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  • 文章类型: Journal Article
    周围神经病变(PN)是一种以周围神经损伤为特征的多方面疾病,表现为疼痛等症状,弱点,和自主神经功能障碍。这篇综述评估了PN研究中的临床前模型,评估它们与人类疾病的相关性及其在治疗发展中的作用。链脲佐菌素(STZ)诱导的糖尿病大鼠模型广泛用于模拟糖尿病神经病变,但在忠实复制疾病发作和进展方面存在局限性。顺铂诱导的PN模型适用于研究化疗诱导的周围神经病变(CIPN),与人类病理学非常相似。然而,他们可能无法完全复制感觉和运动缺陷的频谱。紫杉醇诱导的模型也有助于理解CIPN机制和测试神经保护剂。手术或创伤诱导的模型提供了对神经再生和修复策略的见解。加巴喷丁等药物,普瑞巴林,度洛西汀,氟西汀在这些模型中表现出了希望,增强我们对其治疗效果的理解。尽管取得了进展,由于其复杂的性质,开发准确反映人类PN的模型仍然是当务之急。持续改进和创新方法对于有效的药物发现至关重要。这篇综述强调了当前模型的优势和局限性,并倡导采用综合方法来更好地解决PN的复杂性并优化治疗结果。
    Peripheral neuropathy (PN) is a multifaceted disorder characterised by peripheral nerve damage, manifesting in symptoms like pain, weakness, and autonomic dysfunction. This review assesses preclinical models in PN research, evaluating their relevance to human disease and their role in therapeutic development. The Streptozotocin (STZ)-induced diabetic rat model is widely used to simulate diabetic neuropathy but has limitations in faithfully replicating disease onset and progression. Cisplatin-induced PN models are suitable for studying chemotherapy-induced peripheral neuropathy (CIPN) and closely resemble human pathology. However, they may not fully replicate the spectrum of sensory and motor deficits. Paclitaxel-induced models also contribute to understanding CIPN mechanisms and testing neuroprotective agents. Surgical or trauma-induced models offer insights into nerve regeneration and repair strategies. Medications such as gabapentin, pregabalin, duloxetine, and fluoxetine have demonstrated promise in these models, enhancing our understanding of their therapeutic efficacy. Despite progress, developing models that accurately mirror human PN remains imperative due to its complex nature. Continuous refinement and innovative approaches are critical for effective drug discovery. This review underscores the strengths and limitations of current models and advocates for an integrated approach to address the complexities of PN better and optimise treatment outcomes.
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  • 文章类型: Journal Article
    数字化和人工智能的出现对社会产生了深远的影响,尤其是在医学领域。数字健康现在已经成为现实,随着越来越多的人使用聊天机器人进行预测或诊断,治疗计划,和监测,以及营养和心理健康支持。最初设计用于各种目的,聊天机器人在医疗领域显示出显著的优势,如多个来源所示。然而,当前文献中存在着相互矛盾的观点,一些消息来源强调了它们的缺点和局限性,特别是在肿瘤学中的应用。这篇最新的评论文章旨在展示聊天机器人在医学和癌症方面的利弊,同时也应对实施中的挑战,提供有关该主题的专家见解。
    The emergence of digitalization and artificial intelligence has had a profound impact on society, especially in the field of medicine. Digital health is now a reality, with an increasing number of people using chatbots for prognostic or diagnostic purposes, therapeutic planning, and monitoring, as well as for nutritional and mental health support. Initially designed for various purposes, chatbots have demonstrated significant advantages in the medical field, as indicated by multiple sources. However, there are conflicting views in the current literature, with some sources highlighting their drawbacks and limitations, particularly in their use in oncology. This state-of-the-art review article seeks to present both the benefits and the drawbacks of chatbots in the context of medicine and cancer, while also addressing the challenges in their implementation, offering expert insights on the subject.
