historical overview

历史概述
  • 文章类型: Journal Article
    肛裂是最常见的直肠病变之一。它包括在阳极剂中形成纵向撕裂,在排便期间和排便后引起疼痛和出血。当慢性,它可以显着负面影响患者的生活质量。目前,有多种治疗选择,医学和外科.本文的目的是强调这种疾病的病理生理学理解和治疗的历史演变,强调了历史上的关键时刻。这是第一篇总结从古代到当代肛裂治疗里程碑的文章。
    Anal fissure is one of the most common proctological pathologies. It consists of the formation of a longitudinal tear in the anoderm, causing pain and bleeding during and after defecation. When chronic, it can significantly negatively impact the quality of life of the affected patient. Currently, multiple therapeutic options are available, both medical and surgical. The objective of this article is to highlight the historical evolution in the physiopathological understanding and treatment of this disease, underlining the key moments in this history. This is the first article to summarize the milestones in the treatment of anal fissure from ancient to current times.
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  • 文章类型: Editorial
    卡尔·路德维希·卡尔鲍姆(KarlLudwigKahlbaum,1828-1899)是第一个概念化和描述新型精神疾病的主要临床特征的人,他在150年前发表的开创性专著中称之为卡顿。尽管Kahlbaum认为卡顿多尼亚是一种以精神运动症状和周期性病程为特征的独立疾病,对他的26例病例进行仔细检查后发现,其中大多数患者表现为与各种精神病和医疗状况相关的运动症状复合物或综合征。在他的分类系统中,Kraepelin将紧张性运动症状与精神病症状相结合,通常在他的痴呆症praecox(精神分裂症)疾病实体中预后不良。由于Kraepelin分类的实质性影响,在20世纪的大部分时间里,紧张症主要被认为是精神分裂症的一个组成部分。然而,随着从1950年代初开始的精神药物治疗时代的到来,直到21世纪初,在临床实践和研究中对卡顿多症的兴趣才消退。在过去的二十年中,人们对卡顿尼亚的兴趣重新抬头。精神疾病诊断与统计手册第五版,通过承认卡顿多症可以继发于各种精神病和医疗状况,这标志着范式的转变。引入称为“无其他指定的Catatonia”的独立诊断类别显着刺激了该领域的研究。作者简要回顾了最近卡顿尼亚研究的历史和发现,并强调了未来探索的有希望的方向。
    Karl Ludwig Kahlbaum (1828-1899) was the first to conceptualize and describe the main clinical features of a novel psychiatric illness, which he termed catatonia in his groundbreaking monograph published 150 years ago. Although Kahlbaum postulated catatonia as a separate disease entity characterized by psychomotor symptoms and a cyclical course, a close examination of his 26 cases reveals that most of them presented with motor symptom complexes or syndromes associated with various psychiatric and medical conditions. In his classification system, Kraepelin categorized catatonic motor symptoms that occur in combination with psychotic symptoms and typically have a poor prognosis within his dementia praecox (schizophrenia) disease entity. Because of the substantial influence of Kraepelin\'s classification, catatonia was predominantly perceived as a component of schizophrenia for most of the 20th century. However, with the advent of the psychopharmacotherapy era starting from the early 1950s, interest in catatonia in both clinical practice and research subsided until the early 2000s. The past two decades have witnessed a resurgence of interest in catatonia. The Diagnostic and Statistical Manual of Mental Disorders Fifth Edition, marked a paradigmatic shift by acknowledging that catatonia can occur secondary to various psychiatric and medical conditions. The introduction of an independent diagnostic category termed \"Catatonia Not Otherwise Specified\" significantly stimulated research in this field. The authors briefly review the history and findings of recent catatonia research and highlight promising directions for future exploration.
