disease

帕金森病
  • 文章类型: Editorial
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  • 文章类型: Journal Article
    蛋白质赖氨酸巴豆化(Kcr)是蛋白质翻译后修饰的一种保守形式,在一系列细胞生理和病理过程中起着重要作用。赖氨酸ε-氨基是这种修饰的主要位点,导致四碳平面赖氨酸巴豆化,其在结构上和功能上与这些残基的乙酰化不同。已经在组蛋白和非组蛋白蛋白上鉴定出高水平的Kcr修饰。本综述提供了有关生物医学环境中蛋白质Kcr修饰的研究进展的最新信息,并讨论了Kcr修饰控制一系列生物学过程的机制。此外,鉴于蛋白质Kcr修饰在疾病发作和进展中的重要性,阐明了Kcr调节因子作为治疗靶标的潜在可行性。
    Protein lysine crotonylation (Kcr) is one conserved form of posttranslational modifications of proteins, which plays an important role in a series of cellular physiological and pathological processes. Lysine ε-amino groups are the primary sites of such modification, resulting in four-carbon planar lysine crotonylation that is structurally and functionally distinct from the acetylation of these residues. High levels of Kcr modifications have been identified on both histone and non-histone proteins. The present review offers an update on the research progression regarding protein Kcr modifications in biomedical contexts and provides a discussion of the mechanisms whereby Kcr modification governs a range of biological processes. In addition, given the importance of protein Kcr modification in disease onset and progression, the potential viability of Kcr regulators as therapeutic targets is elucidated.
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  • 文章类型: Journal Article
    目标:人工智能(AI),无论是神经网络,机器学习或深度学习,对医疗保健系统有许多有益的影响;然而,其潜在的应用和对免疫疾病的诊断能力还有待探索。了解人工智能系统可以帮助医护人员更好地将人工智能融入他们的实践中,并释放其在诊断方面的潜力。临床研究,和疾病管理。
    结果:我们回顾了人工智能系统的最新进展及其在医疗保健系统中的集成,以及它们在疾病诊断和管理方面的潜在好处。我们探索了用于过敏诊断的机器学习及其从患者数据集中的学习模式,以及在与过敏反应甚至远程监控相关的研究领域使用AI的可能优势。考虑到临床医生和患者在将AI整合到医疗保健中方面提出的道德挑战和隐私问题,我们探讨了由监管机构调整的新准则。尽管面临这些挑战,人工智能似乎已成功融入各种医疗保健系统,并提供以患者为中心的解决方案,同时帮助医护人员。人工智能为免疫疾病诊断领域提供了新的希望,监测,和管理,因此有可能彻底改变医疗保健系统。
    OBJECTIVE: Artificial intelligence (AI), be it neuronal networks, machine learning or deep learning, has numerous beneficial effects on healthcare systems; however, its potential applications and diagnostic capabilities for immunologic diseases have yet to be explored. Understanding AI systems can help healthcare workers better assimilate artificial intelligence into their practice and unravel its potential in diagnostics, clinical research, and disease management.
    RESULTS: We reviewed recent advancements in AI systems and their integration in healthcare systems, along with their potential benefits in the diagnosis and management of diseases. We explored machine learning as employed in allergy diagnosis and its learning patterns from patient datasets, as well as the possible advantages of using AI in the field of research related to allergic reactions and even remote monitoring. Considering the ethical challenges and privacy concerns raised by clinicians and patients with regard to integrating AI in healthcare, we explored the new guidelines adapted by regulatory bodies. Despite these challenges, AI appears to have been successfully incorporated into various healthcare systems and is providing patient-centered solutions while simultaneously assisting healthcare workers. Artificial intelligence offers new hope in the field of immunologic disease diagnosis, monitoring, and management and thus has the potential to revolutionize healthcare systems.
