties of indicators were measured for evaluation of anti-inflammation effect of HQH,including hind paw swelling,arthritis scores,micro CT,and histopathological changes and the level of pro-inflammatory cytokines in the serum,including tumor necrosis factor alpha(TNF-α)and interleukin-18(IL-18).The expression of GSDMD and caspasein the joint synovial tissues was detected.The results demonstrated that the expression of the pyroptotic protein GSDMD and its upstream caspase-1 was significantly increased in the synovial tissues of CIA rats.The treatment of HQH ameliorated the symptoms in CIA rats,reduced levels of pro-inflammatory cytokines and hind paw swelling,down-regulated the expression of GDSMD and caspase-1.GSDMDinduced pyroptosis participated in the pathogenesis of CIA rats.The study supported that HQH can effectively improve joints inflammation of juvenile collagen-induced arthritis rats by inhibiting pyroptosis pathway in the joint synovial tissues. 展开更多
关键词 Huai QI HUANG juvenile collagen-induced arthritis Gasdermin D PYROPTOSIS
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Proline with or without Hydroxyproline Influences Collagen Concentration and Regulates Prolyl 4-Hydroxylase α(I) Gene Expression in Juvenile Turbot(Scophthalmus maximus L.) 被引量:5
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作者 ZHANG Kaikai MAI Kangsen +5 位作者 XU Wei ZHOU Huihui LIUFU Zhiguo ZHANG Yanjiao PENG Mo AI Qinghui 《Journal of Ocean University of China》 SCIE CAS 2015年第3期541-548,共8页
This study was conducted to investigate the effect of dietary proline(Pro), and Pro and hydroxyproline(Hyp) in combination on the growth performance, total Hyp and collagen concentrations of tissues, and prolyl 4-hydr... This study was conducted to investigate the effect of dietary proline(Pro), and Pro and hydroxyproline(Hyp) in combination on the growth performance, total Hyp and collagen concentrations of tissues, and prolyl 4-hydroxylase α(I)(P4H α(I)) gene expression in juvenile turbot feeding high plant protein diets. A diet containing 50% crude protein and 12% crude lipid was formulated as the basal and control, on which other two protein and lipid contents identical experimental diets were formulated by supplementing the basal with either 0.75% Pro(Pro-0.75) or 0.75% Pro and 0.75% Hyp(Pro+Hyp). Four groups of fish in indoor seawater recirculating systems, 35 individuals each, were fed twice a day to apparent satiation for 10 weeks. The results showed that dietary Pro and Hyp supplementation had no significant effect on growth performance and feed utilization of juvenile turbot(P > 0.05). Total Hyp and collagen concentrations in muscle were significantly increased when dietary Pro and Hyp increased(P < 0.05), and fish fed diet Pro+Hyp showed significantly higher free Hyp content in plasma than those fed other diets(P < 0.05). The expression of P4 H α(I) gene in liver and muscle was significantly up regulated in fish fed diet Pro-0.75 in comparison with control(P < 0.05); however the gene was significantly down regulated in fish fed diet Pro+Hyp in muscle in comparison with fish fed diet Pro-0.75(P < 0.05). It can be concluded that supplement of crystal L-Pro and L-Hyp to high plant protein diets did not show positive effects on growth performance of juvenile turbot, but enhanced total collagen concentrations in muscle. 展开更多
关键词 PROLINE HYDROXYPROLINE juvenile turbot high plant protein collagen prolyl 4-hydroxylase α(I)
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Study on Embryonic Development, Larva,Juvenile and Young Fish of Epinephelus fuscoguttatus 被引量:8
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作者 白丽蓉 赵志英 《Agricultural Science & Technology》 CAS 2016年第6期1305-1314,1354,共11页
This study aimed to study the development characteristics of Epinephelus fuscoguttatus at the embryo, larval, juvenile and young fish stages, thereby improving the breeding efficiency of E. fuscoguttatus. [Method] The... This study aimed to study the development characteristics of Epinephelus fuscoguttatus at the embryo, larval, juvenile and young fish stages, thereby improving the breeding efficiency of E. fuscoguttatus. [Method] The morphological characteristics and embryonic and post embryonic development of E. fuscoguttatus, including the occurrence and development of nervous system, digestive system and circulatory system, were observed and analyzed using eggs self-fertilized with artificially induced spawning in the breeding base of Hainan Province. [Result] The fertilized egg of E. fuscoguttatus is spherical, colorless transparent with single oil ball, and its diameter ranges from 0.83 to 0.94 mm. Based on the development process, the embryonic development of E. fuscoguttatus was divided into six stages, namely fertilized egg stage, cleavage stage, blastula stage, gastrula stage, idiosome formation stage and hatching stage. The entire embryonic development of E. fuscoguttatus required 20 h 47 min in the sea water with temperature of 28.4-31.9℃ salinity of 31-32 and pH of 8.4, and the total cumulative temperature was 455.361 ℃·h. The post embryonic development of E. fuscoguttatus was divided into larval stage, juvenile stage and young fish stage based on the features of the yolk-sac, second dorsal fin spine, pelvic fin spine, and body color. Accordingly, the larval stage was further classified into pre-larva and post-larva, with or without yolk-sac, respectively. The extension and shrinkage of the first pelvic fin spine and the second dorsal fin spine as well as the spinules on aforementioned spines were the most significant changes during the post embryonic development of E. fuscoguttatus. [Conclusion] This study will provide some basic data for industrial breeding of E. fuscoguttatus. 展开更多
关键词 Epinephelus fuscoguttatus Embryonic development Larva juvenile Young fish
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