Abstract:
:The relation between vitamin-D (VD) status and healing after hip fracture had not been sufficiently addressed. Currently serum total 25-hydroxy-VD (t-25OHD) is the most widely used indicator of VD status. It is unclear whether free or bioavailable VD are better markers of 25OHD availability for tissues. Validity of overall cut-off values of t-25OHD is limited. OBJECTIVES:(1) Assess serum levels of circulating forms of 25OHD in patients with hip fracture (PwHF: N = 199) compared to active controls without history of fracture (N = 102); (2) determine relationship between 25OHD fractions and functional performance after surgery (FPAS) and survival. The t-25OHD; VD binding protein and albumin levels were measured. Comorbidities; lifestyle; FPAS and survival were recorded at seven months. VD deficiency occurred more frequently in PwHF than in controls (72% vs. 38%). Patients with better FPAS showed higher 25OHD in all fractions than with poor FPAS. Controlled by lifestyle; 25OHD levels were independent predictive factors (p < 0.001). Good FPAS values forecasted longer survival (OR: 6.5CI:3.2⁻13.3; p < 0.0001). All 25OHD forms showed a tendency to predict survival. Mortality rate decreased to 8% in individuals with t-25OHD levels of >22.6⁻39.5 nmol/L and increased to 14% with >40 nmol/L. These observations highlight the importance of serum 25OHD assessment and moderate VD substitution for healing and survival.
journal_name
J Clin Medjournal_title
Journal of clinical medicineauthors
Toldy E,Salamon A,Kálmán B,Ágota K,Horváth D,Lőcsei Zdoi
10.3390/jcm7080193subject
Has Abstractpub_date
2018-08-01 00:00:00issue
8issn
2077-0383pii
jcm7080193journal_volume
7pub_type
杂志文章abstract::Most human papillomavirus (HPV) antiviral strategies have focused upon inhibiting viral DNA replication, but it is increasingly apparent that viral DNA levels can be chemically controlled by approaches that promote its instability. HPVs and other DNA viruses have a tenuous relationship with their hosts. They must repl...
journal_title:Journal of clinical medicine
pub_type: 杂志文章
doi:10.3390/jcm4020204
更新日期:2015-01-01 00:00:00
abstract::A higher incidence rate of nocturia in patients with obstructive sleep apnea (OSA) has been observed. We investigated the differences in clinical examinations between OSA patients with and without nocturia, and further compared those with successful and unsuccessful uvulopalatopharyngoplasty (UPPP). This retrospective...
journal_title:Journal of clinical medicine
pub_type: 杂志文章
doi:10.3390/jcm9103089
更新日期:2020-09-25 00:00:00
abstract::The UBE3A gene codes for a protein with two known functions, a ubiquitin E3-ligase which catalyzes ubiquitin binding to substrate proteins and a steroid hormone receptor coactivator. UBE3A is most famous for its critical role in neuronal functioning. Lack of UBE3A protein expression leads to Angelman syndrome (AS), wh...
journal_title:Journal of clinical medicine
pub_type: 杂志文章
doi:10.3390/jcm9051573
更新日期:2020-05-22 00:00:00
abstract::α-Klotho is a known anti-aging protein that exerts diverse physiological effects, including phosphate homeostasis. Klotho expression occurs predominantly in the kidney and is significantly decreased in patients with chronic kidney disease. However, changes in serum klotho levels and impacts of klotho on outcomes among...
journal_title:Journal of clinical medicine
pub_type: 杂志文章
doi:10.3390/jcm9061834
更新日期:2020-06-12 00:00:00
abstract::The aim was to perform a translation, cross-cultural adaptation, and psychometric evaluation of the Spanish version of the Tampa Scale of Kinesiophobia for Temporomandibular Disorders (TSK-TMD-S). The study sample included 110 patients with TMD. We translated and cross-culturally adapted the TSK-TMD-S using standard m...
journal_title:Journal of clinical medicine
pub_type: 杂志文章
doi:10.3390/jcm9092831
更新日期:2020-09-01 00:00:00
abstract::(1) Background: Intravitreal anti-vascular endothelial growth factor (anti-VEGF) is an established treatment for center-involving diabetic macular edema (ci-DME). However, the clinical response is heterogeneous. This study investigated miRNAs as a biomarker to predict treatment response to anti-VEGF in DME. (2) Method...
journal_title:Journal of clinical medicine
pub_type: 杂志文章
doi:10.3390/jcm9092920
更新日期:2020-09-10 00:00:00
abstract:BACKGROUND:Although early identification of critical illness polyneuropathy (CIP) is necessary, the established diagnostic criteria have several limitations in the intensive care unit (ICU) setting. The purpose of this study was to define simplified diagnostic criteria of CIP that best predict clinical outcomes. METHO...
journal_title:Journal of clinical medicine
pub_type: 杂志文章
doi:10.3390/jcm9124029
更新日期:2020-12-13 00:00:00
abstract::Human papillomavirus (HPV) is the most common sexually transmitted disease. Via infection of the basal epithelial cells, HPV causes numerous malignancies and noncancerous cutaneous manifestations. Noncancerous cutaneous manifestations of HPV, including common, plantar, plane, and anogenital warts, are among the most c...
