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A Role of Physical Activity in Patients with Systemic Sclerosis – a literature review 体育锻炼在系统性硬化症患者中的作用--文献综述
Pub Date : 2024-05-17 DOI: 10.12775/jehs.2024.70.51095
Izabela Staniszewska
Introduction: Systemic sclerosis (SSc) is a chronic multisystem disease. The condition is characterized by extensive vascular dysfunction and progressive fibrosis of the skin and internal organs. The musculoskeletal, cardiac, pulmonary, and gastrointestinal systems are involved, resulting in a broad range of symptoms. Diagnosis is based on skin and/or internal organ fibrosis, production of specific autoantibodies, and evidence of vasculopathy Purpose of work: Synthesis of knowledge about physical activity in patients with SSc. Summary: Exercise and physiotherapy can improve the physical functions of patients with SSc. Physical activity in patients with SSc enhances hand function, enhances the function of the orofacial region, enhances sexual function, and also aids in coping with Raynaund's phenomenon, enhances physical capacity, alleviates fatigue as well and enhances general physical capacity. Furthermore, regular physical activity impeded the natural progression of progressive impairment of functional ability. Although, the literature regarding the efficacy and safety of exercise in patients with SSc is further insufficient.
导言系统性硬化症(SSc)是一种慢性多系统疾病。该病的特征是广泛的血管功能障碍以及皮肤和内脏器官的进行性纤维化。该病累及肌肉骨骼、心脏、肺部和胃肠道系统,导致多种症状。诊断依据是皮肤和/或内脏器官纤维化、特异性自身抗体的产生以及血管病变的证据:综述有关 SSc 患者体育锻炼的知识。摘要:运动和理疗可以改善 SSc 患者的身体功能。SSc患者通过体育锻炼可以增强手部功能,增强口面部功能,增强性功能,还有助于应对雷诺现象,增强体能,缓解疲劳,增强一般体能。此外,有规律的体育锻炼还能阻碍功能逐渐减退的自然进程。尽管如此,有关运动对 SSc 患者的疗效和安全性的文献仍然不足。
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引用次数: 0
The war continues not only on the front: a broader look at PTSD in the context of the Russian invasion and its impact on Ukrainian citizens – systematic rewiev 战争不仅在前线继续:更广泛地审视俄罗斯入侵背景下的创伤后应激障碍及其对乌克兰公民的影响 - 系统性 rewiev
Pub Date : 2024-05-17 DOI: 10.12775/jehs.2024.70.49961
Monika Adamczyk, Joanna Mazurek, Hubert Stachowicz, Magdalena Ptasznik, Aleksandra Baran, Weronika Bartos, Magdalena Piotrowska, Ewelina Flegiel, Justyna Lenart, Miłosz Podrażka
Russia's aggression against Ukraine is undoubtedly a tragic event that will bring various, often difficult to predict, consequences at many levels of functioning. Certainly, the mental health of war victims faces many challenges. The mental health crisis that occurs during war is a public health problem.28 One of the main disorders that appear in people directly or indirectly related to war is PTSD. It arises as a result of experiencing extremely dangerous, terrifying events that go beyond one's ability to cope and is manifested by symptoms such as: obsessive, persistent re-experiencing of traumatic events, avoidance of factors causing a "return" to traumatic memories, excessive arousal and a sense of constant threats.8, 10 Many factors influence the occurrence of PTSD. It is extremely important to look at the reasons that make it difficult to obtain support. mental health and improving the support system. Ukrainian children and youth deserve special attention here. A developing young society must face particularly great challenges, and it is their mental well-being that guarantees better development of the entire nation. Every effort must be made to ensure that citizens of a country at war receive adequate support. We have many methods of help, from basic emergency support, through a wide range of psychotherapy, to medications in the most severe cases. Additionally, the knowledge of the existence of a phenomenon such as post-traumatic growth may give hope and motivation to act to people in mental crisis struggling with symptoms of PTSD. However, the war continues and there will be more and more victims struggling with post-traumatic stress disorder (PTSD) and other mental health disorders. We cannot determine at this point how much damage this conflict will cause. However, it is worth acting now to prevent and limit the tragic consequences of the situation in which Ukraine finds itself.  