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  • 文章类型: Journal Article
    使用荷兰糖尿病协会杂志(NederlandseVerenigingvanSuikerzieken),本文介绍了1945年至1970年间荷兰早期患者组织在慢性疾病糖尿病及其管理方面的作用。在1940年代和1950年代,通过平衡概念调和了纪律(由卫生专业人员指导)和独立性(由糖尿病患者指导)的双重目标。有组织的糖尿病患者发挥了特别大的作用,结果,独立性得到了特别强调。这使得有组织的患者可以在与劳动有关的社会健康方面重新配置他们的疾病和身份,战后重建时期的家庭和社会。在1960年代后期,这种社会概念转变为个人的健康概念,其中平衡概念失去了突出地位,尽管在1960年代初期进行了短暂的医疗干预。
    Using the journal of the Dutch Diabetics Association (Nederlandse Vereniging van Suikerzieken), the article provides insight into the role of an early patient organisation in conceptualising the chronic disease diabetes and its management in the Netherlands between 1945 and 1970. The dual aims of discipline (steered by health professionals) and independence (steered by diabetics) were reconciled through the concept of balance during the 1940s and 1950s. Organised diabetics played a particularly large role, and independence got particular emphasis as a consequence. This made it possible for organised patients to reconfigure their disease and identity in terms of social health in relation to labour, family and society in the post-war reconstruction period. In the late 1960s, this social concept transformed into a personal concept of health in which the concept of balance lost its prominence, despite a short intermezzo of medicalisation in the early 1960s.
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  • 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
    已知植物酚类具有多种生物活性。本研究旨在提取和检查宝芒果(MangiferaindicaL.var。)果皮乙醇提取物(MPE)。Further,抗氧化剂,抗糖尿病药(α-淀粉酶,和α-葡萄糖苷酶抑制活性),和抗阿尔茨海默病(AD)(乙酰胆碱酯酶(AChE),丁酰胆碱酯酶(BChE),测定MPE的β-分泌酶(BACE-1)抑制活性)功效。结果表明,芒果苷(8755.89mg/100g提取物)是MPE中的主要酚类化合物。抗氧化机制表明,与还原力(FRAP)或氧自由基吸收能力(ORAC)相比,MPE具有更高的自由基清除能力(4266.70µmolTE/g提取物)。对糖尿病和AD相关酶的进一步体外酶抑制试验表明,与标准药物(阿卡波糖)相比,MPE对糖尿病相关酶具有更强的抑制作用(P<0.05)。而与它们的标准药物(多奈哌齐)相比,观察到对AD相关酶的IC50值较低(P<0.05)。结果表明,泰宝芒果果皮副产品可以成为降低糖尿病和改善认知健康的潜在营养保健品来源。
    Plant phenolics have been known for various biological activities. This study aims to extract and examine the presence of phenolics in Bao mango (Mangifera indica L. var.) peel ethanolic extract (MPE). Further, antioxidant, anti-diabetic (α-amylase, and α-glucosidase inhibitory activity), and anti- Alzheimer\'s disease (AD) (acetylcholinesterase (AChE), butyrylcholinesterase (BChE), and β-secretase (BACE-1) inhibitory activity) efficacy of MPE were determined. The results indicated that mangiferin (8755.89 mg/ 100 g extract) was the major phenolic compound in MPE. An antioxidant mechanism revealed that MPE had a higher radical scavenging ability (4266.70 µmol TE/g extract) compared to reducing power (FRAP) or oxygen radical absorption capacity (ORAC). Further in-vitro enzyme inhibitory assay against diabetic and AD involved enzymes showed that MPE had stronger inhibitory action against an enzyme involved in diabetes compared to their standard drug (Acarbose) (P < 0.05). While a lower IC50 value was observed against AD-involved enzymes compared to their standard drug (donepezil) (P < 0.05). The results show that Thai Bao mango peel byproduct can be a potential source of nutraceuticals to lower diabetes and improve cognitive health.
