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The piriformis muscle syndrome – anatomy, diagnosis and the role of physiotherapy. A Review 梨状肌综合征的解剖、诊断及物理治疗的作用。回顾
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-09-01 DOI: 10.2478/acb-2023-0006
Bartosz Barzak, Kornelia Hankus, Anna Mielczarek, Slawomir Wozniak
Abstract This review examines the role of the physiotherapist in diagnosing piriformis muscle syndrome (PS), taking into account the exact anatomy of the muscle and the arsenal of tests the physiotherapist can use. In the works we researched, talking about PS ignores the role of the physiotherapist as the first specialist the patient should turn to. Many works emphasize the physician’s physical examination and often surgical intervention. The participation of a physiotherapist in the process of diagnosing ailments such as PS requires further research, but already with a high degree of reliability, a physiotherapeutic examination can speed up the process of diagnosis and treatment.
摘要:本文回顾了物理治疗师在诊断梨状肌综合征(PS)中的作用,考虑到肌肉的确切解剖结构和物理治疗师可以使用的测试库。在我们研究的作品中,谈论PS忽略了物理治疗师作为患者应该求助的第一个专家的作用。许多著作强调医师的体格检查,并经常进行手术干预。物理治疗师参与诊断PS等疾病的过程需要进一步研究,但已经具有高度的可靠性,物理治疗检查可以加快诊断和治疗的过程。
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引用次数: 0
Components of the fascia – cells and extracellular matrix 筋膜细胞和细胞外基质的成分
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-07-01 DOI: 10.2478/acb-2023-0002
Wiktoria Świątek, Olgierd Kłodziński, Julia Brzęczek, Ignacy Kosiorowski, Natalia Grzybowska, P. Mozdziak, W. Kranc
Abstract Fascia continues to be a significant topic in numerous studies due to its unique functions that contribute to maintaining various bodily functions. The current article focuses on the crucial aspects of fascia and provides an essential collection of basics to understand the phenomenon of fascia. It describes the anatomical structure, with emphasis on the division into layers. Furthermore, the article explains how fascia affects muscle movement and transduction signals. In addition to the significant role of fascia, the article discusses its components, both cellular and non-cellular. Regarding cellular factors, various types of cells are distinguished and their role in mechanotransduction is explained. Non-cellular components maintain the structure of the fascia and provide scaffolding for the cells of the fascia. The problem of fascia classification is comprehensively considered, including the anatomical, histological, and cellular aspects of fascia. Finally, the article examines aspects of fascia disorders, particularly rheumatoid arthritis, as well as the correlation of structural abnormalities with lymphatic oedema. Not only does it address these abnormalities, but it also discusses the nature of myofascial pain origin and the currently widespread topic of acupuncture.
摘要筋膜由于其独特的功能,有助于维持各种身体功能,因此在许多研究中仍然是一个重要的话题。当前的文章集中在筋膜的关键方面,并提供了一个基本的集合来理解筋膜现象。它描述了解剖结构,重点是分层。此外,文章还解释了筋膜如何影响肌肉运动和信号转导。除了筋膜的重要作用外,本文还讨论了筋膜的细胞和非细胞成分。关于细胞因子,区分了各种类型的细胞,并解释了它们在机械转导中的作用。非细胞组件维持筋膜的结构,并为筋膜的细胞提供支架。筋膜的分类问题是综合考虑的,包括筋膜的解剖、组织学和细胞方面。最后,文章探讨了筋膜疾病的各个方面,特别是类风湿性关节炎,以及结构异常与淋巴水肿的相关性。它不仅解决了这些异常,还讨论了肌筋膜疼痛起源的性质和目前广泛存在的针灸话题。
