holistic approach

整体方法
  • 文章类型: Editorial
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  • 文章类型: Journal Article
    抗氧化剂在保持皮肤健康和完整性方面发挥着关键作用,对抗由环境侵略者诱导的氧化应激的有害影响,如紫外线辐射,污染,和生活方式因素。本文综述了关键抗氧化剂的贡献,包括维生素C,维生素E,维生素A,绿茶提取物,辅酶Q10,白藜芦醇,硒,和多酚,在皮肤保健。维生素C,以其胶原蛋白合成促进和光保护特性而闻名,除了维生素E,一种脂溶性抗氧化剂,syn-人体工程学中和自由基和修复受损的皮肤细胞。维生素A,以视黄醇的形式,在皮肤细胞再生和维持皮肤完整性中起着至关重要的作用。绿茶提取物,富含多酚,提供抗炎和抗癌功能,使其成为保护皮肤的有效成分。辅酶Q10,一种体内天然存在的抗氧化剂,有助于细胞修复和再生的能量产生,而白藜芦醇,在葡萄和浆果中发现,通过增强皮肤对氧化应激的抵抗力来提供抗衰老的益处。硒,一种必需的矿物质,有助于保护皮肤细胞免受氧化损伤。讨论了这些抗氧化剂在护肤产品和饮食来源中的掺入,强调整体方法在护肤品中的重要性。本文强调了局部应用和饮食摄入抗氧化剂之间的协同作用,倡导促进皮肤健康和预防与年龄有关的皮肤变化的综合策略。方法:对于评论文章,各种搜索引擎和数据库被用来识别相关文章。此外,关注抗氧化剂及其对皮肤健康的影响的生物医学文献,使用了PubMed。此外,访问广泛的学术文章,包括与皮肤病学和护肤有关的,使用GoogleScholar。Scopus全面覆盖了各个科学学科的同行评审文献。WebofScience确定了有关护肤中抗氧化剂的高影响力文章和研究。此外,访问有关抗氧化剂及其在皮肤病学中的应用的全文文章,使用了ScienceDirect。综述论文的纳入标准如下:仅纳入在同行评审期刊上发表的研究,以确保信息的可信度和可靠性。用英语发表的文章被认为,避免与语言相关的偏见并确保理解。包括过去10年发表的研究,以提供有关护肤品中抗氧化剂研究的最新见解。文章必须特别关注抗氧化剂(维生素C,维生素E,维生素A,绿茶提取物,辅酶Q10,白藜芦醇,硒,多酚)在皮肤保健中。包括实验研究(体内和体外)和临床试验,以全面概述抗氧化作用。包括全文文章,以便进行彻底的数据提取和分析。审查文件的排除标准如下:未经同行审查的出版物,比如社论,意见片,和非学术性文章,被排除在外。以英语以外的语言发表的文章由于潜在的翻译挑战和保持一致性而被排除在外。不关注指定抗氧化剂或其对皮肤健康影响的研究被排除在外。重复的出版物被排除在外,以避免审查中的冗余。数据不足或不完整的文章被排除在外,以确保审查结果的质量和可靠性。
    Antioxidants play a pivotal role in maintaining skin health and integrity, combating the deleterious effects of oxidative stress induced by environmental aggressors such as UV ra-diation, pollution, and lifestyle factors. This paper reviews the contributions of key antioxidants, including Vitamin C, Vitamin E, Vitamin A, green tea extract, Coenzyme Q10, Resveratrol, Selenium, and Polyphenols, in skin health care. Vitamin C, known for its collagen synthesis promotion and photoprotection properties, alongside Vitamin E, a lipid-soluble antioxidant, syn-ergistically works to neutralize free radicals and repair damaged skin cells. Vitamin A, in the form of retinol, plays a critical role in skin cell regeneration and the maintenance of skin integ-rity. Green tea extract, rich in Polyphenols, offers anti-inflammatory and anticarcinogenic prop-erties, making it a potent ingredient for skin protection. Coenzyme Q10, a naturally occurring antioxidant in the body, aids in energy production for cell repair and regeneration, while Resveratrol, found in grapes and berries, provides anti-ageing benefits by enhancing skin\'s re-sistance to oxidative stress. Selenium, an essential mineral, contributes to the protection of skin cells from oxidative damage. The incorporation of these antioxidants in skincare products and dietary sources is discussed, highlighting the importance of a holistic approach in skincare re-gimes. The paper emphasizes the synergy between topical applications and dietary intake of antioxidants, advocating for a comprehensive strategy for promoting skin health and preventing age-related skin alterations. Method: For the review article, a variety of search engines and databases were used to identify relevant articles. Furthermore, for biomedical literature focusing on antioxidants and their ef-fects on skin health, PubMed was used. Moreover, to access a wide range of scholarly articles, including those related to dermatology and skincare, Google Scholar was used. Scopus provides