scholarly journals Biomarkers of endometriosis: How far have we come and where are we going?

2021 ◽  
pp. 1-10
Author(s):  
Vid Janša ◽  
Joško Osredkar ◽  
Eda Vrtačnik Bokal ◽  
Tea Lanišnik Rižner ◽  
Helena Ban Frangež

Endometriosis is a common gynaecological disease that is characterized by endometrium-like tissue outside the uterine cavity. Endometriosis significantly compromises the quality of life of women and is a major cause of infertility. The gold standard for diagnosis of endometriosis is visual inspection by laparoscopy, which significantly prolongs the time to final diagnosis. This lack of non-invasive diagnostic approaches is why the discovery of biomarkers for endometriosis has been defined as a research priority. In this report, we describe hypothesis-driven and hypothesis-generating approaches for biomarker discovery, along with some important potential biomarkers of endometriosis and their diagnostic characteristics, sensitivities, and specificities. Finally, we present our perspective on the discovery of biomarkers for endometriosis, and discuss some results from our previous and more recent studies. Future studies must focus on improving patient quality of life rather than on discovering significant differences, and therefore close collaboration between clinicians and pre-clinical researchers is essential.

2020 ◽  
Vol 8 (4) ◽  
pp. 383-392
Author(s):  
О.К. Koloskova ◽  
Т.М. Bilous ◽  
N.O. Shevchenko ◽  
V.V. Bilous

Despite the large number of studies on the diagnosis and treatment of asthma and the constant updating of recommendations for the provision of medical care to patients with asthma, this disease still has a significant impact on the quality of life of patients and their families and significant economic losses. However, the peculiarities of bronchial asthma and the diagnosis of certain phenotypes of the disease in children, depending on biomarkers of inflammatory activity in the airways, require greater use of non-invasive diagnostic procedures and optimization of individualized treatment depending on the nature and intensity of inflammation in the respiratory tract.


2015 ◽  
Vol 1 (3) ◽  
pp. 113 ◽  
Author(s):  
Ahmed Talib

Coronary artery disease (CAD) is the most prevalent and<br />single most common cause of morbidity and mortality1 with<br />the resulting left ventricular dysfunction (LVD) an important<br />complication2. Worldwide, CAD accounts for 5.7 million new<br />cases per year, of these 1.3 million in Europe alone3. In addition,<br />it imposes a substantial share of health service resources and<br />expenses, an impaired quality of life, disability and high social<br />cost3,4. Furthermore, LVD itself has been shown to be a powerful<br />determinant of survival2, 5.


2020 ◽  
Vol 13 (3) ◽  
pp. 169-179
Author(s):  
G.M. Golovina ◽  
T.N. Savchenko

In this paper, the measurements of the subjective quality of life were correlated in different diagnostic approaches, for which the correspondence of the subjective quality of life was measured by means of the SQL scale methodology (Savchenko, Golovina, 2007) and the SCLL questionnaire (Eksakusto, Zaichenko, 2012). The study of the correlation of concepts and scales of two methods having a common theoretical basis, but a different kind of presentation of the points of the techniques, is carried out. It turned out that the similarly or identically named scales and concepts (values) in the two questionnaires significantly correlated. A comparison of the reconstructed factor structures showed the correspondence between the factors of the SQL and the SQL. Both methods allowed to speak about the factor of “emotional and physical health”, the cognitive factor or the factor of “personal growth” and the factor of “famely”, which indicates the compliance of measuring the subjective quality of life and satisfaction with it in both methods, and accordingly, the possibility of using a compact questionnaire as a valid instrument.


Author(s):  
А. С. Пушкин

В обзорной статье собраны современные представления об особенностях диагностики и мониторинга пациентов пожилого и старческого возраста с сердечной недостаточностью и стенокардией. Особое внимание уделено проблеме коморбидности пациентов старше 65 лет, что требует корректирующих действий при стратификации риска и прогнозировании клинических исходов. Отмечена приоритетность неинвазивных диагностических тестов. Рекомендована оценка хрупкости как неотъемлемой части диагностического процесса пациентов с сердечной недостаточностью и стенокардией ввиду чёткой связи с худшим прогнозом с точки зрения качества жизни, госпитализации и смертности. Review is about current information on the features of heart failure and angina diagnosis and monitoring in elderly and senile patients. One of the main problem in patients over 65 years is comorbidity, which requires corrective action in the risk stratification and prediction of clinical outcomes. The priority of non-invasive diagnostic tests is noted. Authors of the article recommend frailty as an obligatory part of diagnostic process in patients with heart failure and angina due to a clear connection with the worst prognosis in terms of quality of life, hospitalization and mortality.


Author(s):  
Traolach S. Brugha

Patients with more complex presentations that include autism may require more detailed assessments involving a multidisciplinary approach. This chapter covers a range of measures that are used in clinical practice and in randomized controlled treatment trials in adults, which add more detailed information. These may be helpful in planning for the interventions described in subsequent chapters. Advanced diagnostic approaches will be considered, which call upon neuropsychology, speech and language therapy, social work, occupational therapy, and the use of quality of life approaches. More detailed assessments should consider an assessment of risk to self and others sufficient to develop a risk management plan where appropriate.


2020 ◽  
pp. bmjspcare-2020-002202
Author(s):  
Iain Murphy ◽  
Akshara Sivashankar ◽  
Amy Gadoud

BackgroundRefractory angina can have a significant effect on quality of life. Non-invasive interventions have been suggested but there are few guidelines on management. Our aim was to systematically review all studies that reported non-invasive interventions for refractory angina and report on their effectiveness and safety.MethodsWe performed a literature search of six databases and a grey literature search. Treatments considered first line or second line according to the European Society of Cardiology were excluded, as were interventions that had undergone review within the last 3 years. Design, setting and outcomes were extracted and quality was assessed. A narrative synthesis was undertaken, including an analysis of adverse effects.Results4476 studies were screened, 14 studies were included in our analysis. Interventions were specialist multidisciplinary programmes, transcutaneous electrical nerve stimulation (TENS), perhexiline, medical optimisation, morphine and intranasal alfentanil. The effects of specialist programmes and perhexiline treatment were mixed. Positive effects were reported with TENS, opioids and medical optimisation, with improvements in symptoms, exercise capacity and quality of life. No major adverse effects were noted in any of the treatments.ConclusionThere are non-invasive treatments for refractory angina that are overlooked by current guidelines. While the quality of these studies varies, positive changes have been reported in symptoms, exercise tolerance and quality of life with few adverse effects. There is a need for further research into these treatments which could be useful within the contexts of cardiology and palliative care.


2018 ◽  
Vol 265 (S1) ◽  
pp. 63-69 ◽  
Author(s):  
Ozan E. Eren ◽  
Filipp Filippopulos ◽  
Kristina Sönmez ◽  
Ken Möhwald ◽  
Andreas Straube ◽  
...  

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