俄罗斯对乌克兰的侵略无疑是一个悲剧事件,它将在许多功能层面带来各种后果,而这些后果往往难以预测。当然,战争受害者的心理健康也面临着许多挑战。战争期间出现的心理健康危机是一个公共卫生问题。28 与战争直接或间接相关的人出现的主要疾病之一是创伤后应激障碍。创伤后应激障碍是由于经历了极度危险和恐怖的事件,超出了个人的应对能力,表现为:强迫性、持续性地重新体验创伤事件,回避导致创伤记忆 "重现 "的因素,过度唤醒和持续威胁感等症状。8, 10 影响创伤后应激障碍发生的因素很多,研究导致难以获得支持的原因极其重要。在此,乌克兰儿童和青年值得特别关注。一个发展中的年轻社会必须面对特别巨大的挑战,而他们的精神健康是整个国家更好发展的保证。必须尽一切努力确保处于战争中的国家的公民获得足够的支持。我们有许多帮助方法,从基本的紧急支持,到广泛的心理治疗,再到最严重情况下的药物治疗。此外,对创伤后成长等现象存在的了解可能会给处于精神危机中与创伤后应激障碍症状作斗争的人们带来希望和行动的动力。然而,战争仍在继续,将会有越来越多的受害者与创伤后应激障碍(PTSD)和其他精神疾病作斗争。我们现在还无法确定这场冲突会造成多大的伤害。但是,现在就应该采取行动,预防和限制乌克兰所处局势的悲惨后果。
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引用次数: 0
Therapeutic Potential of Vitamin D in Asthma Control 维生素 D 在控制哮喘方面的治疗潜力
Pub Date : 2024-05-17 DOI: 10.12775/jehs.2024.69.49174
Aldona Pażyra, Paweł Stanicki, Julita Szarpak, Natalia Kusak, Natalia Żak, Barbara Jaworska
In 2019, according to WHO estimates, 262 million people were affected by asta, resulting in 455,000 deaths. Asthma, is a chronic inflammatory disease of the airways that causes reversible bronchoconstriction, making it difficult for patients to breathe. Exacerbations of the disease can be caused by a variety of factors but share similar symptoms such as wheezing, coughing, shortness of breath and chest tightness. Severe asthma exacerbations are defined as symptoms that do not respond to inhaled medications and improve only after oral or intravenous steroid administration. Asthma-related deaths often occur during exacerbations. Vitamin D, which is produced naturally in the body and found in some foods, is a steroid-derived vitamin. Adequate doses of this vitamin, administered through medication or supplements, can be used to maintain its proper levels in the organism. Vitamin D is essential for regulating calcium levels in the body and for bone remodeling. It also has immunomodulatory effects, affecting both innate and adaptive immunity. This partly explains its association with changes in the airway epithelium that occur as a result of inflammation in asthma. The study aims to summarize the current knowledge on the relationship of vitamin D with asthma symptom control. The present study is based on literature available in scientific databases from 2013-2016, such as PubMed, Corchane Library and Google Scholar, using the following keywords: "vitamin D" and "asthma." Vitamin D deficiency is prevalent in children and adults worldwide. A critical analysis of the literature reveals that the therapeutic administration of vitamin D has no apparent advantage in treating asthma, especially in children. Nevertheless, for adults with mild asthma, vitamin D supplementation shows promise for improved outcomes. However, there is a pressing need for large-scale clinical trials to determine the efficacy and safety of this therapeutic approach for both age groups.
