mini review

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  • 文章类型: Journal Article
    成功的怀孕取决于子宫生理的精确分子调节,尤其是在月经周期。解除氧化应激(OS),通常受炎症变化的影响,也受环境因素的影响,代表着对这种微妙平衡的持续威胁。氧化应激诱导相互调节的核因子红系2相关因子2/过氧化物酶体增殖物激活受体γ(Nrf2/PPARγ)途径。然而,PPARγ活性增加似乎是子宫内膜生理学中的一把双刃剑。激活的PPARγ减弱炎症并减弱OS以恢复氧化还原稳态。然而,它也会干扰月经周期的生理过程,如激素信号和血管生成。这篇综述阐明了支持PPARγ和OS相互作用的分子机制。此外,它提供了有关子宫内膜容受性的Nrf2/PPARγ途径及其对不孕症的潜在影响的新观点。
    Successful pregnancy depends on precise molecular regulation of uterine physiology, especially during the menstrual cycle. Deregulated oxidative stress (OS), often influenced by inflammatory changes but also by environmental factors, represents a constant threat to this delicate balance. Oxidative stress induces a reciprocally regulated nuclear factor erythroid 2-related factor 2/peroxisome proliferator-activated receptor-gamma (Nrf2/PPARγ) pathway. However, increased PPARγ activity appears to be a double-edged sword in endometrial physiology. Activated PPARγ attenuates inflammation and attenuates OS to restore redox homeostasis. However, it also interferes with physiological processes during the menstrual cycle, such as hormonal signaling and angiogenesis. This review provides an elucidation of the molecular mechanisms that support the interplay between PPARγ and OS. Additionally, it offers fresh perspectives on the Nrf2/PPARγ pathway concerning endometrial receptivity and its potential implications for infertility.
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  • 文章类型: Journal Article
    多年来,已经对提取插座治疗的概念进行了多次研究和报道,因为拔牙仍然是牙科诊所最常见的手术之一。了解这种愈合过程至关重要,因为其结果直接关系到未来的假肢康复,通过延伸,关于患者的美学和咀嚼功能,在其他人中。这个迷你评论,因此,总结了当前关于插座愈合的不同阶段的知识,包括拔牙后直到牙槽完全闭合发生的生物学和临床事件。此外,牙槽骨/过程后拔除的建模,由此产生的维度改变了,总之,塑造骨头,进行了审查和记录。各种插座保存干预措施的影响,以减轻这些尺寸的变化,因此,将肺泡过程保持在适合未来假肢康复的条件下,被突出显示。最后,还对影响整个过程的一些因素进行了审查。
    The concept of extraction socket healing has been severally researched and reported over the years, since tooth extraction remains one of the most common procedures performed in the dental clinic. Understanding this healing process is of utmost importance because the outcome has a direct bearing on future prosthetic rehabilitation and, by extension, on patients\' esthetics and masticatory function, among others. This mini review, therefore, summarized the current knowledge on the different stages of socket healing, including the biologic and clinical events that occur following tooth extraction up until the complete closure of the socket. Additionally, the modeling of the alveolar bone/process post extraction, and the resultant dimensional changes that, altogether, shape the bone, were reviewed and documented. The effects of various socket preservation interventions to mitigate these dimensional changes, and therefore preserve the alveolar process in a condition suitable for future prosthetic rehabilitation, were highlighted. Finally, a review of some of the factors that influence the entire process was also carried out.