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  • 文章类型: Journal Article
    随着研究的推进,已发现非编码RNA通过编码序列元件并与核糖体结合而直接编码功能蛋白,从而超越了传统的定义。在非编码RNA中,circRNA编码蛋白质的功能已被广泛研究。这项研究使用了“circRNA”,\"编码\",和“翻译”作为搜索PubMed和WebofScience数据库的关键词。检索到的文献经过筛选和追踪,有了翻译机制,相关研究方法,并对circRNA与疾病的相关性进行了综述。CircRNA可以通过非帽依赖性途径翻译蛋白质。多分子技术,特别是质谱分析,在鉴定circRNA编码蛋白质的独特肽段以确认其存在方面具有重要价值。circRNA编码的蛋白质参与消化系统疾病的发病机理,神经学,泌尿系统和乳房,并有可能成为疾病诊断和治疗的新目标。本文对基础理论进行了全面的回顾,实验方法,以及circRNA翻译领域的疾病相关研究,这可能为识别新的诊断和治疗靶点提供线索。
    With the advance of research, non-coding RNA has been found to surpass the traditional definition to directly code functional proteins by coding sequence elements and binding with ribosomes. Among the non-coding RNAs, the function of circRNA encoded proteins has been most extensively studied. This study has used \"circRNA\", \"encoded\", and \"translation\" as the key words to search the PubMed and Web of Science databases. The retrieved literature was screened and traced, with the translation mechanism, related research methods, and correlation with diseases of circRNA reviewed. CircRNA can translate proteins through a non-cap-dependent pathway. Multiple molecular techniques, in particular mass spectrometry analysis, have important value in identifying unique peptide segments of circRNA encoded proteins for confirming their existence. The proteins encoded by the circRNA are involved in the pathogenesis of diseases of the digestive, neurological, urinary systems and the breast, and have the potential to serve as novel targets for disease diagnosis and treatment. This article has provided a comprehensive review for the basic theory, experimental methods, and disease-related research in the field of circRNA translation, which may provide clues for the identification of new diagnostic and therapeutic targets.
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  • 文章类型: Journal Article
    由于缺乏足够的临床病例报告,解释在人口规模测序工作中发现的大量罕见遗传变异并破译它们与人类健康和疾病的关联是一个严峻的挑战。克服这个问题的一个有希望的途径是深度突变扫描(DMS),在模型细胞系中引入和评估大规模遗传变异的方法。DMS允许对变体进行公正的调查,包括那些在临床报告中没有发现的,从而改善罕见疾病诊断。目前,限制DMS全部潜力的主要障碍是疾病机制特异性功能测定的可用性。因此,我们探索了适合检查广泛疾病机制的高通量功能方法.我们特别关注不需要机器人或自动化的方法,而是使用精心设计的分子工具将生物机制转化为易于检测的信号。如细胞存活率,荧光或耐药性。这里,我们的目标是弥合疾病相关检测方法与纳入DMS框架之间的差距.
    Interpreting the wealth of rare genetic variants discovered in population-scale sequencing efforts and deciphering their associations with human health and disease present a critical challenge due to the lack of sufficient clinical case reports. One promising avenue to overcome this problem is deep mutational scanning (DMS), a method of introducing and evaluating large-scale genetic variants in model cell lines. DMS allows unbiased investigation of variants, including those that are not found in clinical reports, thus improving rare disease diagnostics. Currently, the main obstacle limiting the full potential of DMS is the availability of functional assays that are specific to disease mechanisms. Thus, we explore high-throughput functional methodologies suitable to examine broad disease mechanisms. We specifically focus on methods that do not require robotics or automation but instead use well-designed molecular tools to transform biological mechanisms into easily detectable signals, such as cell survival rate, fluorescence or drug resistance. Here, we aim to bridge the gap between disease-relevant assays and their integration into the DMS framework.