据世卫组织估计,2019年有2.62亿人受到哮喘的影响,导致45.5万人死亡。哮喘是一种慢性气道炎症性疾病,会导致可逆性支气管收缩,使患者呼吸困难。疾病加重可由多种因素引起,但症状相似,如喘息、咳嗽、气短和胸闷。严重的哮喘加重是指吸入药物无效,只有在口服或静脉注射类固醇后症状才会改善。与哮喘相关的死亡往往发生在哮喘恶化期间。维生素 D 是一种源自类固醇的维生素,可在人体内自然产生,并存在于某些食物中。通过药物或补充剂摄入足够剂量的这种维生素,可用于维持机体内的适当水平。维生素 D 对调节体内钙含量和骨骼重塑至关重要。它还具有免疫调节作用,对先天性免疫和适应性免疫都有影响。这在一定程度上解释了维生素 D 与哮喘炎症导致的气道上皮细胞变化之间的关系。本研究旨在总结维生素 D 与哮喘症状控制之间关系的现有知识。本研究以 2013-2016 年间在科学数据库(如 PubMed、Corchane Library 和 Google Scholar)中的文献为基础,使用了以下关键词:"维生素 D "和 "哮喘"。维生素 D 缺乏症在全球儿童和成人中普遍存在。对文献的批判性分析表明,治疗性服用维生素 D 在治疗哮喘方面没有明显优势,尤其是对儿童而言。不过,对于患有轻度哮喘的成年人来说,补充维生素 D 有望改善治疗效果。然而,目前迫切需要进行大规模的临床试验,以确定这种治疗方法对这两个年龄组的疗效和安全性。
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引用次数: 0
Variability of the origin and course of the uterine artery in clinical practice 临床实践中子宫动脉起源和走向的可变性
Pub Date : 2024-05-17 DOI: 10.12775/jehs.2024.69.49390
Adela Sobolewska, Natalia Gierulska, Hubert Stachowicz, Kaja Iwaniuk, Zuzanna Białkowska, Aleksander Daniluk, Jan Ostański, Jakub Buczek, Maciej Samczuk, Łukasz Gawłowicz
In 2020, approximately 287,000 mothers died during pregnancy or childbirth, with one of the leading causes of maternal mortality being peripartum hemorrhage. It can be treated both pharmacologically and procedurally, for example, through uterine artery ligation, embolization, or hysterectomy. In case of procedural treatment, it is essential for the medical team to familiarize themselves with the anatomical structure of the patient's uterine arteries. Various variations in the course of this vessel are distinguished, such as the uterine artery branching as a bifurcation with the inferior gluteal artery, a common trunk of the uterine artery with another vessel, or even its duplication. Using radiological techniques such as angiography, it is possible to visualize vessels and their variations, which can allow for better patient care. Unfamiliarity with the departure and trajectory of the uterine artery may be associated with an increased risk of postoperative complications, especially after hysterectomy, where the uterine arteries close at the level of the uterus or at the beginning of their departure from the internal iliac artery. Ligating them in other place may result in ischemia of an area that should be continuously supplied with blood. Also, during surgery, special attention should be paid to possible anatomical variations of the patient's uterine artery, which, although rare, can cause intraoperative complications. A thorough analysis of the departure and trajectory of the uterine artery by physicians can prevent postoperative complications and also allow for the safe conduct of embolization procedures. The following article presents a literature review on the departure and course of the uterine artery and its variations, as well as procedural interventions related to this vessel.
2020 年,约有 28.7 万名母亲在怀孕或分娩期间死亡,其中围产期出血是产妇死亡的主要原因之一。围产期出血可以通过药物和手术治疗,例如子宫动脉结扎、栓塞或子宫切除术。在进行手术治疗时,医疗团队必须熟悉患者子宫动脉的解剖结构。该血管的走向有多种变异,如子宫动脉与臀下动脉的分叉、子宫动脉与其他血管的共同主干,甚至是重复。利用血管造影等放射学技术,可以直观地观察血管及其变化,从而更好地为患者提供护理。不熟悉子宫动脉的走向和轨迹可能会增加术后并发症的风险,尤其是在子宫切除术后,子宫动脉会在子宫水平或在其离开髂内动脉的起始处闭合。在其他位置结扎可能会导致需要持续供血的部位缺血。此外,在手术过程中,应特别注意患者子宫动脉可能存在的解剖变异,这种变异虽然罕见,但可能导致术中并发症。医生对子宫动脉的走向和轨迹进行全面分析,可以预防术后并发症的发生,也可以安全地进行栓塞手术。下文将对子宫动脉的走向和轨迹及其变化以及与该血管相关的手术干预进行文献综述。
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引用次数: 0
Lactase Deficiency and Lactose Intolerance: Current Understanding and Future Directions 乳糖酶缺乏症和乳糖不耐受症:当前认识和未来方向
Pub Date : 2024-05-17 DOI: 10.12775/jehs.2024.69.49393
K. Rachwał, Karol Wielgus, Piotr Bator, Wiktor Razik, Grzegorz Łyko, Maria Antos, Julia Furgalska, Maria Pawłowska, A. Wawryszuk
Introduction and purpose: Lactose, the primary carbohydrate in milk, requires the enzyme lactase for digestion. Deficiency in lactase activity leads to lactose intolerance, causing gastrointestinal symptoms. Understanding the genetic and environmental factors influencing lactase expression and activity is crucial. Moreover, accurate diagnostic methods and effective treatments are needed to manage lactose intolerance. This review aims to explore the current knowledge on lactase deficiency, lactose intolerance, diagnostic methods, and treatment options. State of knowledge:  Lactase deficiency encompasses congenital, primary, and secondary forms, each with distinct etiologies. Although often used interchangeably, lactase deficiency and lactose intolerance differ. However, the association between lactase deficiency and lactose intolerance is complex, influenced by various factors including dietary habits, gut microbiota, and gastrointestinal motility. Diagnostic methods are limited, and treatment strategies primarily involve dietary modifications, lactase supplementation, and probiotics.  Conclusion: Lactose intolerance presents significant clinical challenges, often underrecognized and misdiagnosed. Despite diagnostic advancements further research is needed to refine diagnostic accuracy. Treatment focuses on dietary adjustments, enzyme supplementation, and probiotics. Balancing symptom relief with nutritional adequacy is essential. Future studies should explore the role of gut microbiome modulation in lactose intolerance management through clinical trials. 
