PTT

PTT
  • 文章类型: Journal Article
    根据世界卫生组织(WHO)和国际癌症研究机构(IARC),预计到2030年,全球癌症病例和死亡人数将增加近一倍,达到2170万病例和1300万人死亡。癌症死亡率的增加是由于目前可用的诊断和治疗选择的局限性。诊断和医学之间的密切关系使癌症患者能够接受精确的诊断和个性化护理。本文讨论了新开发的具有光动力疗法和诊断应用潜力的化合物,以及那些已经在使用的。此外,它讨论了人工智能在分析使用获得的诊断图像中的使用,除其他外,治疗医生。
    According to the World Health Organization (WHO) and the International Agency for Research on Cancer (IARC), the number of cancer cases and deaths worldwide is predicted to nearly double by 2030, reaching 21.7 million cases and 13 million fatalities. The increase in cancer mortality is due to limitations in the diagnosis and treatment options that are currently available. The close relationship between diagnostics and medicine has made it possible for cancer patients to receive precise diagnoses and individualized care. This article discusses newly developed compounds with potential for photodynamic therapy and diagnostic applications, as well as those already in use. In addition, it discusses the use of artificial intelligence in the analysis of diagnostic images obtained using, among other things, theranostic agents.
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  • 文章类型: Journal Article
    恶性骨肿瘤会对受影响的骨骼造成重大损害,让患者与残留的肿瘤细胞等问题作斗争,骨缺损,手术后细菌感染.然而,羟基磷灰石纳米颗粒(nHAp),天然骨骼的主要无机成分,具有许多优点,如高度的生物相容性,骨传导能力,和大的表面积。此外,nHAp的纳米级粒径使其能够通过多种途径阻碍各种肿瘤细胞的生长。本文对过去20年有关nHAp和骨肿瘤的相关文献进行了全面回顾。主要目标是探索nHAp阻碍肿瘤启动和进展的机制。以及探讨整合其他药物和成分用于骨肿瘤诊断和治疗的潜力。最后,本文讨论了羟基磷灰石材料作为一种有希望的肿瘤治疗方式的发展前景。
    Malignant bone tumors can inflict significant damage to affected bones, leaving patients to contend with issues like residual tumor cells, bone defects, and bacterial infections post-surgery. However, hydroxyapatite nanoparticles (nHAp), the principal inorganic constituent of natural bone, possess numerous advantages such as high biocompatibility, bone conduction ability, and a large surface area. Moreover, nHAp\'s nanoscale particle size enables it to impede the growth of various tumor cells via diverse pathways. This article presents a comprehensive review of relevant literature spanning the past 2 decades concerning nHAp and bone tumors. The primary goal is to explore the mechanisms responsible for nHAp\'s ability to hinder tumor initiation and progression, as well as to investigate the potential of integrating other drugs and components for bone tumor diagnosis and treatment. Lastly, the article discusses future prospects for the development of hydroxyapatite materials as a promising modality for tumor therapy.
