N/R, not reported

N / R,未报告
  • 文章类型: Journal Article
    对于头颈癌(HNC)放疗后的患者,替换缺失的牙齿并不是一项简单的任务。关于护理这些患者的最佳方法存在争议,因为据报道,HNC患者在接受放射治疗后使用假牙可能会引发放射性骨坏死的发展。
    本快速综述旨在整理和比较HNC患者放疗后使用假牙的国家和国际指南。
    本快速审查的数据收集包括三个步骤(第一步;确定牙科和相关非牙科协会/协会,第二步,确定有关HNC患者牙科管理的国家和国际指南,第三步;确定有关HNC患者更换缺失牙齿的建议)。
    在联合国承认的193个国家中,发现了238个相关社团,从这175个证实他们没有明确的指导方针。只有32个协会/协会(均在欧洲和北美)为其牙医推荐了有关HNC患者牙科管理的指南(N=12指南),并表明了他们在接受放射治疗后对HNC患者使用假牙的立场。
    指南很少,存在的指南有所不同,缺少细节,很少超出常规建议。因此,clear,detailed,并且需要循证指南来告知HNC患者放疗后牙齿缺失患者的管理。
    UNASSIGNED: Replacement of missing teeth is not a straightforward task in head and neck cancer (HNC) patients post-radiotherapy. There is debate regarding the best way to care for these patients as it has been reported that using dentures by HNC patients after receiving treatment with radiotherapy might initiate the development of osteoradionecrosis.
    UNASSIGNED: This rapid review aimed to collate and compare the national and international guidelines for the use of dentures following radiotherapy for HNC patients.
    UNASSIGNED: Three steps were included in data collection of this rapid review (first step; identification of dental and relevant non-dental associations/societies, second step, identification of national and international guidelines regarding the dental management of HNC patients, and third step; identification of recommendations about the replacement of missing teeth in HNC patients).
    UNASSIGNED: In the 193 countries recognized by the United Nations, there were 238 relevant societies found, from those 175 confirmed that they do not have clear guidelines. Only 32 associations/societies (all in either Europe and North America) recommend guidelines for their dentists (N = 12 guidelines) about the dental management of HNC patients and show their position regarding the use of dentures for HNC patients after receiving treatment with radiotherapy.
    UNASSIGNED: There are very few guidelines and those that do exist differ, lack detail, and rarely go beyond routine advice. Accordingly, clear, detailed, and evidence-based guidelines are required to inform the management of patients with missing teeth following radiotherapy for HNC patients.
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  • 文章类型: Journal Article
    糖尿病肾病(DN)是糖尿病的严重并发症,是终末期肾病的主要病因,这给全世界的人类社会造成了严重的健康问题和巨大的经济负担。常规战略,如肾素-血管紧张素-醛固酮系统阻断,血糖水平控制,和减轻体重,在许多DN管理的临床实践中,可能无法获得令人满意的结果。值得注意的是,由于多目标函数,中药作为DN治疗的主要或替代疗法具有很好的临床益处。越来越多的研究强调确定中药的生物活性化合物和肾脏保护作用的分子机制。参与糖/脂代谢调节的信号通路,抗氧化,抗炎,抗纤维化,足细胞保护已被确定为重要的作用机制。在这里,在回顾临床试验结果后,我们总结了中药及其生物活性成分在治疗和管理DN中的临床疗效,系统评价,和荟萃分析,对动物和细胞实验中报道的相关潜在机制和分子靶标进行了彻底讨论。我们旨在全面了解中药对DN的保护作用。
    Diabetic nephropathy (DN) has been recognized as a severe complication of diabetes mellitus and a dominant pathogeny of end-stage kidney disease, which causes serious health problems and great financial burden to human society worldwide. Conventional strategies, such as renin-angiotensin-aldosterone system blockade, blood glucose level control, and bodyweight reduction, may not achieve satisfactory outcomes in many clinical practices for DN management. Notably, due to the multi-target function, Chinese medicine possesses promising clinical benefits as primary or alternative therapies for DN treatment. Increasing studies have emphasized identifying bioactive compounds and molecular mechanisms of reno-protective effects of Chinese medicines. Signaling pathways involved in glucose/lipid metabolism regulation, antioxidation, anti-inflammation, anti-fibrosis, and podocyte protection have been identified as crucial mechanisms of action. Herein, we summarize the clinical efficacies of Chinese medicines and their bioactive components in treating and managing DN after reviewing the results demonstrated in clinical trials, systematic reviews, and meta-analyses, with a thorough discussion on the relative underlying mechanisms and molecular targets reported in animal and cellular experiments. We aim to provide comprehensive insights into the protective effects of Chinese medicines against DN.
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