comprehensive coverage of peer-reviewed literature across various scientific disciplines. Web of Science identifies high-impact articles and research on antioxidants in skincare. In addition, for accessing full-text articles on antioxidants and their applications in dermatology, Science Direct was used. The inclusion criteria for the review paper were as follows: only studies pub-lished in peer-reviewed journals were included to ensure the credibility and reliability of the information. Articles published in English were considered, to avoid language-related biases and ensure comprehension. Studies published within the last 10 years were included to provide the most current insights into antioxidant research in skincare. Articles must specifically focus on the role of antioxidants (Vitamin C, Vitamin E, Vitamin A, green tea extract, Coenzyme Q10, Resveratrol, Selenium, Polyphenols) in skin health care. Both experimental studies (in vivo and in vitro) and clinical trials were included to provide a comprehensive overview of the antioxidant effects. Full-text articles were included to allow for thorough data extraction and analysis. The exclusion criteria for the review paper were as follows: Publications that were not peer-re-viewed, such as editorials, opinion pieces, and non-scholarly articles, were excluded. Articles published in languages other than English were excluded due to potential translation challenges and to maintain consistency. Studies that did not focus on the specified antioxidants or their impact on skin health were excluded. Duplicate publications were excluded to avoid redundancy in the review. Articles with insufficient or incomplete data were excluded to ensure the quality and reliability of the review findings.
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  • 文章类型: Journal Article
    俗称多巴胺能排毒或多巴胺禁食,它是一个概念,旨在减少对即时满意满足和过度刺激的依赖,以达到精神上的清晰度,减轻焦虑,并能够再次享受日常活动。数字排毒多年来一直是多巴胺禁食概念的一部分。然而,一些批评家认为,这种观点背后没有科学证据,可能无法解决多巴胺失调的问题。一些强烈类型的多巴胺禁食,包括极端隔离或严格节食,可能会损害心理健康和身体健康。本文的目的是了解多巴胺禁食的含义,并查看有关该主题的文献和证据。像PubMed这样的索引,Scopus,OVID,Embase,和GoogleScholar使用关键字进行搜索,以了解有关多巴胺禁食的现有知识。然后撰写文献综述,以一种可以实际实施的方式纳入理解。最近的研究表明,从事多巴胺禁食样意识形态的人可能会经历减少的冲动行为,更加注重任务,减少压倒。然而,极端形式的多巴胺禁食会导致孤独感,焦虑,营养不良,会对身心健康产生不利影响。因此,多巴胺禁食的效果在个体之间差异很大,没有一刀切的方法。在将多巴胺禁食纳入一个人的生活方式时,必须考虑个人的需求和偏好,并探索与多巴胺禁食原则相一致的替代做法。理解和尊重这些差异对于确定维持平衡的多巴胺反应和整体心理健康的最合适策略至关重要。多巴胺禁食的好处可以是巨大的,如果做得正确,但它取决于每个人找到正确的方式,在现代,这些做法可能会变得难以实现。
    Popularly known as dopaminergic detox or dopamine fasting, it is a concept that aims at reducing dependence on instant satisfaction gratification and overstimulation to attain mental clarity, lessen anxiety, and be able to enjoy everyday events again. Digital detox has been a part of the dopamine fasting concept for several years now. However, some critics argue that this notion has no scientific proof behind it and may fail to deal with the problem of dopamine dysregulation. Some intense types of dopamine fasting which include extreme isolation or strict dieting can result in damage to mental health as well as physical fitness. The objective of the article is to understand what dopamine fasting means and see the literature and evidence available on the topic. Indexes