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小儿骨质疏松症的发病机制,诊断,预防和治疗(英文) 被引量:8
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作者 张驰 涂萍 +2 位作者 陈大福 Gordon L Klein 刘忠厚 《中国骨质疏松杂志》 CAS CSCD 北大核心 2013年第1期64-73,共10页
骨质疏松症是最常见的代谢性骨病,其特征是骨矿物质密度和骨强度明显下降,导致高发病率和死亡率相关的脆弱性骨折。骨质疏松症通常被认为是一个影响成人的全球性公共健康问题。另一方面,小儿骨质疏松症,却是一种新的和不断变化的领域,... 骨质疏松症是最常见的代谢性骨病,其特征是骨矿物质密度和骨强度明显下降,导致高发病率和死亡率相关的脆弱性骨折。骨质疏松症通常被认为是一个影响成人的全球性公共健康问题。另一方面,小儿骨质疏松症,却是一种新的和不断变化的领域,具有一定独特的诊断和临床挑战。虽然小儿骨质疏松症的预防和治疗和成人的相比在进展方面没有那么成熟,但是近来小儿骨质疏松症得到更广泛的认知和认可。一些基因突变和酶的缺陷已表明与原发性小儿骨质疏松症有关联。在这篇综述中,我们将讨论小儿骨质疏松症的属性,包括其突变可导致原发性骨质疏松症的候选基因和可能的诊断及预防方法。我们也将讨论在美国治疗小儿骨质疏松症的常规选项,以及在中国用来治疗儿童患者的骨质疏松症,骨软化症和佝偻病的推荐药物。本文的目的是给我们目前对小儿骨质疏松症的了解做一个小结,并在小儿骨质疏松症的发病机制,诊断,预防和治疗方面能有更合适的方法进行讨论提供一个平台。 展开更多
关键词 儿童骨质疏松 发病机制 诊断 治疗 预防
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骨质疏松症的基因诊断 被引量:1
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作者 张驰 《中国骨质疏松杂志》 CAS CSCD 2010年第10期802-812,722,共12页
遗传因素长期被认为在骨质疏松症发病机制中发挥了重要的作用。骨密度(BMD)是定义和研究骨质疏松症最常用的指标。由于我们缺乏对病因的完全了解,骨质疏松症的基因诊断仍然是最具挑战性的课题之一。双胞胎和家族性的研究表明骨密度的遗... 遗传因素长期被认为在骨质疏松症发病机制中发挥了重要的作用。骨密度(BMD)是定义和研究骨质疏松症最常用的指标。由于我们缺乏对病因的完全了解,骨质疏松症的基因诊断仍然是最具挑战性的课题之一。双胞胎和家族性的研究表明骨密度的遗传性是高的。许多不同的遗传因素很可能会和环境因素比如饮食和运动相互作用调控BMD。连锁研究已经找到了一些以前未知的基因,这些基因在骨量调节发挥关键作用。虽然已在骨质疏松症相关的基因研究方面取得了广泛的进展,大部分调节骨密度和骨质疏松症遗传易感性的基因和变种基因仍有待发现。在一定程度上,骨质疏松基因诊断这一复杂的领域之门还刚刚开启,需要有新的研究方法和设计来提出和解决有关最有临床和生物学意义的问题。 展开更多
关键词 骨质疏松症 基因诊断 遗传因素 骨量调节 遗传易感性 生物学意义 骨密度 发病机制
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成骨细胞特异性转录因子Osterix对骨形成作用的分子机制(英文) 被引量:15
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作者 张驰 《北京大学学报(医学版)》 CAS CSCD 北大核心 2012年第5期659-665,共7页
骨形成是一个涉及到从间质干细胞向成骨细胞分化的复杂发育过程。成骨细胞定向分化受到一个多步骤的分子通路控制,通过不同的转录因子和信号蛋白调控,包括Indian hedgehog,Runx2,Osterix(Osx),以及Wnt信号通路。Osx是骨形成所必需的成... 骨形成是一个涉及到从间质干细胞向成骨细胞分化的复杂发育过程。成骨细胞定向分化受到一个多步骤的分子通路控制,通过不同的转录因子和信号蛋白调控,包括Indian hedgehog,Runx2,Osterix(Osx),以及Wnt信号通路。Osx是骨形成所必需的成骨细胞特异性转录因子,Osx最早是在间质干细胞被骨形成蛋白-2诱导向成骨细胞分化过程中发现的基因。Osx基因敲除小鼠完全缺乏骨,而软骨是正常的,这为研究骨的形成打开了一个全新的窗口。Osx抑制Wnt信号通路的发现揭示了参与骨形成的一种新的反馈调控机制。骨形成过程中Osx下游的靶目标已经确定一些,包括Satb2、维生素D受体和血管内皮生长因子,以及Dkk1和Sost。骨形成过程一系列信号传导因子的揭示、阐明应当为一些新的特异性合成代谢治疗药物的研究开发提供分子理论基础,以便治疗骨缺失疾病(如骨质疏松症和骨坏死)。本文综述了Osx在骨形成作用分子机制中的最新进展,自Osx发现以来,各种研究证据表明Osx是决定成骨细胞定向的主导因子,继而调控成骨细胞的分化和增殖。 展开更多
关键词 成骨细胞 转录因子 骨生成 基因表达调控 骨质疏松
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青少年特发性脊柱侧凸结构性上胸弯与双肩平衡的关系 被引量:2
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作者 张宏 《中国脊柱脊髓杂志》 CAS CSCD 北大核心 2014年第4期299-300,共2页
1950年Iowa小儿骨科医师Ponseti等[1]最早提出特发性脊柱侧凸上胸弯的概念;1970年Moe等[2]将上胸弯确认为:双主胸弯型的特发性脊柱侧凸中上端椎在T1或T2,下端椎在T5或T6之间的弯度。笔者认为讨论结构性上胸弯时应明确以下几点:(1... 1950年Iowa小儿骨科医师Ponseti等[1]最早提出特发性脊柱侧凸上胸弯的概念;1970年Moe等[2]将上胸弯确认为:双主胸弯型的特发性脊柱侧凸中上端椎在T1或T2,下端椎在T5或T6之间的弯度。笔者认为讨论结构性上胸弯时应明确以下几点:(1)结构性上胸弯只有在双主胸弯的侧凸中存在;(2)由于典型的AIS主胸弯都是右侧弯,所以结构性上胸弯一般是左侧弯;(3)结构性上胸弯之所以重要是因它被认为与双肩的平衡有关,特别是和左肩的高低有关。 展开更多
关键词 青少年特发性脊柱侧凸 上胸 结构 平衡 骨科医师 AIS 侧弯
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The impact of the coronavirus disease 2019 pandemic on physical activity in U.S. children 被引量:2
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作者 Kirsten Tulchin-Francis Wilshaw Stevens Jr +7 位作者 Xiangli Gu Tao Zhang Heather Roberts Jean Keller Dana Dempsey Justine Borchard Kelly Jeans Jonathan VanPelt 《Journal of Sport and Health Science》 SCIE 2021年第3期323-332,共10页