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  • 文章类型: Systematic Review
    在眼部感染中,沙眼是失明的主要原因。反复的结膜沙眼衣原体感染导致倒车灯,角膜混浊,和视力障碍。通常需要手术来缓解不适和保护视力;然而,在各种环境中观察到高的术后沙眼倒车灯(PTT)率。我们想知道为什么,PTT率是否可以降低,以及如何管理发生的PTT。我们进行了文献搜索。在筛选的217篇论文中,59项研究被确定为潜在相关的研究,大多数因不直接涉及人类PTT而被排除在外。预防PTT是一项重大挑战。只有一个公开的审判,埃塞俄比亚的STAR审判,据报道,手术后一年的累计PTT率<10%。关于PTT管理的文献很少。虽然没有PTT管理指南,对于PTT患者而言,高质量的手术且不良结局率低,很可能需要对少数技术熟练的外科医生进行强化手术培训.根据手术的复杂性和作者自己的经验,应进一步研究PTT患者的途径以改善。
    Among ocular infections, trachoma is the main cause of blindness. Repeated conjunctival Chlamydia trachomatis infections lead to trichiasis, corneal opacification, and visual impairment. Surgery is often needed to relieve discomfort and preserve vision; however, a high postoperative trachomatous trichiasis (PTT) rate has been observed in various settings. We wanted to know why, whether PTT rates could be reduced, and how to manage the PTT that occurs. We performed a search of the literature. Of 217 papers screened, 59 studies were identified for inclusion as potentially relevant, the majority having been excluded for not directly concerning PTT in humans. Preventing PTT is a major challenge. Only one published trial, the STAR trial in Ethiopia, has reported a cumulative PTT rate <10% one year after surgery. The literature on the management of PTT is sparse. Though no PTT management guidelines are available, high-quality surgery with a low rate of unfavorable outcomes for PTT patients is likely to require enhanced training of a smaller group of highly-skilled surgeons. Based on the surgical complexity and the authors\' own experience, the pathway for patients suffering from PTT should be studied further for improvement.
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  • 文章类型: Journal Article
    尽管癌症患者的生存率显著提高,骨癌的完全治愈仍然是一个棘手的临床挑战。传统的骨肿瘤手术切除效果不理想,这不可避免地导致骨缺损和不可避免的残留肿瘤细胞。为了实现最小的侵入性和局部疗效,近红外光照射下的光热疗法(PTT)在消融肿瘤方面取得了广泛的进展,和各种用于治疗骨肿瘤的光热治疗剂(PTAs)在过去几年中已被报道,为了突破PTT缺乏的限制,已经并且倾向于关注用PTAs修饰的成骨生物支架,成骨能力。这些所谓的双功能支架同时消融骨肿瘤并在骨缺损处产生新的组织。本文综述了各种双功能支架的最新应用进展,并提出了双功能支架在肿瘤治疗和骨再生方面的一些实际限制和未来前景:一箭双雕。
    Despite the significant improvement in the survival rate of cancer patients, the total cure of bone cancer is still a knotty clinical challenge. Traditional surgical resectionof bone tumors is less than satisfactory, which inevitably results in bone defects and the inevitable residual tumor cells. For the purpose of realizing minimal invasiveness and local curative effects, photothermal therapy (PTT) under the irradiation of near-infrared light has made extensive progress in ablating tumors, and various photothermal therapeutic agents (PTAs) for the treatment of bone tumors have thus been reported in the past few years, has and have tended to focus on osteogenic bio-scaffolds modified with PTAs in order to break through the limitation that PTT lacks, osteogenic capacity. These so-called bifunctional scaffolds simultaneously ablate bone tumors and generate new tissues at the bone defects. This review summarizes the recent application progress of various bifunctional scaffolds and puts forward some practical constraints and future perspectives on bifunctional scaffolds for tumor therapy and bone regeneration: two hawks with one arrow.
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  • 文章类型: Journal Article
    With high level of morbidity and mortality, tumor is one of the deadliest diseases worldwide. Aiming to tackle tumor, researchers have developed a lot of strategies. Among these strategies, the minimally invasive therapy (MIT) is very promising, for its capability of targeting tumor cells and resulting in a small incision or no incisions. In this review, we will first illustrate some mechanisms and characteristics of tumor metastasis from the primary tumor to the secondary tumor foci. Then, we will briefly introduce the history, characteristics, and advantages of some of the MITs. Finally, emphasis will be, respectively, focused on an overview of the state-of-the-art of the HIFU-, PDT-, PTT-and SDT-based anti-tumor strategies on each stage of tumor metastasis.
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  • 文章类型: Journal Article
    BACKGROUND: With the development of nanomaterials, nanoparticle-based therapeutics have found increasing application in various fields, including clinical and basic medicine. Real-time monitoring of nanoparticle-based therapeutics is considered critical to both pharmacology and pharmacokinetics.
