遗传垂直:一个更新的审查
Jonathan Day1, Ryan S Murray1, Sarah Dance2
1Orthopaedic Surgery, Georgetown University Medical Center, Washington DC, USA.
Cureus
|September 27, 2023
概括
先天性垂直 (CVT) 是一种硬硬的平脚形,在儿童中经常被忽视. 早期诊断和治疗,包括连续造,显著改善结果,防止长期残疾.
科学领域:
- 儿科整形外科 儿科整形外科
- 脚和脚手术 脚和脚手术
- 发育异常 发展异常
背景情况:
- 先天性垂直 (CVT) 呈现为一个硬的平脚与后脚的valgus和equinus.
- 其特点是中脚的背部屈曲和前脚绑架,这是由于椎位的原因.
- 由于与其他足部形相似,在儿科患者中经常被诊断不足.
研究的目的:
- 审查先天性垂直的诊断和治疗.
- 强调及时干预在预防儿科残疾方面发挥的关键作用.
- 讨论继续培训的管理策略的演变.
主要方法:
- 文学综述先天性垂直的诊断和治疗.
- 分析历史和当前的管理方法.
- 综合有关临床表现和诊断挑战的信息.
主要成果:
- 过去的CVT手术干预显示出不同的疗效.
- 目前的管理,包括连续造和最少的侵入性技术,产生了优秀的长期结果.
- 及时诊断和干预对于最佳的患者结果至关重要.
结论:
- 早期发现和适当管理CVT是必不可少的.
- 现代治疗方案可显著改善功能结果.
- 及时解决CVT可以缓解受影响儿童的长期疼痛和残疾.
相关概念视频
Gene Evolution - Fast or Slow?
The genomes of eukaryotes are punctuated by long stretches of sequence which do not code for proteins or RNAs. Although some of these regions do contain crucial regulatory sequences, the vast majority of this DNA serves no known function. Typically, these regions of the genome are the ones in which the fastest change, in evolutionary terms, is observed, because there is typically little to no selection pressure acting on these regions to preserve their sequences.
In contrast, regions which code...
In contrast, regions which code...
Gene Conversion
Other than maintaining genome stability via DNA repair, homologous recombination plays an important role in diversifying the genome. In fact, the recombination of sequences forms the molecular basis of genomic evolution. Random and non-random permutations of genomic sequences create a library of new amalgamated sequences. These newly formed genomes can determine the fitness and survival of cells. In bacteria, homologous and non-homologous types of recombination lead to the evolution of new...
Gene Duplication and Divergence
The seminal work of Ohno in 1970 popularized the idea of gene duplication and divergence. DNA sequence comparison studies reveal that a large portion of the genes in bacteria, archaebacteria, and eukaryotes was generated by gene duplication and divergence, indicating its critical role in evolution.
The duplicated copies of the gene are called Paralogs. Paralogs with similar sequences and functions form a gene family. Across several species, a large number of gene families are characterized.
The duplicated copies of the gene are called Paralogs. Paralogs with similar sequences and functions form a gene family. Across several species, a large number of gene families are characterized.
Gene Evolution - Fast or Slow?
The genomes of eukaryotes are punctuated by long stretches of sequence which do not code for proteins or RNAs. Although some of these regions do contain crucial regulatory sequences, the vast majority of this DNA serves no known function. Typically, these regions of the genome are the ones in which the fastest change, in evolutionary terms, is observed, because there is typically little to no selection pressure acting on these regions to preserve their sequences.
In contrast, regions which code...
In contrast, regions which code...
Gene Conversion
Other than maintaining genome stability via DNA repair, homologous recombination plays an important role in diversifying the genome. In fact, the recombination of sequences forms the molecular basis of genomic evolution. Random and non-random permutations of genomic sequences create a library of new amalgamated sequences. These newly formed genomes can determine the fitness and survival of cells. In bacteria, homologous and non-homologous types of recombination lead to the evolution of new...
Horizontal Gene Transfer
Horizontal gene transfer (HGT) is a process where genetic material moves between organisms within the same generation, unlike vertical gene transfer, which occurs from parent to offspring. HGT plays a crucial role in microbial evolution, adaptation, and survival, particularly in shared environments like the human gut.Mobile genetic elements such as plasmids, prophages, integrons, insertion sequences, and transposons facilitate this process. HGT occurs through three primary mechanisms:...