Background:Daily moderate-to-vigorous physical activity(MVPA)is vital to the physical,mental,and social well-being of children.Early restrictions during the coronavirus disease 2019(COVID-19)pandemic included the clos... Background:Daily moderate-to-vigorous physical activity(MVPA)is vital to the physical,mental,and social well-being of children.Early restrictions during the coronavirus disease 2019(COVID-19)pandemic included the closure of schools and physical activity(PA)amenities across the US.This study aimed to examine the impact of the pandemic on the PA and play behavior of U.S.children and to provide evidencebased recommendations to improve their PA.Methods:A cross-sectional,online,parent-reported survey was conducted of children aged 318 years between April and June 2020 to assess light PA and MVPA using a modified Godin Leisure-Time Exercise Questionnaire.Additional items included family/child socioeconomic demographics,child adaptability to the pandemic,and community access.The survey was shared through social media and snowball sampling distribution.Results:Analysis of 1310 surveys indicated child PA scores declined significantly during the pandemic(from 56.6 to 44.6,max 119,p<0.001).Specifically,MVPA score decreased(from 46.7 to 34.7,max 98,p<0.001)while light PA remained the same.Age-based changes were seen in the quantity,variety,and intensity of PA,with the lowest pandemic-related impact seen in preschoolers and the highest in high schoolers(4.7 vs.17.2,p<0.001).Community-based peer PA decreased across all age groups.Conclusion:This study shows decreased PA levels in U.S.children,according to parent reporting,during the COVID-19 pandemic.Recommendations for community leaders,educators,and parents to improve PA in children are provided.With continued spread of COVID-19,these results and recommendations may be imperative to the physical well-being of U.S.children. 展开更多
关键词 Adolescents COVID-19 Moderate-to-vigorous physical activity PEDIATRIC YOUTH
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Butyrate in combination with forskolin alleviates necrotic enteritis,increases feed efficiency,and improves carcass composition of broilers 被引量:3
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作者 Qing Yang Binlong Chen +5 位作者 Kelsy Robinson Thiago Belem Wentao Lyu Zhuo Deng Ranjith Ramanathan Guolong Zhang 《Journal of Animal Science and Biotechnology》 SCIE CAS CSCD 2022年第4期1115-1125,共11页
Background:The emergence of antimicrobial resistance has necessitated the development of effective alternatives to antibiotics for livestock and poultry production.This study investigated a possible synergy between bu... Background:The emergence of antimicrobial resistance has necessitated the development of effective alternatives to antibiotics for livestock and poultry production.This study investigated a possible synergy between butyrate and forskolin(a natural labdane diterpene)in enhancing innate host defense,barrier function,disease resistance,growth performance,and meat quality of broilers.Methods:The expressions of representative genes involved in host defense(AvBD9 and AvBD10),barrier function(MUC2,CLDN1,and TJP1),and inflammation(IL-1β)were measured in chicken HD11 macrophages in response to butyrate and forskolin in the presence or absence of bacterial lipopolysaccharides(LPS).Intestinal lesions and the Clostridium perfringens titers were also assessed in C.perfringens-challenged chickens fed butyrate and forskolincontaining Coleus forskohlii(CF)extract individually or in combination.Furthermore,growth performance and carcass characteristics were evaluated in broilers supplemented with butyrate and the CF extract for 42 d.Results:Butyrate and forskolin synergistically induced the expressions of AvBD9,AvBD10,and MUC2 in chicken HD11 cells(P<0.05)and the synergy was maintained in the presence of LPS.Butyrate and forskolin also suppressed LPS-induced