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Articular Cartilage - A Literature Review 关节软骨-文献综述
Pub Date : 2022-05-08 DOI: 10.37191/mapsci-2582-385x-4(2)-108
G. Slater
Articular cartilage, a highly specialized and unique tissue, is capable of dispersing immense compression loads and almost eradicating friction in diarthrodial joints. This paper investigates the structure, nutrition, and repair of cartilage to further understand the unique tissue. A breakthrough in cartilage repair and regeneration is discussed.
关节软骨是一种高度特化和独特的组织,能够分散巨大的压力负荷,几乎消除腹泻关节的摩擦。本文对软骨的结构、营养和修复进行了研究,以进一步了解软骨这种独特的组织。讨论了软骨修复和再生的突破。
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引用次数: 0
Effect Of NESEM™/s2013 In Indian Population Undergoing Conventional Treatment For The Malignancies Of The Head & Neck, Git, Ovary, Breast And Lung As An Adjunct NESEM™/s2013在印度接受头颈部、胃肠道、卵巢、乳房和肺部恶性肿瘤常规治疗的人群中的辅助作用
Pub Date : 2022-03-31 DOI: 10.37191/mapsci-2582-385x-4(2)-107
B. Gayathri
Background: NESEM ™/S2013, 500mg capsules were prepared by NPP Ltd containing the extracted Secondary Plant Metabolites (eSPMs): S40, S54, S55. These eSPMs were identified to be biologically active using human cells expressing cancer specific monooxygenase enzymes. Extensive bioavailability assessments were carried out. An optimized blend was encapsulated in 500mg, size zero, two-piece, hard shell, vegetarian capsules (Vcaps). (Notes: NESEM™’s are produced through the shikimate pathway by natural elicitation mechanisms; NESEM™ is an acronym for Naturally Elicited Specifically Extracted Molecules).It has been demonstrated in the past studies that NESEMTM/S2013s are phyto nutrients classified as phytoalexins that function through multiple mechanisms. One of the mechanisms is the intrinsic metabolism performed by CYP1B1, a universal cancer marker resulting in disturbances of cell cycling processes triggering apoptosis. There is limited availability of these phytonutrients in our diet due to modern day agricultural practices and food processing. Phytoalexins are produced as a way of defense mechanism, in response to infection or attack by predators. The purpose of this investigation is determining the effect of NESEM™/S2013 on Quality of Life (QoL) and survival in tandem to routine cancer therapy in malignancies of the Head & Neck, GIT, Ovary, Breast and Lung.Patients and methods: This study was a two-arm randomized controlled trial with a cohort of 102 patients. The patients presented with malignancies of Head & Neck, Lung, Breast, GIT, and Ovary. The study subjects in the two groups were randomized to either receive chemotherapy, radiotherapy and surgery or a combination of two or more therapies. Both the groups were given Vitamin C and B complex. The test group along with the above received NESEM™/S2013 (three capsules of 500 mg each of NESEM™/S2013 500mg was given as leader/loading dose for a month followed by two capsules of 500 mg each of NESEM™/S2013 till discontinuation or death). Minus the NESEM™/S2013, the control group was treated same as the test group.Results: In the Head & Neck Cancer patients, the mean overall survival (OS) was significant, p=0.0441. In the test arm, average OS was 15.91 ±10.73 months compared to 8.0 ± 5.83 months in the control group. This represents a 99% increase in survivability for the NESEM™/S2013 arm. In subjects with lung cancer, the average OS in the test group was 8.708± 9.006 months compared to 2.292 ±1.484 months in the control group. The average OS was significant, p=0.0234. This represents a 280% increase in survivability for the NESEM™/S2013 arm. In patients with cancer of GIT, the mean OS in the NESEM™/S2013 arm was 10.000 ± 10.317 months compared to was 3.550 ± 3.700 months in the control arm which was significant (p=0.0792). This represents a 182% increase in survivability for the NESEM™/S2013 arm. In patients with ovarian cancer, the average survival was 17.63 ± 7.19 months in the NESEM™/S2013
