Updates

更新
  • 文章类型: Editorial
    暂无摘要。
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    这篇综述重点介绍了当前和新兴的治疗皮肌炎(DM)的药物疗法。目前的临床证据,除了最近发布和正在进行的各种正在开发的药物的临床试验之外,在这篇综述中进行了总结。
    在DM的潜在治疗方法的研究和开发方面取得了重大进展。FDA最近批准Octagam®10%免疫球蛋白静脉注射(IVIg)用于治疗DM。在2期和3期临床试验中,正在探索几种药物靶标作为可行的治疗选择;这些药物的最前沿是JAK抑制剂(托法替尼和巴利替尼)和T细胞共刺激阻滞剂(即abatacept)。此外,目前正在进行针对新分子途径的治疗方法的临床试验,包括免疫蛋白酶体抑制剂,抗B细胞治疗,抗干扰素药物,补体抑制剂,和磷酸二酯酶-4抑制剂。
    随着大量的临床试验,多种新疗法正在开发中,改进分类和结果衡量标准,随着更多的选择,DM的治疗前景将在未来几年继续迅速发展。
    UNASSIGNED: This review highlights current and emerging pharmacologic therapies for the treatment of dermatomyositis (DM). Current clinical evidence, in addition to recently published and ongoing clinical trials for various drugs in development, are summarized in this review.
    UNASSIGNED: There has been significant progress in the research and development of potential treatments in DM. The FDA recently approved Octagam® 10% Immune Globulin Intravenous (IVIg) for the treatment of DM. Several drug targets are being explored as viable therapeutic options in phase 2 and phase 3 clinical trials; at the forefront of these are JAK inhibitors (tofacitinib and baricitinib) and T-cell co-stimulation blockers (i.e. abatacept). In addition, clinical trials are currently under way for therapeutics targeting novel molecular pathways, including immunoproteasome inhibitors, anti-B cell therapy, anti-interferon drugs, complement inhibitors, and phosphodiesterase-4 inhibitors.
    UNASSIGNED: With the large number of clinical trials, multiple novel therapeutics in development, and improved classification and outcome measures, the treatment landscape for DM will continue to rapidly evolve in the coming years as more options become available.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    博士对选择性光热解的介绍。1983年,JohnParrish和RoxAnderson彻底改变了激光在皮肤病学中的应用。该理论允许激光器安全有效地用于各种应用,应用程序的数量只会随着时间的推移而扩大。从血管胎记的首次应用到痤疮的最新应用,这篇综述涵盖了激光从一开始到我们前进的方向的演变。
    The introduction of selective photothermolysis by Drs. John Parrish and Rox Anderson in 1983 revolutionized how lasers are used in dermatology. The theory allowed for lasers to be used in a variety of applications both safe and effectively, and the number of applications has only expanded with time. From the first application on vascular birthmarks to more recent applications for acne, this review covers the evolution of lasers from the beginning to where we are headed.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Editorial
    暂无摘要。
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    嗜酸细胞性食管炎(EoE)是一种日益常见的食管炎症性变应性疾病,其特征是食管嗜酸细胞增多和食管功能障碍的症状。对于这种新兴的2型炎症性疾病,治疗领域已经迅速发展。我们回顾了传统疗法,包括更新和专家意见,除了即将出现的有希望的治疗方法和未能达到终点的治疗史,并突出了未来研究的知识差距。
    Eosinophilic esophagitis is an increasingly common inflammatory allergic disease of the esophagus characterized by esophageal eosinophilia and symptoms of esophageal dysfunction. The therapeutic landscape has rapidly evolved for this emerging type 2 inflammatory disorder. We review traditional therapies including updates and expert opinions in addition to promising therapies on the horizon and the history of therapies that failed to meet end points and highlight knowledge gaps for future investigations.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Letter
    截至2023年6月,(美国)FDA已批准市场上的许多精神药物,这些药物可能会在精神药物治疗中带来创新的光芒。这是更新繁忙临床医生的回顾。