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  • 文章类型: Journal Article
    钠-葡萄糖共转运蛋白2(SGLT2)抑制剂的主要药理作用是抑制葡萄糖和钠离子从肾脏近端小管的重吸收,并促进尿葡萄糖排泄。值得注意的是,一些临床试验最近证明了SGLT2抑制剂对心力衰竭(HF)或慢性肾病(CKD)患者的有效保护作用。无论是否存在糖尿病。然而,SGLT2抑制剂对心源性猝死(SCD)或致命性室性心律失常(VAs)的影响,其病理生理学部分类似于HF和CKD,仍然不确定。据报道,SGLT2抑制剂的心肾保护作用包括改善血液动力学,衰竭心脏的逆向重塑,改善交感神经过度活动,纠正贫血和铁代谢受损,抗氧化作用,纠正血清电解质异常,和抗纤维化作用,这可能导致防止SCD和/或VAs。最近,SGLT2抑制剂可能的直接心脏作用,不仅抑制Na+/H+交换剂(NHE)活性,而且后期Na+电流的抑制也一直是重点。除了SGLT2抑制剂的间接心脏保护机制外,抑制异常增加的晚期Na+电流可能有助于通过恢复衰竭心脏中延长的复极化阶段来预防SCD和/或VAs。这篇综述总结了SGLT2抑制剂预防SCD的临床试验结果。它们对心电图指标的影响,及其抗心律失常作用的可能分子机制。
    The primary pharmacological action of sodium-glucose co-transporter 2 (SGLT2) inhibitors is to inhibit the reabsorption of glucose and sodium ions from the proximal tubules of the kidney and to promote urinary glucose excretion. Notably, several clinical trials have recently demonstrated potent protective effects of SGLT2 inhibitors in patients with heart failure (HF) or chronic kidney disease (CKD), regardless of the presence or absence of diabetes. However, the impact of SGLT2 inhibitors on sudden cardiac death (SCD) or fatal ventricular arrhythmias (VAs), the pathophysiology of which is partly similar to that of HF and CKD, remains undetermined. The cardiorenal protective effects of SGLT2 inhibitors have been reported to include hemodynamic improvement, reverse remodeling of the failing heart, amelioration of sympathetic hyperactivity, correction of anemia and impaired iron metabolism, antioxidative effects, correction of serum electrolyte abnormalities, and antifibrotic effects, which may lead to prevent SCD and/or VAs. Recently, as possible direct cardiac effects of SGLT2 inhibitors, not only inhibition of Na+/H+ exchanger (NHE) activity, but also suppression of late Na+ current have been focused on. In addition to the indirect cardioprotective mechanisms of SGLT2 inhibitors, suppression of aberrantly increased late Na+ current may contribute to preventing SCD and/or VAs via restoration of the prolonged repolarization phase in the failing heart. This review summarizes the results of previous clinical trials of SGLT2 inhibitors for prevention of SCD, their impact on the indices of electrocardiogram, and the possible molecular mechanisms of their anti-arrhythmic effects.
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  • 文章类型: Journal Article
    围产期焦虑(PNA)定义为怀孕期间和产后12个月内发生的焦虑,估计影响多达20%的妇女。PNA的危险因素是多方面的,可以归类为心理因素,社会和生物。PNA对母亲产生负面影响,孩子和家庭。PNA尚未被很好地识别,并且PNA的诊断对于临床医生来说可能是具有挑战性的。目前尚无用于PNA的经过验证的病例发现或诊断测试。与围产期抑郁症(PND)相比,PNA的研究较少。临床指导目前建议对PNA女性进行药物和心理治疗,然而,现有的有限研究表明,其他干预类型也可能有效,有一些证据表明非药物干预在PNA初级保健中的有效性.本文提供了PNA的小型评论,总结当前围绕PNA的证据,包括风险因素,PNA的影响,PNA的诊断过程,主要关注PNA的可用管理选择。
    Perinatal Anxiety (PNA) is defined as anxiety occurring during pregnancy and up to 12 months post-partum and is estimated to affect up to 20% of women. Risk factors for PNA are multiple and can be classed as psychological, social and biological. PNA negatively impacts on the mother, child and family. PNA is not well-recognized and diagnosis of PNA can be challenging for clinicians. There is currently no validated case-finding or diagnostic test available for PNA. PNA has been less extensively researched than perinatal depression (PND). Clinical guidance currently recommends pharmacological and psychological therapies for the management of women with PNA, however the limited research available suggests that other intervention types may also be effective with some evidence on the effectiveness of non-pharmacological interventions in primary care for PNA. This article provides a mini-review of PNA, summarizing current evidence around PNA including risk factors, the impact of PNA, the process of diagnosis of PNA and focussing predominantly on available management options for PNA.