    METHODS: In this review, we discuss the different methods of real-time monitoring of nanoparticle-based therapeutics comprising different types of nanoparticle carriers, such as metal nanoparticles, inorganic nonmetallic nanoparticles, biodegradable polymer nanoparticles, and biological nanoparticles.
    RESULTS: In the light of examples and analyses, we conclude that the methods of analysis of the four types of nanoparticle carriers are commonly used methods and mostly not necessary. Under most circumstances, real-time monitoring differs according to nanoparticle type, drugs, diseases, and surroundings.
    CONCLUSIONS: With technology development and advanced researches, there have been increasing measures to track the real-time changes in nanoparticles, and this has led to great progress in pharmacology and therapeutics. However, future studies are warranted to determine the accuracy, applicability, and practicability of different technologies.
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  • 文章类型: Journal Article
    无创连续血压(BP)测量已成为远程医疗保健领域中不断发展的主题。经典的无创BP测量技术可提供收缩压和舒张压的自发值。另一方面,侵入式BP测量技术提供了收缩压和舒张压的连续值。然而,这些技术非常痛苦,不能用于长期监测,并且只能在重症监护病房环境中获得。随着远程医疗行业的发展,无创连续BP监测的需求不断增长。
    本研究的目的是提供有关无创连续BP测量技术的各种前瞻性方法的紧凑文献综述。
    无创连续BP测量的最现代和最先进的技术是触觉传感,血管卸载技术,脉冲传输时间,光电容积描记术,基于超声的BP测量,来自图像处理的BP测量,等。在EMBASE中进行了基于这些技术的文献检索,WebofScience,IEEE,PubMed,和OvidMEDLINE数据库。在这项研究中,使用以下标准对每种选择的方法进行了评估和表征:(1)准确性;(2)成本;(3)便携性;(4)使用的舒适性和便利性;(5)临床健康和安全性;(6)与远程医疗保健系统的集成能力.
    进行了详细的技术分析,以确定在上述参数的背景下每种技术的优点和局限性。据观察,BP测量,使用光电体积描记术(使用相机或传感器或两者),也许是最有前途的技术。
    这项研究强调了这样一个事实,即非侵入性,连续BP测量技术需要进一步发展以使其可靠,准确,和用户友好。最后,讨论了朝着更可靠,更舒适的无创连续BP测量技术的可能方向。
    Noninvasive continuous blood pressure (BP) measurement has become an evolving topic in the field of remote healthcare. The classical noninvasive BP measurement techniques provide spontaneous values of systolic and diastolic BP. On the other hand, intrusive type BP measurement techniques provide continuous values of systolic and diastolic BP. However, these techniques are very painful, cannot be used for long-term monitoring, and are obtainable only in an intensive care unit environment. With the advancement of the remote healthcare industry, there is a growing demand for noninvasive continuous BP monitoring.
    The objective of this research was to present a compact literature review on the various prospective approaches of noninvasive continuous BP measurement techniques.
    The most contemporary and advanced technologies on noninvasive continuous BP measurement are Tactile Sensing, Vascular Unloading Technique, Pulse Transit Time, Photoplethysmography, Ultrasound-based BP measurement, BP measurement from image processing, etc. The literature search based on these technologies was conducted in EMBASE, Web of Science, IEEE, PubMed, and Ovid MEDLINE databases. In this study, each selected approach was evaluated and characterized using the following criteria: (1) accuracy; (2) cost; (3) portability; (4) comfort and convenience of use; (5) clinical health and safety; and (6) ability to integrate with the remote healthcare system.
    A detailed technical analysis was done to determine the advantages and limitations of each technique in the context of the abovementioned parameters. It was observed that BP measurement, using photoplethysmography (using camera or sensor or both), perhaps was the most promising technique among all.
    The study emphasized the fact that the noninvasive, continuous BP measurement technique needs to evolve further to make it reliable, accurate, and user-friendly. Lastly, a possible direction toward a more reliable and comfortable noninvasive continuous BP measurement technique has been discussed.
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