Abstract:
:Alanine transaminase (ALT) abnormalities are common in chronic hepatitis B (CHB) carriers during postpartum period. Disturbances in cytokines are considered to be associated with hepatitis Flares. There are limited data on cytokines changes in HBeAg positive patients with ALT abnormalities.This is an observational study. Pregnant patients with hepatitis B e-antigen (HBeAg) positive were enrolled from January 2014 to September 2018. Patients were assigned into three groups based on ALT levels in postpartum 6 to 8 weeks: ALT in normal range, ALT in 1 to 2-fold upper limits of normal (ULN) and ALT >2-fold ULN. Serum cytokines, ratios of regulatory T cells, and the concentration of cortisol were collected and compared among the three groups.Of the 135 mothers enrolled, 80.7% (109/135) completed the postpartum 6-week study. 13.8% (15/109) patients had postpartum ALT higher than 2ULN, 27.5% (30/109) patients had ALT in 1 to 2ULN and 58.7% (64/109) patients had ALT in normal range. Compared to control group, patients with ALT >2ULN had a higher IL-10 level (P < .05). No differences of IL-10 levels were found in the comparison of other inter comparison among three groups. No differences were found in the levels of other collected serum cytokines, cortisol, and regulatory T cells among three groups. On multivariate analysis, abnormal IL-10 level was independent risk factor for postpartum ALT elevating >2ULN. At the same time, the incidence of postpartum ALT elevated >2ULN were higher in patients with abnormal elevation IL-10 level than in patients with normal IL-10 level (14/68 vs 1/41, P = .008).CHB patients with postpartum ALT abnormalities show higher IL-10 level and postpartum ALT abnormalities were mainly occurred in patients with abnormal IL-10 level. IL-10 may be an underlying predictor and treatment target of hepatitis B, and further studies are needed.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Wang M,Hou Y,Meng SH,Yang B,Yang P,Zhang H,Zhu Ydoi
10.1097/MD.0000000000017969subject
Has Abstractpub_date
2019-11-01 00:00:00pages
e17969issue
46eissn
0025-7974issn
1536-5964pii
00005792-201911150-00062journal_volume
98pub_type
杂志文章相关文献
MEDICINE文献大全abstract::We present 6 cases of spontaneous hemothorax and comprehensively review the medical literature on this subject. We categorize the reported causes and offer a rational diagnostic approach to patients with nontraumatic hemothorax. We recommend specific treatments for specific etiologies, and emphasize the importance of ...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:
更新日期:1992-11-01 00:00:00
abstract:BACKGROUND:This study will investigate the effect of shikonin on the proliferation and apoptosis of human ovarian cancer cell SKOV3 (HOCC-SKOV3). METHODS:We will retrieve potential studies from inception to the March 1, 2020 in Cochrane Library, MEDLINE, EMBASE, Scopus, Cumulative Index to Nursing and Allied Health Li...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000020450
更新日期:2020-05-29 00:00:00
abstract:RATIONALE:Stiff-person syndrome (SPS) is an uncommon neurological disorder with autoimmune features. Here, we report a 60-year-old man with SPS associated with critical illness polyneuropathy (CIP). CIP was diagnosed during an episode of acute respiratory failure secondary to muscular rigidity and spasms, which has rar...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000023607
更新日期:2020-12-11 00:00:00
abstract:RATIONALE:Historically, traumatic injuries include penetrating and blunt lesions. Impalement injury represents one of the rarest and potentially dramatic forms of penetrating trauma. If patient reaches hospital alive and is hemodynamically stable, there is a good chance that patient overcomes the traumatic event. Howev...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000015824
更新日期:2019-05-01 00:00:00
abstract::The true survival benefit of different curative strategies involving type of operative procedure and timing for patients with initial noncurative colorectal liver metastases remains uncertain. The goal of this study was to examine the effect of primary tumor resection on patients' survival and to clarify the predictiv...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000008831
更新日期:2017-12-01 00:00:00
abstract:RATIONALE:Abdominal wall defects are common after tumor resection. PATIENT CONCERNS:We report an 83-year-old male patient with recurrent tumors in his abdomen, and who had an incision wound that could not be directly closed. Mesh was not suitable because the wound was infected. DIAGNOSES:Abdominal wall defect result ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000009993
更新日期:2018-03-01 00:00:00
abstract::To evaluate clinical values of clinicopathologic and 18F-fluorodeoxyglucose (18F-FDG) positron emission tomography/computed tomography (PET/CT)-related parameters for prediction of v-Ki-ras2 Kirsten rat sarcoma viral oncogene homolog (KRAS) mutation in colorectal cancer (CRC) and to investigate their variability depen...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000002236