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  • 文章类型: Journal Article
    肺癌是威胁人类健康的最关键的恶性肿瘤类型。传统的临床前模型存在一定的缺陷,例如,它们不能准确反映肺癌的特征,其发展既昂贵又耗时。通过自我组织,癌症干细胞(CSC)产生具有类似于肺癌组织的结构的癌症类器官,在一定程度上克服了上述挑战,从而使它们具有更广阔的应用前景。肺癌类器官(LCO)的发展方法可根据细胞来源分为三大类,其中包括细胞系,患者来源的异种移植物和患者肿瘤组织/胸腔积液。已经描述了17种不同的方法来开发LCO。这些方法可以根据细胞来源进一步合并为六类,使用的预处理方法,培养基和培养支架的组成。这些类别是:i)由定义的转录因子诱导的CSC;ii)悬浮培养;iii)相对最佳培养基;iv)次优培养基;v)机械消化和次优培养基;和vi)水凝胶支架。在当前的审查中,总结了上述每种方法的优缺点,并引用了支持研究的参考文献。
    Lung cancer is the most critical type of malignant tumor that threatens human health. Traditional preclinical models have certain defects; for example, they cannot accurately reflect the characteristics of lung cancer and their development is costly and time-consuming. Through self-organization, cancer stem cells (CSCs) generate cancer organoids that have a structure similar to that of lung cancer tissues, overcoming to some extent the aforementioned challenges, thus enabling them to have broader application prospects. Lung cancer organoid (LCO) development methods can be divided into three broad categories based on the source of cells, which include cell lines, patient-derived xenografts and patient tumor tissue/pleural effusion. There are 17 different methods that have been described for the development of LCOs. These methods can be further merged into six categories based on the source of cells, the pre-treatment method used, the composition of the medium and the culture scaffold. These categories are: i) CSCs induced by defined transcription factors; ii) suspension culture; iii) relative optimal culture medium; iv) suboptimal culture medium; v) mechanical digestion and suboptimal culture medium; and vi) hydrogel scaffold. In the current review, the advantages and disadvantages of each of the aforementioned methods are summarized, and references for supporting studies are cited.
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  • 文章类型: Journal Article
    本研究探索了一种经济高效的处理实际低氨氮电镀尾废水的新工艺。构建了反硝化-部分硝化/厌氧氨氧化(DN-PN/A)中试系统,并运行了190天。部分硝化(PN)反应器,填充沸石,增加游离氨浓度超过亚硝酸盐氧化细菌阈值,并成功提供NO2--N,亚硝酸盐积累率超过90%。超过109天,总氮去除率为80.2±7.41%,化学需氧量去除率达到79.68±9.53%。在PN反应器和厌氧氨氧化(Anammox)反应器中,主要功能细菌是硝基单胞菌(5.45%)和念珠菌(28.84%)。这个过程,以快速启动为特征,抗冲击性强,成本低,缓解了铵污染治理的压力,促进电镀行业的可持续发展,在其他工业废水的处理中具有应用潜力。
    This study explored a novel economical and efficient process for treating actual low-ammonia nitrogen electroplating tail wastewater. A pilot scale system of denitrification-partial nitrification/anaerobic ammonium oxidation (DN-PN/A) was constructed and operated for 190 days. The partial nitrification (PN) reactor, filled with zeolite, increased free ammonia concentration beyond the nitrite oxidizing bacteria threshold and successfully supplied NO2--N, with nitrite accumulation rate exceeding 90 %. Over 109 days, the total nitrogen removal rate achieved was 80.2 ± 7.41 %, and the chemical oxygen demand removal rate reached 79.68 ± 9.53 %. The dominant functional bacteria were Nitrosomonas (5.45 %) and Candidatus Anammoxoglobus (28.84 %) in PN reactor and anaerobic ammonium oxidation (Anammox) reactor. This process, characterized by rapid start-up, strong shock resistance, and low cost, alleviates the pressure of ammonium pollution control, promotes the sustainable development of the electroplating industry and has the potential for application in the treatment of other industrial wastewater.
