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Prevention and reversal of chronic diseases: A Protocol 预防和逆转慢性病:议定书
Pub Date : 2021-12-23 DOI: 10.18332/pht/144538
R. Kostoff
For a decade, our research group has been developing protocols to prevent and reverse chronic diseases. The present article outlines the lessons we have learned from both conducting the studies and identifying common patterns in the results. The main product of our studies is a five-step treatment protocol to reverse any chronic disease, based on the following systemic medical principle: at the present time, removal of cause is a necessary, but not necessarily sufficient, condition for restorative treatment to be effective. Implementation of the five-step treatment protocol to reverse any chronic disease is as follows: 1) Obtain a detailed medical and habit/exposure history from the patient; 2) Administer qualitative and quantitative performance and behavioral tests to assess the severity of symptoms and performance measures; 3) Administer laboratory tests (blood, urine, imaging, etc.); 4) Identify and eliminate contributing factors (CFs) to the chronic disease of interest; and 5) Implement treatments for the chronic disease of interest. This individually-tailored chronic disease treatment protocol can be implemented with the data available in the biomedical literature now. It is general and applicable to any chronic disease that has an associated substantial research literature (with the possible exceptions of individuals with strong genetic predispositions to the disease in question or who have suffered irreversible damage from the disease). To prevent any chronic disease, eliminate those factors that have been identified to contribute to the onset of the target disease. Our recent studies on common CFs between selected chronic diseases and COVID-19 show that many of the CFs that enable or exacerbate the selected chronic diseases studied also enable or exacerbate COVID-19. While further studies are required, it appears that the toxicology-based methods we have developed for preventing or reversing chronic diseases may also be applicable to preventing infectious diseases, such as COVID-19.
十年来,我们的研究小组一直在制定预防和逆转慢性疾病的方案。本文概述了我们从进行研究和确定结果中的共同模式中学到的经验教训。我们研究的主要成果是一个逆转任何慢性疾病的五步治疗方案,它基于以下系统性医学原则:目前,消除病因是恢复性治疗有效的必要条件,但不一定是充分条件。实施五步治疗方案以逆转任何慢性疾病:1)获得患者详细的医疗和习惯/暴露史;2)进行定性和定量的绩效和行为测试,以评估症状的严重程度和绩效衡量标准;3)进行实验室检查(血液、尿液、影像等);4)识别和消除慢性病的致病因素(CFs);5)对感兴趣的慢性疾病实施治疗。这种个体化的慢性疾病治疗方案可以用现有的生物医学文献中的数据来实施。它是一般性的,适用于有大量相关研究文献的任何慢性疾病(可能例外的是对所述疾病具有强烈遗传倾向或遭受该疾病不可逆转损害的个人)。为了预防任何慢性疾病,消除那些已确定有助于目标疾病发病的因素。我们最近对所选慢性疾病与COVID-19之间常见慢性疾病的研究表明,许多使所选慢性疾病发病或恶化的慢性疾病也会使COVID-19发病或恶化。虽然还需要进一步的研究,但我们为预防或逆转慢性疾病而开发的基于毒理学的方法似乎也适用于预防传染病,如COVID-19。
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引用次数: 1
Utilization of insecticides treated mosquito bed nets among pregnant women in Kassena-Nankana East municipality in the upper east region of Ghana 加纳上东部地区东卡塞纳-南卡纳市孕妇使用经杀虫剂处理的蚊帐
Pub Date : 2021-12-22 DOI: 10.18332/pht/144533
M. Asumah, F. Akugri, Patricia Akanlu, Alice Taapena, F. Boateng
INTRODUCTION Malaria has threatened the lives of 3.2 billion individuals worldwide and has dire consequences on pregnant women and children. Insecticides Treated Mosquito Nets (ITNs) are the simplest way of preventing malaria. The main objective of this study was to assess the utilization of ITNs among pregnant women in the Kassena-Nankana East Municipality. METHODS A descriptive cross-sectional study was used. The study recruited 362 pregnant women using simple random sampling technique. All statistics were performed at a 95% confidence level with p<0.05 considered significant. RESULTS Almost all (99.7%) respondents had heard about mosquito bed nets, of which 98.6% have ever seen bed nets. The majority (96.2%) of the respondents stated that ITNs could be obtained from health facilities and over 90% knew the general use of ITNs. The majority of the respondents (97.8%) had mosquito bed nets. Out of those who owned ITNs, 94.8% use them. Reasons for not using ITNs included the fact that some feel: not being necessary (26.2%), being expensive, cannot afford it (15.8%), inadequate public education (47.5%), and difficulty in accessing ITNs (10.5%). The study revealed a significant association between area of residence (χ2=3.4; p=0.04), increasing average monthly income (χ2=46.4; p<0.001), and utilization of ITNs. CONCLUSIONS There is high awareness and knowledge about ITNs. Though the majority of the participants owned ITNs, it does not translate to effective utilization of ITNs. The challenges identified in this study showed that there are still fundamental issues that require immediate attention for the effective utilization of ITNs.