IL-1βgene expression in HD11 cells in a synergistic manner(P<0.05).The two compounds significantly reduced the intestinal lesions of C.perfringens-challenged chickens when combined(P<0.05),but not individually.Furthermore,butyrate in combination with forskolin-containing CF extract had no influence on weight gain,but significantly reduced feed intake(P<0.05)with a strong tendency to improve feed efficiency(P=0.07)in a 42-d feeding trial.Desirably,the butyrate/forskolin combination significantly decreased abdominal fat deposition(P=0.01)with no impact on the carcass yield,breast meat color,drip loss,or pH of d-42 broilers.Conclusions:Butyrate and forskolin has potential to be developed as novel antibiotic alternatives to improve disease resistance,feed efficiency,and carcass composition of broilers. 展开更多
关键词 Antibiotic alternatives BUTYRATE FORSKOLIN Necrotic enteritis POULTRY
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早发性脊柱侧凸的非手术治疗
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作者 ZHANG Hong 《中国脊柱脊髓杂志》 CAS CSCD 北大核心 2015年第8期674-676,共3页
根据脊柱侧凸研究会(Scoliosis Research Scociety,SRS)制定的标准,在10岁(不包括10岁)之前发生的所有类型脊柱侧凸畸形定义为早发性脊柱侧凸(early onset scoliosis,EOS),包括特发性的(Idiopathic)和非特发性的(Non-idiopathi... 根据脊柱侧凸研究会(Scoliosis Research Scociety,SRS)制定的标准,在10岁(不包括10岁)之前发生的所有类型脊柱侧凸畸形定义为早发性脊柱侧凸(early onset scoliosis,EOS),包括特发性的(Idiopathic)和非特发性的(Non-idiopathic)脊柱侧凸。而早期文献[1]和著作[2]报道将早发性脊柱侧凸的年龄界限规定在5岁之前。正常情况下[3~6],0~5岁T1~S1高度平均增长10cm,T1~T12增长7cm; 展开更多
关键词 性脊柱侧凸 SCOLIOSIS 早期文献 年龄界限 矫正率 手术矫正 IDIOPATHIC 融合时间 顶椎 后凸
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Speed prediction models for car and sports utility vehicleat locations along four-lane median divided horizontal curves
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作者 Avijit Maji Ayush Tyagi 《Journal of Modern Transportation》 2018年第4期278-284,共7页
Sites with varying geometric features were analyzed to develop the 85 th percentile speed prediction models for car and sports utility vehicle(SUV) at 50 m prior to the point of curvature(PC), PC, midpoint of a curve(... Sites with varying geometric features were analyzed to develop the 85 th percentile speed prediction models for car and sports utility vehicle(SUV) at 50 m prior to the point of curvature(PC), PC, midpoint of a curve(MC), point of tangent(PT) and 50 m beyond PT on four-lane median divided rural highways. The car and SUV speed data were combined in the analysis as they were found to be normally distributed and not significantly different. Independent parameters representing geometric features and speed at the preceding section were logically selected in stepwise regression analyses to develop the models. Speeds at various locations were found to be dependent on some combinations of curve length, curvature and speed in the immediately preceding section of the highway. Curve length had a significant effect on the speed at locations 50 m prior to PC, PC and MC. The effect of curvature on speed was observed only at MC. The curve geometry did not have a significant effect on speed from PT onwards. The speed at 50 m prior to PC and curvature is the most significant parameter that affects the speed at PC and MC, respectively. Before entering a horizontal curve, drivers possibly perceive the curve based on its length. Longer curve encourages drivers to maintain higher speed in the preceding tangent section. Further, drivers start experiencing the effect of curvature only after entering the curve and adjust speed accordingly. Practitioners can use these findings in designing consistent horizontal curve for vehicle speed harmony. 展开更多