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  • 文章类型: Journal Article
    生物可降解塑料正在成为合成塑料的替代品,并被广泛用于对抗塑料污染。然而,并非所有生物降解塑料都是可降解的,特别是当它不符合其有利条件时,当涉及到水生环境时。因此,这篇综述旨在强调合成和商业化的各种生物降解塑料的类型,并确定这些微生物塑料或残留生物塑料在各种水生环境中降解后的局限性和优势。这篇综述论文重点介绍了生物降解塑料,生物降解塑料在水生环境中的降解,生物降解塑料的应用,聚乳酸(PLA),聚羟基链烷酸酯(PHA),多糖衍生物,聚(氨基酸),聚己内酯(PCL),聚丁二酸丁二醇酯(PBS),聚己二酸对苯二甲酸丁二醇酯(PBA/T),生物降解塑料在水生环境中降解的局限性和优势。文献检索的时间没有限制,因为该领域正在不断研究,并且没有广泛的研究。可商购的生物可降解塑料在淡水和海洋环境中降解时分别具有其自身的优点和局限性。对生物塑料作为合成塑料的替代品的需求日益增长,合成塑料会导致塑料废物污染。因此,深入了解生物降解塑料的生物降解至关重要,特别是在水生环境中。此外,研究微生物塑料在水生环境中的降解和迁移的研究也很少。
    Biodegradable plastics are being the substitute for synthetic plastics and widely been used in order to combat plastic pollution. Yet not all biodegradable plastics are degradable especially when it does not meet its favourable conditions, and also when it comes to aquatic environments. Therefore, this review is intended to highlight the types of various biodegradable plastic synthesized and commercialised and identify the limitations and advantages of these micro-bioplastics or residual bioplastic upon degradation in various aquatic environments. This review paper highlights on biodegradable plastic, degradation of biodegradable plastic in aquatic environments, application of biodegradable plastic, polylactic acid (PLA), Polyhydroxyalkanoates (PHA), Polysaccharide derivatives, Poly (amino acid), polycaprolactone (PCL), polybutylene succinate (PBS), polybutylene adipate terephthalate (PBA/T), limitations and advantages of biodegradable plastic degradation in aquatic environment. There is no limit on the period for literature search as this field is continuously being studied and there is no wide range of studies. Biodegradable plastic that is commercially available has its own advantages and limitations respectively upon degradation in both freshwater and marine environments. There is a growing demand for bioplastic as an alternative to synthetic plastic which causes plastic waste pollution. Thus, it is crucial to understand the biodegradation of biodegradable plastic in depth especially in aquatic environments. Moreover, there are also very few studies investigating the degradation and migration of micro-bioplastics in aquatic environments.
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  • 文章类型: Journal Article
    简介:在COVID-19大流行期间,由于校园关闭,自闭症学生在教学中面临困难。特殊学校选择了替代教室,即在线模式。由于某些特定和独特的特征,自闭症学生的学习经历与神经典型学生不同。目标:通过教师的叙述了解替代课堂的挑战和促进者。方法:加尔各答市及其郊区特殊学校的15名特殊教育者记录的虚拟访谈,使用目的抽样进行选择,通过归纳专题分析进行分析。结果:生成的主题揭示了设置和适应特殊教育者面临的在线课程的挑战,学生,和他们的父母。研究结果还告知了大流行期间获得的优势,例如父母参与在安全空间中更好地学习。结论:一种组合的教学模式可能适合将来在学习者中发挥最大的作用。
    Introduction: During the COVID-19 pandemic, the students with Autism faced difficulties in teaching-learning due to campus closures. The special schools opted for alternative classrooms i.e. online mode. Due to certain specific and unique characteristics, the learning experiences of students with autism would be different from neurotypical students. Objectives: To know about the challenges and facilitators of the alternative classroom through the teacher\'s narratives. Method: The virtual interviews recorded by 15 special educators from special schools in Kolkata city and its outskirts, selected using purposive sampling were analyzed through inductive thematic analysis. Results: The generated themes reveal the challenges of setting up and adapting to the online classes faced by special educators, students, and their parents. The study findings also inform about the advantages gained during the pandemic such as parental involvement for better learning in a safe space. Conclusion: A combined mode of teaching might be appropriate for the future to bring out the best in the learners.
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  • 文章类型: Journal Article
    对基于II-VI半导体的电导式气体传感器的开发研究状况进行了综述。结果表明,II-VI化合物确实具有开发高效气体传感器所必需的特性。在这种情况下,为了达到所需的参数,可以使用为金属氧化物开发的所有方法。同时,在详细审查期间,结论是,基于II-VI化合物的传感器没有出现在气体传感器市场上的前景。主要障碍是表面状态的不稳定性,这导致操作期间参数的再现性差和传感器特性的漂移。
    A review of the state of research in the development of conductometric gas sensors based on II-VI semiconductors is given. It was shown that II-VI compounds indeed have properties that are necessary for the development of highly efficient gas sensors. In this case, to achieve the required parameters, all approaches developed for metal oxides can be used. At the same time, during a detailed review, it was concluded that sensors based on II-VI compounds have no prospects for appearing on the gas sensor market. The main obstacle is the instability of the surface state, which leads to poor reproducibility of parameters and drift of sensor characteristics during operation.