疟疾威胁着全世界32亿人的生命,并对孕妇和儿童造成严重后果。经杀虫剂处理的蚊帐(ITNs)是预防疟疾最简单的方法。本研究的主要目的是评估卡塞纳-南卡纳东部市孕妇使用ITNs的情况。方法采用描述性横断面研究。该研究采用简单的随机抽样技术招募了362名孕妇。所有统计数据均在95%置信水平下进行,p<0.05为显著性。结果几乎所有(99.7%)受访者都听说过蚊帐,其中98.6%的受访者见过蚊帐。大多数(96.2%)答复者表示,可从卫生设施获得经ITNs, 90%以上的人知道经ITNs的一般用途。大多数调查对象(97.8%)有蚊帐。在拥有itn的人中,94.8%的人使用itn。不使用ITNs的原因包括:没有必要(26.2%)、费用昂贵、负担不起(15.8%)、公共教育不足(47.5%)和难以使用ITNs(10.5%)。研究发现,居住面积与健康状况之间存在显著相关性(χ2=3.4;P =0.04),平均月收入增加(χ2=46.4;p<0.001),以及ITNs的使用率。结论对ITNs有较高的认识和了解。虽然大多数参与者拥有ITNs,但这并没有转化为有效利用ITNs。这项研究所确定的挑战表明,为了有效利用综合蚊帐,仍然存在一些需要立即注意的基本问题。
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引用次数: 6
Blood metabolic fingerprinting of rats, subjected to subchronic lead exposure 亚慢性铅暴露大鼠的血液代谢指纹图谱
Pub Date : 2021-12-22 DOI: 10.18332/pht/144486
A. Chemezov, M. Sutunkova, Ilzira Minigalieva, S. Klinova, I. Ryabova
INTRODUCTION Environmental pollution with heavy metals is vital issue in the present time. Lead, as one of the environmental contaminators, deserves attention due to its applicability in human activity and its xenobiotic character. METHODS In this study we used an untargeted metabolomic approach – the metabolomic fingerprinting method. Lead acetate was intraperitoneally injected to rats within the framework of a subchronical experiment and blood samples were analyzed by UHPLC-MS. Metabolite expression was qualitatively compared between treated and control groups. For substances with a significant content difference, tandem CID spectra for structure elucidation were obtained using an exact mass search by generating a list of potential formulas, by a characteristic fragments database search, using in silico mass spectra prediction, and by looking for a specific fragmentation rearrangement. RESULTS Untargeted metabolomic analysis shows 37 metabolites with significant changes in expression in comparing the control and exposure group. Annotation by the fragment spectra analysis was carried out for 8 metabolites. These include epoxy-derivative of linoleic acid, hydroxyand oxoacylcarnitines of long-chain fatty acids, 15-hydroxyeicosatetraenoic acid, acylcarnitine of middlechain fatty acid and lysophosphatidylserine derivative. CONCLUSIONS Literature analysis allows to establish known functions of annotated metabolites. Connections to manifestations of lead poisoning were established. Specifically, hydroxyand oxoacylcarnitines are intermediates in the beta-oxidation process of fatty acids – increased concentration of these derivatives may be a sign of disturbances in this process under the influence of leadinduced oxidative stress. Epoxyand hydroxyderivatives of polyunsaturated fatty acids, which demonstrate elevated concentration levels possess regulatory activity (vasodynamic, antiapoptotic, and antioxidative action) on the one hand, and presumably are biomarkers of oxidative stress. Elevated levels of lysophosphatidylserine may be evidence of apoptotic process intensification.
