therapeutic interventions

治疗干预措施
  • 文章类型: Journal Article
    披露兄弟姐妹性行为(SSB)通常会影响所有家庭成员,但仍然存在,然而,缺乏关于治疗性家庭干预措施以及它们如何引发家庭变化的研究。这项研究旨在探索SSB披露的关系影响,在SSB披露后,帮助家庭启动康复过程的治疗和干预目标。单病例研究设计用于分析一个家庭的长期治疗过程。这项N=1研究的数据包括对相关治疗师的18次访谈,对相关家庭成员的五次采访,治疗档案,和家庭会议笔记。使用专题方法分析数据。关系创伤是在破裂的关系中经历的,关系压力和家庭成员之间的信任受损。治疗目标是(1)重建家庭的安全,(2)帮助家庭进程的SSB后果和(3)恢复信任和寻求关系医治。针对目标的适当干预措施包括以个人为中心的心理创伤治疗以及对父母的干预,参与的兄弟姐妹,和不参与的兄弟姐妹,然后是涉及的兄弟姐妹和整个家庭之间的会议。治疗结果发现个体创伤症状减少,重新创造了家庭安全感,关系创伤处理的开始,和新发现的兄弟姐妹/家庭关系形式。这项研究从专业人士和家庭成员的角度提供了一个独特而全面的见解,在SSB披露后,家庭的康复过程。本研究中确定的有效干预措施可能为与这些家庭合作的治疗师提供工具。这项研究也可能为SSB的滥用和相互类型提供更多见解。
    Disclosures of sibling sexual behavior (SSB) usually affect all family members but there remains, however, a paucity in studies on therapeutical family interventions and how they can initiate changes in families. This study was designed to explore relational impacts of SSB disclosures, goals for therapy and interventions that helped a family initiate the recovery process after a SSB disclosure. A single case study design was used to analyze a family\'s long-term therapy process. Data on this N = 1 study comprised 18 interviews with involved therapists, five interviews with involved family members, therapy files, and notes on family sessions. Data was analyzed using a thematic approach. Relational traumas were experienced in broken relationships, relationships under pressure and damaged trust between family members. Therapy goals were to (1) recreate family\'s safety, (2) help the family process the SSB consequences and (3) restore trust and search for relationship healing. Appropriate interventions to target the goals included individual-centered psycho trauma treatment as well as interventions for the parents, the involved siblings, and the uninvolved siblings, followed by sessions between the involved siblings and with the whole family. Therapy outcomes were found in reduced individual trauma symptoms, a recreated sense of family safety, the start of relational trauma processing, and newfound forms of sibling/family relationships. This study provides a unique and comprehensive insight into a family\'s healing process after SSB disclosures from the perspectives of both professionals and family members. The effective interventions identified in this study may provide tools for therapists working with these families. This study may also offer greater insights into both the abusive and mutual types of SSB.
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  • 文章类型: Journal Article
    这项全面的探索探讨了microRNAs(miRNAs)在复杂的细胞调节挂毯中的关键作用。作为基因表达的有力协调者,miRNA在细胞过程中表现出不同的功能,将它们的影响从细胞核扩展到细胞质。miRNA生物发生的复杂旅程,涉及转录,processing,整合到RNA诱导的沉默复合物中,展示他们的多功能性。在细胞质中,成熟的miRNA通过调节靶mRNA表达来微调细胞功能,当它们延伸到细胞核时,影响转录调控和表观遗传修饰。miRNA的失调在各种病理中变得明显,比如癌症,自身免疫性疾病,和炎症条件。miRNA对环境信号的适应性,与转录因子的相互作用,参与复杂的监管网络强调了它们的重要性。DNA甲基化和组蛋白修饰有助于深入理解miRNAs的动态调控。与RNA结合蛋白竞争等机制,海绵,而通过降解和编辑对miRNA水平的控制有助于这一复杂的调控过程。在这次审查中,我们主要关注miRNA表达失调如何与皮肤相关的自身免疫性疾病和自身炎症性疾病有关,关节炎,心血管疾病,炎症性肠病,自身免疫性和自身炎症性疾病,和神经退行性疾病。我们还强调了miRNAs的多方面作用,敦促继续研究以解开其复杂性。控制miRNA功能的机制有望在治疗干预方面取得进步,并增强对健康和疾病中细胞动力学的见解。