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  • 文章类型: Journal Article
    非典型空间组织和时间特征,通过静息状态脑电图(EEG)微态分析发现,已与精神疾病相关,但这些时间和空间参数在自闭症谱系障碍(ASD)中鲜为人知。脑电图微观状态反映了短时间内稳定的头皮电位形貌。这些规范的微观状态(即,A,B,C,D)和更多的是通过他们独特的地形图来识别的,平均持续时间,覆盖的时间的一小部分,发生频率和全局解释方差百分比;地形图代表脑电图数据的程度。我们回顾了ASD中静息状态微状态分析的现有文献,并确定了八篇出版物。当前的评论表明,与典型的发育(TD)种群相比,ASD种群的微观状态参数发生了显着变化。还发现微状态参数与特定认知过程有关。然而,当发现微观状态参数被认知状态改变时,不同采集的数据(例如,眼睛闭合或睁开)静息状态EEG可能会产生不同的结果。我们还回顾了当前对微状态EEG来源和潜在大脑网络的理解。
    Atypical spatial organization and temporal characteristics, found via resting state electroencephalography (EEG) microstate analysis, have been associated with psychiatric disorders but these temporal and spatial parameters are less known in autism spectrum disorder (ASD). EEG microstates reflect a short time period of stable scalp potential topography. These canonical microstates (i.e., A, B, C, and D) and more are identified by their unique topographic map, mean duration, fraction of time covered, frequency of occurrence and global explained variance percentage; a measure of how well topographical maps represent EEG data. We reviewed the current literature for resting state microstate analysis in ASD and identified eight publications. This current review indicates there is significant alterations in microstate parameters in ASD populations as compared to typically developing (TD) populations. Microstate parameters were also found to change in relation to specific cognitive processes. However, as microstate parameters are found to be changed by cognitive states, the differently acquired data (e.g., eyes closed or open) resting state EEG are likely to produce disparate results. We also review the current understanding of EEG sources of microstates and the underlying brain networks.
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  • 文章类型: Journal Article
    代孕形成的单亲家庭的存在正在成为一个更加明显的现实,尽管这种类型的家庭组织仍然被更传统的社会阶层认为是耻辱和消极态度,因为它引起了一些关于通过代孕出生在单身父亲家庭的儿童的心理社会福祉的担忧,在很多情况下,希望成为父亲的同性恋单身男性。另一方面,关于这些儿童的社会心理健康的现有研究仍然非常稀缺,仅限于少数西方国家。因此,最重要的是研究探索这些儿童的心理社会适应的研究。在这个迷你评论中,我表明,所有修订的研究都证明了这些孩子的良好心理社会适应,他们很可能像传统家庭出生的孩子一样繁荣,即使他们可能发现自己暴露于偏见和污名。总之,单身父亲和代孕不会对儿童的心理社会发展和适应造成任何不利后果,也没有观察到的证据证明为什么单身男人,不管他们的性取向,不应该通过代孕成为父亲。最后,对未来研究和干预措施的影响也进行了讨论。
    The existence of single-father families formed by surrogacy is becoming a more visible reality, even though this type of family organization is still perceived with stigma and negative attitudes by more traditional sectors of society, because it raises some concerns regarding the psychosocial well-being of children who are born into single-fathers\' families via surrogacy, and in many cases, to gay single men who wish to become fathers. On the other hand, available research on the psychosocial well-being of these children is still very scarce and limited to a handful of Western countries. Hence, it is of utmost importance to examine studies that explore the psychosocial adjustment of these children. In this mini review, I show that all the studies revised demonstrate the good psychosocial adjustment of these children, and that they are as likely to flourish as children born into traditional families, even if they may find themselves exposed to prejudice and stigma. In conclusion, single fatherhood and surrogacy do not contribute to any adverse consequences to the children\'s psychosocial development and adjustment, and there is no observed evidence to why single men, irrespective of their sexual orientation, should not be fathers via surrogacy. Finally, implications for future research and interventions are also discussed.
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  • 文章类型: Journal Article
    需要在全球公共卫生和医疗保健学科中以更有组织和可持续的方式讨论行星健康的新兴概念。因此,行星健康应被视为全球医疗专业人员学术框架的主要组成部分。相关课程和课程的提供对于使卫生专业人员掌握这一相对较新的行星卫生学科至关重要。在这篇评论文章中,我们旨在探索已发表的文章和课程的在线数据库,以总结可用的行星健康教育机会和卫生专业人员的讨论,找出资源分配方面的差距,并提出未来的建议。我们观察到全球南部地区存在明显的资源不平等,缺乏面向医疗保健专业人员的通用行星健康模块。此外,在这个学习过程中,很少包括专职卫生学科。因此,我们建议建立一个由积极的医疗保健专业人员和区域中心组成的专门网络,并制定议程,以确保全面、制服,以及包容性的行星健康教育课程和实践。
    The emerging concept of planetary health needs to be discussed in a more organized and sustainable way within the global public health and healthcare disciplines. Therefore, planetary health should be considered a cardinal component of the global academic framework for healthcare professionals. The availability of related curricula and courses is crucial to equip health professionals in this relatively new discipline of planetary health. In this review article, we aimed to explore published articles and online databases of courses to summarize the available planetary health education opportunities and discussions for health professionals, to identify the gaps in resource allocation and to suggest future recommendations. We observed a visible resource inequity in the global south with the lack of a universal planetary health module for healthcare professionals. Additionally, there is minimal inclusion of allied health disciplines in this learning process. We therefore recommend a dedicated network of motivated healthcare professionals and regional hubs with an agenda to ensure a comprehensive, uniform, and inclusive planetary health education curriculum and practice.