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  • 文章类型: Journal Article
    新心梗,一种与植物和人类相关的真菌,已成为全球变暖加剧的重大全球生态和农业威胁。它会引发各种疾病,包括溃疡,枯萎病,死回,叶斑病,根腐病,和水果腐烂,在各种各样的果树上,大田作物,灌木,和树栖物种,寄主范围涵盖46个植物家族,84属,126种,主要影响Eudicot被子植物。六个属是无症状宿主。Dimidiatum表现出全球分布,在亚洲和北美观察到的患病率最高,尤其是在伊朗,土耳其,和加州。疾病患病率和严重程度上升,气候变化加剧了,特别是影响横跨7大洲的37个国家的热带干旱地区。这篇全面的综述概括了对N.dimidiatum的理解的最新进展,包括其分类学分类的改变,主机范围,症状,地理分布,流行病学,毒力,以及有效管理的策略。本研究还集中于理解N.dimidiatum内的分类关系和种内变异,特别着重于N.oculus和N.hylocereum,提议将这两个物种视为N.dimidiatum的同义词。此外,这篇综述确定了旨在增强我们对宿主N的基本理解的前瞻性研究方向。dimidiatum相互作用。
    Neoscytalidium dimidiatum, a plant- and human-associated fungus, has emerged as a substantial global ecological and agricultural threat aggravated by global warming. It inflicts various diseases, including canker, blight, dieback, leaf spot, root rot, and fruit rot, across a wide spectrum of fruit trees, field crops, shrubs, and arboreal species, with a host range spanning 46 plant families, 84 genera, and 126 species, primarily affecting eudicot angiosperms. Six genera are asymptomatic hosts. Neoscytalidium dimidiatum exhibits worldwide distribution, with the highest prevalence observed in Asia and North America, notably in Iran, Turkey, and California. Rising disease prevalence and severity, aggravated by climate change, particularly impact tropical arid places across 37 countries spanning all 7 continents. This comprehensive review encapsulates recent advancements in the understanding of N. dimidiatum, encompassing alterations in its taxonomic classification, host range, symptoms, geographic distribution, epidemiology, virulence, and strategies for effective management. This study also concentrates on comprehending the taxonomic relationships and intraspecific variations within N. dimidiatum, with a particular emphasis on N. oculus and N. hylocereum, proposing to consider these two species as synonymous with N. dimidiatum. Furthermore, this review identifies prospective research directions aimed at augmenting our fundamental understanding of host-N. dimidiatum interaction.
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  • 文章类型: Journal Article
    胃癌(GC)是世界范围内高度流行和致命的恶性肿瘤。目前,长链非编码RNA(lncRNAs)最近已被确定为与GC发展和进展有关的关键调节因子。lncRNAs表达失调通常与增强的肿瘤迁移有关,侵入性,和治疗抗性,突出了它们作为临床应用的有希望的目标的潜力。这篇综述提供了GC中lncRNAs的全面历史概述,描述了分子机制,并讨论了建立lncRNAs作为精确生物标志物的前景和挑战。
    Gastric cancer (GC) is a highly prevalent and deadly malignant neoplasm worldwide. Currently, long non-coding RNAs (lncRNAs) have recently been identified as crucial regulators implicated in GC development and progression. Dysregulated expression of lncRNAs is commonly associated with enhanced tumor migration, invasiveness, and therapy resistance, highlighting their potential as promising targets for clinical applications. This review offers a comprehensive historical overview of lncRNAs in GC, describes the molecular mechanisms, and discusses the prospects and challenges of establishing lncRNAs as precision biomarkers.
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  • 文章类型: Editorial
    在20世纪初,据报道,住院患者样本中的紧张症患病率在19.5%至50%之间.从1900年代中期开始,大多数临床医生认为紧张症正在消失。医学科学的进步,特别是在神经病学领域,可能降低了具有紧张性特征的神经系统疾病的发生率或减轻了其严重程度。更积极的药理和社会心理治疗方法可能消除或缓和了紧张现象。此外,与经典文本相比,现代分类中相对狭窄的描述性特征以及将紧张性体征和症状归因于抗精神病药物引起的运动症状,可能导致了紧张性紧张的发生率明显下降。1990年代引入的紧张症评定量表的应用显示,症状明显多于常规临床访谈,几年之内,卡顿尼亚消失的概念让位于其意想不到的复苏。一些系统的调查发现,平均而言,10%的急性精神病患者表现出紧张性特征。在这篇社论中,本文回顾了紧张症发病率的变化和可能的根本原因。
    In the beginning of the 1900s, the prevalence of catatonia in inpatient samples was reported to be between 19.5% and 50%. From the mid-1900s, most clinicians thought that catatonia was disappearing. Advances in medical sciences, particularly in the field of neurology, may have reduced the incidence of neurological diseases that present with catatonic features or mitigated their severity. More active pharmacological and psychosocial treatment methods may have either eliminated or moderated catatonic phenomena. Moreover, the relatively narrow descriptive features in modern classifications compared with classical texts and ascribing catatonic signs and symptoms to antipsychotic-induced motor symptoms may have contributed to an apparent decline in the incidence of catatonia. The application of catatonia rating scales introduced in the 1990s revealed significantly more symptoms than routine clinical interviews, and within a few years, the notion of the disappearance of catatonia gave way to its un-expected resurgence. Several systematic investigations have found that, on average, 10% of acute psychotic patients present with catatonic features. In this editorial, the changes in the incidence of catatonia and the possible underlying causes are reviewed.