    This comprehensive exploration delves into the pivotal role of microRNAs (miRNAs) within the intricate tapestry of cellular regulation. As potent orchestrators of gene expression, miRNAs exhibit diverse functions in cellular processes, extending their influence from the nucleus to the cytoplasm. The complex journey of miRNA biogenesis, involving transcription, processing, and integration into the RNA-induced silencing complex, showcases their versatility. In the cytoplasm, mature miRNAs finely tune cellular functions by modulating target mRNA expression, while their reach extends into the nucleus, influencing transcriptional regulation and epigenetic modifications. Dysregulation of miRNAs becomes apparent in various pathologies, such as cancer, autoimmune diseases, and inflammatory conditions. The adaptability of miRNAs to environmental signals, interactions with transcription factors, and involvement in intricate regulatory networks underscore their significance. DNA methylation and histone modifications adds depth to understanding the dynamic regulation of miRNAs. Mechanisms like competition with RNA-binding proteins, sponging, and the control of miRNA levels through degradation and editing contribute to this complex regulation process. In this review, we mainly focus on how dysregulation of miRNA expression can be related with skin-related autoimmune and autoinflammatory diseases, arthritis, cardiovascular diseases, inflammatory bowel disease, autoimmune and autoinflammatory diseases, and neurodegenerative disorders. We also emphasize the multifaceted roles of miRNAs, urging continued research to unravel their complexities. The mechanisms governing miRNA functions promise advancements in therapeutic interventions and enhanced insights into cellular dynamics in health and disease.
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  • 文章类型: Journal Article
    内皮细胞功能障碍是一个涉及多种病因的复杂过程,早期和晚期事件,以及随后的后果。这篇综述概述了每个方面,并概述了针对这些阶段的治疗干预措施。内皮功能障碍的原因包括一系列危险因素,包括高血压,糖尿病,吸烟,肥胖,炎症,氧化应激,和遗传倾向。早期事件,如内皮激活,炎症反应,血管舒缩张力失调先于氧化应激等晚期事件,内皮细胞凋亡,和微血管稀疏。后果包括内皮重塑,新生血管形成,器官功能障碍,和临床表现,强调跨多个系统的不同影响。虽然线性描绘,内皮功能障碍的进展是动态的,受多种因素的影响,如根本原因和影响血管床。了解这些动态对于定制治疗干预措施至关重要,从改变生活方式到靶向治疗,有效解决潜在的原因和影响。在这里,我们提供了对内皮细胞功能障碍的全面了解,这对于制定减轻这种失调对健康和心血管疾病进展的影响的策略至关重要。
    Endothelial cell dysfunction is a complex process involving various causes, early and late events, and subsequent consequences. This review provides an overview of each aspect and outlines therapeutic interventions targeting these stages. Causes of endothelial dysfunction encompass a spectrum of risk factors including hypertension, diabetes, smoking, obesity, inflammation, oxidative stress, and genetic predispositions. Early events such as endothelial activation, inflammatory response, and dysregulated vasomotor tone precede late events like oxidative stress, endothelial apoptosis, and microvascular rarefaction. The consequences include endothelial remodelling, neovascularization, organ dysfunction, and clinical manifestations, highlighting the diverse impacts across multiple systems. While depicted linearly, the progression of endothelial dysfunction is dynamic, influenced by various factors such as the underlying cause and affected vascular bed. Understanding these dynamics is crucial for tailoring therapeutic interventions, ranging from lifestyle modifications to targeted therapies, to address the underlying causes and effects effectively. Here we provide comprehensive understanding of endothelial cell dysfunction that is essential for developing strategies to mitigate the impact of this dysregulation on health and cardiovascular diseases progression.
