disease

帕金森病
  • 文章类型: Journal Article
    使用理发店干预措施的基于社区的参与式研究(CBPR)是解决健康差异和促进健康公平的新兴方法。理发店是值得信赖的健康教育社区环境,筛选服务,和转介。这篇叙述性小型评论概述了有关使用理发店干预措施的CBPR的当前知识状态,并探讨了大数据参与增强这种方法在抗击慢性病方面的影响和影响的潜力。使用理发店干预的CBPR在降低黑人男性的血压和提高糖尿病意识和自我管理方面显示出可喜的结果。通过提高检测率和促进预防行为,理发店的干预措施已经成功地解决了传染病,包括HIV和COVID-19。理发店在促进癌症筛查和提高对癌症风险的认识方面也发挥了作用,即前列腺癌和结直肠癌。Further,利用理发师和客户之间的信任关系,理发店的心理健康促进和预防工作取得了成功。大数据参与理发店慢性病管理干预的潜力为有针对性的计划提供了新的机会,实时监控,和个性化的方法。然而,关于隐私的伦理考虑,保密性,和数据所有权需要小心处理。为了最大限度地发挥理发店干预的影响,挑战,如理发师的培训和资源提供,干预的文化适宜性,可持续性和可扩展性必须解决。需要进一步的研究来评估长期影响,成本效益,和实施的最佳实践。总的来说,理发店有潜力成为解决长期健康差距和促进健康公平的关键合作伙伴。
    Community-based participatory research (CBPR) using barbershop interventions is an emerging approach to address health disparities and promote health equity. Barbershops serve as trusted community settings for health education, screening services, and referrals. This narrative mini-review provides an overview of the current state of knowledge regarding CBPR employing barbershop interventions and explores the potential for big data involvement to enhance the impact and reach of this approach in combating chronic disease. CBPR using barbershop interventions has shown promising results in reducing blood pressure among Black men and improving diabetes awareness and self-management. By increasing testing rates and promoting preventive behaviors, barbershop interventions have been successful in addressing infectious diseases, including HIV and COVID-19. Barbershops have also played roles in promoting cancer screening and increasing awareness of cancer risks, namely prostate cancer and colorectal cancer. Further, leveraging the trusted relationships between barbers and their clients, mental health promotion and prevention efforts have been successful in barbershops. The potential for big data involvement in barbershop interventions for chronic disease management offers new opportunities for targeted programs, real-time monitoring, and personalized approaches. However, ethical considerations regarding privacy, confidentiality, and data ownership need to be carefully addressed. To maximize the impact of barbershop interventions, challenges such as training and resource provision for barbers, cultural appropriateness of interventions, sustainability, and scalability must be addressed. Further research is needed to evaluate long-term impact, cost-effectiveness, and best practices for implementation. Overall, barbershops have the potential to serve as key partners in addressing chronic health disparities and promoting health equity.
