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South African General Practitioner最新文献

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Herbal weight loss medication: safety, efficacy, and regulation 草药减肥药:安全性、有效性和监管
Pub Date : 2021-01-01 DOI: 10.36303/sagp.2021.2.3.0065
R. Majeed, Bt Flepisi
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引用次数: 0
The treatment of stable angina 稳定性心绞痛的治疗
Pub Date : 2021-01-01 DOI: 10.36303/sagp.2021.2.3.0078
J. Ker, K. Outhoff
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引用次数: 0
Focus on ArthroGuard ® acute intensive joint protection & support 专注于ArthroGuard®急性强化关节保护和支持
Pub Date : 2021-01-01 DOI: 10.36303/sagp.2021.2.5.0086
S. Schmidt
Osteoarthritis is also known as 'wear and tear' arthritis and is the most common form of arthritis. In people with osteoarthritis, the cartilage in the joints becomes worn down. Cartilage covers the ends of the bones and allows for the bones to move smoothly against each other (cartilage is the protective cushion on the end of the bones). Damage to the cartilage typically results in pain and leads to stiffness of the joint. In some cases, reduced joint movement and function may affect a person’s ability to perform daily tasks such as climbing stairs, walking or opening jars. Any joint may be affected; however, the joints in the knees, hips, fingers, feet and spine are most commonly affected by arthritis.
骨关节炎也被称为“磨损性”关节炎,是关节炎最常见的形式。患有骨关节炎的人,关节中的软骨会磨损。软骨覆盖在骨头的末端,使骨头能够平稳地相互移动(软骨是骨头末端的保护垫)。软骨损伤通常会导致疼痛并导致关节僵硬。在某些情况下,关节活动和功能的减少可能会影响一个人执行日常任务的能力,如爬楼梯、走路或打开罐子。任何关节都可能受到影响;然而,膝盖、臀部、手指、脚和脊柱的关节最常受到关节炎的影响。
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引用次数: 0
Beyond caring: COVID-19 and compassion fatigue 超越关怀:COVID-19和同情疲劳
Pub Date : 2021-01-01 DOI: 10.36303/sagp.2021.2.6.0102
K. Outhoff
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引用次数: 0
Wounds: an overlooked burden (Part 4) – Burn wounds: a searing situation 伤口:被忽视的负担(第四部分)-烧伤伤口:灼热的情况
Pub Date : 2021-01-01 DOI: 10.36303/sagp.2021.2.5.0097
H. Parkar, Ss Mlambo, F. Bruwer, A. Cromarty
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引用次数: 0
Anaemia in chronic kidney disease 慢性肾脏疾病中的贫血
Pub Date : 2021-01-01 DOI: 10.36303/sagp.2021.2.6.0108
W. van Hougenhouck-Tulleken
In patients with chronic kidney disease, normochromic normocytic anaemia mainly develops from decreased renal synthesis of erythropoietin. The anaemia becomes more severe as the glomerular filtration rate (GFR) progressively decreases. No reticulocyte response occurs, red blood cell survival is decreased and there is an associated increased bleeding tendency due to uraemia-induced platelet dysfunction.