该研究旨在比较102例头颈部、肺癌、乳腺癌、胃肠道和卵巢癌患者在处方治疗中添加NESEM™/S2013后的生活质量和生存率。研究显示,在相同的TNM基础治疗中添加NESEM™/ s2013可改善头颈部、肺部、胃肠道和卵巢恶性肿瘤的OS。NESEM™/ s2013对ECOG评分有积极影响,但对HAM-A或PG-SGA无显著影响。由此可见,NESEM™/ s2013可能对改善OS和ECOG状态有一定作用。CYP1B1通路和NESEM™/S2013在改善癌症治疗方面都是令人鼓舞的发现。同样令人放心的是,这些解决方案不会产生额外的毒性或副作用。更大规模的随机试验将进一步深入了解和确认NESEM™/ s2013的作用。
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引用次数: 0
Systemic Human Htert Aav Gene Transfer Therapy And The Effect On Telomere Length And Biological Age, A Case Report 系统性人Htert Aav基因转移治疗及其对端粒长度和生物年龄的影响1例报告
Pub Date : 2022-03-31 DOI: 10.37191/mapsci-2582-385x-4(2)-106
P. Sewell
A single adult female human was treated with AAV hTERT gene transfer therapy on two separate occasions 5 years apart. Follow-up is 5.8 years. The first dose administered on 9.16.2015 consisted of a total intravenous dose of 3e15 AAV hTERT. The second dose administered on 9.24.2020 consisted of a total intravenous dose of 3e15 AAV hTERT. Before and after each therapy and periodically in between the doses, Human Leucocyte telomere analysis was performed. The initial telomere length measurements collected on 9.15.2015 at the initiation of the AAV hTERT gene transfer therapy demonstrated a baseline average telomere length of 6.71kb which corresponded to a telomere percentage relative to age and population at the 30th percentile. The most recent telomere length measurements collected on 7.13.2021 demonstrated an average telomere length of 8.94kb which corresponded to a telomere percentage relative to age and population at the 89th percentile. The results demonstrate the progressive lengthening of the recipient’s telomeres from 6.71kb to 8.94kb despite advancing 5.8 years in chronological age. Associated age as related to telomere length (also known as biological age) was calculated and compared to chronological age. Initially on 9.15.2015, and prior to the first AAV hTERT gene transfer therapy, the associated age was calculated to be 62 years. The latest telomere analysis dated 7.13.2021 demonstrated a calculated associated age of 25 years. This decrease in associated, or biological age, decreased at a rate of 5.3 years per year of chronological age advancement.
一名成年女性在相隔5年的两次不同场合接受AAV hTERT基因转移治疗。随访时间为5.8年。2015年9月16日首次给药,静脉总剂量为3e15 AAV hTERT。第二剂于2020年9月24日给药,静脉总剂量为3e15 AAV hTERT。在每次治疗前后和剂量之间定期进行人白细胞端粒分析。在AAV hTERT基因转移治疗开始时,于2015年9月15日收集的初始端粒长度测量显示,基线平均端粒长度为6.71kb,对应于端粒相对于年龄和人口的第30百分位百分比。最新的端粒长度测量于2021年7月13日收集,显示平均端粒长度为8.94kb,对应于端粒相对于年龄和人口的第89百分位百分比。结果表明,尽管实际年龄增长了5.8岁,但接受者的端粒从6.71kb逐渐延长到8.94kb。计算与端粒长度相关的相关年龄(也称为生物年龄),并将其与实足年龄进行比较。最初于2015年9月15日,在第一次AAV hTERT基因转移治疗之前,计算相关年龄为62岁。最新的端粒分析日期为2021年7月13日,计算出的相关年龄为25岁。这种相关年龄或生物年龄的下降以每年实际年龄增长5.3岁的速度下降。
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引用次数: 0
The Importance Of Human Induced Pluripotent Stem Cells In Neurodegenerative Disorders 人类诱导多能干细胞在神经退行性疾病中的重要性
Pub Date : 2022-03-31 DOI: 10.37191/mapsci-2582-385x-4(1)-103
Wanyonyi Kennedy Mukhwana
Previous studies which helped researchers to understand embryonic development revealed multiple aspects of differentiated of human somatic cells into various types of cells. Human induced pluripotent stem cells (iPSCs) are somatic cells that are reprogrammed using certain factors that possesses pluripotent property that leads to self-proliferation and/or differentiation into various other cell types. The recent advancements using induced pluripotent stem cells have opened multiple avenues of research related to therapies. This has led to an enormous interest among scientists regarding its application ranging from regenerative medicine to modeling diseases. For example, Parkinson’s disease, Alzheimer’s disease among others could be treated with iPSC therapy or replacement tissues. In this review, we discuss the importance of iPSCs in the clinical perspective of treatment and management of disease.
