Blue Light

蓝光
  • 文章类型: Journal Article
    世界上约有7%的男性人口与相当大的情况纠缠在一起,这被称为男性不育。光生物调节疗法(PBMT)是低水平激光辐射的应用,最近用于增加或促进各种细胞功能,包括,扩散,分化,ATP生产,基因表达,调节活性氧香料(ROS),并促进组织愈合和减少炎症。本系统综述的主要思想是对PBMT在四个光范围波长(蓝色,绿色,红色,近红外(NIR)对精子细胞特性的影响,在体外和体内。在这项研究中,PubMed,谷歌学者,和Scopus数据库用于2003-2023年发表的摘要和全文科学论文,这些论文报道了PBM在精子细胞上的应用。适用纳入和排除审查的标准。最后,包括了与我们的目标相匹配的研究,机密,并详细报道。此外,搜索的研究被细分为四个范围的光照射的影响,包括蓝光范围(400-500nm),绿光范围(500-600nm),红光范围(600-780nm),以及对人类或动物精子细胞进行激光照射的NIR光范围(780-3000nm),在体外或体内的情况下。搜索我们的关键词会产生137篇论文。经过初步分析,一些文章被排除在外,因为它们是综述文章或不完整且不相关的研究.最后,我们使用63篇文章进行本系统综述。我们的分类表是基于照射的光线范围,精子细胞(人或动物细胞)的来源,并且在体外或体内。6%的出版物报道了蓝色的影响,10%绿色,53%红色和31%近红外,光在精子细胞上。总的来说,大多数研究表明PBMT对精子细胞运动有积极作用。PBMT在不同波长范围内的各种效应,正如这篇评论中提到的,为其在改善精子特性方面的潜在应用提供更多见解。PBMT作为一种治疗方法,对于治疗不同的医学问题具有显著的有效性。由于该领域缺乏报告数据,需要未来的研究来评估PBMT对精子细胞的生化和分子效应,以便在ART过程之前将这种治疗应用于人类精子细胞.
    Around 7% of the male population in the world are entangle with considerable situation which is known as male infertility. Photobiomodulation therapy (PBMT) is the application of low-level laser radiation, that recently used to increase or promote the various cell functions including, proliferation, differentiation, ATP production, gene expressions, regulation of reactive oxygen spices (ROS), and also boost the tissue healing and reduction of inflammation. This systematic review\'s main idea is a comprehensive appraisal of the literatures on subjects of PBMT consequences in four light ranges wavelength (blue, green, red, near-infrared (NIR)) on sperm cell characteristics, in vitro and in vivo. In this study, PubMed, Google Scholar, and Scopus databases were used for abstracts and full-text scientific papers published from 2003-2023 that reported the application of PBM on sperm cells. Criteria\'s for inclusion and exclusion to review were applied. Finally, the studies that matched with our goals were included, classified, and reported in detail. Also, searched studies were subdivided into the effects of four ranges of light irradiation, including the blue light range (400-500 nm), green light range (500-600 nm), red light range (600-780 nm), and NIR light range (780-3000 nm) of laser irradiation on human or animal sperm cells, in situations of in vitro or in vivo. Searches with our keywords results in 137 papers. After primary analysis, some articles were excluded because they were review articles or incomplete and unrelated studies. Finally, we use the 63 articles for this systematic review. Our category tables were based on the light range of irradiation, source of sperm cells (human or animal cells) and being in vitro or in vivo. Six% of publications reported the effects of blue, 10% green, 53% red and 31% NIR, light on sperm cell. In general, most of these studies showed that PBMT exerted a positive effect on the sperm cell motility. The various effects of PBMT in different wavelength ranges, as mentioned in this review, provide more insights for its potential applications in improving sperm characteristics. PBMT as a treatment method has significant effectiveness for treatment of different medical problems. Due to the lack of reporting data in this field, there is a need for future studies to assessment the biochemical and molecular effects of PBMT on sperm cells for the possible application of this treatment to the human sperm cells before the ART process.
