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Lifestylopathy: Unlocking Potential by Embracing Duality and Homeostasis for Improved Healthcare 生活方式病理学:通过拥抱二元性和动态平衡来释放潜力,以改善医疗保健
Pub Date : 2023-09-06 DOI: 10.31487/j.rgm.2023.02.02
J. Alzeer
The article explores the integration of duality and homeostasis in healthcare to enhance health outcomes. It emphasizes the importance of maintaining balance and stability in both physical and non-physical aspects of the body for optimal well-being. The rationalization of the duality concept is discussed, drawing analogies from various natural systems and phenomena. The role of duality in homeostasis, including mental stability, metabolic processes, and energy forms, is explored. The article also highlights the significance of embracing duality in personal balance, lifestyle choices, and immune system activation. Furthermore, it discusses the implications of incorporating duality in disease prevention and treatment, emphasizing the integration of physical and non-physical aspects in personalized medicine. The synergy between medicine and lifestyle is highlighted in the context of lifestylopathy, emphasizing the need for compatibility and personalized approaches. Overall, the article concludes by highlighting the potential of embracing duality and homeostasis to revolutionize healthcare and improve patient outcomes.
本文探讨了医疗保健中的二元性和稳态的整合,以提高健康结果。它强调在身体的物质和非物质方面保持平衡和稳定的重要性,以获得最佳的健康。讨论了对偶概念的合理化,并从各种自然系统和现象中进行了类比。二元性在体内平衡中的作用,包括精神稳定、代谢过程和能量形式。这篇文章还强调了在个人平衡、生活方式选择和免疫系统激活方面拥抱二元性的重要性。此外,它还讨论了在疾病预防和治疗中纳入二元性的含义,强调个性化医疗中物理和非物理方面的整合。在生活方式病变的背景下,强调了医学和生活方式之间的协同作用,强调了兼容性和个性化方法的必要性。总的来说,文章总结强调了拥抱二元性和内稳态的潜力,以彻底改变医疗保健和改善患者的结果。
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引用次数: 0
Calcium Phosphate Treatment Enhances Osteogenic Differentiation of Porcine Adipose-Derived Stem Cells on Fibrin Scaffolds 磷酸钙促进纤维蛋白支架上猪脂肪干细胞的成骨分化
Pub Date : 2023-06-13 DOI: 10.31487/j.rgm.2023.02.01
M. Wheeler, Aaron J. Maki, R. A. Chanaka Rabel
This study was designed to develop a fibrin scaffold for optimum in vitro osteogenic differentiation of porcine ASCs. Fibrin scaffolds physically and chemically modified to be stiffer or have higher concentrations of calcium and phosphate ions were hypothesized to enhance osteogenic differentiation compared to control fibrin scaffolds. Treatments during coagulation resulted in six scaffold types for comparison: whole blood controls, red blood cell lysis buffer, calcium chloride, calcium hydrogen phosphate, vacuum, and mechanical compression. Based on the results, fibrin supplemented with granules of calcium hydrogen phosphate (CaHPO4) was determined to be the most suitable formulation of those examined. Using calcium phosphate resulted in a fibrin scaffold that coagulated faster (p = 0.022), had a rougher surface, higher stiffness, and desirable properties for practical use during surgical operations and scaffolds used in bone tissue engineering. Further, osteogenic differentiation was enhanced on scaffolds treated with calcium phosphate. In addition, fibrin scaffolds treated with RBC lysis buffer were also stiffer than untreated controls. These results are partly explained by ASC attachment and fibrin polymerization during coagulation.