    As of June 2023, (US) FDA has granted approval for a number of psychotropic drugs on market that might usher an innovative sparkle in psychopharmacotherapy. This is a recap to update busy clinicians.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    每年都有数百篇关于尿道下裂的论文提到病理学的各个方面,是最常见的先天性畸形之一。本研究对2021年发表的文章进行了范围审查,以介绍主要问题并总结该领域的当前观点和成就。它在三个最流行的数据库(PubMed,Scopus和WebofScience)。经过对出版物的分析,它们被分为不同的领域。本审查是根据系统审查的首选报告项目和范围审查的Meta分析扩展(PRISMAScR)指南进行的。共包括284篇文章。这些文章发表在142种不同的期刊上。访问量最大的是《儿科泌尿外科杂志》,共54篇文章。确定的主要领域与外科技术有关,术后护理,并发症,麻醉,解剖学因素,遗传学,环境因素,内分泌学,相关畸形,问卷和建议,管理,生物材料,动物模型,中心的回顾性研究,社交媒体,文献计量学,胎龄小,肿瘤,或生育能力。提出了对现有手术技术的有希望的修改,并改善了近端和远端类型的尿道下裂的结果。相关解剖学和病因学,并阐明了遗传因素。涉及抗生素治疗的围手术期和术后管理方面,镇痛,敷料技术,以及未来使用新型生物工程制剂来预防,减少或治疗发生的并发症进行了讨论。
    Hundreds of papers are written about hypospadias every year referring to all aspects of the pathology, being one of the most common congenital malformations. The present study conducted a scoping review of articles published in 2021 to present the main issues and summarize current perspectives and achievements in the field. It searched for the keyword \'hypospadias\' in the three most popular databases (PubMed, Scopus and Web of Science). After the analysis of the publications, they were categorized into different domains. The present review was performed respecting the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA ScR) guidelines. A total of 284 articles were included. These were published in 142 different journals. The most accessed was the Journal of Paediatric Urology with 54 articles. The main identified domains were related to surgical techniques, postoperative care, complications, anesthesia, anatomical factors, genetics, environmental factors, endocrinology, associated malformations, questionnaires and recommendations, management, biological materials, animal models, retrospective studies of centers, social media, bibliometrics, small gestational age, neoplasm, or fertility. Promising modifications of existing surgical techniques were presented with improved outcomes for both the proximal and distal types of hypospadias. Relevant anatomical and etiological, and also genetic factors were clarified. Aspects of the peri- and postoperative management referring to the antibiotherapy, analgesia, dressing techniques, and the future use of novel bioengineering agents to prevent, reduce or treat the occurring complications were discussed.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • DOI:
    文章类型: Journal Article
    未经评估:关于多动症的文献最近取得了长足的进步,因为大量的新数据正在通过无数的论文涌入。这里,作者试图概述多动症实践中不断变化的范式。重点介绍了DSM-5关于类型学和诊断标准的变化。共病概述,协会,发展轨迹,并概述了整个生命周期的综合征连续性。简要讨论了有关病因和诊断工具的最新见解。还描述了管道中的新药物。
    未经批准:EMBASE,OvidMEDLINE,PubMed,Scopus,WebofScience,和Cochrane系统评价数据库搜索所有相关的更新在多动症文献截至6月,2022年。
    未经评估:DSM-5改变了ADHD的诊断标准。其中包括用演示文稿替换类型,把年龄推到12岁,纳入成人诊断标准。同样,DSM-5现在允许诊断并发ADHD和ASD。ADHD与过敏的关联,肥胖,睡眠障碍,and,在最近的文献中已经证明了癫痫。引起ADHD的神经回路已扩展到额叶纹状体以外,包括CTC和DMN,这说明了ADHD的异质性。NEBA被FDA批准用于区分ADHD和多动性ID。用于解决ADHD行为方面的非典型抗精神病药正在增加,没有坚实的证据基础。α-2激动剂是FDA批准的单一疗法或兴奋剂的辅助疗法。药物遗传学测试很容易用于ADHD。不同的兴奋剂配方在市场上比比皆是,扩大了临床医生的储备。在最近的研究中,与刺激相关的焦虑和抽动的恶化受到了挑战。正在开发的ADHD药物包括达索曲林,阿莫达非尼,替匹啶,二伏西汀,美他多辛,还有美金刚.
    UNASSIGNED:关于ADHD的文献不断扩展,以提高我们对这种常见的神经发育障碍的复杂和异质复杂性的理解,从而为如何最好地管理其多样化的认知提供更好的决策,行为,社会和医学方面。
    Literature on ADHD has taken long strides recently as heaps of new data are pouring in through countless papers. Here, authors try to outline changing paradigms in ADHD practice. DSM-5 changes regarding the typology and diagnostic criteria are highlighted. Overview of co-morbidities, associations, developmental trajectories, and syndromic continuity across lifespan is outlined. Recent insights into aetiology and diagnostic tools are briefly discussed. New medications in the pipeline are also described.