like PubMed, Scopus, OVID, Embase, and Google Scholar were searched using the keywords to understand the existing knowledge about dopamine fasting. The literature review was then written to incorporate the understanding in a way that can be implemented practically. Recent studies have shown that individuals who engage in dopamine-fasting-like ideologies may experience reduced impulsive behaviors, increased focus on tasks, and reduced overwhelm. However, extreme forms of dopamine fasting can lead to feelings of loneliness, anxiety, and malnutrition, which can have detrimental effects on mental and physical health. Hence, the effects of dopamine fasting can vary greatly among individuals, and there is no one-size-fits-all approach. It is essential to consider individual needs and preferences when incorporating dopamine fasting into one\'s lifestyle and explore alternative practices that align with the principles of dopamine fasting. Understanding and respecting these differences is crucial in determining the most suitable strategies for maintaining a balanced dopamine response and overall psychological health. The benefits of dopamine fasting can be tremendous if done correctly but it depends on every individual to find the correct way and in the modern day, the practices can become tough to implement.
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  • 文章类型: Journal Article
    背景:音乐家的局灶性肌张力障碍(mFD)是一种罕见的,神经学,主要影响上肢(尤其是手)的特定任务障碍,通常表现为无痛的肌肉不协调,可以标志着音乐家职业生涯的结束。本文献综述旨在强调当前对音乐家局灶性肌张力障碍的理解,其潜在的神经机制以及在物理治疗中的预防和治疗作用,心理治疗和其他领域的职业治疗。
    目的:本文献综述的目的是对医学中的mFD进行概述,心理和物理治疗文献,并调查当今可用的诊断和康复策略。
    方法:本文是文献综述,基于对全文出版物的搜索,目的是比较文献中提出的mFD康复和预防的主要策略。
    方法:本文献综述比较了目前文献中关于mFD流行病学的许多相关论文和研究,神经机制,治疗和预防,讨论我们今天所知道的,并强调未来仍可以加强的方面。
    结果:根据我们的结果,目前的文献对mFD流行病学有很好的理解,但是需要进一步的研究来充分理解神经系统方面的情况并制定更多的康复策略,尤其是在心理领域。我们的研究还强调了需要一种考虑生理和心理方面的多学科方法。
    结论:身体康复策略是有帮助的,但是,考虑到mFD涉及的心理方面的数量,未来应考虑和发展整体方法。最后,预防必须在mFD治疗中起主要作用,提高对它的认识,可能,避免其发展。
    BACKGROUND: Musician\'s focal dystonia (mFD) is a rare, neurological, task-specific disorder that mainly affects the upper extremity (especially the hands) and generally appears as a painless muscular incoordination that can mark the end of a musician\'s professional career. The present literature review intends to highlight the current understanding of musician\'s focal dystonia, its underlying neural mechanisms and the role of prevention and treatment in physiotherapy, psychotherapy and other fields as occupational therapy.
    OBJECTIVE: The aim of the present literature review was to gain an overview of mFD in the medical, psychological and physical therapy literature and investigate what strategies for diagnosis and rehabilitation are available today.
    METHODS: The present article is a literature review, based on the search for full-text publications with the goal of comparing the main strategies for mFD rehabilitation and prevention presented in the literature.
    METHODS: This literature review compared many relevant papers and studies available in literature today for mFD epidemiology, neural mechanisms, treatment and prevention, to discuss what we know today and highlight the aspects that can still be enhanced in the future.