在慢性肾脏疾病患者中,常染性常胞性贫血主要由肾脏促红细胞生成素合成降低引起。随着肾小球滤过率(GFR)逐渐降低,贫血变得更加严重。没有网状细胞反应发生,红细胞存活率降低,并且由于尿毒症引起的血小板功能障碍,出血倾向增加。
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引用次数: 11
Immunotherapy for cancer 癌症免疫疗法
Pub Date : 2021-01-01 DOI: 10.36303/sagp.2021.2.3.0074
Sanjivani Pathak, S. Patil
Cancer is the most threatening disorder with increasing sufferers globally. The statistics of International Agency for Research on Cancer (IARC) indicate the arousal of 18.1 million new cancer cases causing 9.6 million deaths worldwide in the year 2018. Human body possesses a set of defensive processes carried out by the immune system whenever cancer is detected by its specialized cells. But when cancer escapes these processes, an anticancer therapy becomes the need. Three routes of treatment used widely today are Chemotherapy, Radiation therapy and Surgery. A new era in anticancer therapy is immunotherapy. It involves modification of patient’s own immune cells using biotechnology for treating cancer. There are various types of immunotherapies depending on the cells or cellular components modified and the molecules targeted in cancer cells. They include T cells, macrophages, specific receptors, proteins, chemical mediators and enzymes involved in immune response towards neoplasm. Hence immunotherapy is a much more specific and targeted therapy for cancer. A high therapeutic potential with minimum adverse effects and tumor specificity with no harm to normal body cells makes this therapy different than the pre existing ones. Immunotherapy will thus prove to be a major tool to combat all types
癌症是最具威胁性的疾病,全球患者人数不断增加。国际癌症研究机构(IARC)的统计数据显示,2018年全球新增癌症病例1810万例,造成960万人死亡。当人体的特化细胞检测到癌症时,免疫系统就会进行一套防御过程。但当癌症摆脱这些过程时,就需要抗癌治疗。目前广泛使用的三种治疗途径是化疗、放射治疗和手术。抗癌治疗的新时代是免疫治疗。它涉及到利用生物技术改造病人自身的免疫细胞来治疗癌症。根据细胞或细胞成分的修饰和癌细胞中的靶向分子,有各种类型的免疫疗法。它们包括T细胞、巨噬细胞、特异性受体、蛋白质、化学介质和参与肿瘤免疫反应的酶。因此,免疫疗法是一种更有针对性的癌症治疗方法。高治疗潜力,最小的副作用和肿瘤特异性,不伤害正常的身体细胞,使这种治疗不同于现有的治疗方法。因此,免疫疗法将被证明是对抗所有类型的主要工具
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引用次数: 0
Aiming for improved blood pressure control 旨在改善血压控制
Pub Date : 2021-01-01 DOI: 10.36303/sagp.2021.2.5.0093
J. Ker, K. Outhoff
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引用次数: 0
Six strategies to prevent cancellations and no-shows 防止取消预约和失约的六个策略
Pub Date : 2021-01-01 DOI: 10.36303/sagp.2021.2.3.0077
L. De Beer
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引用次数: 0
Contemporary treatments for atopic dermatitis and the dawn of targeted biological therapies 特应性皮炎的当代治疗和靶向生物治疗的曙光
Pub Date : 2021-01-01 DOI: 10.36303/sagp.2021.2.6.0101
W. Visser, DJ Koot, Lsdv Terblanche
Atopic dermatitis (AD), also known as atopic eczema, is the most common form of eczema and is seen by healthcare professionals (HCPs) almost daily. It is a chronic, systemic condition characterised by immune dysregulation (type 2 inflammation), epidermal barrier dysfunction, intense pruritis, recurrent eczematous lesions, and presents with a relapsing, remitting course.1,2 The pathophysiology of AD is multifactorial, involving a genetic hypersensitivity predisposition to environmental factors.1 Although not diagnostic, the disease is often associated with increased IgE levels and commonly occurs alongside other atopic conditions such as allergic rhinoconjunctivitis, asthma and/or food allergies.2 The morphology and location of AD is considered characteristic for different ages: in infants, lesions tellingly manifest on the cheeks while usually sparing the perioral, perinasal and nappy area. With increasing age, lesions may present on extensor surfaces and classically in flexural folds (commonly the cubital and popliteal fossae), but may readily include the hands, wrists and ankles, head and neck as well as the trunk and shoulders.1,3 That being said, the clinical features in adults are highly variable.
特应性皮炎(AD),也被称为特应性湿疹,是最常见的湿疹形式,几乎每天都被医疗保健专业人员(HCPs)看到。它是一种慢性全身性疾病,以免疫失调(2型炎症)、表皮屏障功能障碍、强烈瘙痒、复发性湿疹病变为特征,并呈现复发、缓解的过程。AD的病理生理是多因素的,包括对环境因素的遗传超敏倾向虽然不能诊断,但这种疾病通常与IgE水平升高有关,通常与其他特应性疾病如过敏性鼻结膜炎、哮喘和/或食物过敏一起发生阿尔茨海默病的形态和位置被认为是不同年龄的特征:在婴儿中,病变明显表现在脸颊上,而通常保留口周、鼻周和尿布区。随着年龄的增长,病变可能出现在伸肌表面和典型的屈曲皱襞(通常是肘窝和腘窝),但也可能包括手、手腕和脚踝、头颈以及躯干和肩膀。1,3也就是说,成人的临床特征变化很大。
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引用次数: 0
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South African General Practitioner
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