本研究旨在开发一种纤维蛋白支架,用于猪ASCs体外成骨分化。据推测,与对照纤维蛋白支架相比,物理和化学修饰的纤维蛋白支架更硬或具有更高浓度的钙和磷酸盐离子可以增强成骨分化。凝血期间的治疗产生了六种支架类型进行比较:全血对照、红细胞溶解缓冲液、氯化钙、磷酸氢钙、真空和机械压缩。结果表明,纤维蛋白加磷酸氢钙颗粒(CaHPO4)是最合适的配方。使用磷酸钙制备的纤维蛋白支架凝固速度更快(p = 0.022),具有更粗糙的表面,更高的刚度,以及在外科手术和骨组织工程中使用的支架中实际使用的理想性能。此外,在磷酸钙处理的支架上,成骨分化增强。此外,用红细胞溶解缓冲液处理的纤维蛋白支架也比未处理的对照组更坚硬。这些结果部分是由凝血过程中的ASC附着和纤维蛋白聚合解释的。
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引用次数: 0
In Vitro Migration of Porcine Adipose-Derived Stem Cells in Platelet-Rich Plasma 猪脂肪干细胞在富血小板血浆中的体外迁移
Pub Date : 2023-04-10 DOI: 10.31487/j.rgm.2023.01.01
M. Wheeler, Aaron J. Maki, R. A. Chanaka Rabel
The proliferation and migration of porcine adipose-derived stem cells (ASCs) have only begun to be studied in detail in vitro. The primary aim of these studies was to analyse in vitro ASC migration in varying concentrations of growth factors derived from the platelet-rich fraction of centrifuged plasma, the so-called platelet-rich plasma (PRP). ASCs were hypothesized to migrate at a faster velocity with increasing PRP concentrations. Whole blood was collected with a sodium citrate anticoagulant and subjected to two centrifugations. The first slower spin was to remove red blood cells to collect plasma, and the second faster spin was to collect the fraction with a high platelet concentration. Platelet concentration increased 3.5-fold compared to plasma, within the prescribed therapeutic range. For long-term culture of ASCs, DMEM supplemented with no more than 20% was necessary to maintain cell viability. ASC proliferation rate in PRP-supplemented media was comparable to that in fetal bovine serum (FBS), a standard cell culture media supplement. In addition, the velocity of ASC migration increased in cultures supplemented with 10%, 20% or 30% PRP. Generally, PRP was determined to be a media supplement with similar effects as FBS, potentially making it a suitable substitute for in vitro expansion of ASC populations. These results are likely partly explained by similarities in growth factor concentrations and their effects. Further characterization of PRP will be necessary to tease out the specific growth factor(s) responsible for the increase in swine ASC migration.
猪脂肪源性干细胞(ASCs)的增殖和迁移在体外的详细研究才刚刚开始。这些研究的主要目的是分析不同浓度的生长因子在体外的ASC迁移,这些生长因子来源于离心血浆的富血小板部分,即所谓的富血小板血浆(PRP)。假设随着PRP浓度的增加,ASCs以更快的速度迁移。用柠檬酸钠抗凝血剂收集全血,并进行两次离心。第一个较慢的旋转是为了去除红细胞来收集血浆,第二个较快的旋转是为了收集血小板浓度高的部分。在规定的治疗范围内,血小板浓度比血浆浓度增加3.5倍。对于ASCs的长期培养,DMEM的添加量不超过20%即可维持细胞活力。prp培养基中的ASC增殖率与标准细胞培养基补充胎牛血清(FBS)相当。此外,在添加10%、20%和30% PRP的培养物中,ASC的迁移速度加快。一般来说,PRP被确定为与FBS具有相似效果的培养基补充,可能使其成为ASC群体体外扩增的合适替代品。这些结果可能部分地被生长因子浓度及其影响的相似性所解释。进一步表征PRP将是必要的,以梳理出负责猪ASC迁移增加的特定生长因子。
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引用次数: 0
Directionality of Chemical Reaction and Spontaneity of Biological Process in the Context of Entropy 熵背景下化学反应的方向性和生物过程的自发性
Pub Date : 2022-10-31 DOI: 10.31487/j.rgm.2022.02.06
J. Alzeer
Chemical and biochemical reactions are carried out either to generate energy or to produce useful macromolecules. Entropy is a well-applied concept in many fields, including physics, chemistry, biology, and medicine. Various perspectives have been used to describe the concept, creating confusion and misconceptions. In chemical and biochemical reactions, entropy plays a significant role in the directionality and spontaneity of the reactions. Potential energy can be used to better understand the concept of entropy. Potential energy represents order, while entropy represents disorder; therefore, they are inversely proportional and intimately linked. Molecules with high potential usually have rich sets of functions and information, which is due to the enrichment of their constitutions, configurations, and conformations. In molecules with low potential, there are greater vibrational, rotational, and translational motions associated with decreased order in their constitution, configuration, and conformation. Distribution of electronic charge changes in macromolecules over time, increasing the rotation of side-chain residues and thus increasing entropy and affecting potential in terms of structure, function, and information. Entropy can thus be defined as a state of spontaneous change, bound to time and constantly increasing, which causes structural changes in the form of constitution, configuration, and conformation, and functional changes in the form of the ability to do work as well as informational changes in the form of the transmission of commands.