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  • 文章类型: Journal Article
    Windelband([1894]1980)主张使用两种方法来积累科学知识。第一种是从单个单元中获取知识的具体方法,第二种是积累群体知识的方法。鉴于这两种方法,前者与案例研究相匹配,而后者更适合实验组研究。科学家批评这两种方法的各种局限性。稍后,单病例方法作为一种替代方法出现,有可能缓解这些局限性.在这种情况下,这篇叙述性综述旨在描述单病例实验设计(SCED)的历史根源,这些设计已经出现,以消除随着时间的推移,常规和具体方法的紧张关系.首先,这篇综述的重点是SCED的出现。第二,回顾了SCED的优势和挑战,包括解决小组实验和案例研究局限性的研究。第三,概述了SCED的使用和分析,考虑到他们目前的状态。第四,这篇叙述性评论继续描述SCED在现代科学世界中的传播。因此,SCED可以被评估为一种有可能克服案例描述和小组实验研究中遇到的问题的方法。因此,这有助于在确定基于证据的实践时积累理论和具体的知识。
    ABSTRACTWindelband ([1894]1980) advocated that two approaches are used for accumulating scientific knowledge. The first is the idiographic approach that derives knowledge from a single unit, and the second is the nomothetic approach that accumulates knowledge of a group. Given these two approaches, the former matches case studies while the latter is more appropriate with experimental group studies. Scientists have criticized both methodologies for their various limitations. Later, the single-case methodology emerged as an alternative that potentially allays these limitations. In this context, this narrative review aims to describe the historical roots of single-case experimental designs (SCEDs) that have emerged to eliminate the tension of nomothetic and idiographic approaches over time. First, the review focuses on the emergence of SCEDs. Second, the strengths and challenges of SCEDs are reviewed, including those to address the limitations of group experimental and case studies. Third, the use and analyses of SCEDs are outlined, considering their current status. Fourth, this narrative review continues to delineate the dissemination of SCEDs in the modern scientific world. As a result, SCEDs can be evaluated as a method that has the potential to overcome the issues encountered in case description and group experimental research. Thus, that helps accumulate nomothetic and idiographic knowledge in determining evidence-based practices.
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  • 文章类型: Journal Article
    背景:在澳大利亚注册成为国际合格的助产士可能具有挑战性,因为个人必须符合严格的教育和专业能力评估标准。
    目的:本次讨论的目的是概述2000年至2020年澳大利亚国际合格助产士注册标准的演变,并评估其在促进国际合格助产士职业融合方面的有效性。
    结果:澳大利亚国际合格助产士的注册政策在过去20年中发生了重大变化。2010年,登记政策和治理从州或地区转移到国家管辖,然后这些标准在2014年升级,最后在2020年过渡到基于结果的评估(OBA)计划。在既定的登记政策及其执行方面显示出不一致和缺乏透明度,最值得注意的是,尽管NMBA政策提到了从2000年到2020年的可用过渡计划,但2015年澳大利亚终止了针对非英语背景的国际合格助产士的衔接计划。OBA在2020年的实施,这是在经历了明显的延迟之后发生的,复杂的注册过程进一步包括两个级别的评估(MCQ考试和OSCE)和相关费用。
    结论:基于证据的策略和监管调整对于在澳大利亚有效注册国际合格的助产士是必要的,特别是那些来自非英语背景的人。
    BACKGROUND: Registration as an internationally qualified midwife in Australia can be challenging, as the individual must meet rigorous education and professional competency assessment standards.
    OBJECTIVE: The purpose of this discussion is to present an overview of the evolution of registration standards for internationally qualified midwives in Australia from 2000 to 2020 and evaluate their effectiveness in promoting internationally qualified midwives\' professional integration.
    RESULTS: Australian registration policies for internationally qualified midwives have undergone significant change over the last 20 years. In 2010, registration policy and governance moved from state or territory to national jurisdiction, then these standards were upgraded in 2014, and finally transitioned to an outcome-based assessment (OBA) program in 2020. Inconsistency and lack of transparency in established registration policies and their implementation were revealed, most notably when bridging programs for internationally qualified midwives from non-English speaking backgrounds were discontinued in Australia in 2015, despite reference in the NMBA policy as an available transition program from 2000 to 2020. The implementation of OBA in 2020, which occurred after a significant delay, complicated registration processes further with inclusion of two levels of assessment (MCQ examination and OSCE) and associated expenses.
    CONCLUSIONS: Evidence-based strategies and regulatory adjustments are necessary to effectively register internationally qualified midwives in Australia, particularly those from non-English speaking backgrounds.