以前的研究帮助研究人员了解胚胎发育,揭示了人类体细胞分化为各种类型细胞的多个方面。人类诱导多能干细胞(iPSCs)是一种利用某些具有多能性的因子进行重编程的体细胞,可导致自我增殖和/或分化为各种其他细胞类型。近年来,利用诱导多能干细胞的进展开辟了与治疗相关的多种研究途径。这引起了科学家们对其应用的极大兴趣,从再生医学到疾病建模。例如,帕金森氏症、阿尔茨海默氏症等疾病可以通过诱导多能干细胞疗法或替代组织来治疗。在这篇综述中,我们讨论了多能干细胞在疾病治疗和管理的临床角度的重要性。
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引用次数: 0
The Prognostic Effect Of The NPM1 Mutation And The FLT3-ITD Genes In Acute Promyelocytic Leukemia NPM1突变和FLT3-ITD基因对急性早幼粒细胞白血病预后的影响
Pub Date : 2022-03-15 DOI: 10.37191/mapsci-2582-385x-4(2)-105
Minh Phuong Vu
Background: The Nucleophosmin 1 gene mutation (NPM1mut) is considered a favorable clinical outcome in patients with acute myeloid leukemia (AML) with normal chromosome, and this outcome may be reduced with the presence of an internal tandem repeat of the Fms-like tyrosine kinase 3 gene (FLT3-ITD). However, the effect of NPM1mut on patients with acute promyelocytic leukemia (APL) remains unclear. Our objective was to analyze the prognostic effect of the NPM1mut gene and the FLT3-ITD gene in patients with APL.Methods: Sixty patients with new APL diagnoses underwent RT-PCR detection of the NPM1mut and FLT3-ITD genes, and accepted treatment with ATRA and chemotherapy. The presence and combinations of genotypes were compared in association with overall survival (OS) and progression- free survival (PFS) outcome.Results: Twenty- eight patients had positive FLT3-ITD with a rate of 46.7%, nine had positive NPM1mut with a rate of 15%. Patients with FLT3-ITD positive have worse OS and PFS compared to FLT3-ITD negative (p=0.027; 0.008, respectively), but there were no statistically significant differences in OS, PFS between the groups: NPM1mut positive and NPM1mut negative (p=0.209; 0.352, respectively), NPM1mut positive/FLT3-ITD positive and NPM1mut negative/FLT3-ITD positive (p=0.235; 0.444, respectively), NPM1mut positive/FLT3-ITD negative and NPM1mut negative/FLT3-ITD negative (p=0.376; 0.324, respectively).Conclusions: The FLT3-ITD gene confers a poor prognosis in patients with acute promyelocytic leukemia, but the NPM1mut gene had no effect on efficacy and did no change the prognostic value of FLT3- ITD.
背景:核蛋白1基因突变(NPM1mut)被认为是染色体正常的急性髓性白血病(AML)患者的一个有利的临床结果,这种结果可能会随着fms样酪氨酸激酶3基因(FLT3-ITD)的内部串联重复的存在而降低。然而,NPM1mut对急性早幼粒细胞白血病(APL)患者的影响尚不清楚。我们的目的是分析NPM1mut基因和FLT3-ITD基因对APL患者预后的影响。方法:60例新发APL患者采用RT-PCR检测NPM1mut和FLT3-ITD基因,接受ATRA和化疗治疗。比较基因型的存在和组合与总生存期(OS)和无进展生存期(PFS)结果的关系。结果:FLT3-ITD阳性28例(46.7%),NPM1mut阳性9例(15%)。FLT3-ITD阳性患者的OS和PFS较FLT3-ITD阴性患者差(p=0.027;NPM1mut阳性组与NPM1mut阴性组的OS、PFS比较,差异均无统计学意义(p=0.209;NPM1mut阳性/FLT3-ITD阳性和NPM1mut阴性/FLT3-ITD阳性(p=0.235;0.444), NPM1mut阳性/FLT3-ITD阴性和NPM1mut阴性/FLT3-ITD阴性(p=0.376;分别为0.324)。结论:FLT3-ITD基因对急性早幼粒细胞白血病患者预后不良,而NPM1mut基因对疗效无影响,且不改变FLT3-ITD的预后价值。
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引用次数: 0
Current Concepts Review: Orthotics In Post-operative Foot And Ankle Surgery 当前概念综述:足部和踝关节手术后矫形器
Pub Date : 2022-03-02 DOI: 10.37191/mapsci-2582-385x-4(1)-104
G. Slater
Minimally invasive image guided surgery and regenerative technologies have rapidly developed requiring changes in post-operative management protocols. With such a variety of options available for patients and varying ideas on which product is best suited for each procedure, practitioners play in important role in optimizing patient care when prescribing solutions. Function, aesthetics, and ease of mobility play key roles in patient acceptance of orthotic devices and determine the success of a product and recovery journey. This paper aims to investigate commonly utilized options for various foot and ankle conditions and compare their applications, advantages, and disadvantages. By analyzing available options, knowledge can be gained to create an optimized modular product that takes advantage of the best features of existing devices and offers a complete solution for every patient.