化学和生物化学反应要么产生能量,要么产生有用的大分子。熵是一个广泛应用于许多领域的概念,包括物理、化学、生物和医学。不同的观点被用来描述这个概念,造成混淆和误解。在化学和生化反应中,熵对反应的方向性和自发性起着重要的作用。势能可以用来更好地理解熵的概念。势能代表有序,熵代表无序;因此,它们成反比,紧密相连。具有高电位的分子通常具有丰富的功能和信息,这是由于它们的构造、构型和构象的丰富。在具有低电位的分子中,有更大的振动、旋转和平移运动,这与它们的结构、构型和构象的有序度降低有关。随着时间的推移,电子电荷在大分子中的分布发生了变化,增加了侧链残基的旋转,从而增加了熵,影响了结构、功能和信息方面的电位。因此,熵可以被定义为一种自发变化的状态,它受时间的约束,并不断增加,从而导致构成、构型、构象等形式的结构性变化,以及做功能力等形式的功能性变化,以及命令传递等形式的信息性变化。
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引用次数: 0
Microfractured Adipose Tissue Graft for the Advanced Treatment of Non-Healing Cutaneous Fistulas 微骨折脂肪组织移植术治疗皮肤瘘
Pub Date : 2022-10-28 DOI: 10.31487/j.rgm.2022.02.05
M. De Monti, Laura De Pellegrin, K. Galetti
Chronic cutaneous non-healing fistulas very often are dehiscences of surgical or traumatic wounds that do not repair properly and progressively undergo intrafistular and perifistular fibrosis. The fibrous tissue constitutes a natural barrier to the progression of the fistula repair process and represents the major cause of non-healing and chronicization even in a context of proper vascularization. The microfractured autologous adipose graft allows to provide the tissues involved in the fibrotic process with a regenerative stimulus by MSCs (mesenchymal stem cells) contained in adipose clusters of 0.3 mm. In this context, MSCs are able to secrete cytokines with antibiotic, antifibrotic, angiogenic and analgesic effects. The micro-fragmentation technique guarantees a high regenerative effect, as the MSCs are not isolated enzymatically with the simultaneous destruction of the adipose tissue. The micro-fragmentation allows the maintainance of the structure of the adipose cluster including microvessels and allows it to amplify by 6000 times the active surface that exposes the MSCs. Our experience with the mechanical microfracturing method of lipoaspirate consists of 41 treatments. In 7 cases the graft was performed due to the presence of a non-healing cutaneous fistula, which lasted from 128 to 243 days. In 6 cases we achieved immediate repair and closure of the fistula while in one case the procedure failed. The purpose of the paper is to describe in detail our experience by an accurate description of the implemented method of the used device accompanied by the document with adequate photographic documentation.
慢性皮肤不愈合瘘管通常是外科或创伤性伤口的开裂,不能正常修复,并逐渐发生管内和管周纤维化。纤维组织构成了瘘管修复过程进展的天然屏障,即使在适当血管化的情况下,也代表了不愈合和慢性化的主要原因。微断裂的自体脂肪移植物可以为参与纤维化过程的组织提供0.3 mm脂肪团中的MSCs(间充质干细胞)的再生刺激。在这种情况下,间充质干细胞能够分泌具有抗生素、抗纤维化、血管生成和镇痛作用的细胞因子。微碎片技术保证了高的再生效果,因为间充质干细胞不会在破坏脂肪组织的同时被酶分离。微碎片允许维持脂肪簇的结构,包括微血管,并允许它将暴露msc的活性表面放大6000倍。我们用机械微裂法抽脂的经验包括41个治疗。7例因皮瘘未愈合而行移植物,持续时间为128 ~ 243天。在6例中,我们立即修复并关闭了瘘管,而在1例中,手术失败。本文的目的是通过对使用设备的实施方法的准确描述来详细描述我们的经验,并附有适当的摄影文档。
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引用次数: 0
Hematopoietic Stem Cell Transplantation in Juvenile Myelomonocytic Leukemia: A Case Report and Literature Review 造血干细胞移植治疗青少年髓单细胞白血病1例并文献复习
Pub Date : 2022-10-14 DOI: 10.31487/j.rgm.2022.02.02
M. Benakli, Redhouane Ahmed Nacer, F. Mehdid, Mounira Baazizi, N. Rahmoune, Dina Ait Ouali, Hanane Bouarab, Sara Zerkout, Fouzia Louar, Rose Marie Hamladji