关键词 Vehicle speed prediction model Four-lane median divided highway Horizontal curve Regression analysis The 85th percentile speed
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The cartilage matrisome in adolescent idiopathic scoliosis 被引量:9
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作者 Carol AWise Diane Sepich +8 位作者 Aki Ushiki Anas MKhanshour Yared HKidane Nadja Makki Christina AGurnett Ryan SGray Jonathan JRios Nadav Ahituv Lila Solnica-Krezel 《Bone Research》 CAS CSCD 2020年第1期1-13,共13页
The human spinal column is a dynamic,segmented,bony,and cartilaginous structure that protects the neurologic system and simultaneously provides balance and flexibility.Children with developmental disorders that affect... The human spinal column is a dynamic,segmented,bony,and cartilaginous structure that protects the neurologic system and simultaneously provides balance and flexibility.Children with developmental disorders that affect the patterning or shape of the spine can be at risk of neurologic and other physiologic dysfunctions.The most common developmental disorder of the spine is scoliosis,a lateral deformity in the shape of the spinal column.Scoliosis may be part of the clinical spectrum that is observed in many developmental disorders,but typically presents as an isolated symptom in otherwise healthy adolescent children.Adolescent idiopathic scoliosis(AIS)has defied understanding in part due to its genetic complexity.Breakthroughs have come from recent genome-wide association studies(GWAS)and next generation sequencing(NGS)of human AIS cohorts,as well as investigations of animal models.These studies have identified genetic associations with determinants of cartilage biogenesis and development of the intervertebral disc(IVD).Current evidence suggests that a fraction of AIS cases may arise from variation in factors involved in the structural integrity and homeostasis of the cartilaginous extracellular matrix(ECM).Here,we review the development of the spine and spinal cartilages,the composition of the cartilage ECM,the so-called"matrisome"and its functions,and the players involved in the genetic architecture of AIS.We also propose a molecular model by which the cartilage matrisome of the IVD contributes to AIS susceptibility. 展开更多
关键词 CARTILAGE ADOLESCENT SCOLIOSIS
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Magnetically controlled growing instrumentation for early onset scoliosis: Caution needed when interpreting the literature
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作者 Kenneth Aaron Shaw Justin M Hire +3 位作者 Scott Kim Dennis P Devito Michael L Schmitz Joshua S Murphy 《World Journal of Orthopedics》 2019年第11期394-403,共10页
BACKGROUND Magnetically controlled growing rods(MCGR) are a novel treatment option for early onset scoliosis(EOS). Although the complication profile with MCGR use has been reviewed, these reviews do not take into acco... BACKGROUND Magnetically controlled growing rods(MCGR) are a novel treatment option for early onset scoliosis(EOS). Although the complication profile with MCGR use has been reviewed, these reviews do not take into account important implants modifications, termed iterations, that were made due to early on postoperative complications is not well reported or understood.AIM To assess the effect of MCGR implant iterations on post-operative complications in EOS.METHODS A systematic review was performed to identify studies investigating MCGR specifically for the treatment of EOS, refined to those reporting the implant iteration, specifically the