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  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    背景:白癜风治疗可能具有挑战性,并表现出不可预测的临床过程。可见光形式的光疗可以在白癜风中实现色素沉着和色素脱失的结果,与最小的相关不良事件。这篇综述的重点是基于可见光的白癜风治疗的机理理解和临床结果。
    方法:从1965年5月至2023年8月从PubMed检索文章,产生496篇独特文章。我们进行了标题,abstract,和全文筛选,以识别描述可见光(380-750nm)使用的文章,作为联合治疗的一部分或作为单一治疗,用于白癜风的色素沉着或脱色治疗。
    结果:27篇文章符合纳入标准,提供关于利用氦-氖激光(红光)和蓝色发光二极管(LED)作为白癜风色素沉着治疗方法的临床前和临床数据。还确定了使用调Q红宝石激光(694nm)和倍频(FD)Nd:YAG激光(532nm)进行白癜风脱色治疗的临床前和临床数据。
    结论:虽然受到小型研究和缺乏标准化光疗管理的限制,可见光治疗白癜风的有效性的证据令人鼓舞。使用He-Ne激光的红光疗法和通过LED的蓝光疗法可以刺激白癜风患者的色素沉着,不良事件最少。调Q红宝石和FDNd:YAG激光器提供可行的,可见光脱色选项,单独或与外用药物。在临床数据有限的情况下,需要更大规模的研究来验证可见光疗法治疗白癜风的疗效,并更好地了解其长期结局.
    BACKGROUND: Vitiligo can be challenging to treat and exhibit an unpredictable clinical course. Phototherapy in the form of visible light can achieve both repigmentation and depigmentation outcomes in vitiligo, with minimal associated adverse events. This review focuses on the mechanistic understandings and clinical outcomes of visible light-based treatments for vitiligo.
    METHODS: Articles were retrieved from PubMed starting from May 1965 until August 2023, yielding 496 unique articles. We conducted title, abstract, and full-text screening to identify articles describing the use of visible light (380-750 nm), either as part of combination therapy or as monotherapy, for repigmentation or depigmentation treatment in vitiligo.
    RESULTS: Twenty-seven articles met inclusion criteria, offering preclinical and clinical data regarding the utilization of helium-neon laser (red light) and blue light-emitting diodes (LEDs) as methods of repigmentation therapy in vitiligo. Preclinical and clinical data on the utilization of Q-switched ruby laser (694 nm) and frequency-doubled (FD) Nd:YAG laser (532 nm) for vitiligo depigmentation therapy were also identified.
    CONCLUSIONS: While limited by small studies and a lack of standardized administration of phototherapy, the evidence for visible light\'s effectiveness in managing vitiligo is encouraging. Red light therapy using He-Ne lasers and blue light therapy via LEDs can stimulate repigmentation in patients with vitiligo with minimal adverse events. Q-switched ruby and FD Nd:YAG lasers provide viable, visible light depigmentation options, either alone or with topical agents. With limited clinical data, larger studies are needed to validate the efficacy of visible light therapy in treating vitiligo and to better understand its long-term outcomes.
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  • 文章类型: Letter
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  • 文章类型: Journal Article
    睡眠-觉醒和昼夜节律周期受光的影响,特别是在可见光谱的短波长部分。大多数个人发光电子设备都富含这种所谓的“蓝光”。晚上接触这些设备会干扰睡眠。睡前减少短波长光照的干预措施可能会减少对睡眠的不利影响。我们进行了系统评价和荟萃分析,以检查佩戴彩色镜片(例如橙色或琥珀色)在夜间睡眠前过滤短波长光线暴露于眼睛的效果。结果是夜间睡眠的自我报告或客观测量。相对较少(k=12)的研究已经完成。研究结果不一致,有些人表现出益处,另一些人没有表现出干预效果。荟萃分析得出了睡眠效率的中小量级组合效应大小(Hedge/sg=0.31;95%CI:-0.05,0.66;I2=38.16%;k=7),和总睡眠时间的中小组合效应大小(Hedge'sg=0.32;95%CI:0.01,0.63;I2=12.07%;k=6)。对于自我报告措施,荟萃分析得出匹兹堡睡眠质量指数评分的组合效应大小很大(Hedge'sg=-1.25;95%CI:-2.39,-0.11;I2=36.35%;k=3),总睡眠时间的组合效应大小中等(Hedge'sg=0.51;95%CI:0.18,0.84;I2=0%;k=3),总的来说,有一些,尽管喜忧参半,有证据表明这种方法可以改善睡眠,尤其是失眠患者,双相情感障碍,睡眠期延迟综合征,或者注意力缺陷多动障碍.考虑到短波长富集光源的无处不在,有必要进行未来的对照研究,以检查这种方法改善睡眠的功效.系统审查注册:PROSPERO2018CRD42018105854。
    The sleep-wake and circadian cycles are influenced by light, particularly in the short-wavelength portion of the visible spectrum. Most personal light-emitting electronic devices are enriched in this so-called \"blue\" light. Exposure to these devices in the evening can disturb sleep. Interventions to reduce short-wavelength light exposure before bedtime may reduce adverse effects on sleep. We conducted a systematic review and meta-analysis to examine the effect of wearing color-tinted lenses (e.g. orange or amber) in frames to filter short-wavelength light exposure to the eye before nocturnal sleep. Outcomes were self-reported or objective measures of nocturnal