Juvenile myelomonocytic leukemia (JMML) is a rare hematological malignancy of early childhood, classified by the World Health Organization as a myelodysplastic/myeloproliferative disease and is associated with a poor prognosis. Allogeneic hematopoietic stem cell transplantation is the only curative treatment. A two-year-old male child was diagnosed with JMML and was given induction chemotherapy. One year after diagnosis, the patient received allogeneic hematopoietic stem cell transplantation from an HLA sibling donor after a myeloablative conditioning regimen. The patient remained free of disease after 5 years of follow-up, healthy, with complete clinical, immunologic and hematologic recovery, without signs of JMML. Transplantation is the only modality to achieve a cure in JMML patients. The most widely practiced approach is the use of bone marrow or peripheral blood stem cells after a myeloablative conditioning regimen. Post-transplant monitoring chimerism can help identify the patients who are at risk of relapse.
青少年髓细胞白血病(JMML)是一种罕见的儿童早期血液恶性肿瘤,被世界卫生组织归类为骨髓增生异常/骨髓增生性疾病,预后较差。同种异体造血干细胞移植是唯一有效的治疗方法。一名两岁男童被诊断为JMML并给予诱导化疗。诊断一年后,患者在清髓调理方案后接受来自HLA同胞供体的异基因造血干细胞移植。患者随访5年后无疾病,健康,临床、免疫、血液学完全恢复,无JMML体征。移植是JMML患者实现治愈的唯一方式。最广泛的做法是使用骨髓或外周血干细胞后的清髓调理方案。移植后监测嵌合可以帮助识别有复发风险的患者。
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引用次数: 0
Regenerative and Endoscopic Treatment of Complex Recurrent Fistula in Ano: When Technology Supports Clinical Treatment 再生和内窥镜治疗复杂的Ano复发瘘:当技术支持临床治疗
Pub Date : 2022-10-07 DOI: 10.31487/j.rgm.2022.02.03
M. De Monti, G. Cestaro, L. Regusci, F. Fasolini, K. Galetti
Background: Recurrent anal fistulas present a challenge to surgeons due to the high risk of post-operative incontinence caused by repeated surgery. The correct identification of the anatomy of the main and secondary fistula tracts and the individuation of abscess cavities are fundamental for correct treatment. Intraoperative endoscopic evaluation and the complete destruction of the fistula pathway can be achieved through video-assisted anal fistula treatment (VAAFT). Furthermore, the injection of human autologous Microfractured Adipose Tissue (MFAT) processed by a Lipogems® device can be used as both a bulking agent and a regenerative technique.Methods: A combined approach of VAAFT plus Microfractured Adipose Tissue Graft (MFAT) is proposed in order to treat recurrent and complex fistula in ano.Results: Three cases treated with a combination of VAAFT and MFAT grafts are described. All cases had undergone multiple interventions at the perianal level over a period ranging from 1 to 15 years. One case certainly failed due to poor patient compliance, but in the remaining two cases, the patients made a complete recovery with the disappearance of symptoms over a follow-up period of one to two years.Conclusion: The combination of video-assisted anal fistula treatment and injection of human autologous microfractured adipose tissue may be a valid, safe and feasible therapeutic option. MFAT injections are more effective in promoting tissue regeneration than simply “filling” the fistula tract and are common practice also in the treatment of Crohn’s Disease due to the immunomodulatory power of mesenchymal cells.