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  • 文章类型: Journal Article
    纳米酶,可以选择性地清除活性氧(ROS),最近已成为临床前模型中治疗缺血性中风和创伤性脑损伤(TBI)的有希望的候选人。在这些疾病的早期阶段,ROS过量产生会导致氧化脑损伤,这一直是全世界死亡的主要原因。然而,ROS清除酶的临床应用受到其体内半衰期短和不能穿过血脑屏障的限制。纳米酶,模拟天然酶的催化功能,有几个优点,包括成本效益,高稳定性,和易于存储。这些优点使它们优于用于疾病诊断和治疗干预的天然酶。这篇综述强调了纳米酶在缺血性卒中和TBI中应用的最新进展。强调它们减轻ROS生产过剩的有害影响的潜力,氧化性脑损伤,炎症,和血脑屏障妥协。因此,纳米酶代表了未来医疗实践中ROS生产过剩条件的一种有希望的治疗方式。
    Nanozymes, which can selectively scavenge reactive oxygen species (ROS), have recently emerged as promising candidates for treating ischemic stroke and traumatic brain injury (TBI) in preclinical models. ROS overproduction during the early phase of these diseases leads to oxidative brain damage, which has been a major cause of mortality worldwide. However, the clinical application of ROS-scavenging enzymes is limited by their short in vivo half-life and inability to cross the blood-brain barrier. Nanozymes, which mimic the catalytic function of natural enzymes, have several advantages, including cost-effectiveness, high stability, and easy storage. These advantages render them superior to natural enzymes for disease diagnosis and therapeutic interventions. This review highlights recent advancements in nanozyme applications for ischemic stroke and TBI, emphasizing their potential to mitigate the detrimental effect of ROS overproduction, oxidative brain damage, inflammation, and blood-brain barrier compromise. Therefore, nanozymes represent a promising treatment modality for ROS overproduction conditions in future medical practices.
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  • 文章类型: Journal Article
    脚偏离正常姿势会影响脚和下肢的功能,并导致正常人和运动员的下肢受伤。扁平足或扁平足畸形通常与足部疼痛和足部正常功能下降有关,这会对运动员的运动能力产生负面影响。因此,我们旨在调查训练中扁平足的异常,锻炼到治疗干预。
    通过搜索五个数据库来识别文章:PubMed,Scopus,谷歌学者,科学直接,和盖茨和巴斯德从2000年到2022年。对关键词进行了具体而正确的选择,并对与文章标题相关的所有研究和文章进行了搜索和查找。这项研究还在波斯语数据库中搜索,该数据库,包括:伊朗医生,Mag伊朗和Noormagz。
    最后,30项研究符合进入本研究的标准,选择并用于进行本研究。
    通过使用研究中获得的结果,其中包括矫正练习和治疗干预,尤其是矫形器和各种医用鞋垫的使用,有可能帮助治疗和改善这种异常。
    UNASSIGNED: Deviation of the foot from the normal posture affects the function of the foot and lower limb and causes lower limb injuries in normal people and athletes. Flat feet or flatfoot deformity are usually associated with pain in the foot area and a decrease in the normal function of the foot, which can negatively affect the sports ability of athletes. Therefore, we aimed to investigate the abnormality of flat feet from training, exercise to therapeutic interventions.
    UNASSIGNED: Articles were identified by searching five databases: PubMed, Scopus, Google Scholar, Science Direct, and Gate & Pasteur from 2000 to 2022. The keywords were selected specifically and correctly and all the researches and articles related to the title of the article were searched and found. This research was also searched in Persian databases that this database, included: Irandoc, Mag Iran and Noormagz.
    UNASSIGNED: Finally, 30 studies met the criteria for entering this study, selected and used to conduct this study.
    UNASSIGNED: By using the results obtained in the research, which include corrective exercises and therapeutic interventions, especially the use of orthoses and various medical insoles, it is possible to help in the treatment and improvement of this anomaly.