sleep. Relatively few (k = 12) studies have been done. Study findings were inconsistent, with some showing benefit and others showing no effect of intervention. Meta-analyses yielded a small-to-medium magnitude combined effect size for sleep efficiency (Hedge\'s g = 0.31; 95% CI: -0.05, 0.66; I2 = 38.16%; k = 7), and a small-to-medium combined effect size for total sleep time (Hedge\'s g = 0.32; 95% CI: 0.01, 0.63; I2 = 12.07%; k = 6). For self-report measures, meta-analysis yielded a large magnitude combined effects size for Pittsburgh Sleep Quality Index ratings (Hedge\'s g = -1.25; 95% CI: -2.39, -0.11; I2 = 36.35%; k = 3) and a medium combined effect size for total sleep time (Hedge\'s g = 0.51; 95% CI: 0.18, 0.84; I2 = 0%; k = 3), Overall, there is some, albeit mixed, evidence that this approach can improve sleep, particularly in individuals with insomnia, bipolar disorder, delayed sleep phase syndrome, or attention-deficit hyperactive disorder. Considering the ubiquitousness of short-wavelength-enriched light sources, future controlled studies to examine the efficacy of this approach to improve sleep are warranted. Systematic review registration: PROSPERO 2018 CRD42018105854.
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  • 文章类型: Journal Article
    光是我们生活的一个基本方面,参与调节我们身体的许多过程。虽然蓝光在自然界中一直存在,随着越来越多的电子设备使用短波长(蓝色)光,人类视网膜已经看到了更多的暴露于它。因为它位于可见光谱的高能端,许多作者研究了它对人类视网膜造成的理论有害影响,最近,人体,考虑到固有光敏视网膜神经节细胞的发现和表征。已经探索了许多方法,随着多年来研究经典眼科参数的重点转移,比如视力,以及对电生理测定和光学相干断层扫描中更复杂的对比敏感度。本研究旨在收集最新的相关数据,揭示遇到的陷阱,并为蓝光视网膜暴露的局部和/或全身影响的研究提出了未来的方向。
    Light is a fundamental aspect of our lives, being involved in the regulation of numerous processes in our body. While blue light has always existed in nature, with the ever-growing number of electronic devices that make use of short wavelength (blue) light, the human retina has seen increased exposure to it. Because it is at the high-energy end of the visible spectrum, many authors have investigated the theoretical harmful effects that it poses to the human retina and, more recently, the human body, given the discovery and characterization of the intrinsically photosensitive retinal ganglion cells. Many approaches have been explored, with the focus shifting throughout the years from examining classic ophthalmological parameters, such as visual acuity, and contrast sensitivity to more complex ones seen on electrophysiological assays and optical coherence tomographies. The current study aims to gather the most recent relevant data, reveal encountered pitfalls, and suggest future directions for studies regarding local and/or systemic effects of blue light retinal exposures.
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  • 文章类型: Journal Article
    背景:光生物调节包括通过照射光诱导愈合。本范围审查调查了蓝光对愈合过程的影响。
    方法:MEDLINE,WebofScience,Scopus,和CINAHL数据库进行了搜索。两名审阅者独立检查了搜索结果,并从所包括的研究中提取了数据。进行了描述性分析。
    结果:包括22篇文章。研究被归类为体外/混合,临床前,和临床。在大多数体外/临床前研究中,使用的功率密度为10-680mW/cm2,辐照时间为5s至10min,并使用不同的波长和能量密度。在临床研究中,波长范围从405到470nm,能量密度从1.5到30J/cm2不等。
    结论:低能量密度(<20J/cm2)能够刺激参与愈合的不同细胞类型和蛋白质,虽然能量密度很高,20.6-50J/cm2,显著降低细胞增殖,迁移,和新陈代谢。研究中有各种各样的设备参数,这使得很难得出最好的技术规格是什么。因此,应进行进一步的研究,以定义适当的参数的光使用。
    BACKGROUND: Photobiomodulation consists of inducing healing by irradiating light. This scoping review investigates the effect of blue light on the healing process.
    METHODS: The MEDLINE, Web of Science, Scopus, and CINAHL databases were searched. Two reviewers independently examined the search results and extracted data from the included studies. A descriptive analysis was performed.
    RESULTS: Twenty-two articles were included. Studies were categorized as in vitro/mixed, preclinical, and clinical. The power density used was 10-680 mW/cm2 in most of the in vitro/preclinical studies, the irradiation time ranged from 5 s to 10 min, and different wavelengths and energy densities were used. In clinical studies, the wavelength ranged from 405 to 470 nm, and the energy density varied from 1.5 to 30 J/cm2.