背景:复发性肛瘘是外科医生面临的一个挑战,因为反复手术导致术后尿失禁的风险很高。正确鉴别主、次瘘道的解剖结构和脓肿腔的个体化是正确治疗的基础。术中内镜评估和瘘道的完全破坏可以通过视频辅助肛瘘治疗(VAAFT)来实现。此外,Lipogems®设备处理的人自体微断裂脂肪组织(MFAT)的注射既可以用作填充剂,也可以用作再生技术。方法:采用微创脂肪组织移植术联合微创脂肪组织移植术(MFAT)治疗复发性瘘管。结果:报告了3例VAAFT与MFAT联合移植的病例。所有病例均在1至15年的时间内接受了肛周水平的多次干预。1例由于患者依从性差而失败,但其余2例患者在随访1 - 2年后症状消失,完全康复。结论:视频辅助肛瘘治疗与人自体微骨折脂肪组织注射相结合是一种有效、安全、可行的治疗方法。MFAT注射在促进组织再生方面比简单地“填充”瘘道更有效,由于间充质细胞的免疫调节能力,MFAT注射在克罗恩病的治疗中也是常用的做法。
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引用次数: 0
Pharmacological Potential of Advance Diabetes Support Product in the Management of Insulin-Dependent Diabetes: Overviews on Case Study 先进糖尿病支持产品在胰岛素依赖型糖尿病管理中的药理学潜力:案例研究综述
Pub Date : 2022-09-16 DOI: 10.31487/j.rgm.2022.02.01
D. Nagore, S. Pandya, Chetan Savaliya, Kamlesh Thummar
Type I or Type II diabetes, once recognized as juvenile diabetes or insulin-dependent diabetes, is a chronic illness in which the pancreas produces slight or no insulin. Insulin-dependent diabetes is a syndrome of glucose homeostasis considered by autoimmune destruction of the insulin-producing pancreatic Beta-cell that gradually leads to insulin deficiency. As there is no perfect treatment for management, Gplife has thought of and developed a product that is found to be effective in the management of insulin-dependent diabetes. After 60 days of evaluation of cases, it is observed that fasting blood glucose was reduced by 62.25%, postprandial glucose levels were reduced by 62.37%, HBA1C levels were reduced by 39.57%, C Peptide levels were increased by 26.67%, also the external insulin injection requirement of the patient’s decreased by 88.57%. This case study gives an overview of the current understanding of the disease and the efficacy of advance diabetic support products in insulin-dependent diabetes. It is evident that the said product further helps to reduce insulin and OHA doses for the management of insulin-dependent diabetes. It is suggested that the advance diabetes support product should be further extensively used as a monotherapy or adjunctive therapy for the regulation, or management or control of insulin-dependent diabetes.
I型或II型糖尿病,曾经被认为是青少年糖尿病或胰岛素依赖型糖尿病,是一种慢性疾病,胰腺产生少量或不产生胰岛素。胰岛素依赖型糖尿病是一种葡萄糖稳态综合征,由于自身免疫破坏产生胰岛素的胰腺β细胞,逐渐导致胰岛素缺乏。由于没有完美的治疗方法,Gplife想到并开发了一种产品,被发现对胰岛素依赖型糖尿病的治疗有效。经过60天的病例评估,观察到患者空腹血糖降低62.25%,餐后血糖降低62.37%,HBA1C降低39.57%,C肽水平升高26.67%,患者外部胰岛素注射需求降低88.57%。本案例研究概述了目前对该疾病的理解以及胰岛素依赖型糖尿病的先进糖尿病支持产品的功效。很明显,上述产品进一步有助于减少胰岛素和OHA剂量,用于胰岛素依赖型糖尿病的管理。提示糖尿病支持产品应进一步广泛应用于胰岛素依赖型糖尿病的单药治疗或辅助治疗。
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引用次数: 0
Evaluation of the Effect of an Advance Diabetes Support Product Targeting the Improved β-Cell Functions and β-Cell Regeneration for the Management of Diabetes Mellitus 针对改善β细胞功能和β细胞再生的先进糖尿病支持产品对糖尿病管理的效果评估
Pub Date : 2022-08-18 DOI: 10.31487/j.rgm.2022.01.03
D. Nagore, S. Pandya, Chetan Savaliya, Kamlesh Thummar, V. Undale
Aim: Diabetes support product (ADSP) with phytocompounds was proposed to improve insulin secretion, avoid pancreatic beta cell apoptosis, and moderate beta cell differentiation and proliferation. In this research work, beta cell regenerative potential of ADSP was evaluated with STZ induced diabetes in rodents.Method: Single dose of Streptozotocin (STZ) (70mpk; i.p.) was used to induce diabetes in the Wistar rats. The treatment of vehicle or test or GLB was continued for the next 28 days to assess sub-acute anti-diabetic potential. Fasting blood glucose levels (BGL) was monitored weekly once throughout the experiment. Bodyweight, Feed-water consumption was calculated on every day till end of the experiment. Interleukin-6, Interleukin-1β and Interferon-γ was also analysis from blood serum after 28 days of treatment in rats. Further, animal was humanely sacrifice and organs such as liver, kidney(s) and pancreas were isolated for histopathology analysis. Result: Research showed that Insulin is Increased by 3 times in comparison with the diabetic group by ADSP after 28 days. After 28 days treatment of ADSP to rodents, Interleukin-6 decreased by 52%, Interleukin-1β decreased by 73% and Interferon-γ decreased by 28% in comparison with the diabetic control group. It is also observed in histopathology studies that there was a rise in the quantity of islets after 28 days treatment of ADSP in Streptozotocin carried diabetic rats. Conclusion: Hence in conclusion, advance diabetes support product supposed to be appreciated as synergistic product of encouraging the β-cell regeneration in vivo.