    RESULTS: According to our results, current literature gives a good understanding of mFD epidemiology, but further studies are needed to fully comprehend the neurological aspects and develop more rehabilitation strategies, especially in the psychological field. Our research also highlighted the need for a multidisciplinary approach that considers both physical and psychological aspects.
    CONCLUSIONS: Physical rehabilitation strategies are helpful but, considering the amount of psychological aspects involved in mFD, a holistic approach should be considered and developed in the future. Finally, prevention must have a primary role in mFD treatment, raising awareness around it and, possibly, avoiding its development.
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  • 文章类型: Journal Article
    全球药物滥用问题需要持续采取符合联合国可持续发展目标的举措。随着药物使用在世界范围内仍然普遍存在,干预措施对于解决相关的健康挑战和社会影响至关重要。运动和身体活动已成为物质使用障碍(SUD)治疗的组成部分,提供有希望的预防途径,干预,和恢复。最近的研究强调了运动在减少物质渴望方面的功效,提倡禁欲,改善整体福祉。然而,将锻炼纳入SUD恢复计划会带来诸如辍学率和文化考虑等挑战。本文综合了现有的关于将运动整合到SUD恢复中的文献,强调提高治疗效果和解决坚持锻炼障碍的策略。借鉴认知行为疗法,体验式学习,动机性面试,和目标设定技术,本文概述的整体方法旨在增强个人的精神和身体能力,培养韧性并支持长期复苏。总之,需要通过倡导包容性政策来采取新的举措,促进社区参与,促进跨部门合作。通过这样做,利益相关者可以优化锻炼计划的有效性,并为SUD患者的可持续康复工作做出贡献。
    The global issue of substance abuse demands ongoing initiatives aligned with the United Nations Sustainable Development Goals. With drug use remaining prevalent worldwide, interventions are critical to addressing the associated health challenges and societal implications. Exercise and physical activities have emerged as integral components of substance use disorder (SUD) treatment, offering promising avenues for prevention, intervention, and recovery. Recent research underscores the efficacy of exercise in reducing substance cravings, promoting abstinence, and improving overall well-being. However, integrating exercise into SUD recovery programs presents challenges such as dropout rates and cultural considerations. This paper synthesizes existing literature on exercise integration into SUD recovery, highlighting strategies for enhancing treatment outcomes and addressing barriers to exercise adherence. Drawing on cognitive-behavioral therapy, experiential learning, motivational interviewing, and goal-setting techniques, the holistic approach outlined in this paper aims to empower individuals both mentally and physically, fostering resilience and supporting long-term recovery. In conclusion, new initiatives need to be taken by advocating for inclusive policies, promoting community engagement, and fostering collaborations across sectors. By doing so, stakeholders can optimize the effectiveness of exercise programs and contribute to sustainable rehabilitation efforts for individuals with SUD.
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  • 文章类型: Journal Article
    目标:尽管减肥计划盛行,他们的成功率仍然令人沮丧,大约一半的人在两年内恢复了体重。这篇综述的主要目的是探索导致减肥计划失败的因素,并提供对有效体重管理策略的见解。
    结果:导致减肥计划失败的因素包括限制性饮食的不切实际,潜在的代谢影响,对生活方式改变的关注有限,遗传倾向,心理影响,社会经济地位,和医疗条件。考虑这些因素的整体方法对于安全和可持续的减肥至关重要。主要研究结果表明,整体方法对体重管理的重要性,包括生活方式的改变,医疗干预,以及行为和心理策略。有效的减肥策略强调低热量,营养丰富的饮食,有规律的身体活动,和针对个人需求的干预措施。结合多种方法提供了成功的体重管理和改善健康结果的最佳机会。这篇综述提供了对肥胖管理的复杂性以及导致减肥计划失败的因素的见解。它强调了采取解决饮食习惯的整体方法的必要性,身体活动,遗传因素,心理健康,和社会经济影响。建议包括实施生活方式的改变,必要时进行医疗干预,并整合行为和心理支持,以实现可持续的减肥和减轻肥胖带来的全球健康挑战。
    OBJECTIVE: Despite the prevalence of weight loss programs, their success rates remain discouraging, with around half of individuals regaining lost weight within two years. The primary objective of this review is to explore the factors contributing to the failure of weight loss programs and to provide insights into effective weight management strategies.