更新日期:2016-01-01 00:00:00
abstract::Survival analysis methods have gained widespread use in the filed of oncology. For achievement of reliable results, the methodological process and report quality is crucial. This review provides the first examination of methodological characteristics and reporting quality of survival analysis in articles published in ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000009204
更新日期:2017-12-01 00:00:00
abstract:BACKGROUND:The efficacy and safety of oral tranexamic acid (TXA) remain controversial because of the small number of clinical studies. The aim of the present study was to compare the efficacy and safety of oral TXA with intravenous TXA in patients undergoing total hip arthroplasty and total knee arthroplasty in a syste...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000022999
更新日期:2020-10-30 00:00:00
abstract:RATIONALE:Managing the health of vulnerable groups is an important component of health care. Given the long-term burden of radiation-release incidents among those exposed, managing the health of vulnerable groups following a nuclear disaster is very important. However, there is limited information available concerning ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000017989
更新日期:2019-11-01 00:00:00
abstract::We retrospectively compared accelerated hypofractionation (AHF) with conventional fractionation (CF) in the radiation therapy (RT) for early-stage breast cancer patients.Three hundred seventy-nine early-stage (pT1-2 and pN0-1a) breast cancer patients who received RT with AHF after breast-conserving surgery (BCS) were ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000003320
更新日期:2016-05-01 00:00:00
abstract::Gonadotropin induces masculinization and spermatogenesis in men with congenital hypogonadotropic hypogonadism (CHH). However, large cohort studies for the efficacy and reliable predictors of this therapy need to be conducted. The aim of this study was to investigate the efficacy of gonadotropin treatment in a large co...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000002867
更新日期:2016-03-01 00:00:00
abstract:BACKGROUND:Amyotrophic lateral sclerosis (ALS) is the most common form of motor neuron diseases. Until now, it lacks effective drugs for its treatment, and the median survival time of ALS is reported as only 20 to 48 months after the onset of symptoms. Acupuncture served as part of traditional Chinese therapy, has been...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000015218
更新日期:2019-05-01 00:00:00
abstract::To investigate the relationship between cervical and thoracic sagittal alignment parameters measured by magnetic resonance imaging (MRI) and x-ray in patients with cervical spondylosisData from 120 symptomatic patients who presented with cervical spondylosis between April 2015 and January 2016 were retrospectively ana...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000014393
更新日期:2019-02-01 00:00:00
abstract::Portal vein thrombosis (PVT) might impair the prognosis of cirrhotic patients. However, formation of de novo PVT after transjugular intrahepatic portosystemic shunt (TIPS) in cirrhotic patients without preexisting PVT was rarely reported. Moreover, it is not known whether warfarin is efficient in preventing de novo PV...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000018737
更新日期:2020-01-01 00:00:00
abstract::The purpose of the current study was to investigate the characteristics of patients with diabetic nephropathy (DN) without diabetic retinopathy (DR).One hundred four patients with biopsy-proven DN, and 52 patients with diabetes mellitus (DM) without DR who were diagnosed as membranous nephropathy by renal biopsy were ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000006805
更新日期:2017-05-01 00:00:00
abstract::This study aims to examine the expression of p53, p16, and murine double minute 2 (MDM2) protein in normal endometrium and endometriosis, in order to discuss the role of p53, p16, and MDM2 protein and apoptosis in the pathogenesis and development of endometriosis, and provide a theoretical basis for clinical diagnosis...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000014776
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND:The objective of this study is to evaluate the accuracy of radionuclide in diagnosis of bone metastasis (BM) after breast cancer surgery (BCS). METHODS:The electronic databases (Cochrane Library, MEDLINE, EMBASE, Web of Science, CBM, and CNKI) will be systematically and comprehensively searched until June 1...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000021585
更新日期:2020-08-14 00:00:00
