Anti-synthetase syndrome (AS) is a rare autoimmune disorder characterized by the presence of aminoacyl-transfer RNA synthetase antibodies in conjunction with clinical features such as interstitial lung disease (ILD), Raynaud's phenomenon, nonerosive arthritis, and myopathy. AS distinguishes itself from other inflammatory myopathies by its significant lung involvement and rapidly progressive interstitial lung disease (AS-ILD), therefore the management of AS-ILD requires careful clinical, serologic and radiologic assessment. Glucocorticoids are considered the mainstay of therapy; however, additional immunosuppressive agents are often required to achieve disease control. Patient prognosis is highly dependent on early diagnosis and symptom recognition as the antibody profile is thought to influence therapy response. Since progressive ILD is the leading cause of morbidity and mortality, this review will discuss the clinical approach to patient with suspected AS, with particular emphasis on diagnosis and management of AS-ILD.
Purpose: This literature review investigated the possible association between the use of mobile phones and brain tumors. Methods:In brief, 11 publications were retrieved from JSTOR, PubMed, Google Scholar, and Summon in order to compare the association between the usage of mobile phones in patients with a brain tumor and those without. Papers published in English, and after 2001 were selected for. There was no limit on age, gender, geographical location and type of brain tumor. Results:For regular mobile phone usage, the combined odds ratios (OR) (95% confidence intervals) for three studies was: 1.5 (1.2-1.8); 1.3 (0.95-1.9); and 1.1 (0.8-1.4), respectively. Furthermore, the odds ratio did not increase, regardless of mobile phone use duration. Additionally, Lonn et al. observed that the risk also did not significantly increase when assessing the laterality (ipsilateral or contralateral) of the tumor in relation to side of head used for the mobile phone. Kan et al. observed an OR of 1.22 when comparing analog phone to digital phone use. Conclusion:This review concluded that there is no current association between mobile phone use and the development of brain tumors. Although certain studies speak in favor of an increased risk, many are plagued with either: sampling bias, misclassification bias, or issues concerning risk estimates. Further research needs to be done in order to evaluate the long-term effect of mobile phone usage on the risk of developing a brain tumor.
Purpose: This literature review investigated the possible association between the use of mobile phones and brain tumors. Methods: In brief, 11 publications were retrieved from JSTOR, PubMed, Google Scholar and Summon in order to compare the association between the usage of mobile phones in patients with a brain tumor and those without. Papers published in English, and after 2001 were selected for. There was no limit on age, gender, geographical location and type of brain tumor. Results: For regular mobile phone usage, the combined odds ratios (OR) (95% confidence intervals) for three studies are: 1.5 (1.2-1.8), 1.3 (0.95-1.9), and 1.1 (0.8-1.4), respectively. Furthermore, the odds ratio did not increase, regardless of mobile phone use duration. Additionally, Lonn et al. (2005) observed that the risk also did not significantly increase when assessing the laterality (ipsilateral or contralateral) of the tumor in relation to side of head used for the mobile phone. Kan et al. (2007) observed an OR of 1.22 when comparing analog phone to digital phone use. Conclusion: This review concludes that there is no current association between mobile phone use and the development of brain tumors. Although certain studies speak in favor of an increased risk, many are plagued with either: sampling bias, misclassification bias, or issues concerning risk estimates. Further research needs to be done in order to evaluate the long-term effect of mobile phone usage on the risk of developing a brain tumor.
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