journal_title:Journal of clinical medicine
pub_type: 杂志文章,评审
doi:10.3390/jcm4050832
更新日期:2015-04-24 00:00:00
abstract::Postoperative complications after pancreatic surgery are still a significant problem in clinical practice. The aim of this study was to characterize and compare the microbiomes of different body compartments (bile duct, duodenal mucosa, pancreatic tumor lesion, postoperative drainage fluid, and stool samples; preopera...
journal_title:Journal of clinical medicine
pub_type: 杂志文章
doi:10.3390/jcm9092785
更新日期:2020-08-28 00:00:00
abstract:BACKGROUND:Despite growing social acceptance, the LGBTQ population continues to face barriers to healthcare including fear of stigmatization by healthcare providers, and providers' lack of knowledge about LGBTQ-specific health issues. This analysis focuses on the assessment of quantitative and qualitative responses fro...
journal_title:Journal of clinical medicine
pub_type: 杂志文章
doi:10.3390/jcm6100093
更新日期:2017-10-07 00:00:00
abstract::The aims of the study were to evaluate long-term outcomes after autologous matrix-induced chondrogenesis (AMIC) in the treatment of focal chondral lesions and to assess the possible improvements given by the combination of this technique with bone marrow aspirate concentrate (BMAC). Twenty-four patients (age range 18⁻...
journal_title:Journal of clinical medicine
pub_type: 杂志文章
doi:10.3390/jcm8030392
更新日期:2019-03-21 00:00:00
abstract::In emergency departments, the most common cause of death associated with suspected infected patients is sepsis. In this study, deep learning algorithms were used to predict the mortality of suspected infected patients in a hospital emergency department. During January 2007 and December 2013, 42,220 patients considered...
journal_title:Journal of clinical medicine
pub_type: 杂志文章
doi:10.3390/jcm8111906
更新日期:2019-11-07 00:00:00
abstract::The outcome of patients with acute myocardial infarction (AMI) has dramatically improved over recent decades, thanks to early detection and prompt interventions to restore coronary blood flow. In contrast, the prognosis of patients with hypoxic acute kidney injury (AKI) remained unchanged over the years. Delayed diagn...
journal_title:Journal of clinical medicine
pub_type: 杂志文章
doi:10.3390/jcm8020267
更新日期:2019-02-21 00:00:00
abstract::Due to the widespread use of ultrasound, small thyroid nodules (TNs) ≤ 10 mm are common findings. Standardized approaches for the risk stratification of TNs with Thyroid Imaging Reporting and Data Systems (TIRADS) were evaluated for the clinical routine. With TIRADS, the risk of malignancy in TNs is calculated by scor...
journal_title:Journal of clinical medicine
pub_type: 杂志文章
doi:10.3390/jcm9010236
更新日期:2020-01-16 00:00:00
abstract::Fluorescence imaging is a well-known method for both the in vivo and in vitro identification of specific cells or tissues. This imaging tool is gaining importance in the intraoperative detection and preservation of parathyroid glands during endocrine surgery owing to the intrinsic properties of parathyroid tissue. The...
journal_title:Journal of clinical medicine
pub_type: 杂志文章
doi:10.3390/jcm9030830
更新日期:2020-03-18 00:00:00
abstract::Chronic stress is thought to be involved in the occurrence and progression of multiple diseases, via mechanisms that still remain largely unknown. Interestingly, key regulators of the stress response, such as members of the corticotropin-releasing-hormone (CRH) family of neuropeptides and receptors, are now known to b...
journal_title:Journal of clinical medicine
pub_type: 杂志文章,评审
doi:10.3390/jcm8101669
更新日期:2019-10-12 00:00:00
abstract::Creatinine is produced in muscle metabolism as the end-product of creatine phosphate and is subsequently excreted principally by way of the kidneys, predominantly by glomerular filtration. Blood creatinine assays constitute the most common clinically relevant measure of renal function. The use of individual patient-le...
journal_title:Journal of clinical medicine
pub_type: 杂志文章,评审
doi:10.3390/jcm4071348
更新日期:2015-06-26 00:00:00
abstract::Long noncoding RNAs (lncRNAs) are involved in diverse physiological and pathological processes by modulating gene expression. They have been found to be dysregulated in the brain and cerebrospinal fluid of patients with neurodegenerative diseases, and are considered promising therapeutic targets for treatment. Among t...
journal_title:Journal of clinical medicine
pub_type: 杂志文章
doi:10.3390/jcm7110461
更新日期:2018-11-21 00:00:00
abstract:BACKGROUND:Hybrid minimally invasive esophagectomy (HMIE) has been proven to be superior when compared with open esophagectomy, with a significant reduction of postoperative morbidity. In HMIE, the laparotomy is replaced by a minimally invasive laparoscopic approach. The radical mediastinal resection plus reconstructio...