abstract:BACKGROUND:The purpose of this study is to investigate the impact of cervical vascular ultrasound (CVU) combined transcranial Doppler ultrasound (TDU) in the diagnosis of cerebral infarction (CI). METHODS:The following electronic databases will be sought from PUBMED, EMBASE, Cochrane Library, PSYCINFO, Web of Science,...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000019997
更新日期:2020-05-29 00:00:00
abstract::The small intestine has been considered inaccessible for a long term. The development of single-balloon endoscopy has greatly improved the diagnosis and treatment possibilities for small intestinal diseases.In this study, we aimed to explore the demographic characteristics and small intestinal diseases of patients who...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000001652
更新日期:2015-10-01 00:00:00
abstract::Stroke is one of the most common causes of physical disability, and early, intensive, and repetitive rehabilitation exercises are crucial to the recovery of stroke survivors. Unfortunately, research shows that only one third of stroke patients actually perform recommended exercises at home, because of the repetitive a...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000003032
更新日期:2016-03-01 00:00:00
abstract::Endotracheal tube (ETT) positioning using the cuff ballottement test, which confirms that the inflated cuff is positioned at the suprasternal notch with squeezing or inflating a pilot balloon, has been reported to be a simple and reliable method of preventing endobronchial intubation. However, in patients with a short...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000006155
更新日期:2017-02-01 00:00:00
abstract:BACKGROUND:The aim of this study is to compare the postoperative quality of life (QoL) and survival outcomes in lower rectal cancer (LRC) patients who undergo either laparoscopic- intersphincteric resection or extralevator abdominoperineal excision (L-ELAPE) after long-course neoadjuvant chemoradiation therapy (nCRT). ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000020245
更新日期:2020-05-29 00:00:00
abstract::The aim of this study was to retrospectively analyze the clinical data of resected adenosquamous lung cancer (ASLC) and to explore the influencing factors and clinicopathological characteristics of the metastasis lymph nodes. A total of 1156 consecutive patients with surgically resected lung cancer from January 2009 t...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000008870
更新日期:2017-12-01 00:00:00
abstract::Circulating tumor cells (CTCs) released from a periampullary or pancreatic cancer can be more frequently detected in the portal than the systemic circulation and potentially can be used to identify patients with liver micrometastases. Aims of this study is to determine if CTCs count in portal venous blood of patients ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000003407
更新日期:2016-04-01 00:00:00
abstract:RATIONALE:Developmental dysplasia of the hip (DDH) has an incidence of 5 per 1000 newborns and its management depends on various factors. We present a rare case of DDH with soft tissue obliteration and a bony prominence in the center of the acetabulum after failed open reduction and acetabuloplasty. PATIENT CONCERNS:A...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000018655
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:Since the outbreak of COVID-19, the number of COVID-19 patients has been on the rise. With the improvement of diagnosis and treatment level in various countries, more and more patients have recovered. Baduanjin exercise is a traditional Chinese health care method with a long history, easy-to-learn, and remar...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000022229
更新日期:2020-09-11 00:00:00
abstract::The aim of this study was to evaluate the effect of prenatal and postnatal malnutrition on the intellectual functioning of early school-aged children. We followed the offspring of women who had participated in a trial of prenatal supplementation with different combinations of micronutrients and who remained resident i...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000004161
更新日期:2016-08-01 00:00:00
abstract::The clinical significance of ineffective esophageal motility (IEM) together with multiple rapid swallow (MRS) has not been yet evaluated in the Chicago Classification v3.0. This study evaluated the adjunctive role of MRS in IEM and determined the criteria of abnormal MRS to maximize the utility of IEM. We analyzed 186...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000001669
更新日期:2015-10-01 00:00:00
abstract::Our previous study confirmed the negative association between the development of calcarine sulcus and the width of lateral ventricles. The purpose of current study was to evaluate the reliability of calcarine sulcus depth in the 2nd trimester to predict the prenatal enlargement of lateral ventricle in fetuses with iso...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000007506
更新日期:2017-07-01 00:00:00