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  • 文章类型: Journal Article
    即时测试(POCT)正在成为一种越来越流行的方式来进行更接近患者的实验室测试。此选项具有几个公认的优点,例如可访问性,便携性,速度,便利性,易用性,不断增长的测试小组,在适当的临床路径中使用时,累积医疗保健成本较低,更好的患者赋权和参与,并减少某些分析前的错误,尤其是那些与标本运输有关的。另一方面,POCT也带来了一些限制和风险,即与传统实验室测试相比,准确性和可靠性较低的风险,质量控制和连接问题,高度依赖运营商(具有不同水平的专业知识或培训),与患者数据管理相关的挑战,每个单独测试的成本更高,法规和合规性问题,例如在临床使用之前需要进行适当的验证(特别是对于快速诊断测试;RDT),以及在此类测试中可能未被发现的其他分析前错误源,通常基于全血样本(即,干扰物质的存在,凝血,溶血,等。).毫无疑问,POCT是检验医学的突破性创新,但是关于其适当使用的讨论需要进一步的辩论和倡议。这份集体意见文件,由在为期两天的专家会议“护理点测试:最新技术和视角”上发表的讲座摘要组成(威尼斯,2024年4月4-5日),旨在提供对POCT最新技术的周到概述,其当前的应用,优势和潜在的局限性,以及对这一特定实验室医学领域未来观点的一些有趣思考。
    Point-of-care testing (POCT) is becoming an increasingly popular way to perform laboratory tests closer to the patient. This option has several recognized advantages, such as accessibility, portability, speed, convenience, ease of use, ever-growing test panels, lower cumulative healthcare costs when used within appropriate clinical pathways, better patient empowerment and engagement, and reduction of certain pre-analytical errors, especially those related to specimen transportation. On the other hand, POCT also poses some limitations and risks, namely the risk of lower accuracy and reliability compared to traditional laboratory tests, quality control and connectivity issues, high dependence on operators (with varying levels of expertise or training), challenges related to patient data management, higher costs per individual test, regulatory and compliance issues such as the need for appropriate validation prior to clinical use (especially for rapid diagnostic tests; RDTs), as well as additional preanalytical sources of error that may remain undetected in this type of testing, which is usually based on whole blood samples (i.e., presence of interfering substances, clotting, hemolysis, etc.). There is no doubt that POCT is a breakthrough innovation in laboratory medicine, but the discussion on its appropriate use requires further debate and initiatives. This collective opinion paper, composed of abstracts of the lectures presented at the two-day expert meeting \"Point-Of-Care-Testing: State of the Art and Perspective\" (Venice, April 4-5, 2024), aims to provide a thoughtful overview of the state-of-the-art in POCT, its current applications, advantages and potential limitations, as well as some interesting reflections on the future perspectives of this particular field of laboratory medicine.
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  • 文章类型: Journal Article
    背景:电子处方(e-处方)系统可以带来许多优点和挑战。该系统已在伊朗启动两年多。本研究旨在从医生的角度探讨电子处方系统的挑战和优势。
    方法:在本调查研究和主题分析中,这项研究于2023年进行,根据文献综述和研究小组成员的意见,制作了一份由研究者制作的问卷,并提供给医生.定量数据采用SPSS软件进行分析,定性数据使用ATLAS进行分析。ti软件。Rankandpointbiserial,肯德尔的taub,和Phi用于研究变量之间的相关性。
    结果:84名医生参与了这项研究,71.4%的人更喜欢使用纸质处方。根据结果,53.6%,38.1%,和8.3%的医生低,中等,对这个系统的总体满意度很高,分别。性别和对电子处方系统的总体满意度(p值=0.009)与计算机技能水平和处方方法(P值=0.042)之间存在统计学上的显着相关性。医生在这个系统中面临许多挑战,它可以分为五大类:技术,患者相关,医疗保健提供者相关,人力资源,以及建筑和设计问题。此外,电子处方系统的主要优点是流程改进,经济效率,并提高处方的准确性。
    结论:托管机构和服务提供商组织应升级必要的信息技术基础设施,包括硬件,软件,和网络基础设施。此外,将最终用户的观点纳入系统设计过程将是有益的。
    BACKGROUND: Electronic prescribing (e-prescribing) systems can bring many advantages and challenges. This system has been launched in Iran for more than two years. This study aimed to investigate the challenges and advantages of the e-prescribing system from the point of view of physicians.