journal_title:Journal of clinical medicine
pub_type: 杂志文章
doi:10.3390/jcm8070978
更新日期:2019-07-05 00:00:00
abstract::Obstructive sleep apnea (OSA) is a chronic and prevalent disorder, strongly associated with cardiovascular disease (CVD). The apnea-hypopnea index (AHI), or respiratory event index (REI), and the oxygen desaturation index (ODI) are the clinical metrics of sleep apnea in terms of diagnosis and severity. However, AHI, o...
journal_title:Journal of clinical medicine
pub_type: 杂志文章
doi:10.3390/jcm9082475
更新日期:2020-08-01 00:00:00
abstract::Using the Taguchi method to narrow experimental parameters, the antimicrobial efficiency of a cold atmospheric plasma jet (CAPJ) treatment was investigated. An L9 array with four parameters of CAPJ treatments, including the application voltage, CAPJ-sample distance, argon (Ar) gas flow rate, and CAPJ treatment time, w...
journal_title:Journal of clinical medicine
pub_type: 杂志文章
doi:10.3390/jcm8111930
更新日期:2019-11-09 00:00:00
abstract::During surgery, ATP from damaged cells induces the release of interleukin-1β, a potent pro-inflammatory cytokine that contributes to the development of postoperative systemic inflammation, sepsis and multi-organ damage. We recently demonstrated that C-reactive protein (CRP) inhibits the ATP-induced release of monocyti...
journal_title:Journal of clinical medicine
pub_type: 杂志文章
doi:10.3390/jcm9103340
更新日期:2020-10-18 00:00:00
abstract::The development of new HER2-directed therapies has resulted in a significant prolongation of survival for women with metastatic HER2-positive breast cancer. Discoveries in the laboratory inform clinical trials which are the basis for improving the standard of care and are also the backbone for quality improvement. Cli...
journal_title:Journal of clinical medicine
pub_type: 杂志文章
doi:10.3390/jcm9061984
更新日期:2020-06-24 00:00:00
abstract:BACKGROUND:Inflammation is often considered relating to pediatric obstructive sleep apnea (OSA). We conducted a study investigating cytokines, including Il-17 and Il-23, in children with OSA before and after adenotonsillectomy (T&A), compared with controls. METHODS:Children with OSA between age 4 and 12 receiving T&A ...
journal_title:Journal of clinical medicine
pub_type: 杂志文章
doi:10.3390/jcm9041028
更新日期:2020-04-05 00:00:00
abstract::Cancer cells can acquire a spectrum of stable hybrid epithelial/mesenchymal (E/M) states during epithelial-mesenchymal transition (EMT). Cells in these hybrid E/M phenotypes often combine epithelial and mesenchymal features and tend to migrate collectively commonly as small clusters. Such collectively migrating cancer...
journal_title:Journal of clinical medicine
pub_type: 杂志文章,评审
doi:10.3390/jcm8050725
更新日期:2019-05-22 00:00:00
abstract::The limited number of available studies that examined the pathology of alcohol hangover focused on biomarkers of alcohol metabolism, oxidative stress and the inflammatory response to alcohol as potentially important determinants of hangover severity. The available literature on alcohol metabolism and oxidative stress ...
journal_title:Journal of clinical medicine
pub_type: 杂志文章,评审
doi:10.3390/jcm9113421
更新日期:2020-10-25 00:00:00
abstract::Because of limitations caused by unique complications of free flap reconstruction, the Clavien-Dindo classification was modified to include grade "IIIc" for "partial or total free flap failure." From 2013 to 2018, 116 patients who had undergone free flap reconstruction for head and neck cancer with grade III or higher...
journal_title:Journal of clinical medicine
pub_type: 杂志文章
doi:10.3390/jcm9113770
更新日期:2020-11-22 00:00:00
abstract::The prognosis of multiple myeloma (MM) has improved with the introduction of novel agents. These data are largely derived from clinical trials and might not reflect real-world patient outcomes accurately. We surveyed real-world data from 284 patients newly diagnosed with MM between 2010 and 2018 in Miyazaki Prefecture...
journal_title:Journal of clinical medicine
pub_type: 杂志文章
doi:10.3390/jcm10010105
更新日期:2020-12-30 00:00:00
abstract::The recent advances in machine perfusion (MP) technology involve settings ranging between hypothermic, subnormothermic, and normothermic temperatures. Tissue level adenosine triphosphate (ATP) is a long-established marker of viability and functionality and is universal for all organs. In the midst of a growing number ...
journal_title:Journal of clinical medicine
pub_type: 杂志文章,评审
doi:10.3390/jcm8091421
更新日期:2019-09-09 00:00:00
abstract::High-frequency near-infrared diode laser provides a high-peak output, low-heat accumulation, and efficient biostimulation. Although these characteristics are considered suitable for osteoarthritis (OA) treatment, the effect of high-frequency near-infrared diode laser irradiation in in vitro or in vivo OA models has no...
journal_title:Journal of clinical medicine
pub_type: 杂志文章
doi:10.3390/jcm9030881
更新日期:2020-03-24 00:00:00