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  • 文章类型: Journal Article
    Chricacterritisacpaisthehuaidfragtie它的治疗方法已经证明了triaerrrethdtthecurretpurchasefeviddecebasedediciewithdevepetfeducawedgeadprgresstechgythesurgicalperatridechedcurretpracticesareatherstepiiiii
    Chric pacreatitis accpaies the huaid fr a g tie Its treatet has evved fr the triaerrr ethd t the curret pursuit f evidecebased edicie With the devepet f edica wedge ad prgress i techgy the surgica perati graduay chaged Curret practices are ather step i the pyraid the fudatis f which were buit by ur curageus predecessrs.
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  • 文章类型: Journal Article
    BrunodaLongobucco(公元前1200-1286年)出生于13世纪之交的Longobucco(卡拉布里亚,意大利),当时叫Longoburgo.他是中世纪第一位学术外科医生,手术被主流医生忽视,是理发师的做法,骗子和采血者。在萨勒诺医学院和布洛涅大学接受培训后,他是帕多瓦大学的创始人之一,并成为第一位外科教授。他的书ChirurgiaMagna和ChirurgiaParva,是中世纪传播最多的外科手术文献之一,有人认为这有助于外科手术重新获得声誉。尽管他对中世纪晚期很重要,他在手术史的记录中基本上被忽视了。目前,在PubMed上没有关于他生活的英文文章,Scopus或Embase。20世纪60年代,一篇关于布鲁诺的生活和影响的单独文章发表在一本意大利语的小杂志上,但是这不再是活跃的,也没有电子手段来访问原始文章。本文的目的是提供教育和重新发现这个重要人物的影响,他的作品以及他对当代外科医生外科手术的发展和复兴的历史作用。
    Bruno da Longobucco (1200-1286) was born at the turn of the 13th Century in Longobucco (Calabria, Italy), at that time named Longoburgo. He was the first academic surgeon of the Middle Ages, a period when surgery was disregarded by mainstream physicians and was the practice of barbers, charlatans and phlebotomists. After training at the medical school of Salerno and the University of Boulogne, he was one of the founders of the University of Padua and became the first Professor of Surgery. His books Chirurgia Magna and Chirurgia Parva, were ones of the most disseminated surgical texts of the Middle Ages and it is argued helped surgery regain its reputation. Despite his importance to late medieval period, he has been essentially overlooked in the records of the history of surgery. Currently, there are no articles in English about his life indexed on PubMed, Scopus or Embase. One solitary article on Bruno\'s life and influence was published in 1960s in a small journal in Italian, but this is no longer active and there is no electronic means to access the original article. The aim of this article is to provide education and rediscovery of the impact of this critical figure, his works and his historic role to the development and renaissance of surgery for contemporary surgeons.
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  • 文章类型: Journal Article
    新城疫(ND)是由新城疫病毒(NDV)感染家禽引起的一种急性高度接触性传染病,这对世界各地的家禽业造成了极大的危害。NDV的快速诊断对于早期治疗和早期采取控制措施非常重要。在这次审查中,我们全面总结了最新的NDV研究,包括历史概述,分子结构,和感染机制。然后我们专注于NDV的检测策略,包括病毒隔离,血清学测定(如血凝和血凝抑制试验,酶联免疫吸附测定,报告病毒中和试验,免疫荧光分析,和免疫胶体金技术),分子测定(如逆转录聚合酶链反应,实时定量PCR,和环介导等温扩增)和其他测定。还分析了目前可用的不同血清学和分子生物学测定的性能。最后,我们研究了目前可用的NDV检测策略的局限性,为新的检测试验奠定基础.
    Newcastle disease (ND) is an acute and highly contagious disease caused by the Newcastle disease virus (NDV) infecting poultry, which has caused great harm to the poultry industry around the world. Rapid diagnosis of NDV is important to early treatment and early institution of control measures. In this review, we comprehensively summarize the most recent research into NDV, including historical overview, molecular structure, and infection mechanism. We then focus on detection strategies for NDV, including virus isolation, serological assays (such as hemagglutination and hemagglutination-inhibition tests, enzyme linked immunosorbent assay, reporter virus neutralization test, Immunofluorescence assay, and Immune colloidal gold technique), molecular assays (such as reverse transcription polymerase chain reaction, real-time quantitative PCR, and loop-mediated isothermal amplification) and other assays. The performance of the different serological and molecular biology assays currently available was also analyzed. To conclude, we examine the limitations of currently available strategies for the detection of NDV to lay the groundwork for new detection assays.
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