    CONCLUSIONS: A low energy density (<20 J/cm2) was able to stimulate the different cell types and proteins involved in healing, while a high energy density, 20.6-50 J/cm2, significantly reduced cell proliferation, migration, and metabolism. There is a great variety of device parameters among studies, and this makes it difficult to conclude what the best technical specifications are. Thus, further studies should be performed in order to define the appropriate parameters of light to be used.
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  • 文章类型: Journal Article
    背景:自从发光二极管(LED)和,近年来,数字设备的扩散富含蓝光。这引发了一些关于其对眼睛健康的潜在有害影响的问题。这篇叙述性综述的目的是提供有关蓝光的眼部影响的最新信息,并讨论针对潜在的蓝光引起的眼外伤的保护和预防方法的效率。
    方法:在PubMed中搜索相关英文文章,Medline,和谷歌学术数据库,直到2022年12月。
    结果:蓝光照射会引起大多数眼组织的光化学反应,特别是角膜,镜头,和视网膜.体外和体内研究表明,某些暴露于蓝光(取决于波长或强度)会对眼睛的某些结构造成暂时或永久的损害,尤其是视网膜.然而,目前,没有证据表明屏幕使用和正常使用的LED对人类视网膜有害。关于保护,目前没有证据表明蓝色阻挡镜片对预防眼部疾病有有益作用,特别是年龄相关性黄斑变性(AMD)。在人类中,黄斑色素(由叶黄素和玉米黄质组成)通过过滤蓝光代表自然保护,并且可以通过增加食物或食物补充剂的摄入量来增加。这些营养素与AMD和白内障的较低风险相关。抗氧化剂如维生素C,E,或锌也可能有助于通过防止氧化应激来预防光化学眼部损伤。
    结论:目前,没有证据表明在家用强度水平或屏幕设备中正常使用的LED对人眼有视网膜毒性。然而,长期累积暴露的潜在毒性和剂量-反应效应目前尚不清楚.
    BACKGROUND: Exposure to blue light has seriously increased in our environment since the arrival of light emitting diodes (LEDs) and, in recent years, the proliferation of digital devices rich in blue light. This raises some questions about its potential deleterious effects on eye health. The aim of this narrative review is to provide an update on the ocular effects of blue light and to discuss the efficiency of methods of protection and prevention against potential blue light-induced ocular injury.
    METHODS: The search of relevant English articles was conducted in PubMed, Medline, and Google Scholar databases until December 2022.
    RESULTS: Blue light exposure provokes photochemical reactions in most eye tissues, in particular the cornea, the lens, and the retina. In vitro and in vivo studies have shown that certain exposures to blue light (depending on the wavelength or intensity) can cause temporary or permanent damage to some structures of the eye, especially the retina. However, currently, there is no evidence that screen use and LEDs in normal use are deleterious to the human retina. Regarding protection, there is currently no evidence of a beneficial effect of blue blocking lenses for the prevention of eye diseases, in particular age-related macular degeneration (AMD). In humans, macular pigments (composed of lutein and zeaxanthin) represent a natural protection by filtering blue light, and can be increased through increased intake from foods or food supplements. These nutrients are associated with lower risk for AMD and cataract. Antioxidants such as vitamins C, E, or zinc might also contribute to the prevention of photochemical ocular damage by preventing oxidative stress.
    CONCLUSIONS: Currently, there is no evidence that LEDs in normal use at domestic intensity levels or in screen devices are retinotoxic to the human eye. However, the potential toxicity of long-term cumulative exposure and the dose-response effect are currently unknown.
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  • 文章类型: Systematic Review
    可见光的生物效应,尤其是蓝光,已经建立了代表阳光的剂量和辐照度。最近的研究调查了来自电子屏幕设备的蓝光(BL)的影响;然而,目前尚不清楚证据是否可以推广到现实生活中。本系统评价的目的是使用健康评估和翻译办公室(OHAT)建立的框架,评估有关电子设备发出的BL对人体皮肤的临床影响的可用证据。OvidMEDLINE的两名馆员进行了系统的文献检索,Embase.com,和WebofScience从1946年到2022年3月发表的相关文章。包括研究来自电子设备的BL对皮肤的影响的体外和体内研究。从数据库搜索收集的87篇文章和引文搜索确定的1篇文章中,只有9项符合纳入标准(6项体外研究和3项体内研究).具有最高证据等级的人类和动物文献被认为具有机械数据,以使用OHAT方案为每个结果类别形成五个人类危害识别之一:(1)已知,(2)推定,(3)怀疑,(4)不可分类,或(5)未发现对人类有危害。基于文献的证据整合并未将暴露于来自电子设备的BL作为对皮肤色素沉着的危害,发红,黄色,或黄褐斑恶化。来自电子设备的BL暴露未被归类为皮肤光老化危险。在大多数纳入研究中,对代表性暴露特征的低置信度导致高OHAT偏见风险评级。虽然这些结论适用于有限的现有数据,需要更多具有高置信度证据的未来研究来验证和加强危险识别结论.