简介和目的:乳糖是牛奶中的主要碳水化合物,需要乳糖酶来消化。乳糖酶活性不足会导致乳糖不耐症,引起胃肠道症状。了解影响乳糖酶表达和活性的遗传和环境因素至关重要。此外,还需要准确的诊断方法和有效的治疗手段来控制乳糖不耐受症。本综述旨在探讨有关乳糖酶缺乏症、乳糖不耐受症、诊断方法和治疗方案的现有知识。知识现状: 乳糖酶缺乏症包括先天性、原发性和继发性三种形式,每种形式都有不同的病因。虽然乳糖酶缺乏症和乳糖不耐受症经常被互换使用,但两者是不同的。然而,乳糖酶缺乏症和乳糖不耐症之间的关系很复杂,受饮食习惯、肠道微生物群和胃肠道蠕动等多种因素的影响。诊断方法有限,治疗策略主要包括调整饮食、补充乳糖酶和益生菌。 结论乳糖不耐受症给临床带来了巨大挑战,常常被低估和误诊。尽管诊断技术不断进步,但仍需进一步研究以提高诊断的准确性。治疗重点在于调整饮食、补充酶和益生菌。在缓解症状与营养充足之间取得平衡至关重要。未来的研究应通过临床试验探索肠道微生物组调节在乳糖不耐受治疗中的作用。
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引用次数: 0
Folliculitis Decalvans: A Review of Current Treatment Modalities 德卡尔瓦毛囊炎:当前治疗方法综述
Pub Date : 2024-05-17 DOI: 10.12775/jehs.2024.70.50172
Wiktoria Julia Krzesłowska, Kamila Szewczyk, Paulina Pytel, Bartłomiej Szewczyk, Szymon Wiśniewski, Weronika Hołownia
Background: Folliculitis decalvans (FD) is a rare subtype of neutrophilic cicatricial alopecia, firstly described by Quinquad in 1888, as inflammatory scalp disease usually affecting young adults. The exact etiopathology of the disease is not fully understood, however the presence of Staphylococcus aureus, dysfunction of the host’s immune response, genetic factors, previous trauma of the scalp, as well as Epidermal Growth Factor Receptor inhibitors (EGFRi) use seem to play a role. Clinically, FD presents with scarring alopecic patches with follicular pustules, crusts and tufted hair. Objectives: As the full etiology of the disease is unknown and most data in the literature is based on retrospective date, therapeutic management is not precisely established. The objective of this review is to describe therapeutic options,  as well as highlighting potential new therapeutic modalities reported in the literature. Limitations: Because FD is a rare disease, the main limitation is lack of randomized control trials, evaluating therapeutic modalities. Methods: An exhaustive search of references related to FD  published in PubMed between 2017 and 2024 was undertaken, using the search term: "folliculitis decalvans".  Articles with large patient cohorts and reviews were included, as well as case reports and case series, that reported novel treatment approaches for FD.Conclusions: The management of FD poses a challenge. Systemic antibiotics, particularly rifampicin and clindamycin, are considered the first-line agents and are commonly used in combination with local therapies. Systemic isotretinoin yields sustained remission in some cases, while biological agents exhibit promise in managing severe FD. Novel therapeutic modalities, incorporating, among others, botulinum toxin A injections, Platelet-Rich-Plasma (PRP), or surgical procedures, necessitate randomized double-blind trials to evaluate their safety and efficacy.