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  • 文章类型: Journal Article
    内质网(ER)是一种细胞内细胞器,有助于蛋白质的折叠和钙稳态。许多元素可以破坏它的功能,导致内质网内腔中展开或错误折叠的蛋白质积累,一种被称为ER压力的条件。这种现象可以通过激活细胞凋亡和炎症来触发细胞死亡。葡萄糖苷(GRA)是在十字花科蔬菜中发现的主要芥子油苷。各种机械和生化过程激活黑芥子酶,导致胰高血糖素水解为生物活性化合物萝卜硫烷。萝卜硫烷是属于异硫氰酸酯基团的有机硫化合物。它具有广泛的活性,并显示出显着的潜力作为一种抗炎,抗氧化剂,抗肿瘤,和抗血管生成物质。此外,萝卜硫烷抗氧化,已被证明具有低毒性,并且在个人中被认为是可以忍受的。这些特性使其成为用于研究目的的有价值的天然膳食补充剂。萝卜硫素已被证明是管理一系列疾病的潜在候选药物分子,主要是因为它强大的抗氧化剂,抗炎,和抗凋亡特性,这可以通过调节内质网应激途径来介导。本综述旨在涵盖大量数据,支持萝卜硫素的广泛保护功能,改善各种疾病,比如心血管,中枢神经系统,肝脏,眼睛,和生殖疾病,以及糖尿病,癌症,胃肠炎,和骨关节炎,通过改善体内和体外研究中的内质网应激。
    The endoplasmic reticulum (ER) is an intracellular organelle that contributes to the folding of proteins and calcium homeostasis. Numerous elements can disrupt its function, leading to the accumulation of proteins that are unfolded or misfolded in the lumen of the ER, a condition that is known as ER stress. This phenomenon can trigger cell death through the activation of apoptosis and inflammation. Glucoraphanin (GRA) is the predominant glucosinolate found in cruciferous vegetables. Various mechanical and biochemical processes activate the enzyme myrosinase, leading to the hydrolysis of glucoraphanin into the bioactive compound sulforaphane. Sulforaphane is an organosulfur compound that belongs to the isothiocyanate group. It possesses a wide range of activities and has shown remarkable potential as an anti-inflammatory, antioxidant, antitumor, and anti-angiogenic substance. Additionally, sulforaphane is resistant to oxidation, has been demonstrated to have low toxicity, and is considered well-tolerable in individuals. These properties make it a valuable natural dietary supplement for research purposes. Sulforaphane has been demonstrated as a potential candidate drug molecule for managing a range of diseases, primarily because of its potent antioxidant, anti-inflammatory, and anti-apoptotic properties, which can be mediated by modulation of ER stress pathways. This review seeks to cover a wealth of data supporting the broad range of protective functions of sulforaphane, improving various diseases, such as cardiovascular, central nervous system, liver, eye, and reproductive diseases, as well as diabetes, cancer, gastroenteritis, and osteoarthritis, through the amelioration of ER stress in both in vivo and in vitro studies.
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  • 文章类型: Journal Article
    在过去的十年里,肠道类器官技术为体外复制肠道生理过程中的组织或器官形态发生以及研究各种肠道疾病的发病机理铺平了道路。肠道类器官在药物筛选中受到青睐,因为它们具有高通量体外培养的能力,并且与患者的遗传特征更相似。此外,作为疾病模型,肠道类器官在筛选诊断标志物方面有广泛的应用,确定治疗目标,探索疾病的表观遗传机制。此外,作为一个可移植的细胞系统,在溃疡性结肠炎和短肠综合征等疾病中,类器官在受损上皮的重建中发挥了重要作用,以及肠道物质交换和代谢功能恢复。跨学科方法的兴起,包括类器官芯片技术,基因组编辑技术,和微流体,大大加速了类器官的发展。在这次审查中,首先使用VOSviewer软件可视化肠道类器官的热合被引期刊和关键词趋势。随后,我们总结了目前肠道类器官技术在疾病建模中的应用,药物筛选,和再生医学。这将加深我们对肠道类器官的理解,并进一步探索肠道的生理机制和肠道疾病的药物开发。
    In the past decade, intestinal organoid technology has paved the way for reproducing tissue or organ morphogenesis during intestinal physiological processes in vitro and studying the pathogenesis of various intestinal diseases. Intestinal organoids are favored in drug screening due to their ability for high-throughput in vitro cultivation and their closer resemblance to patient genetic characteristics. Furthermore, as disease models, intestinal organoids find wide applications in screening diagnostic markers, identifying therapeutic targets, and exploring epigenetic mechanisms of diseases. Additionally, as a transplantable cellular system, organoids have played a significant role in the reconstruction of damaged epithelium in conditions such as ulcerative colitis and short bowel syndrome, as well as in intestinal material exchange and metabolic function restoration. The rise of interdisciplinary approaches, including organoid-on-chip technology, genome editing techniques, and microfluidics, has greatly accelerated the development of organoids. In this review, VOSviewer software is used to visualize hot co-cited journal and keywords trends of intestinal organoid firstly. Subsequently, we have summarized the current applications of intestinal organoid technology in disease modeling, drug screening, and regenerative medicine. This will deepen our understanding of intestinal organoids and further explore the physiological mechanisms of the intestine and drug development for intestinal diseases.