    METHODS: In this survey study and thematic analysis, which was conducted in 2023, a researcher-made questionnaire was created based on the literature review and opinions of the research team members and provided to the physician. Quantitative data were analyzed using SPSS software, and qualitative data were analyzed using ATLAS.ti software. Rank and point biserial, Kendall\'s tau b, and Phi were used to investigate the correlation between variables.
    RESULTS: Eighty-four physicians participated in this study, and 71.4% preferred to use paper-based prescribing. According to the results, 53.6%, 38.1%, and 8.3% of physicians had low, medium, and high overall satisfaction with this system, respectively. There was a statistically significant correlation between the sex and overall satisfaction with the e-prescribing system (p-value = 0.009) and the computer skill level and the prescribing methods (P-value = 0.042). Physicians face many challenges with this system, which can be divided into five main categories: technical, patient-related, healthcare providers-related, human resources, and architectural and design issues. Also, the main advantages of the e-prescribing system were process improvement, economic efficiency, and enhanced prescribing accuracy.
    CONCLUSIONS: The custodian and service provider organizations should upgrade the necessary information technology infrastructures, including hardware, software, and network infrastructures. Furthermore, it would be beneficial to incorporate the perspectives of end users in the system design process.
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  • 文章类型: Journal Article
    胰腺癌是全球癌症相关死亡的主要原因之一。胰腺病变由肿瘤性和非肿瘤性病变组成,由于相似的临床和放射学特征,通常会带来诊断和治疗挑战。近年来,由于腹部横断面成像的利用率和广泛使用,胰腺病变作为偶然发现更频繁地被发现。因此,必须建立早期和适当的诊断,并进行细致的鉴别,以平衡不必要的胰腺良性病变治疗和错过恶性病变早期干预的机会。内窥镜超声(EUS)已成为胰腺病变识别和风险分层的重要诊断方式,因为它能够提供详细的成像和获取组织样本以在细针抽吸/活检的帮助下进行分析。基于EUS技术的最新发展,包括超声造影增强内窥镜,实时弹性成像-超声内镜,微型探头超声,共聚焦激光显微内镜,人工智能的应用显着提高了EUS的诊断准确性,因为它可以更好地评估数字,location,维度,壁厚,和这些病变的内容。本文全面概述了不同类型的EUS在胰腺癌与其他胰腺病变的诊断和鉴别中的作用,同时讨论了它们的主要优点和重要局限性。
    Pancreatic cancer is one of the leading causes of cancer-related deaths worldwide. Pancreatic lesions consist of both neoplastic and non-neoplastic lesions and often pose a diagnostic and therapeutic challenge due to similar clinical and radiological features. In recent years, pancreatic lesions have been discovered more frequently as incidental findings due to the increased utilization and widespread availability of abdominal cross-sectional imaging. Therefore, it becomes imperative to establish an early and appropriate diagnosis with meticulous differentiation in an attempt to balance unnecessary treatment of benign pancreatic lesions and missing the opportunity for early intervention in malignant lesions. Endoscopic ultrasound (EUS) has become an important diagnostic modality for the identification and risk stratification of pancreatic lesions due to its ability to provide detailed imaging and acquisition of tissue samples for analysis with the help of fine-needle aspiration/biopsy. The recent development of EUS-based technology, including contrast-enhanced endoscopic ultrasound, real-time elastography-endoscopic ultrasound, miniature probe ultrasound, confocal laser endomicroscopy, and the application of artificial intelligence has significantly augmented the diagnostic accuracy of EUS as it enables better evaluation of the number, location, dimension, wall thickness, and contents of these lesions. This article provides a comprehensive overview of the role of the different types of EUS available for the diagnosis and differentiation of pancreatic cancer from other pancreatic lesions while discussing their key strengths and important limitations.
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