目的:提出植物性糖尿病支持产品(ADSP)可改善胰岛素分泌,避免胰腺β细胞凋亡,调节β细胞分化和增殖。本研究以STZ诱导的啮齿动物糖尿病为实验对象,对ADSP的β细胞再生潜能进行了评价。方法:单剂量链脲佐菌素(STZ) 70mpk;)诱导Wistar大鼠糖尿病。在接下来的28天里,继续进行载体或试验或GLB的治疗,以评估亚急性抗糖尿病的潜力。在整个实验过程中,每周监测一次空腹血糖水平(BGL)。每天计算体重、饲水量,直至试验结束。对治疗28天后的大鼠血清中白细胞介素-6、白细胞介素-1β和干扰素-γ进行分析。人道宰杀动物,分离肝脏、肾脏、胰腺等脏器进行组织病理学分析。结果:研究表明,与糖尿病组相比,ADSP治疗28天后胰岛素水平升高3倍。ADSP治疗28天后,与糖尿病对照组相比,白介素-6降低52%,白介素-1β降低73%,干扰素-γ降低28%。在组织病理学研究中也观察到,携带链脲佐菌素的糖尿病大鼠经ADSP治疗28天后,胰岛数量增加。结论:advance糖尿病支持产品在体内可作为促进β细胞再生的协同产物。
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引用次数: 0
Halalopathy: Stimulation of the Immune System Through Enrichment of Potential Energy Halalopathy:通过增强势能刺激免疫系统
Pub Date : 2022-07-25 DOI: 10.31487/j.rgm.2022.01.02
J. Alzeer
The human mind is highly exposed to different sources of information. According to halalopathy, supportive information enriches potential, while distracting information increases entropy. Potential energy and entropy are inversely proportional. The enrichment of potential energy creates favourable circumstances for prevention and recovery, while the accumulation of entropy accelerates aging and the development of diseases. The availability of potential energy plays a crucial role in how the immune system can exist and behave. Fight mode i.e., high potential energy mode where errors and defects are detected and corrected simultaneously. Fright mode in which potential energy is dispersed and entropy is accelerated, causing the immune system to respond randomly and attack indiscriminately. The flight mode, in which potential energy is suppressed, leads to a slowing down of the immune response, thereby bypassing many defects and mutations. The main objective of halalopathy is to develop methods and strategies to enrich the potential, keep the fight mode active and thus stimulate the immune system for better prevention and recovery.
人类的大脑高度暴露于不同的信息来源。根据halalopathy的观点,支持性信息会丰富潜能,而分散注意力的信息会增加熵。势能和熵成反比。势能的丰富为预防和恢复创造了有利条件,而熵的积累则加速了衰老和疾病的发展。势能的可用性在免疫系统的存在和行为中起着至关重要的作用。战斗模式,即同时检测和纠正错误和缺陷的高势能模式。惊吓模式,势能分散,熵加速,导致免疫系统随机反应,不分青红皂白地攻击。这种抑制势能的逃跑模式导致免疫反应的减慢,从而绕过了许多缺陷和突变。halalopathy的主要目标是开发方法和策略来丰富潜力,保持战斗模式的活跃,从而刺激免疫系统,以更好地预防和恢复。
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引用次数: 0
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International Journal of Regenerative Medicine
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