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  • 文章类型: Journal Article
    巨自噬(以下称为自噬)是一种进化上保守的细胞过程,长期以来一直被认为是维持细胞稳态的细胞内机制。它涉及一种称为自噬体的膜状结构的形成,它将包括有毒蛋白质聚集体和功能失调的细胞器在内的货物运送到溶酶体进行降解和回收。自噬主要被认为是一种细胞自主机制。然而,最近的研究揭示了自噬的一个被低估的方面,即,非自主调节的自噬。非自主调节的自噬涉及自噬成分的降解,包括细胞器,cargo,和信号分子,并且在邻近细胞中由来自原代相邻或远处细胞/组织/器官的信号诱导。这篇综述提供了有关非自主调节自噬的复杂分子机制的见解。突出组织/器官内细胞或不同组织/器官中不同细胞类型之间的动态相互作用。重点放在包括分泌分子的细胞间通讯模式上,包括microRNA,以及它们在协调这一现象中的调节作用。此外,我们探讨了非自主调节的自噬在各种生理环境中的多维作用,跨越组织发育和衰老,以及它在不同病理条件下的重要性,包括癌症和神经变性.通过研究非自主调节的自噬的复杂性,我们希望深入了解多细胞生物体内复杂的细胞间动力学,包括哺乳动物。这些研究将揭示治疗干预以调节改变的人类生理学中的细胞间自噬途径的新途径。
    Macro-autophagy (autophagy hereafter) is an evolutionarily conserved cellular process that has long been recognized as an intracellular mechanism for maintaining cellular homeostasis. It involves the formation of a membraned structure called the autophagosome, which carries cargo that includes toxic protein aggregates and dysfunctional organelles to the lysosome for degradation and recycling. Autophagy is primarily considered and studied as a cell-autonomous mechanism. However, recent studies have illuminated an underappreciated facet of autophagy, i.e., non-autonomously regulated autophagy. Non-autonomously regulated autophagy involves the degradation of autophagic components, including organelles, cargo, and signaling molecules, and is induced in neighboring cells by signals from primary adjacent or distant cells/tissues/organs. This review provides insight into the complex molecular mechanisms governing non-autonomously regulated autophagy, highlighting the dynamic interplay between cells within tissue/organ or distinct cell types in different tissues/organs. Emphasis is placed on modes of intercellular communication that include secreted molecules, including microRNAs, and their regulatory roles in orchestrating this phenomenon. Furthermore, we explore the multidimensional roles of non-autonomously regulated autophagy in various physiological contexts, spanning tissue development and aging, as well as its importance in diverse pathological conditions, including cancer and neurodegeneration. By studying the complexities of non-autonomously regulated autophagy, we hope to gain insights into the sophisticated intercellular dynamics within multicellular organisms, including mammals. These studies will uncover novel avenues for therapeutic intervention to modulate intercellular autophagic pathways in altered human physiology.
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  • 文章类型: Journal Article
    非编码RNA(ncRNA)是不翻译成蛋白质的各种转录物的集合。自从他们发现,ncRNAs作为跨不同细胞类型和组织的各种生物学功能的关键调节因子,它们的异常功能与疾病有关。值得注意的是,广泛的研究集中在microRNAs(miRNAs)与人类癌症之间的关系,尽管其他类型的ncRNAs,例如长链非编码RNA(lncRNA)和环状RNA(circRNA),也正在成为人类疾病的重要贡献者。在这次审查中,我们提供了我们目前关于miRNA作用的知识的全面总结,lncRNAs,和circRNAs在癌症和其他主要人类疾病中,特别是癌症,心血管,神经学,和传染病。此外,我们讨论了ncRNAs作为疾病生物标志物和治疗干预靶点的潜在用途。
    Non-coding RNAs (ncRNAs) are an assorted collection of transcripts that are not translated into proteins. Since their discovery, ncRNAs have gained prominence as crucial regulators of various biological functions across diverse cell types and tissues, and their abnormal functioning has been implicated in disease. Notably, extensive research has focused on the relationship between microRNAs (miRNAs) and human cancers, although other types of ncRNAs, such as long non-coding RNAs (lncRNAs) and circular RNAs (circRNAs), are also emerging as significant contributors to human disease. In this review, we provide a comprehensive summary of our current knowledge regarding the roles of miRNAs, lncRNAs, and circRNAs in cancer and other major human diseases, particularly cancer, cardiovascular, neurological, and infectious diseases. Moreover, we discuss the potential utilization of ncRNAs as disease biomarkers and as targets for therapeutic interventions.