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  • 文章类型: Journal Article
    背景:呼吸道合胞病毒(RSV)是全球儿童急性下呼吸道感染的主要原因。了解其普遍性,变体,特征是至关重要的,特别是在COVID-19大流行的背景下。
    目的:本研究旨在调查RSV阳性率,亚型患病率,年龄和性别分布,症状学,大流行前和大流行期间的合并感染率。
    方法:我们分析了2017年至2023年接受RSV测试的15381例患者的数据。
    结果:我们的分析显示,在大流行前,RSV的平均阳性率为7.2%,大流行期间波动显著(2020年为1.5%,2021年为32.0%)。我们观察到RSVA和RSVB检出率的变化。0-4岁年龄组一直受影响最严重,有轻微的男性优势。发热和咳嗽是常见症状。治疗干预措施,特别是抗病毒的使用和通风要求,在大流行期间减少。我们还确定了与其他呼吸道病毒共感染率的差异。
    结论:我们的研究提供了关于COVID-19大流行对RSV流行影响的重要见解,亚型分布,患者特征,和临床管理。这些发现强调了持续监测和适应性公共卫生对策的必要性。
    BACKGROUND: Respiratory Syncytial Virus (RSV) is a leading cause of acute lower respiratory infection in children worldwide. Understanding its prevalence, variations, and characteristics is vital, particularly in the context of the COVID-19 pandemic.
    OBJECTIVE: The study aimed to investigate the RSV positivity rate, subtype prevalence, age and gender distribution, symptomatology, and co-infection rates during pre-pandemic and pandemic periods.
    METHODS: We analyzed data from 15,381 patients tested for RSV between 2017 and 2023.
    RESULTS: Our analysis revealed a 7.2% average RSV positivity rate in the pre-pandemic period, with significant fluctuations during the pandemic (1.5% in 2020 to 32.0% in 2021). We observed variations in RSVA and RSVB detection rates. The 0-4 years\' age group was consistently the most affected, with a slight male predominance. Fever and cough were common symptoms. Therapeutic interventions, particularly antiviral usage and ventilation requirements, decreased during the pandemic. We also identified variations in co-infection rates with other respiratory viruses.
    CONCLUSIONS: Our study offers critical insights into the impact of the COVID-19 pandemic on RSV prevalence, subtype distribution, patient characteristics, and clinical management. These findings underscore the need for ongoing surveillance and adaptive public health responses.
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  • 文章类型: Journal Article
    本文综述了阿尔茨海默氏痴呆治疗干预措施的进展。虽然已建立的治疗靶向乙酰胆碱和NMDA受体,随着人口老龄化的增加,对创新疗法的需求日益增长。该论文重点介绍了美国食品和药物管理局对aducanumab(Aduhelm)和lecanemab(Leqembi)的批准,强调新疗法的发展现状。具体来说,它涵盖了三期试验中的七种主要药物,详细说明他们的行动机制,美国和日本的临床试验细节,以及监管应用的现状。该综述侧重于淀粉样蛋白去除(donanemab),tau蛋白缓解(E2814),药物重新定位(塞马鲁肽,GV1001),和改善疾病的小分子(fosgonimeton,肼屈嗪,马赛替尼)。然而,Gantenerumab和Solanezumab,第三阶段不成功,没有覆盖。虽然未来的批准状态仍然不确定,我们希望这些药物将为潜在的痴呆症患者提供有益的治疗效果。
    This review focuses on the development of therapeutic interventions for Alzheimer\'s dementia. While established treatments targeted acetylcholine and NMDA receptors, there is a growing demand for innovative therapies as the aging population increases. The paper highlights the US Food and Drug Administration\'s approval of aducanumab (Aduhelm) and lecanemab (Leqembi), emphasizing the developmental status of new treatments. Specifically, it covers seven principal drugs in Phase III trials, detailing their mechanisms of action, clinical trial specifics in the United States and Japan, and the current status of regulatory applications. The review focuses on amyloid removal (donanemab), tau protein mitigation (E2814), drug repositioning (Semaglutide, GV1001), and disease-modifying small molecules (fosgonimeton, hydralazine, masitinib). However, Gantenerumab and Solanezumab, unsuccessful in Phase III, are not covered. While the future approval status remains uncertain, we hope these drugs will offer beneficial therapeutic effects for potential dementia patients.