微创图像引导手术和再生技术的迅速发展要求改变术后管理方案。有了这样的各种可供选择的病人和不同的想法,哪种产品是最适合每个程序,从业者在优化病人护理处方解决方案时发挥重要作用。功能、美观性和灵活性在患者接受矫形器的过程中起着关键作用,并决定了矫形器产品的成功和康复过程。本文旨在研究各种足部和踝关节条件下常用的选择,并比较它们的应用,优点和缺点。通过分析可用的选项,可以获得知识,以创建优化的模块化产品,利用现有设备的最佳功能,为每位患者提供完整的解决方案。
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引用次数: 0
A Review Of Distraction Arthroplasty Vs Ankle Arthrodesis Vs Ankle Replacement 牵张关节成形术、踝关节融合术和踝关节置换术的综述
Pub Date : 2022-01-01 DOI: 10.37191/mapsci-2582-385x-4(1)-101
G. Slater
Recent developments in surgical techniques have led to new methods to treat ankle arthritis and perhaps produce a better effect on joint function and gait improvement. The indications for total ankle replacement, ankle fusion, or distraction arthroplasty in the management of ankle arthritis are controversial. The aim of this study is to evaluate different approaches with an overview of the literature. Core tip: Ankle arthritis is a common debilitating chronic disease that is not only present in the geriatric population, but also younger populations. The main method to treat end stage arthritis is ankle fusion. Ankle replacement is currently improving in popularity. Both treatment options manage end stage arthritis. It is important to consider the role of distraction arthroplasty in the context of these two other well accepted treatments. Here we examine the literature from 1941 to 2020 considering our own experience and the growing role regenerative techniques and biologics.
外科技术的最新发展带来了治疗踝关节关节炎的新方法,可能对关节功能和步态改善产生更好的效果。全踝关节置换术、踝关节融合术或牵张关节置换术治疗踝关节关节炎的适应症存在争议。本研究的目的是通过文献综述来评估不同的方法。核心提示:踝关节关节炎是一种常见的使人衰弱的慢性疾病,不仅存在于老年人中,也存在于年轻人中。治疗终末期关节炎的主要方法是踝关节融合术。踝关节置换术目前越来越受欢迎。这两种治疗方案都是针对终末期关节炎的。在这两种广为接受的治疗方法中,考虑牵张关节置换术的作用是很重要的。在这里,我们考察了从1941年到2020年的文献,考虑到我们自己的经验和日益增长的作用再生技术和生物制剂。
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引用次数: 0
A Technique Update For A Minimally Invasive Operative Approach To Achilles Tendon Repair 微创跟腱修复术的技术更新
Pub Date : 2022-01-01 DOI: 10.37191/mapsci-2582-385x-4(1)-100
G. Slater
The management of Achilles tendon rupture has remained a contentious topic. Non-operative management has gained popularity due to the problems associated with traditional open repair. This paper outlines a minimally invasive approach, that intends to minimise the rate of re-rupture, and is not associated with the more inconvenient complications of open repair.