incorporation of the keeper plate to the implant design.Articles with mixed implant iteration usage were excluded. Complications following surgery were recorded as well as potential risk factors and compared between implant cohorts.RESULTS Although 20 articles were identified for inclusion, 5 included mixed implant iteration leaving a total of 271 patients identified through 15 clinical studies thatmet inclusion criteria. The average follow-up was 25.4-mo. Pre-keeper plate implants were utilized in 3 studies with a total of 49 patients. Overall, 115(42.4%)post-operative complications were identified, with 87% defined as major. The addition of the keeper plate significantly decreased the rate of post-operative complications per study(35.7% vs 80.6%, P = 0.036), and the rate of distraction failure(8.1% vs 40.8%, P = 0.02). Unplanned reoperation occurred in 69(26.7%)patients but was not different between implant iteration cohorts(25.5% without keeper plate vs 27.1% with keeper plate, P = 0.92).CONCLUSION MCGR for EOS has a cumulative complication rate of 42.4% but this is significantly reduced to 35.7% when reviewing only keeper-plate enabled implants. However, 25% of published articles included mixed implant iterations.Future studies should discern between implants iterations when reporting on the usage of MCGR for EOS. 展开更多
关键词 Complications Early ONSET SCOLIOSIS Magnetically controlled GROWING instrumentations KEEPER plate REOPERATION Systematic review
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Bioremediation techniques for the treatment of mine tailings:A review
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作者 Anandkumar Jayapal Tanushree Chaterjee Biju Prava Sahariah 《Soil Ecology Letters》 CSCD 2023年第2期27-41,共15页
Mine tailings(MTs)are the materials dumped on a mining site after mineral extraction,containing scattered traces of residual minerals,dug-up soils,and a disturbed ecosystem.Abandoned and untreated MT can pose threats ... Mine tailings(MTs)are the materials dumped on a mining site after mineral extraction,containing scattered traces of residual minerals,dug-up soils,and a disturbed ecosystem.Abandoned and untreated MT can pose threats to the surrounding ecosystem due to the presence of various primary and secondary toxic components,such as organic substances[PAH(polycyclic aromatic hydrocarbons),phenolics]and inorganic materials(sulfur,cyanide),metals and metalloids.All these pollutants originate from nature,and there is a possibility to remedy the problems generated from them.Conventional physical-chemical and biological techniques are often considered for treating the polluted environment and are recognized as having great efficiency.Physicochemical processes,such as incineration,and soil washing with solvents,encounter limitations of cost-effectiveness associated with further environmental concerns.The advantages accompanying bioremediation,the alternative to physicochemical treatment,are its cost-effectiveness,its environmentally benign nature,and complete mineralization of pollutants,instead of the generation of secondary toxic intermediates as in the case of the physicochemical process,make it more attractive for dealing with MT.This manuscript emphasizes use of basic treatment techniques and bioremediation mechanisms for dealing with pollutants from MT that target the revival of nature by utilizing natural agents,plants(phytoremediation),bacteria,fungi,and algae. 展开更多
关键词 Mine tailings BIOLEACHING BIOACCUMULATION Heavy metals PHYTOREMEDIATION
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