背景:德加尔万毛囊炎(FD)是嗜中性卡他性脱发的一种罕见亚型,由Quinquad于1888年首次描述,是一种炎症性头皮疾病,通常影响青壮年。该病的确切病因尚未完全明了,但金黄色葡萄球菌的存在、宿主免疫反应功能障碍、遗传因素、头皮曾受创伤以及表皮生长因子受体抑制剂(EGFRi)的使用似乎在其中发挥了作用。在临床上,FD 表现为带有毛囊脓疱、结痂和丛生头发的瘢痕性脱发斑。研究目的由于该病的病因尚不清楚,且文献中的大多数数据都是基于回顾性数据,因此治疗方法尚未精确确定。本综述旨在描述治疗方案,并重点介绍文献中报道的潜在新治疗方法。局限性:由于 FD 是一种罕见疾病,其主要局限性在于缺乏评估治疗方法的随机对照试验。研究方法使用检索词对2017年至2024年间发表在PubMed上的与FD相关的参考文献进行了详尽检索:"decalvans毛囊炎"。 纳入了大量患者群和综述的文章,以及报道FD新型治疗方法的病例报告和系列病例:结论:FD 的治疗是一项挑战。全身用抗生素,尤其是利福平和林可霉素,被认为是一线药物,通常与局部疗法联合使用。在某些病例中,全身使用异维A酸可获得持续缓解,而生物制剂则有望治疗严重的 FD。新的治疗方法包括注射 A 型肉毒毒素、血小板丰富血浆(PRP)或外科手术等,需要进行随机双盲试验以评估其安全性和有效性。
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引用次数: 0
Obesity - an epidemic of the 21st century – literature review 肥胖症--21 世纪的流行病--文献综述
Pub Date : 2024-05-17 DOI: 10.12775/jehs.2024.70.49557
Klaudia Kułak, Izabela Sztybór, Katarzyna Kamińska
Introduction and purpose: The article deals with the problem of obesity, which significantly increases the number of cases among children, adolescents and adults all over the world, leading to the occurrence of systemic disorders. A noticeable increase in the incidence of atherosclerosis, metabolic syndrome and diabetes leads to a reduction in life expectancy. The main aim of the work is to emphasize the seriousness of the contemporary problem, which causes impairment of the functioning of many systems. A secondary goal is to indicate the current standards of obesity treatment and how to deal with overweight.   Brief description of the state of knowledge: Obesity is a disease that affects nearly 800 million people around the world and affects every fourth Pole. Uncontrolled weight gain is caused; lifestyle changes, consumption of highly processed foods, and genetic and endocrine factors. It is a chronic disease with a tendency to relapse, with serious consequences and in need of diagnostics, personalized treatment, and often associated with psychological support.   Material and methods: The article analyzes the research to date and the latest treatment methods, which show that a person struggling with obesity is at risk of over 200 complications, including, for example, fatty liver, stroke, type 2 diabetes or cancer.   Results and conclusion:  According to our analysis, obesity is a pathological condition that is truly life-threatening. Despite the society's downplay of the problem, people affected by this disease struggle with many comorbidities that worsen their quality of life.