重金属环境污染是当今社会面临的重要问题。铅作为一种环境污染物,因其在人类活动中的适用性和外生特性而备受关注。方法在本研究中,我们使用了一种非靶向代谢组学方法-代谢组学指纹图谱法。在亚慢性实验框架内,大鼠腹腔注射醋酸铅,并用UHPLC-MS分析血液样本。对实验组和对照组的代谢物表达进行定性比较。对于具有显著含量差异的物质,采用精确的质量搜索(生成潜在公式列表)、特征片段数据库搜索、硅质谱预测和寻找特定片段重排来获得用于结构解析的串联CID光谱。结果非靶向代谢组学分析显示,与对照组和暴露组相比,37种代谢物的表达有显著变化。对8种代谢物进行了片段谱分析注释。其中包括亚油酸的环氧衍生物、长链脂肪酸的羟基和氧酰基肉碱、15-羟基二十碳四烯酸、中链脂肪酸的酰基肉碱和溶血磷脂酰丝氨酸衍生物。结论:通过文献分析,可以确定已注释代谢物的已知功能。建立了与铅中毒表现的联系。具体来说,羟基和氧酰基肉碱是脂肪酸β -氧化过程中的中间体-这些衍生物浓度的增加可能是铅诱导氧化应激影响下该过程紊乱的标志。多不饱和脂肪酸的环氧和羟基衍生物,其浓度水平升高,一方面具有调节活性(血管动力学、抗凋亡和抗氧化作用),可能是氧化应激的生物标志物。溶血磷脂酰丝氨酸水平升高可能是细胞凋亡过程增强的证据。
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引用次数: 0
Public health and public law issues for the toxicological risk assessment of chemical mixtures 化学混合物毒理学风险评估的公共卫生和公法问题
Pub Date : 2021-12-22 DOI: 10.18332/pht/144201
S. R. Vinceti, T. Filippini
Humans are simultaneously exposed to a near-infinite number of substances of both nutritional and toxicological interest. While traditional risk assessment has been based on the evaluation of effects of single substances, real-life exposure is characterized by their combination into chemical mixtures. As consequence, the need to focus on substance interactions is of considerable relevance. From the public health point of view, factors able to modulate the kinetic and toxicity of chemicals need to be included in the assessment of health effects. Several European projects including SOLUTIONS, EuroMix, ECD-MixRisk and HBM4EU have been implemented aiming at the characterization of hazardous properties of chemical mixtures and the development of new approaches and tools for their risk assessment, including advanced statistical methodologies. From the public law point of view, the legislative status of mixtures is outlined in a still general way, with a specific focus on a few substances only, e.g. dietary exposure to pesticide residues. Although some advances have been made with the ongoing revision of CLP Regulation specifically focusing also on chemical mixtures, identification of mixtures and the regulation of their use raise relevant and challenging issues to be timely addressed within a collaboration of specialists from toxicology, public health, and public law. Moreover, given the transnational scope of the problem, risk assessment of chemical mixtures presents a valuable occasion for a comparative law approach.
人类同时暴露于几乎无限数量的具有营养和毒理学意义的物质。虽然传统的风险评估是基于对单一物质的影响进行评估,但现实生活中接触的特点是它们组合成化学混合物。因此,关注物质相互作用的必要性具有相当大的相关性。从公共卫生的角度来看,必须将能够调节化学品的动力学和毒性的因素列入对健康影响的评估。已经实施了几个欧洲项目,包括SOLUTIONS、EuroMix、ECD-MixRisk和HBM4EU,旨在描述化学混合物的危险特性,并开发新的风险评估方法和工具,包括先进的统计方法。从公法的角度来看,混合物的立法地位仍然是以一种笼统的方式概述的,只特别关注少数物质,例如从饮食中接触农药残留物。尽管正在进行的CLP法规修订取得了一些进展,特别关注化学混合物,但混合物的识别及其使用的监管提出了相关和具有挑战性的问题,需要在毒理学、公共卫生和公法专家的合作下及时解决。此外,鉴于这一问题的跨国范围,化学混合物的风险评估为采用比较法方法提供了一个宝贵的机会。
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引用次数: 2
Microfluidic technologies for chemistry, materials science and biotechnology 用于化学、材料科学和生物技术的微流控技术
Pub Date : 2021-09-27 DOI: 10.18332/pht/142301
J. Puigmartí‐Luis
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引用次数: 0
Promising vehicules for intraocular drug delivery 有前途的眼内给药载体
Pub Date : 2021-09-27 DOI: 10.18332/pht/142038
O. Kost, E. Popova, V. Tikhomirova, A. Vaneev, N. Eremeev, O. Beznos, N. Chesnokova, N. Klyachko
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引用次数: 0
Novel synthetic bone substitute materials based on dyaldehyde dextran 基于二醛葡聚糖的新型人工骨替代材料
Pub Date : 2021-09-27 DOI: 10.18332/pht/142093
A. Luss, K. Kushnerev, E. Vlaskina, A. Chumakova, M. Shtilman, V. Dyatlov
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引用次数: 0
Evolution, gaps, and trends in the origins of innovation ecosystems 创新生态系统起源的演变、差距和趋势
Pub Date : 2021-09-27 DOI: 10.18332/pht/142303
E. Mavromanolaki, G. Ntina, S. Karatsali, P. Smarianaki, M. Pinto, R. Moreira, S. Pané, T. Mayor, J. Puigmartí, A. Flouris
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引用次数: 1
Study of the influence of the surface of biopolymer chitosan fibrous and film materials on the morphofunctional state of cells 生物高分子壳聚糖纤维及膜材料表面对细胞形态功能状态影响的研究
Pub Date : 2021-09-27 DOI: 10.18332/pht/142077
N. Kildeeva, I. Vasilenko, V. Zakhsarova, N. Sazhnev
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引用次数: 0
Evaluation of biological effects of nanomaterials: Cost-efficient tool box and corona challenges 纳米材料的生物效应评估:成本效益工具箱和电晕挑战
Pub Date : 2021-09-27 DOI: 10.18332/pht/142081
A. Kahru, K. Kasemets, I. Blinova, M. Heinlaan, O. Bondarenko, A. Khosrovyan
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引用次数: 0
期刊
Public Health Toxicology
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