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  • 文章类型: Journal Article
    下丘是海马结构的关键输出成分,神经科学研究中经常被忽视的结构。这里,这篇综述旨在探讨下膜在各种脑部疾病中的作用,阐明其在神经系统疾病的功能神经解剖学观点中的重要性。彻底检查了下膜在多种脑部疾病中的参与。在阿尔茨海默病中,下膜改变先于认知能力下降,在癫痫中,下膜在癫痫发作中起关键作用。应力涉及下丘脑对下丘脑-垂体-肾上腺皮质轴的影响。此外,下膜表现出焦虑的结构和功能变化,精神分裂症,和帕金森病,导致认知缺陷。双相情感障碍与下膜结构异常有关,而自闭症谱系障碍揭示了下膜向内变形的改变。最后,额颞叶痴呆显示下膜的体积差异,强调它对无序的复杂性的贡献。一起来看,这篇综述巩固了关于下膜在脑部疾病中的作用的现有知识,并可能促进未来的研究,诊断策略,以及各种神经系统疾病的治疗干预措施。
    Subiculum is a pivotal output component of the hippocampal formation, a structure often overlooked in neuroscientific research. Here, this review aims to explore the role of the subiculum in various brain disorders, shedding light on its significance within the functional-neuroanatomical perspective on neurological diseases. The subiculum\'s involvement in multiple brain disorders was thoroughly examined. In Alzheimer\'s disease, subiculum alterations precede cognitive decline, while in epilepsy, the subiculum plays a critical role in seizure initiation. Stress involves the subiculum\'s impact on the hypothalamic-pituitary-adrenocortical axis. Moreover, the subiculum exhibits structural and functional changes in anxiety, schizophrenia, and Parkinson\'s disease, contributing to cognitive deficits. Bipolar disorder is linked to subiculum structural abnormalities, while autism spectrum disorder reveals an alteration of inward deformation in the subiculum. Lastly, frontotemporal dementia shows volumetric differences in the subiculum, emphasizing its contribution to the disorder\'s complexity. Taken together, this review consolidates existing knowledge on the subiculum\'s role in brain disorders, and may facilitate future research, diagnostic strategies, and therapeutic interventions for various neurological conditions.
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  • 文章类型: Editorial
    暂无摘要。
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  • 文章类型: Journal Article
    5'非翻译区内的非编码CGG重复扩增与一系列神经系统疾病有关,包括脆性X相关震颤/共济失调综合征,眼咽肌病伴白质营养不良,和眼咽远端肌病。这篇综述概述了与非编码CGG重复扩增相关的疾病的一般特征,详细说明他们的临床表现和神经影像学模式,通常重叠并表明共同的病理生理特征。我们总结了这些疾病的潜在分子机制,提供对DNA角色的新见解,RNA,和有毒蛋白质发挥作用。了解这些机制对于制定有针对性的治疗策略至关重要。这些策略包括一系列方法,如反义寡核苷酸,RNA干扰,基因组DNA编辑,小分子干预,以及其他旨在纠正这些疾病固有的失调过程的治疗方法。更深入地了解非编码CGG重复扩增障碍之间的共同机制,可能会促进创新疗法的发展。最终为患有这些使人衰弱的神经系统疾病的人提供救济。
    Non-coding CGG repeat expansions within the 5\' untranslated region are implicated in a range of neurological disorders, including fragile X-associated tremor/ataxia syndrome, oculopharyngeal myopathy with leukodystrophy, and oculopharyngodistal myopathy. This review outlined the general characteristics of diseases associated with non-coding CGG repeat expansions, detailing their clinical manifestations and neuroimaging patterns, which often overlap and indicate shared pathophysiological traits. We summarized the underlying molecular mechanisms of these disorders, providing new insights into the roles that DNA, RNA, and toxic proteins play. Understanding these mechanisms is crucial for the development of targeted therapeutic strategies. These strategies include a range of approaches, such as antisense oligonucleotides, RNA interference, genomic DNA editing, small molecule interventions, and other treatments aimed at correcting the dysregulated processes inherent in these disorders. A deeper understanding of the shared mechanisms among non-coding CGG repeat expansion disorders may hold the potential to catalyze the development of innovative therapies, ultimately offering relief to individuals grappling with these debilitating neurological conditions.
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