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引用次数: 0
Characteristics and cellular mechanism of the wound healing process in the oral mucosa 口腔黏膜创面愈合过程的特点及细胞机制
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-07-01 DOI: 10.2478/acb-2023-0001
Natasza Leśków, Z. Karp, Mateusz Banaszewski, K. Popielska, Michalina Grześkowiak, Jakub Mikołajski, P. Mozdziak, W. Kranc
Abstract Wound healing involves four stages: haemostasis, inflammation, proliferation, and remodelling. Each wound should be considered separately because of the tissue’s different environment. The key to successful wound healing is cell signalling and synchronisation between cells and chemical transmitters, which gradient attracts immune cells and prevents pathogens from causing infection. Both skin and oral mucosa stages of the wound healing process are the same. Nonetheless, some differences affect the outcome of the healing. The most critical factors that impact the process are the time required for wound closure or immune response, the presence of saliva, the level of anti-inflammatory cytokines, and extracellular matrix (ECM) remodelling. Compared to the skin, wounds in the oral mucosa heal much faster and without scarring. Saliva plays a crucial role in healing the oral mucosa – because of higher levels of tissue factor, it reduces the clotting time. Furthermore, it is rich in many growth factors stimulating wound healing. Mesenchymal stem cells are yet another valid matter regarding wound healing in oral mucosa. Outstanding properties of these cells exhibit potential to be applied for therapeutical purposes. Additionally, immune cells’ participation and response to tissue damage are more substantial and faster in the oral mucosa than in the skin. Wound healing is a complex process influenced by many factors, including hyperglycaemia in diabetes, smoking, alcohol, and levels of sex hormones. Some of them, such as smoking, impair all stages of healing, while others only have some elements.
摘要伤口愈合包括四个阶段:止血、炎症、增殖和重塑。由于组织的环境不同,每个伤口都应该单独考虑。伤口成功愈合的关键是细胞信号传导以及细胞和化学递质之间的同步,这种信号传导梯度吸引免疫细胞并防止病原体引起感染。伤口愈合过程的皮肤和口腔粘膜阶段是相同的。尽管如此,一些差异会影响愈合的结果。影响这一过程的最关键因素是伤口闭合或免疫反应所需的时间、唾液的存在、抗炎细胞因子的水平和细胞外基质(ECM)重塑。与皮肤相比,口腔粘膜的伤口愈合得更快,而且没有疤痕。唾液在口腔粘膜愈合中起着至关重要的作用——因为唾液中的组织因子水平较高,它可以缩短凝血时间。此外,它富含许多刺激伤口愈合的生长因子。间充质干细胞是口腔粘膜伤口愈合的另一个有效物质。这些细胞的突出特性显示出用于治疗目的的潜力。此外,免疫细胞在口腔黏膜中的参与和对组织损伤的反应比在皮肤中更显著、更快。伤口愈合是一个复杂的过程,受到许多因素的影响,包括糖尿病的高血糖、吸烟、酒精和性激素水平。其中一些,如吸烟,会损害愈合的各个阶段,而另一些则只有一些成分。
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引用次数: 0
Gut Microbiota and its impact on the inflammation-dysplasia-cancer sequence 肠道微生物群及其对炎症-增生异常-癌序列的影响
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-07-01 DOI: 10.2478/acb-2023-0004
Ivanna Lazarchuk, Shivika Parmar, Slawomir Wozniak
Abstract The understanding and explanation of inflammation-dysplasia-cancer sequence is challenging. The gut microbiota is an important factor for the intestine wall. The changes in bacteria quality and/or quantity (dysbiosis) may begin the colon inflammation. This paper reviewed the gut microbiome risk factors which may lead to colon cancer.