    RESULTS: Factors contributing to the failure of weight loss programs include the impracticality of restrictive diets, potential metabolic impacts, limited focus on lifestyle changes, genetic predispositions, psychological influences, socioeconomic status, and medical conditions. A holistic approach considering these factors is crucial for safe and sustainable weight loss. Key findings indicate the importance of holistic approaches to weight management, including lifestyle modifications, medical interventions, and behavioral and psychological strategies. Effective weight loss strategies emphasize low-calorie, nutrient-rich diets, regular physical activity, and interventions tailored to individual needs. Combining multiple approaches offers the best chance of successful weight management and improved health outcomes. This review provides insights into the complexities of obesity management and the factors contributing to the failure of weight loss programs. It highlights the necessity of adopting a holistic approach that addresses dietary habits, physical activity, genetic factors, psychological well-being, and socioeconomic influences. Recommendations include implementing lifestyle modifications, medical interventions when necessary, and integrating behavioral and psychological support to achieve sustainable weight loss and mitigate the global health challenge posed by obesity.
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  • 文章类型: Journal Article
    抑郁症,一种普遍而复杂的心理健康状况,带来了巨大的全球卫生负担。抑郁症是最常见的精神障碍之一;死于抑郁症的人占全世界的14.3%。近年来,补充和替代医学的整合,包括中药(TCM),已成为解决抑郁症的潜在途径。这篇综合综述严格评估了中医干预措施在缓解抑郁症状方面的疗效。深入研究不同的研究,临床试验,和荟萃分析在这篇综述中被用来研究如何中医实践,如草药配方,针灸,和身心实践工作。审查着眼于证据的质量,方法的严谨性,以及当前研究中可能存在的任何缺陷。这让我们了解了中医目前在治疗抑郁症方面的地位。这篇综合综述旨在评估中医干预措施在缓解抑郁症状方面的疗效。为了更多地了解它们可能的治疗效果,这项研究还探讨了不同类型的中医是如何工作的,如草药配方,针灸,和身心实践。
    Depression, a prevalent and complex mental health condition, presents a significant global health burden. Depression is one of the most frequent mental disorders; deaths from it account for 14.3% of people worldwide. In recent years, the integration of complementary and alternative medicine, including traditional Chinese medicine (TCM), has gained attention as a potential avenue for addressing depression. This comprehensive review critically assesses the efficacy of TCM interventions in alleviating depressive symptoms. An in-depth look at different research studies, clinical trials, and meta-analyses is used in this review to look into how TCM practices like herbal formulations, acupuncture, and mind-body practices work. The review looks at the quality of the evidence, the rigor of the methods, and any possible flaws in the current studies. This gives us an idea of where TCM stands right now in terms of treating depression. This comprehensive review aims to assess the efficacy of TCM interventions in alleviating depressive symptoms. In order to learn more about their possible healing effects, the study also looks into how different types of TCM work, such as herbal formulas, acupuncture, and mind-body practices.