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  • 文章类型: Journal Article
    (不良童年经历(ACE)对个人的身体有极其有害的影响,他们一生的社会和心理健康。最近,据报道,母体ACE会增加后代发育迟缓的风险.这篇小型综述侧重于母体ACE与儿童发育迟缓之间的直接关系,和潜在的调解员/主持人联系他们的关系。使用三个搜索引擎确定了六项研究。结果表明,六项研究中有四项报告了母亲ACE与儿童发育之间至少有一个显着的直接关联。此外,母体生物学,心理,社会因素被确定为调解人或主持人。总之,我们发现,母体ACEs通过生物学和社会心理途径增加了儿童发育迟缓的风险.未来的研究应该检查潜在的缓冲因素,并确定何时打破代际传递至关重要。
    (Adverse childhood experiences (ACEs) have extremely harmful impacts on an individual\'s physical, social and mental health throughout their life-span. Recently, it has been reported that maternal ACEs increase the risk of developmental delay in the offspring across generations. This mini review focuses on the direct relationship between maternal ACEs and child developmental delay, and potential mediators/moderators that associate their relationship. Six studies were identified using three search engines. The results indicated that four out of six studies reported at least one significant direct association between maternal ACEs and child development. Additionally, maternal biological, psychological, and social factors were identified as mediators or moderators. In summary, we identified that maternal ACEs increased the risk of developmental delay in children via biological and psychosocial pathways. Future research should examine potential buffering factors and identify when it is crucial to break the intergenerational transmission.
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  • 文章类型: Journal Article
    抑郁症是最常见的精神疾病之一,并导致严重的发病率。尽管抗抑郁药的使用彻底改变了抑郁症的管理,并对患者的结局产生了巨大的积极影响,相当比例的重度抑郁障碍(MDD)患者即使接受了适当的治疗也没有或部分缓解.鉴于目前基于单胺假说的药物治疗的局限性,谷氨酸和谷氨酸能相关通路可能为设计新的干预策略提供替代和补充选择.在过去的几十年里,人们对了解抑郁症发病机制中谷氨酸能功能障碍的神经生物学基础以及开发新的药物和非药物治疗方案越来越感兴趣.越来越多的证据证明神经调节技术的有效性,包括经颅磁刺激,经皮直流电刺激,经颅交流电刺激,和光生物调节改善与抑郁症相关的连通性和神经可塑性。这篇综述试图重新审视谷氨酸能神经传递在抑郁症病因中的作用,并回顾当前的神经影像学。这些神经调节技术在抑郁症的病理生理学和治疗中的神经生理学和临床证据。
    Depressive disorders are among the most common psychiatric conditions and contribute to significant morbidity. Even though the use of antidepressants revolutionized the management of depression and had a tremendous positive impact on the patient\'s outcome, a significant proportion of patients with major depressive disorder (MDD) show no or partial or response even with adequate treatment. Given the limitations of the prevailing monoamine hypothesis-based pharmacotherapy, glutamate and glutamatergic related pathways may offer an alternative and a complementary option for designing novel intervention strategies. Over the past few decades, there has been a growing interest in understanding the neurobiological underpinnings of glutamatergic dysfunctions in the pathogenesis of depressive disorders and the development of new pharmacological and non-pharmacological treatment options. There is a growing body of evidence for the efficacy of neuromodulation techniques, including transcranial magnetic stimulation, transcutaneous direct current stimulation, transcranial alternating current stimulation, and photo-biomodulation on improving connectivity and neuroplasticity associated with depression. This review attempts to revisit the role of glutamatergic neurotransmission in the etiopathogenesis of depressive disorders and review the current neuroimaging, neurophysiological and clinical evidence of these neuromodulation techniques in the pathophysiology and treatment of depression.
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  • 文章类型: Published Erratum
    [这更正了文章DOI:10.3389/fpsyt.202.794044。].
    [This corrects the article DOI: 10.3389/fpsyt.2022.794044.].
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