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  • 文章类型: Journal Article
    动物之间的相遇发生在动物在空间和时间上接近时。相遇在许多生态过程中都很重要,包括社会性,捕食和疾病传播。尽管如此,关于相遇的空间分布几乎没有理论,也没有正式的框架将环境特征与相遇联系起来。通过将相遇发生的位置与相遇可能发生的可用位置进行比较,可以使用资源选择函数(RSF)来估计相遇的概率。但是栖息地选择的等级性质使这一估计变得复杂。我们开发了一种方法,该方法基于规模整合的栖息地选择框架,将资源与相遇的相对概率相关联。该框架在多个尺度上集成了栖息地选择,以获得对相遇可用性的适当估计。使用这种方法,我们将相遇概率与景观资源联系起来。RSF在四个尺度上描述了栖息地关联,研究区域内的家庭范围,家庭范围内的重叠区域,重叠区域内的位置,与其他地点相比,这可以组合成一个单一的规模集成的RSF。我们将此方法应用于来自两个物种的种内相遇数据:白尾鹿(Odocoileusvirginianus)和麋鹿(Cervuselaphus),以及来自驯鹿(Rangifertarandus)和土狼(Canislatrans)的两个物种系统的种间相遇数据。我们的方法产生了比例积分的RSF,代表了相遇的相对概率。基于这种尺度整合方法获得的相遇的预测空间分布产生的分布比幼稚方法或任何单独的尺度更准确地预测了新的相遇。我们的结果强调了在估计动物相遇的栖息地关联时,考虑栖息地选择的条件性质的重要性,而不是将相遇地点与一般可用性进行比较。此方法与测试有关栖息地与社会或捕食者-猎物行为之间关系的假设以及生成相遇的空间预测直接相关。这种空间预测对于理解驱动疾病传播的相遇分布可能至关重要,捕食率和其他人口和社区层面的过程。
    Encounters between animals occur when animals are close in space and time. Encounters are important in many ecological processes including sociality, predation and disease transmission. Despite this, there is little theory regarding the spatial distribution of encounters and no formal framework to relate environmental characteristics to encounters. The probability of encounter could be estimated with resource selection functions (RSFs) by comparing locations where encounters occurred to available locations where they may have occurred, but this estimate is complicated by the hierarchical nature of habitat selection. We developed a method to relate resources to the relative probability of encounter based on a scale-integrated habitat selection framework. This framework integrates habitat selection at multiple scales to obtain an appropriate estimate of availability for encounters. Using this approach, we related encounter probabilities to landscape resources. The RSFs describe habitat associations at four scales, home ranges within the study area, areas of overlap within home ranges, locations within areas of overlap, and encounters compared to other locations, which can be combined into a single scale-integrated RSF. We apply this method to intraspecific encounter data from two species: white-tailed deer (Odocoileus virginianus) and elk (Cervus elaphus) and interspecific encounter data from a two-species system of caribou (Rangifer tarandus) and coyote (Canis latrans). Our method produced scale-integrated RSFs that represented the relative probability of encounter. The predicted spatial distribution of encounters obtained based on this scale-integrated approach produced distributions that more accurately predicted novel encounters than a naïve approach or any individual scale alone. Our results highlight the importance of accounting for the conditional nature of habitat selection in estimating the habitat associations of animal encounters as opposed to \'naïve\' comparisons of encounter locations with general availability. This method has direct relevance for testing hypotheses about the relationship between habitat and social or predator-prey behaviour and generating spatial predictions of encounters. Such spatial predictions may be vital for understanding the distribution of encounters driving disease transmission, predation rates and other population and community-level processes.