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  • 文章类型: Journal Article
    背景:已显示各种医疗状况和用于治疗它们的药物会阻碍或使牙科植入物手术复杂化。仔细监测全身性疾病患者的医疗状况和潜在的术后并发症至关重要,尤其是老年患者,将可能出现的健康并发症的风险降至最低。
    目的:本研究的目的是回顾有关全身性疾病患者种植牙的可行性的现有证据,并提供实用建议,以在相应的患者人群中达到最佳效果。
    方法:我们的研究信息是使用PubMed的数据汇编的,Scopus,WebofScience和GoogleScholar数据库,并分别搜索了我们工作中包含的每种全身性疾病,直到2023年10月。还进行了额外的手动搜索以增加搜索灵敏度。只包括英文出版物,并根据标题进行评估,摘要和全文。
    结果:总计,发现了6784项研究。检查重复项和全文可用性后,筛选纳入标准并手动搜索参考名单,本研究仍有570篇文章有待考虑。
    结论:在治疗患有全身性疾病的患者时,成本效益分析应考虑患者的生活质量和预期寿命.牙科植入物的成功很大程度上取决于确保适当的维持治疗,理想的口腔卫生标准,不吸烟,避免其他危险因素。在全身性疾病的情况下,牙科植入物的适应症和禁忌症尚待进一步了解;需要进行更广泛和核心的研究,以建立指南基础。
    BACKGROUND: Various medical conditions and the drugs used to treat them have been shown to impede or complicate dental implant surgery. It is crucial to carefully monitor the medical status and potential post-operative complications of patients with systemic diseases, particularly elderly patients, to minimize the risk of health complications that may arise.
    OBJECTIVE: The purpose of this study was to review the existing evidence on the viability of dental implants in patients with systemic diseases and to provide practical recommendations to achieve the best possible results in the corresponding patient population.
    METHODS: The information for our study was compiled using data from PubMed, Scopus, Web of Science and Google Scholar databases and searched separately for each systemic disease included in our work until October 2023. An additional manual search was also performed to increase the search sensitivity. Only English-language publications were included and assessed according to titles, abstracts and full texts.
    RESULTS: In total, 6784 studies were found. After checking for duplicates and full-text availability, screening for the inclusion criteria and manually searching reference lists, 570 articles remained to be considered in this study.
    CONCLUSIONS: In treating patients with systemic conditions, the cost-benefit analysis should consider the patient\'s quality of life and expected lifespan. The success of dental implants depends heavily on ensuring appropriate maintenance therapy, ideal oral hygiene standards, no smoking and avoiding other risk factors. Indications and contraindications for dental implants in cases of systemic diseases are yet to be more understood; broader and hardcore research needs to be done for a guideline foundation.