    EMBASE, Ovid MEDLINE, PubMed, Scopus, Web of Science, and Cochrane Database of Systemic Reviews were searched for all relevant updates in ADHD literature as of June, 2022.
    DSM-5 brought about changes to the diagnostic criteria of ADHD. These included replacing types with presentations, pushing age to 12, and, incorporating adult diagnostic criteria. In the same vein, DSM-5 allows now for diagnosing concurrent ADHD and ASD. Associations of ADHD to allergy, obesity, sleep disorders, and, epilepsy have been demonstrated in recent literature. Neurocircuity underlying ADHD has been extended beyond frontal-striatal to include CTC as well as DMN accounting for ADHD heterogeneity. NEBA was FDA-approved to differentiate ADHD from hyperkinetic ID. Atypical antipsychotics use to address behavioural facets in ADHD is on the rise with no solid evidence-base. α-2 agonists are FDA-approved as monotherapy or adjunctive to stimulants. Pharmacogenetic testing is readily available for ADHD. Different formulations of stimulants abound on the market widening clinicians\' repertoire. Stimulant-related exacerbation of anxiety and tics were challenged in recent studies. Drugs for ADHD in the pipeline include-dasotraline, armodafinil, tipepidine, edivoxetine, metadoxine, and memantine.
    Literature on ADHD keeps expanding towards advancing our understanding of the complex and heterogeneous intricacies of this commonplace neurodevelopmental disorder and hence informing better decisions on how best to manage its diverse cognitive, behavioural, social and medical facets.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Editorial
    暂无摘要。
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    这篇手稿报道了特发性肺含铁血黄素沉着症(IPH)的最新进展,儿童和成人弥漫性肺泡出血的罕见原因。这篇叙述性的文献综述总结了IPH的不同方面,包括拟议的发病机制,患者人口统计学,临床和放射学特征,治疗,和预后。此外,我们仔细评估了乳糜泻(CD)与IPH之间的关联.IPH是一种经常被误诊的疾病。IPH的诊断延迟通常是显著的,但幸运的是,近年来似乎有所下降。成人和儿童的IPH具有不同的人口偏好。自身抗体在IPH中很常见,但在成人和儿科人群之间存在明显差异。IPH的明确诊断需要肺活检并仔细排除所有竞争性诊断,即使肺活检显示肺出血平淡。非特异性炎症细胞或淋巴聚集体的存在可能提示继发性免疫现象,需要仔细评估和随访。大量患者患有共存的CD,也称为Lane-Hamilton综合征(LHS),所有IPH患者都需要通过血清学评估LHS。虽然严格的无麸质饮食可以管理大多数LHS患者,其他患者通常需要免疫抑制治疗。皮质类固醇是IPH治疗的骨干。最近使用的实验治疗方案包括间充质干细胞移植,脂质体和支气管动脉栓塞。应该调整免疫抑制以达到最佳的疾病控制。尽管采取了所有措施,患者仍可能进展为终末期肺病,肺移植可能是唯一可行的选择。
    This manuscript reports the recent advances in idiopathic pulmonary hemosiderosis (IPH), a rare cause of diffuse alveolar hemorrhage in children and adults. This narrative review of the literature summarizes different aspects of IPH, including proposed pathogenesis, patient demographics, clinical and radiological characteristics, treatment, and prognosis. Additionally, the association between Celiac Disease (CD) and IPH is carefully evaluated. IPH is a frequently misdiagnosed disease. The delay in the diagnosis of IPH is often significant but fortunately, appears to have decreased in recent years. IPH in adults and children have distinct demographic preferences. The autoantibodies are common in IPH but with a definite difference between the adult and pediatric populations. The definitive diagnosis of IPH requires lung biopsy and careful exclusion of all competing diagnoses, even with lung biopsy showing bland pulmonary hemorrhage. The presence of nonspecific inflammatory cells or lymphoid aggregates may suggest a secondary immunologic phenomenon and needs careful evaluation and follow-up. A substantial number of patients suffer from coexisting CD, also known as Lane-Hamilton syndrome (LHS), and all patients with IPH need to be evaluated for LHS by serology. Although strict gluten free diet can manage the majority of patients with LHS, other patients generally require immunosuppressive therapy. The corticosteroids are the backbone of IPH therapy. Recently utilized experimental treatment options include mesenchymal stem cell transplant, liposteroid and bronchial artery embolization. The immunosuppression should be adjusted to achieve optimal disease control. Patients may progress to end-stage lung disease despite all measures, and lung transplantation may be the only viable option.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

公众号