摘要炎症-增生异常-癌症序列的理解和解释具有挑战性。肠道微生物群是影响肠壁的重要因素。细菌质量和/或数量的变化(微生态失调)可能会引发结肠炎症。本文综述了可能导致结肠癌的肠道微生物组危险因素。
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引用次数: 0
Cholelithiasis – a particular threat to women. A review of risk factors 胆结石症——对女性的特别威胁。风险因素综述
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-07-01 DOI: 10.2478/acb-2023-0003
Ivanna Lazarchuk, Bartosz Barzak, Slawomir Wozniak, A. Mielczarek, V. Lazarchuk
Abstract In Poland, cholelithiasis affects approximately 20% of the population and require approximately 45.000 cholecystectomies per year. Women, especially mature women, are more at risk of developing this condition. Hormonal and reproductive factors are the reason for higher incidence in women. In this publication, we review significant factors affecting this situation. The anatomical structure of the gallbladder may have a significant impact on the course of the cholecystectomy, and the occurrence of any intra- or post-operative complications. The pathomechanism of cholelithiasis is described, as well as the basic risk factors.
在波兰,胆石症影响了大约20%的人口,每年需要大约45000例胆囊切除术。女性,尤其是成熟女性,更容易患上这种疾病。荷尔蒙和生殖因素是女性发病率较高的原因。在这篇文章中,我们回顾了影响这种情况的重要因素。胆囊的解剖结构可能对胆囊切除术的过程以及任何术中或术后并发症的发生有重要影响。介绍了胆石症的发病机制,以及胆石症的基本危险因素。
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引用次数: 0
The effect of physical activity on gut microbiota. A review 体育活动对肠道菌群的影响。回顾
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2022-12-01 DOI: 10.2478/acb-2022-0021
Bartosz Barzak, Kornelia Hankus, Shivika Parmar, Slawomir Wozniak
Abstract This review examines how physical activity can modulate the gut microbiota, taking into account the training intensity used, the value of the load and the age group studied. The aim of the study is to show the significant interaction between exercise and its effects on the gut microbiota. Many of the studies we analysed showed an interesting correlation between the physical activity undertaken and the change in biodiversity and taxon representation, so we concluded that exercise can significantly modulate the composition of the gut microbiome. This also works the other way around, as doing too much intense and taxing exercise can lead to so-called intestinal dysbiosis, which promotes inflammatory reactions and other unfavourable metabolic consequences. Therefore, in this review, we have analysed the latest and most interesting body of literature oscillating around the complex relationship between the movement undertaken and its impact on the microbiome.
摘要这篇综述考察了体育活动如何调节肠道微生物群,考虑到所使用的训练强度、负荷值和所研究的年龄组。这项研究的目的是显示运动及其对肠道微生物群的影响之间的显著相互作用。我们分析的许多研究表明,体育活动与生物多样性和分类单元代表性的变化之间存在着有趣的相关性,因此我们得出结论,运动可以显著调节肠道微生物组的组成。这也起到了相反的作用,因为过多的高强度和繁重的运动会导致所谓的肠道微生态失调,从而促进炎症反应和其他不利的代谢后果。因此,在这篇综述中,我们分析了最新和最有趣的文献,这些文献围绕着所进行的运动及其对微生物组的影响之间的复杂关系而摆动。
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引用次数: 1
Anatomical and medical terminology: new challenges and perspectives 解剖学和医学术语:新的挑战和观点
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2022-12-01 DOI: 10.2478/acb-2022-0016
Piotr Paweł Chmielewski
Abstract In science and medicine, terminology is a precise system of terms that are generally accepted in a given discipline. In anatomy, it is important to distinguish between terminology and nomenclature, which is an officially accepted set of terms arranged according to certain rules and principles. The Terminologia Anatomica (1998) has been the golden standard in the field of terminology, even though it contains minor errors, inaccuracies, discrepancies, multiplication of terms, inconvenient terms as well as synonyms and identical names for different structures. All of these problems need to be solved in the future, which is a key cchallenge in the field. Another major challenge is to create a clear, precise, logical, flawless and worldwide accepted list of anatomical terms that would cover all the names that are used in education and clinical practice. Many researchers and clinicians assert that this task is still ahead of us. The aim of this article is to explain why the longstanding tradition of medical terminology should be respected and why major and rapid changes should never be endorsed. Anatomical terminology, if correctly used, is a basic tool of communication both within and outside the field. It is also a guide through the intricacies of the human anatomy.