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  • 文章类型: Journal Article
    本文通过与脆弱概念的对话来考虑成功老龄化的概念。这种对话揭示了这两个概念的局限性和盲点,以及它们明显的二分法,以及理解老龄化的客观和主观体验的重要性。特别是,对话强调,脆弱和成功的老龄化都是社会建构,它们的意义来自社会价值观(自治,年轻的能力)。他们自己不能解释这样一个事实,即繁荣和脆弱经常被发现在一起,而相反,成功的衰老可能不会带来满足感。我认为,艺术和人文学科为我们提供了概念和方法论工具,可以重新审视年龄,提供一种整体方法,将对老年人的生活经验以及对基础物质条件和具体现实的敏感性相结合。为此,在以前的文化老年学奖学金的基础上,我建议SimonedeBeauvoir相关概念和框架的独特价值。当与文化和叙事老年学的宗旨保持一致时,这些概念有助于对深层老年繁荣的细微差别和悖论的丰富理解,这也有助于更广泛地恢复老年和生命历程。我通过两个例子来说明这一点:一个女权主义的自我帮助指南,它接受了限制和增长,以及一部想象即使在贫困的背景下也可能出现真实衰老的电影,父权制和阿尔茨海默病。
    This paper considers the concept of successful ageing by means of a dialogue with the concept of frailty. This dialogue reveals the limits and blindspots of both concepts as well as their apparent dichotomy and the importance of understanding both the objective and subjective experience of ageing. In particular, the dialogue highlights that both frailty and successful ageing are social constructs that derive their meaning from what society values (autonomy, youthful capacities). They cannot by themselves account for the fact that flourishing and frailty are often found together whilst conversely successful ageing may not bring satisfaction. I argue that the arts and humanities supply us with conceptual and methodological tools with which to revisit what it is to age well offering a holistic approach that combines sensitivity both to older people\'s lived experience and to the underpinning material conditions and embodied realities. For this purpose, and building on previous scholarship in cultural gerontology, I suggest the unique value of concepts and frameworks associated by Simone de Beauvoir. When brought into alignment with the tenets of cultural and narrative gerontology, these concepts facilitate a rich understanding of the nuances and paradoxes of flourishing in deep old age which can also aid in restorying both old age and the life course more generally. I illustrate this through two examples: a feminist self-help guide to ageing, which accepts both limitations and growth and a film that imagines the possibilities of authentic ageing even despite a context of poverty, patriarchy and Alzheimer\'s Disease.
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  • 文章类型: Journal Article
    背景:姑息治疗是一项具有挑战性的专业,特别是当它涉及到照顾儿童严重的生活限制条件和支持他们的家庭。工人面临重大挑战,并对他们的福祉产生重大影响。我们进行了一项定性研究,以了解姑息治疗小组的压力来源,他们的工作期望,以及他们如何应对需求。
    方法:我们使用了一份关于压力原因的在线问卷,COVID-19大流行的影响以及工作场所需要支持的方式。
    结果:在参与调查的56名姑息治疗专业人员中,57.1%认为压力的主要原因是高工作量,影响人生观的困难情感负担(55.4%)(61.2%),患者死亡(46.4%),以及与患者家属的沟通(26.8%)。COVID-19大流行增加了大多数受访者的压力水平(89.3%)。需要专门培训(53.6%),支持团体,强调了心理咨询和适应的组织政策。
    结论:该研究表明了解儿科和成人姑息治疗人员的需求的重要性,以便在医疗保健系统的这一苛刻领域提供最佳护理并支持他们的平衡。
    BACKGROUND: Palliative care is a challenging specialty, especially when it comes to caring for children with serious life-limiting conditions and supporting their families. Workers face significant challenges and experience major impacts on their wellbeing. We conducted a qualitative study to understand the sources of stress in the palliative care team, their work expectations, and how they can cope with the demands.
    METHODS: We used an online questionnaire about the causes of stress, the impact of the COVID-19 pandemic and the ways in which support is needed in the workplace.
    RESULTS: Of the 56 palliative care professionals who participated in the survey, 57.1% considered the main causes of stress to be high workload, difficult emotional burdens (55.4%) affecting their outlook on life (61.2%), the death of patients (46.4%), and communication with patients\' families (26.8%). The COVID-19 pandemic increased stress levels for the majority of respondents (89.3%). The need for specialised training (53.6%), support groups, psychological counselling and adapted organisational policies was highlighted.