导言和目的:文章论述了肥胖问题,肥胖在全世界儿童、青少年和成年人中的发病率显著增加,导致全身性疾病的发生。动脉粥样硬化、代谢综合征和糖尿病的发病率明显增加,导致预期寿命缩短。这项工作的主要目的是强调当代问题的严重性,它导致许多系统功能受损。其次是指出目前治疗肥胖症的标准以及如何处理超重问题。 知识现状简介:肥胖症是一种影响全球近 8 亿人的疾病,每四分之一的波兰人都会患上肥胖症。体重增加失控的原因是生活方式的改变、食用高度加工食品以及遗传和内分泌因素。它是一种慢性疾病,容易复发,后果严重,需要诊断和个性化治疗,通常还需要心理支持。 材料和方法文章分析了迄今为止的研究和最新的治疗方法,结果表明,肥胖症患者面临着 200 多种并发症的风险,包括脂肪肝、中风、2 型糖尿病或癌症等。 结果和结论: 根据我们的分析,肥胖症是一种真正威胁生命的病理状态。尽管社会对这一问题轻描淡写,但受这一疾病影响的人却要与许多并发症作斗争,这些并发症会使他们的生活质量恶化。
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引用次数: 0
Advantages of oral collagen supplementation. Review of the literature 口服胶原蛋白补充剂的优势。文献综述
Pub Date : 2024-05-17 DOI: 10.12775/jehs.2024.70.50183
Zuzanna Kotowicz, Aleksandra Pich-Czekierda, Patrycja Proszowska, Adrianna Orzeł, Daria Sieniawska, Magda Madoń, Julia Sieniawska
IntroductionCollagen is a protein that has found widespread use both as an ingredient in cosmetics applied externally and as an oral supplement. This substance is obtained from a number of animal sources, including bovine tissues, as well as marine fish. The characteristic properties of collagen peptides, such as scientifically proven anti-inflammatory effects, activation of fibroblast skin cells, stimulation of synovial cells to produce hyaluronic acid, and much more make this type of supplement promising in improving the body's general condition and in alleviating the symptoms of many ailments. Numerous scientific studies have shown that supplementation with hydrolyzed collagen has a beneficial effect on both the overall condition of the skin by improving its elasticity, hydration level, and positive action on its protective barrier and on the musculoskeletal system, where, when combined with appropriately selected physical activity, it can help to reduce pain associated with conditions such as osteoarthritis and even increase the range of movement in the joints. Easy availability, user-friendly forms of administration, such as powders or ready-to-drink liquid formulations, and a low incidence of side effects make this supplementation highly beneficial for users.  Aim of the studyThis study aims to discuss the known processes and review the evidence supporting the beneficial effects of hydrolyzed collagen supplementation on the human skin and musculoskeletal system.Material and methodThis article presents the current state of knowledge about the benefits of oral collagen peptide supplementation in various scientific articles. Publications describing the mechanisms of action and the effects of collagen supplementation on skin conditions and the musculoskeletal system, including recent reports in this field, were reviewed using the PubMed platform. The search included the keywords ‘collagen’, ‘collagen supplementation’, ‘nutritional supplement’, ‘recovery’
导言胶原蛋白是一种蛋白质,已被广泛用作外用化妆品成分和口服补充剂。这种物质来自多种动物来源,包括牛组织和海鱼。胶原蛋白肽的特性,如经科学证实的抗炎作用、激活皮肤成纤维细胞、刺激滑膜细胞产生透明质酸等,使这种补充剂在改善人体总体状况和减轻多种疾病症状方面大有可为。大量科学研究表明,补充水解胶原蛋白对皮肤的整体状况和肌肉骨骼系统都有好处,前者可以改善皮肤的弹性和水合水平,并对皮肤的保护屏障起到积极作用,后者则与适当的体育锻炼相结合,有助于减轻骨关节炎等疾病带来的疼痛,甚至增加关节的活动范围。粉剂或即饮液体制剂等易于获得、方便使用的给药形式以及较低的副作用发生率使这种补充剂对使用者非常有益。 研究目的本研究旨在讨论水解胶原蛋白补充剂对人体皮肤和肌肉骨骼系统有益作用的已知过程,并回顾支持这种有益作用的证据。使用 PubMed 平台对描述胶原蛋白补充剂对皮肤状况和肌肉骨骼系统的作用机制和效果的文献进行了审查,包括该领域的最新报告。搜索关键词包括 "胶原蛋白"、"胶原蛋白补充剂"、"营养补充剂"、"恢复
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引用次数: 0
ERCP (endoscopic retrograde cholangiopancreatography) and EUS (endoscopic ultrasonography) in diagnosis of choledocholithiasis – battle or cooperation? ERCP(内镜逆行胰胆管造影术)和 EUS(内镜超声造影术)在胆总管结石诊断中的应用--竞争还是合作?