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  • 文章类型: Journal Article
    本综述旨在通过利用现有的系统综述和荟萃分析,对白介素-6(IL-6)对多种疾病的诊断准确性进行全面研究。
    我们对Embase进行了彻底的搜索,WebofScience,PubMed,和截至2023年4月的Cochrane系统评价数据库,以收集调查IL-6诊断准确性的荟萃分析。为了评估研究的方法学质量,我们采用了评估系统评价的方法论质量-2和建议分级,评估,开发和评估标准。
    我们从搜索中检索到的3024篇文章中包含了34篇荟萃分析。这些荟萃分析涵盖了国际疾病分类11的9类疾病。在质量评估过程中被评为“严重低”或“非常低”的研究被排除在外,导致总共6个荟萃分析,包括脓毒症,结直肠癌,结核性胸腔积液(TPE),子宫内膜异位症,在其他人中。在这些疾病中,IL-6在准确识别TPE和子宫内膜异位症方面显示出相对较高的诊断潜力。
    IL-6在多种疾病中表现出良好的诊断准确性,表明其在不久的将来作为可靠的诊断生物标志物的潜力。大量证据支持它的高诊断准确性,特别是在TPE和子宫内膜异位症的病例中。
    UNASSIGNED: This review aims to conduct a comprehensive study of the diagnostic accuracy of interleukin-6 (IL-6) for multiple diseases by utilizing existing systematic reviews and meta-analyses.
    UNASSIGNED: We performed a thorough search of Embase, Web of Science, PubMed, and Cochrane Database of Systematic Reviews up to April 2023 to gather meta-analyses that investigate the diagnostic accuracy of IL-6. To assess the methodological quality of the studies, we employed the Assessing the Methodological Quality of Systematic Reviews-2 and Grading of Recommendations, Assessment, Development and Evaluation criteria.
    UNASSIGNED: We included 34 meta-analyses out of the 3024 articles retrieved from the search. These meta-analyses covered 9 categories of diseases of the International Classification of Diseases-11. Studies rated as \"Critically Low\" or \"Very Low\" in the quality assessment process were excluded, resulting in a total of 6 meta-analyses that encompassed sepsis, colorectal cancer, tuberculous pleural effusion (TPE), endometriosis, among others. Among these diseases, IL-6 demonstrated a relatively high diagnostic potential in accurately identifying TPE and endometriosis.
    UNASSIGNED: IL-6 exhibited favorable diagnostic accuracy across multiple diseases, suggesting its potential as a reliable diagnostic biomarker in the near future. Substantial evidence supported its high diagnostic accuracy, particularly in the cases of TPE and endometriosis.
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  • 文章类型: Journal Article
    Solute carrier family 40 member 1 (SLC40A1) plays an essential role in transporting iron from intracellular to extracellular environments. When SLC40A1 expression is abnormal, cellular iron metabolism becomes dysregulated, resulting in an overload of intracellular iron, which induces cell ferroptosis. Numerous studies have confirmed that ferroptosis is closely associated with the development of many diseases. Here, we review recent findings on SLC40A1 in ferroptosis and its association with various diseases, intending to explore new directions for research on disease pathogenesis and new therapeutic targets for prevention and treatment. This article is categorized under: Cancer > Genetics/Genomics/Epigenetics Metabolic Diseases > Molecular and Cellular Physiology.
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  • 文章类型: Journal Article
    通过基因操作开发的转基因蚊子,为可持续和有效控制蚊媒疾病提供了一个有前途的战略。这种策略依赖于大量释放转基因蚊子到野外,它们的转基因有望在自然环境中持续存在,永久或暂时,在蚊子种群中。在这种情况下,转基因蚊子的适应度是决定它们在野外生存的重要因素。转基因表达的影响,插入诱变,与实验室适应有关的近亲繁殖抑郁症,与发展纯合蚊子系有关的搭便车效应都可以对转基因蚊子的适应性产生影响。因此,转基因相关的健身成本的实时估计是必要的建模和规划转基因蚊子释放计划。这可以通过直接比较转基因的纯合或半合子个体及其野生型对应物的适应性参数来实现。或通过笼式入侵实验来监测多代转基因等位基因的频率。最近的进步,如特定地点的集成系统和基因驱动,提供平台来解决转基因蚊子的健康问题。需要对转基因个体的适应性进行更多的研究,以开发具有低适应性成本的转基因蚊子。
    Transgenic mosquitoes developed by genetic manipulation, offer a promising strategy for the sustainable and effective control of mosquito-borne diseases. This strategy relies on the mass release of transgenic mosquitoes into the wild, where their transgene is expected to persist in the natural environment, either permanently or transiently, within the mosquito population. In such circumstances, the fitness of transgenic mosquitoes is an important factor in determining their survival in the wild. The impact of transgene expression, insertional mutagenesis, inbreeding depression related to laboratory adaptation, and the hitchhiking effect involved in developing homozygous mosquito lines can all have an effect on the fitness of transgenic mosquitoes. Therefore, real-time estimation of transgene-associated fitness cost is imperative for modeling and planning transgenic mosquito release programs. This can be achieved by directly comparing fitness parameters in individuals homozygous or hemizygous for the transgene and their wild-type counterparts, or by cage invasion experiments to monitor the frequency of the transgenic allele over multiple generations. Recent advancements such as site-specific integration systems and gene drives, provide platforms to address fitness issues in transgenic mosquitoes. More research on the fitness of transgenic individuals is required to develop transgenic mosquitoes with a low fitness cost.