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    文章类型: Journal Article
    自2017年水痘复发以来,仅尼日利亚就占非洲地区报告的确诊病例的约60%。因此,这项研究旨在了解公众对水痘感染的知识和看法。
    我们在三个州的958名社区成员中进行了一项横断面研究(Oyo,拉各斯和吉加瓦)在尼日利亚。在四个领域评估了水痘感染的知识:(1)一般知识,(2)变速器,(3)体征和症状,(4)预防和治疗,我们为每个正确的反应分配1分。进行二元logistic回归以探索与5%显著性水平的水痘感染知识相关的因素。我们评估了5个构建体对水痘感染的感知(感知易感性,感知的严重性,感知到的好处,感知障碍,和自我效能感)来自健康信念模型,使用李克特三分量表.我们使用Kruskal-Wallis和Mann-Whitney-U检验来评估与每个构建体相关的因素。
    总的来说,只有约三分之一(38.3%)的社区成员知道水痘感染。这三个州的认知和知识存在差异。了解水痘感染传播,预防,各州的治疗水平都很低。只有28.9%的受访者知道与感染者共用器具是感染疾病的一种手段,只有15.9%的人意识到水痘感染可能会自发消退。Jigawa14.8(±3.2)的一般知识得分平均值高于拉各斯12.1(±4.1)和Oyo状态12.5(±5.6)(p<0.001)。受过高等教育的受访者(p=0.001)更有可能认为自己易患水痘,而男性(p<0.001)和居住在吉加瓦州的受访者(p=0.002)则更有可能认为水痘严重,90.5%认为被感染会停止他们的日常活动(p<0.001)。在吉加瓦州,坚持痘预防策略的感知障碍较高(p<0.001),68.3%的人报告说使用洗手液对他们来说可能很昂贵。
    对我们的研究结果的分析揭示了巨大的知识差距和公众对天花的认识水平非常低。知识有限的关键领域包括疾病的传播途径,以及它的预防和治疗。为了控制水痘感染的传播,有必要加强公共卫生风险沟通,重点是传播和预防措施。
    UNASSIGNED: Since the resurgence of mpox disease in 2017, Nigeria alone has accounted for about 60% of confirmed cases reported in the African region. This study therefore aimed to understand the knowledge and perception of the general public towards the mpox infection.
    UNASSIGNED: We conducted a cross-sectional study among 958 community members across three states (Oyo, Lagos and Jigawa) in Nigeria. Knowledge of mpox infection was assessed across four domains: (1) general knowledge, (2) transmission, (3) signs and symptoms, and (4) prevention and treatment where we assigned a score of 1 for each correct response. Binary logistic regression was conducted to explore factors associated with knowledge of mpox infection at 5% level of significance. We assessed perception of mpox infection across 5 constructs (perceived susceptibility, perceived severity, perceived benefits, perceived barriers, and self-efficacy) from the health belief model, using 3-point Likert scales. We used Kruskal-Wallis and Mann-Whitney- U tests to assess factors associated with each construct.
    UNASSIGNED: Overall, only about one-third (38.3%) of community members were aware of mpox infection. There were variations in perceptions and knowledge across the three states. Knowledge of mpox infection transmission, prevention, and treatment was low across the states. Only 28.9% of respondents knew that sharing utensils with an infected person is a means of contracting the disease, and just 15.9% were aware that mpox infection may resolve spontaneously. The mean of general knowledge scores was higher in Jigawa 14.8 (±3.2) compared to Lagos 12.1 (±4.1) and Oyo states 12.5 (±5.6) (p<0.001).Respondents with tertiary-level education (p=0.001) were significantly more likely to perceive themselves as susceptible to mpox while males (p<0.001) and respondents who live in Jigawa state (p=0.002) were significantly more likely to perceive mpox as severe with 90.5% believing that being infected will stop their daily activity (p<0.001). Perceived barriers to adherence to mpox preventive strategies were higher in Jigawa state (p<0.001), with 68.3% reporting that use of hand sanitizers might be expensive for them.
    UNASSIGNED: The analysis of our findings revealed significant knowledge gaps and a very low level of public awareness about mpox. Key areas of limited knowledge included the disease\'s route of transmission, as well as its prevention and treatment. To control the spread of mpox infection, there is need to strengthen public health risk communication focusing on the transmission and preventive actions.
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