Pub Date : 2024-05-17 DOI: 10.12775/jehs.2024.70.49529
Anna Szymkowicz, Julia Pałuchowska, Maria Sambura, Sara Rosołowska-Żak, Patrycja Paschke, Igor Miczek
Introduction: Diagnosis of choledocholithiasis, a common manifestation of gallstone disease, is mainly based on advanced endoscopic techniques such as ERCP and EUS. Since the 1970s, ERCP has been a key method in the diagnosis and treatment of choledocholithiasis, allowing direct visualization and therapeutic interventions. However, technological developments have brought the emergence of EUS as a complementary tool, providing high-resolution imaging of the bile ducts. Understanding the diagnostic accuracy, therapeutic options and complications of both modalities is key to optimizing the care of patients with bile duct stones. Aim of the study: The aim of our study is to review and compare various diagnostic methods of bile duct stones, as well as to assess their effectiveness, accuracy, and potential complications. Materials and methods: We searched electronic sources, aspecially in the PubMed and Google Scholar databases, using keywords such as ,,endoscopic ultrasonography”, ,,endoscopic retrograde cholangiopancreatography” and ,,choledocholithiasis”. Conclusions: With the use of modern technologies, such as endoscopic ultrasonography (EUS) and retrograde choleangiopancreatography (ERCP), it has become possible to diagnose bile duct stones more accurately and introduce more effective and less invasive therapies. The development of the availability of diagnostic tests, especially those that do not require invasive procedures, has helped reduce the risk of complications. EUS may be the preferred tool of choice for patients with gallstones, as it is associated with a lower risk of complications compared to ERCP alone. Decisions regarding the use of specific diagnostic and therapeutic modalities should be made on a case-by-case basis, taking into account medical and economic considerations.
导言:胆总管结石是胆石症的一种常见表现,其诊断主要依靠ERCP和EUS等先进的内镜技术。自 20 世纪 70 年代以来,ERCP 一直是诊断和治疗胆总管结石的关键方法,可以直接观察和进行治疗干预。然而,随着技术的发展,EUS 作为一种补充工具应运而生,它能提供胆管的高分辨率成像。了解这两种方法的诊断准确性、治疗方案和并发症是优化胆管结石患者护理的关键。研究目的:我们的研究旨在回顾和比较各种胆管结石诊断方法,并评估其有效性、准确性和潜在并发症。材料和方法:我们使用 "内镜超声造影术"、"内镜逆行胰胆管造影术 "和 "胆总管结石 "等关键词搜索电子资料,特别是 PubMed 和 Google Scholar 数据库。结论:随着内镜超声波成像(EUS)和逆行胰胆管造影术(ERCP)等现代技术的应用,胆管结石的诊断变得更加准确,并可采用更有效、创伤更小的疗法。诊断测试的发展,尤其是那些不需要侵入性程序的测试,有助于降低并发症的风险。EUS 可能是胆结石患者的首选工具,因为与单纯的 ERCP 相比,EUS 的并发症风险更低。在决定是否使用特定的诊断和治疗方法时,应根据具体情况,并考虑医疗和经济因素。
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引用次数: 0
The dark side of herbal medicine - risks of Ashwagandha (Withania Somnifera) consumption 草药的阴暗面--服用芦根(Withania Somnifera)的风险
Pub Date : 2024-05-17 DOI: 10.12775/jehs.2024.70.51094
Katarzyna Burda, Karolina Czarnecka, Olga Łopacińska, Katarzyna Stańczyk, Aleksandra Korn, Emilia Wójcik, Anna Korczak, Justyna Jędrzejczyk, Oliwia Szewczyk, Ewa Olek
Introduction: Herbal medicine has been growing in popularity over the last few years. One of the most often used herbal remedy is Withania somnifera, more widely known as Ashwagandha Now known for its anti-stress, anti-inflammatory, antioxidant, anti-cancer, anti-anxiety properties it ranks as a cure-all. However, there is a rising amount of alarming reports regarding its safety.It has been observed that its effects are not always beneficial, and for some patients the risks of taking it may be greater than the promoted benefits. Aim of study: The aim of this paper is to evaluate possible risks connected to Withania Somnifera consumption based on available research articles and case reports. Materials and methods: This article is based on the literature found in the PubMed Database from the period of 2004-2024 with the use of keywords such as “Ashwagandha”; “Withania Somnifera”, “herbal medicine”;”complementary medicine”;“liver injury”; “thyrotoxicosis”; “adrenal insufficiency”;”autoimmune diseases”.Results: The outcomes of all the reviewed studies in this paper indicate that Withania Somnifera might cause a wide range of side effects. They include herb induced liver injury, endocrine complications such as thyrotoxicosis and adrenal insufficiency, acute graft rejection in a kidney transplant recipient and possible contribution to the onset of new autoimmune disease in patient with the history of autoimmune disorders. Conclusion: Further long-term research is needed on the Ashwaghanda’s benefits but particularly on its safety and potential side effects. The common education on the risks of taking herbal supplements should be carried out among health professionals and the rest of the society. Ashwagandha should not be used by patients with liver, endocrine and autoimmune disorders as well as transplant recipients.