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  • 文章类型: Journal Article
    泌尿外科疾病是外科疾病负担的一个组成部分。有国家的,区域,和全球变化。该专业的疾病负担特征对于注册和分配该分区域已经稀缺的资源很重要。
    这项研究旨在描述我们教学医院泌尿系疾病的负担,以解决资源和泌尿系需求之间的差距。
    这是对从2019年1月至2021年12月在Alex-Ekwueme联邦大学教学医院Abakaliki泌尿科诊所观察到的3年新患者的回顾性研究。收集的数据包括性别,年龄,和诊断。使用SPSS版本26进行数据分析。
    共有2893名患者可用于分析,其中2777例(96%)为男性患者,116例(4%)为女性患者,男女比例为23.9:1.患者的平均年龄为58.11±16.76岁。常见表现为良性前列腺肿大(BPE)1515(52.4%),前列腺癌(CAP)349(12.1%),尿道狭窄疾病268(9.3%),尿路感染(UTI)192(6.6%)。在男人中,三个最常见的诊断是前列腺相关疾病1864(67.1%),尿道狭窄疾病268(9.70%),和UTI170(6.1%),然而,在女性中,尿石症,尿路感染,肾积水占50(43.1%),22(19%),和20(17.2%),分别。
    BPE,CAP,和尿道狭窄疾病是男性最常见的表现,而尿石症,UTI,肾积水在女性中很常见。这些知识可以用于适当地引导医院资源。
    UNASSIGNED: Urological diseases are an integral part of the surgical burden of diseases. There are national, regional, and global variations. Characterisation of the burden of disease in this specialty is important for the registry and in allocation of the already scarce resource in this sub-region.
    UNASSIGNED: This study was aimed at characterising the burden of urological diseases in our teaching hospital as a means towards addressing the gap between resources and urological needs.
    UNASSIGNED: It was a retrospective study of new patients seen over 3 years from January 2019 to December 2021 at the urology clinics of Alex-Ekwueme Federal University Teaching Hospital Abakaliki. Data collected included sex, age, and diagnosis. Data analysis was done using SPSS version 26.
    UNASSIGNED: A total of 2893 patients were available for analysis, of which 2777 (96%) were male patients whereas 116 (4%) were female patients with a male-to-female ratio of 23.9:1. The mean age of the patients was 58.11 ± 16.76 years. The common presentations were benign prostatic enlargement (BPE) 1515 (52.4%), cancer of the prostate (CAP) 349 (12.1%), urethral stricture disease 268 (9.3%), and urinary tract infection (UTI) 192 (6.6%). In men, the three most common diagnoses were prostate-related diseases 1864 (67.1%), urethral stricture disease 268 (9.70%), and UTI 170 (6.1%), whereas, in women, urolithiasis, urinary tract infection, and hydronephrosis accounted for 50 (43.1%), 22 (19%), and 20 (17.2%), respectively.
    UNASSIGNED: BPE, CAP, and urethral stricture disease were the most common presentations in men whereas urolithiasis, UTI, and hydronephrosis were common in women. This knowledge can be used to channel hospital resources appropriately.
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