跟腱断裂的处理一直是一个有争议的话题。由于传统开腹修复的相关问题,非手术治疗越来越受欢迎。本文概述了一种微创方法,旨在将再破裂率降至最低,并且与开放修复的更不方便的并发症无关。
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引用次数: 0
Stem Cells Use As A Therapy For Huntington's Disease 干细胞用于治疗亨廷顿氏病
Pub Date : 2022-01-01 DOI: 10.37191/mapsci-2582-385x-4(1)-102
V. Gallicchio
Huntington's disease is a progressive genetic neurodegenerative disease that causes the loss of medium spiny neurons in the brain's striatum. Huntington's is caused by a trinucleotide repeat, specifically CAG base pairs. The CAG repeat can cause a mutant form of the huntingtin protein to be produced. The exact mode in which the mutant protein causes the disease is still uncertain. However, patients with Huntington's experience a plethora of motor and cognitive issues. Currently, there is no cure for Huntington's; only means of symptom management exist. Stem cells are being studied as a therapeutic option in HD treatment as well as models of disease pathology. Various types of stem cells have been analyzed for their varying attractive qualities. Embryonic, neural, mesenchymal, adipose, and induced pluripotent stem cells have been studied using animal models. In this article, we will examine the cultivation, attributes, and any drawbacks of each of the mentioned stem cell types as means of therapeutic devices for HD.
亨廷顿氏病是一种进行性遗传神经退行性疾病,会导致大脑纹状体中棘神经元的丧失。亨廷顿舞蹈症是由三核苷酸重复引起的,特别是CAG碱基对。CAG重复可以导致产生一种突变形式的亨廷顿蛋白。突变蛋白导致疾病的确切模式仍不确定。然而,患有亨廷顿舞蹈症的患者会经历大量的运动和认知问题。目前,还没有治愈亨廷顿舞蹈症的方法;只有症状管理的手段存在。干细胞正在被研究作为HD治疗的一种治疗选择以及疾病病理模型。各种类型的干细胞因其不同的吸引特性而被分析。胚胎干细胞、神经干细胞、间充质干细胞、脂肪干细胞和诱导多能干细胞已经用动物模型进行了研究。在这篇文章中,我们将研究上述每种干细胞类型作为HD治疗手段的培养、属性和任何缺点。
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引用次数: 0
Bridging the Gap in Learning Differences Among Biology Students Using 4 Mode Application Techniques 利用四模式应用技术弥合生物学学生学习差异的差距
Pub Date : 2021-12-17 DOI: 10.21203/rs.3.rs-1179251/v1
Queendaline Ibenegbu Obiajulu, C. B. Ugwu, C. Ibenegbu, Helen Onyinye Muojekwu, N. Odionye, A. N. Ngwu, Okafor Blessing Ijeoma, Nwankwo Amaka Loretta, O. L. Aniaku, R. I. Enebechi, Chukwunta Regina Ugochi
This study is on bridging the gap in learning differences among biology students using 4MAT Application Techniques. We carried out the study in Abakaliki, Nigeria. We adopted a quasi-experimental design for the study. We used 138 SS-II students from two schools. Two hypotheses were tested. We analyzed the data using descriptive statistics and Hierarchical Analysis of covariance (ANCOVA). The results showed that there was a significant main effect of instructional method on students' achievement in biology F (7, 121) = 12.654, p =.000, partial η2 =.39; there was no significant main effect of gender on students' achievement in biology F (1, 121) = 1.240, p =.268, partial η2 =.004. We highlighted the educational implications of the findings and the recommendations. We also made some limitations of the study and suggestions for further studies.
本研究旨在探讨如何运用4MAT应用技术,弥合生物系学生在学习上的差异。我们在尼日利亚的Abakaliki进行了这项研究。本研究采用准实验设计。我们使用了来自两所学校的138名SS-II学生。测试了两个假设。我们使用描述性统计和分层协方差分析(ANCOVA)对数据进行分析。结果表明:教学方法对学生生物成绩有显著的主效应F (7,121) = 12.654, p =。000,偏η2 = 0.39;性别对学生生物成绩无显著主效应F (1,121) = 1.240, p =。268,偏η2 = 0.004。我们强调了研究结果和建议的教育意义。并提出了本研究的局限性和进一步研究的建议。
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引用次数: 0
期刊
Journal of Regenerative Biology and Medicine
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