简介草药在过去几年中越来越受欢迎。其中一种最常用的草药是 Withania somnifera,更广为人知的名称是 Ashwagandha,它以抗压、抗炎、抗氧化、抗癌、抗焦虑等特性而闻名,被誉为万灵药。据观察,其效果并不总是有益的,对一些患者来说,服用的风险可能大于宣传的益处。研究目的本文旨在根据现有的研究文章和病例报告,评估服用睡茄可能带来的风险。材料与方法:本文基于 PubMed 数据库中 2004-2024 年间的文献,使用的关键词包括 "Ashwagandha";"Withania Somnifera";"草药";"补充医学";"肝损伤";"甲状腺毒症";"肾上腺功能不全";"自身免疫性疾病":本文回顾的所有研究结果表明,睡茄可能会导致多种副作用。这些副作用包括草药引起的肝损伤、甲状腺毒症和肾上腺功能不全等内分泌并发症、肾移植受者的急性移植物排斥反应,以及可能导致有自身免疫性疾病史的患者出现新的自身免疫性疾病。结论:需要对 Ashwaghanda 的益处,尤其是其安全性和潜在副作用进行进一步的长期研究。应在保健专业人员和社会其他人群中开展有关服用草药补充剂风险的普及教育。患有肝脏、内分泌和自身免疫疾病的患者以及接受移植手术的患者不应使用芦荟。
{"title":"The dark side of herbal medicine - risks of Ashwagandha (Withania Somnifera) consumption","authors":"Katarzyna Burda, Karolina Czarnecka, Olga Łopacińska, Katarzyna Stańczyk, Aleksandra Korn, Emilia Wójcik, Anna Korczak, Justyna Jędrzejczyk, Oliwia Szewczyk, Ewa Olek","doi":"10.12775/jehs.2024.70.51094","DOIUrl":"https://doi.org/10.12775/jehs.2024.70.51094","url":null,"abstract":"Introduction: Herbal medicine has been growing in popularity over the last few years. One of the most often used herbal remedy is Withania somnifera, more widely known as Ashwagandha Now known for its anti-stress, anti-inflammatory, antioxidant, anti-cancer, anti-anxiety properties it ranks as a cure-all. However, there is a rising amount of alarming reports regarding its safety.\u0000It has been observed that its effects are not always beneficial, and for some patients the risks of taking it may be greater than the promoted benefits. \u0000Aim of study: The aim of this paper is to evaluate possible risks connected to Withania Somnifera consumption based on available research articles and case reports. \u0000Materials and methods: This article is based on the literature found in the PubMed Database from the period of 2004-2024 with the use of keywords such as “Ashwagandha”; “Withania Somnifera”, “herbal medicine”;”complementary medicine”;“liver injury”; “thyrotoxicosis”; “adrenal insufficiency”;”autoimmune diseases”.\u0000Results: The outcomes of all the reviewed studies in this paper indicate that Withania Somnifera might cause a wide range of side effects. They include herb induced liver injury, endocrine complications such as thyrotoxicosis and adrenal insufficiency, acute graft rejection in a kidney transplant recipient and possible contribution to the onset of new autoimmune disease in patient with the history of autoimmune disorders. \u0000Conclusion: Further long-term research is needed on the Ashwaghanda’s benefits but particularly on its safety and potential side effects. The common education on the risks of taking herbal supplements should be carried out among health professionals and the rest of the society. Ashwagandha should not be used by patients with liver, endocrine and autoimmune disorders as well as transplant recipients.","PeriodicalId":15567,"journal":{"name":"Journal of Education, Health and Sport","volume":"45 32","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140965928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Journal of Education, Health and Sport
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