1.Recent advance in clinical trials and animal experiments regarding teratogenic effects of anti-seizure medication
Qiulei HONG ; Yifei DUAN ; Leihao SHA ; Yilin XIA ; Yusha TANG ; Lei CHEN
Chinese Journal of Neuromedicine 2024;23(9):940-946
Pregnant women account for 40% of all epilepsy patients, and the economic burden of pregnant women with epilepsy is 5 times higher than that of non-pregnant patients. Additionally, the rates of stillbirth and congenital malformations in pregnant women with epilepsy are 5 times greater than those in normal pregnant women. Therefore, it is crucial to comprehensively review and summarize the management of pregnant women with epilepsy to reduce the burden of the disease. This study provides a thorough review on teratogenic effects of anti-seizure medications (ASMs) used during pregnancy, and summarizes the effects of ASMs on health of offspring and offers clinical management recommendations for pregnant women with epilepsy, aiming to provide guidance for safe use of medications during pregnancy.
2.Research progress of epileptic seizure prediction
Chinese Journal of Neurology 2023;56(11):1309-1318
The unpredictability of seizures can significantly impact the safety, employability, and quality of life for individuals with epilepsy. A reliable seizure prediction system could provide patients with a warning at least a few minutes before a seizure occurs, allowing them to take appropriate action. Recent advances in the use of electroencephalogram, electrocardiogram, periodic rhythm analysis, imaging and wearable devices have provided new insights into the precise prediction of seizures based on multiple indicators. The latest research progress in seizure prediction and future directions for developing epilepsy prediction from research challenges to clinical reality were reviewed in this paper.
3.Role and Significance of Bioactive Substances in Sputum in the Diagnosis of Lung Cancer.
Yuming JIN ; Zixuan CHEN ; Quan CHEN ; Leihao SHA ; Cheng SHEN
Chinese Journal of Lung Cancer 2021;24(12):867-873
The incidence rate of lung cancer is one of the highest incidence of malignancies in China. The gold standard for diagnosis requires pathological examination or cytological examination of biopsy. The invasive and sensitive nature of the two limits their use. Sputum contains a large number of nucleic acids and proteins, which is a good reflection of lung function. Lung cancer tissue will also affect the biological components in sputum. The detection of bioactive substances in sputum can contribute to the diagnosis of lung cancer. Based on the current research results at home and abroad, this paper reviews the bioactive substances in sputum that can be used for the diagnosis of lung cancer.
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Biopsy
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China
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Humans
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Lung
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Lung Neoplasms/diagnosis*
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Sputum