    CONCLUSIONS: The study demonstrates the importance of understanding the needs of both paediatric and adult palliative care staff in order to provide optimal care and support their balance in this demanding area of the healthcare system.
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  • 文章类型: Journal Article
    背景:传统东方药物(TOM)是一种遵循与药物不同的哲学的医学实践,它们已在世界不同地区使用多年。在这项研究中,通过整合TOM配方和药物,我们在TOM公式靶标空间和小分子药物靶标空间之间进行了靶标空间分析.要做到这一点,我们手动策划了46种已知可以治疗焦虑的TOM配方,糖尿病,癫痫,高血压,肥胖,和精神分裂症。然后,我们采用了吸收,Distribution,代谢,排泄,和毒性(ADMET)特性,例如人类ether-a-go-go相关基因(hERG)抑制,致癌性,和AMES毒性来过滤掉潜在的有毒草药成分。在TOM配方和小分子药物之间进行了目标空间分析:(i)已知两者都可以治疗相同的疾病,和(ii)每个已知治疗不同的疾病。使用支持值测量TOM配方和小分子药物之间的重叠目标空间的统计显著性。计算了随机选择目标空间的支持值分布以验证结果。此外,Si-Wu-Tang(SWT)公式和已发表的文献也用于评估我们的结果。
    结果:这项研究试图提供有关TOM配方治疗主要适应症的有效性的科学证据,该适应症的副作用可能来自使用小分子药物。TOM配方和已知治疗相同疾病的小分子药物之间的目标空间分析表明,两种药物之间的许多目标重叠,支持值为0.84,加权平均支持为0.72。已知治疗癫痫的配方。此外,在这项分析中,来自随机选择的目标空间的支持值分布表明,与随机选择的目标空间相比,TOM配方和已知治疗相同疾病的小分子药物之间的重叠目标数量要高得多.此外,科学文献也被用来评估个别草药的药效。
    结论:这项研究为TOM配方治疗主要适应症以及与使用药物相关的副作用的有效性提供了证据。正如通过目标空间分析所证明的那样。
    BACKGROUND: Traditional oriental medicines (TOMs) are a medical practice that follows different philosophies to pharmaceutical drugs and they have been in use for many years in different parts of the world. In this study, by integrating TOM formula and pharmaceutical drugs, we performed target space analysis between TOM formula target space and small-molecule drug target space. To do so, we manually curated 46 TOM formulas that are known to treat Anxiety, Diabetes mellitus, Epilepsy, Hypertension, Obesity, and Schizophrenia. Then, we employed Absorption, Distribution, Metabolism, Excretion, and Toxicity (ADMET) properties such as human ether-a-go-go related gene (hERG) inhibition, Carcinogenicity, and AMES toxicity to filter out potentially toxic herbal ingredients. The target space analysis was performed between TOM formula and small-molecule drugs: (i) both are known to treat the same disease, and (ii) each known to treat different diseases. Statistical significance of the overlapped target space between the TOM formula and small-molecule drugs was measured using support value. Support value distribution from randomly selected target space was calculated to validate the result. Furthermore, the Si-Wu-Tang (SWT) formula and published literature were also used to evaluate our results.
    RESULTS: This study tried to provide scientific evidence about the effectiveness of the TOM formula to treat the main indication with side effects that could come from the use of small-molecule drugs. The target space analysis between TOM formula and small-molecule drugs in which both are known to treat the same disease shows that many targets overlapped between the two medications with a support value of 0.84 and weighted average support of 0.72 for a TOM formula known to treat Epilepsy. Furthermore, support value distribution from randomly selected target spaces in this analysis showed that the number of overlapped targets is much higher between TOM formula and small-molecule drugs that are known to treat the same disease than in randomly selected target spaces. Moreover, scientific literature was also used to evaluate the medicinal efficacy of individual herbs.
    CONCLUSIONS: This study provides an evidence to the effectiveness of a TOM formula to treat the main indication as well as side effects associated with the use of pharmaceutical drugs, as demonstrated through target space analysis.
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