    The biologic effects of visible light, particularly blue light, on the skin at doses and irradiances representative of sunlight have been established. Recent research studies investigated the effects of blue light (BL) from electronic screen devices; however, it is unclear if the evidence can be generalized to real life. The aim of this systematic review was to evaluate available evidence regarding clinical effects of BL emitted from electronic devices on human skin using the framework established by the Office of Health Assessment and Translation (OHAT). A systematic literature search was conducted by two librarians in Ovid MEDLINE, Embase.com, and Web of Science for relevant articles published from 1946 to March 2022. In vitro and in vivo studies that investigated the effects of BL from electronic devices on skin were included. From the 87 articles gathered from database searches and 1 article identified from citation search, only 9 met the inclusion criteria (6 in vitro and 3 in vivo studies). Human and animal literature with the highest level of evidence ratings were considered with mechanistic data to form one of five human hazard identifications for each outcome category using the OHAT protocol: (1) known, (2) presumed, (3) suspected, (4) not classifiable, or (5) not identified to be a hazard to humans. Literature-based evidence integration did not identify exposure to BL from electronic devices as a hazard to skin pigmentation, redness, yellowness, or melasma exacerbation. Exposure to BL from electronic devices was not classified as a skin photoaging hazard. Low confidence in representative exposure characterization drove high OHAT risk-of-bias ratings for the majority of included studies. While these conclusions hold true for the limited existing data, a larger number of future studies with high-confidence evidence are needed to verify and strengthen hazard identification conclusions.
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  • 文章类型: Journal Article
    褪黑素已经成为一种流行的膳食补充剂,最著名的是时间生物学,以及建立健康的睡眠。过去十年来对癌症的研究,老年痴呆症,多发性硬化症,生育力,PCOS,和许多其他条件,再加上COVID-19大流行,由于褪黑激素作为一种有效的抗氧化剂的能力,免疫活性剂,和线粒体调节剂。褪黑激素和维生素D在对健康影响的深度和广度上有明显的相似之处。两者都像荷尔蒙一样,通过它们的免疫调节影响多个系统,抗炎功能,在皮肤中发现,对阳光和黑暗有反应。事实上,维生素D缺乏作为“阳光缺乏”的广泛关注与由于过度暴露于人造蓝光而导致的“黑暗缺乏”导致的褪黑激素分泌减少之间可能存在相似之处。更多使用褪黑激素补充剂的趋势导致人们对其安全性的担忧,尤其是更高的剂量,长期使用,以及在某些群体中的应用(例如,children).这篇综述旨在评估褪黑激素机制的最新数据,它的临床用途超越睡眠,安全问题,以及关于膳食补充的治疗考虑的全面总结,包括可用的不同格式(动物,合成,和植物褪黑素),给药,定时,禁忌症,和营养组合。
    Melatonin has become a popular dietary supplement, most known as a chronobiotic, and for establishing healthy sleep. Research over the last decade into cancer, Alzheimer\'s disease, multiple sclerosis, fertility, PCOS, and many other conditions, combined with the COVID-19 pandemic, has led to greater awareness of melatonin because of its ability to act as a potent antioxidant, immune-active agent, and mitochondrial regulator. There are distinct similarities between melatonin and vitamin D in the depth and breadth of their impact on health. Both act as hormones, affect multiple systems through their immune-modulating, anti-inflammatory functions, are found in the skin, and are responsive to sunlight and darkness. In fact, there may be similarities between the widespread concern about vitamin D deficiency as a \"sunlight deficiency\" and reduced melatonin secretion as a result of \"darkness deficiency\" from overexposure to artificial blue light. The trend toward greater use of melatonin supplements has resulted in concern about its safety, especially higher doses, long-term use, and application in certain populations (e.g., children). This review aims to evaluate the recent data on melatonin\'s mechanisms, its clinical uses beyond sleep, safety concerns, and a thorough summary of therapeutic considerations concerning dietary supplementation, including the different formats available (animal, synthetic, and phytomelatonin), dosing, timing, contraindications, and nutrient combinations.
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