在科学和医学中,术语是在特定学科中被普遍接受的精确的术语系统。在解剖学中,区分术语和命名法是很重要的,命名法是根据一定的规则和原则排列的官方接受的一组术语。《解剖学术语》(1998)一直是术语领域的黄金标准,尽管它包含了一些小错误、不准确、差异、术语的乘法、不方便的术语以及不同结构的同义词和相同的名称。所有这些问题都需要在未来得到解决,这是该领域的一个关键挑战。另一个主要的挑战是创建一个清晰,精确,逻辑,完美和世界范围内接受的解剖学术语列表,该列表将涵盖教育和临床实践中使用的所有名称。许多研究人员和临床医生断言,这项任务仍然摆在我们面前。这篇文章的目的是解释为什么医学术语的长期传统应该得到尊重,为什么重大和快速的变化不应该得到认可。如果使用得当,解剖学术语是领域内外交流的基本工具。它也是通过人体解剖学的错综复杂的指南。
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引用次数: 1
Pelvic floor muscle morphology and its impact on urinary incontinence and faecal incontinence 盆底肌形态及其对尿失禁和大便失禁的影响
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2022-12-01 DOI: 10.2478/acb-2022-0018
Ivanna Lazarchuk, Bartosz Barzak, Slawomir Wozniak
Abstract Health problems related to pelvic floor muscles, as faecal incontinence (FI), urinary incontinence (UI) and constipation have a significant negative impact on a person’s life. The disease is accompanied by a serious symptoms, which exclude the patient from the local community. It is noteworthy that FI and UI involve increased financial outlays for the treatment of these disorders. Definition of the faecal incontinence is an uncontrolled passage of faecal materials that has occurred at least two to four times within four weeks of the last six months. Anatomy of pelvic fundus is strictly corelated with those diseases, because ability to contract and relax the muscles of the pelvic floor helps with the body’s daily basic functions. Risk factors of FI/UI include age, gender, comorbidities such as diabetes and irritable bowel syndrome, and obstetric factors. It could be treated with physiotherapy, pharmacotherapy or invasive treatment. A review of the literature indicates that the problem of FI/UI is a significant clinical issue of concern to clinicians due to very limited treatment techniques. There is a lack of primary research covering this issue in the world literature. The authors of this paper therefore believe that a holistic view of the subject based on the latest scientific data is necessary.
摘要与盆底肌肉有关的健康问题,如大便失禁(FI)、尿失禁(UI)和便秘,会对一个人的生活产生重大负面影响。这种疾病伴随着严重的症状,将患者排除在当地社区之外。值得注意的是,FI和UI涉及治疗这些疾病的财政支出增加。大便失禁的定义是在过去六个月的四周内,粪便物质不受控制地通过,至少发生两到四次。盆底解剖与这些疾病密切相关,因为收缩和放松盆底肌肉的能力有助于身体的日常基本功能。FI/UI的风险因素包括年龄、性别、糖尿病和肠易激综合征等合并症以及产科因素。它可以通过物理治疗、药物治疗或侵入性治疗来治疗。文献综述表明,由于治疗技术非常有限,FI/UI问题是临床医生关注的一个重要临床问题。世界文献中缺乏对这一问题的初步研究。因此,本文作者认为,有必要根据最新的科学数据对这一主题进行全面的研究。
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引用次数: 0
Changes in the frequency of ABO and Rh blood group phenotypes in Polish donors from Lower Silesia 下西里西亚波兰献血者ABO和Rh血型表型频率的变化
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2022-12-01 DOI: 10.2478/acb-2022-0017
Piotr Paweł Chmielewski
Abstract The aim of this study was to explore temporal and spatial variability of the frequency of the ABO and Rhesus blood group phenotypes in Polish donors from Lower Silesia between 1946 and 1990. Data on 158,134 individuals (113,714 men and 44,420 women) were obtained from two databases containing information about blood donors from Lower Silesia. The rate and direction of changes in the frequency of the blood groups were evaluated with regression analysis and Pearson’s correlation coefficient. Significant differences in the frequencies were found for the analysed period. The largest differences were observed for A and O blood groups. A significant increase in the frequency of the A group and a decrease in the O group were noted. The incidence of the AB group in both sexes did not change significantly. However, an insignificant decreasing trend in the frequency of the AB group in men was observed. An opposite and significant trend for this blood type was found in women. For the B group, the increase was significant in both sexes but it was greater in men. A significant increase in the frequency of the Rh(+) factor was noted. These results suggest that there were minor differences in the frequencies of ABO and Rh blood groups between the counties. This study demonstrated microevolutionary changes, thereby contributing new information to the field. These findings can be useful for the management of blood banks and the interpretation of microevolutionary changes.
本研究的目的是探讨1946年至1990年间来自下西里西亚的波兰献血者ABO和恒河猴血型表型频率的时空变化。从包含下西里西亚献血者信息的两个数据库中获得了158,134人(113,714名男性和44,420名女性)的数据。采用回归分析和Pearson相关系数评价各血型频率变化的速率和方向。在分析期间,发现频率有显著差异。A型血和O型血的差异最大。A组的频率显著增加,而O组的频率明显减少。AB组在两性中的发病率无明显变化。然而,在男性中观察到AB组的频率有不显著的下降趋势。这种血型在女性身上的趋势正好相反。对于B组来说,两性的增长都很明显,但男性的增长更大。注意到Rh(+)因子的频率显著增加。这些结果表明,在国家之间有ABO和Rh血型的频率有微小的差异。这项研究展示了微观进化的变化,从而为该领域提供了新的信息。这些发现对血库的管理和微观进化变化的解释是有用的。
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引用次数: 0
Do taller people live longer? Evaluating the relationship between adult stature and longevity 个子高的人寿命长吗?评估成人身材与寿命之间的关系
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2022-12-01 DOI: 10.2478/acb-2022-0025
Piotr Paweł Chmielewski
Abstract Body height is positively correlated with overall health and survival. Previous studies have found that taller people are healthier and live longer than their smaller counterparts. Despite numerous investigations, the correlation between adult stature and longevity remains uncertain. The objective of the present study is to evaluate the relationship between adult height and lifespan. Data were available from 480493 men and 364666 women who died in the years 2004-2008 in Poland. Pearson’s r coefficients of correlation were calculated and ANOVA was employed. The correlation between height and longevity was negative and statistically significant in men (r = –0.27, p < 0.0001) and women (r = –0.25, p < 0.0001). However, after allowing for the cohort effect, these correlations proved to be very weak and significant. On balance, these results do not corroborate the hypothesis that taller people live longer, and the effects of body height on survival were small. In this article, these findings are discussed in an attempt to identify the biological mechanisms that are responsible for greater longevity in short people. This paper also deals with several biological factors and mechanisms involved in the link between body size and longevity.
摘要身高与整体健康和生存呈正相关。先前的研究发现,个子高的人比个子小的人更健康,寿命更长。尽管进行了大量的调查,但成人身材与寿命之间的相关性仍然不确定。本研究的目的是评估成年人身高与寿命之间的关系。数据来自波兰2004-2008年期间死亡的480493名男性和364666名女性。计算皮尔逊r相关系数并采用方差分析。身高和寿命之间的相关性在男性(r=-0.27,p<0.0001)和女性(r=-0.25,p<0.001)中是负的,具有统计学意义。然而,考虑到队列效应后,这些相关性被证明是非常弱和显著的。总的来说,这些结果并不能证实高个子寿命更长的假设,身高对生存的影响也很小。在这篇文章中,这些发现被讨论,试图确定导致矮个子寿命延长的生物学机制。本文还探讨了身体大小与寿命之间联系的几个生物学因素和机制。
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引用次数: 0
期刊
Medical Journal of Cell Biology
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