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Case Series: Use of Coralline Hydroxyapatite Graft In Faciomaxillary Surgery 病例系列:珊瑚碱羟基磷灰石移植物在面部上颌手术中的应用
Pub Date : 2021-09-23 DOI: 10.37191/mapsci-2582-385x-3(5)-088
G. Slater
Bone grafting represents an important solution for defects in maxillofacial and orthopaedic surgeries. Ideal properties of a bone graft allow proper integration, enabling cosmetic appeal and mechanical functionality. Whilst current autograft, allograft and xenograft applications do exist and are regularly used clinically, they are associated with numerous solutions, such as availability, disease transmission and donor site morbidity. Synthetic and naturally sourced solutions can avoid these issues, whilst maintaining the ideal bone integrative properties of their autograft counterparts. This case series aims to identify the effectiveness of a natural bone graft substitute, coralline hydroxyapatite, in maxillofacial applications, and demonstrate that coralline hydroxyapatite encourages bone ingrowth for dental defects.
骨移植是颌面部和骨科手术中修复缺损的重要方法。理想的骨移植特性允许适当的整合,使美观和机械功能。虽然目前自体移植物、同种异体移植物和异种移植物的应用确实存在,并且在临床上经常使用,但它们与许多解决方案有关,例如可用性、疾病传播和供体部位发病率。合成和天然来源的解决方案可以避免这些问题,同时保持其自体移植物的理想骨整合特性。本病例系列旨在确定天然骨移植物替代品珊瑚羟基磷灰石在颌面应用中的有效性,并证明珊瑚羟基磷灰石可促进牙齿缺损的骨向内生长。
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引用次数: 1
Stem Cells in Neurodegenerative Disorders - A broad Overview 干细胞在神经退行性疾病中的应用综述
Pub Date : 2021-09-07 DOI: 10.37191/mapsci-2582-385x-3(6)-089
Farihah Khaliq
Stem cell therapy is an approach to use cells that have the ability of self-renewal and to differentiate into different types of functional cells that are obtained from embryo and other postnatal sources to treat multiple disorders. These cells can be differentiated into different types of stem cells based on their specific characteristics to be totipotent, unipotent, multipotent or pluripotent. As potential therapy, pluripotent stem cells are considered to be the most interesting as they can be differentiated into different type of cells with similar characteristics as embryonic stem cells. Induced pluripotent stem cells (iPSCs) are adult cells that are reprogrammed genetically into stem cells from human fibroblasts through expressing genes and transcription factors at different time intervals. In this review, we will discuss the applications of stem cell therapy using iPSCs technology in treating neurodegenerative disorder such that Alzheimer’s disease (AD), Parkinson’s disease (PD), and Amyotrophic Lateral Sclerosis (ALS). We have also broadly highlighted the significance of pluripotent stem cells in stem cell therapy.
干细胞治疗是一种利用从胚胎和其他出生后来源获得的具有自我更新能力和分化成不同类型功能细胞的细胞来治疗多种疾病的方法。这些细胞可根据其特异性分化为多能、单能、多能或多能等不同类型的干细胞。作为潜在的治疗方法,多能干细胞被认为是最有趣的,因为它们可以分化成与胚胎干细胞相似的不同类型的细胞。诱导多能干细胞(iPSCs)是由人成纤维细胞通过不同时间间隔表达基因和转录因子,通过基因重编程转化为干细胞的成体细胞。在这篇综述中,我们将讨论利用iPSCs技术进行干细胞治疗在治疗神经退行性疾病如阿尔茨海默病(AD)、帕金森病(PD)和肌萎缩侧索硬化症(ALS)中的应用。我们也广泛强调了多能干细胞在干细胞治疗中的重要性。
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引用次数: 0
Organoids: Three-Dimensional ‘blobs’ that are Reshaping the Future of Medicine 类器官:正在重塑医学未来的三维“斑点”
Pub Date : 2021-08-08 DOI: 10.37191/mapsci-2582-385x-3(5)-086
Nicole Min Qian Pek
Over the past decade, new advancements in stem cell and three-dimensional cell culture technologies have reignited interests in organoid research. The unassuming ‘blobs’ of cells made to mimic organs are revolutionizing human medicine. By utilizing stem cells such as human pluripotent stem cells (hPSCs), a wide variety of organoids can be generated in the lab. hPSC-derived organoids have proven to be powerful tools to model complex human diseases including but not limited to developmental disorders, degenerative diseases, infectious diseases, metabolic diseases, and cancers. Due to their complexities and multi-cellularity, these organoids can better recapitulate sophisticated disease phenotypes when compared to monolayered cells. Diseased organoids can then be easily expanded in vitro for drug discovery or high-throughput therapeutic screening. Organoid transplantation is also currently explored in the field of regenerative medicine. Researchers are now looking towards the generation of ‘next-gen’ organoids that reflect even higher degrees of organ complexities to achieve greater levels of cellular maturity and functionality while still maintaining its relatively simple form. Organoids, undoubtedly, hold tremendous promise in helping us understand and treat a wide array of human diseases.
在过去的十年中,干细胞和三维细胞培养技术的新进展重新点燃了对类器官研究的兴趣。这种不起眼的“细胞团”用来模仿人体器官,正在给人类医学带来革命性的变化。通过利用人类多能干细胞(hPSCs)等干细胞,可以在实验室中生成各种各样的类器官。hpsc衍生的类器官已被证明是模拟复杂人类疾病的强大工具,包括但不限于发育障碍、退行性疾病、传染病、代谢疾病和癌症。由于它们的复杂性和多细胞性,与单层细胞相比,这些类器官可以更好地概括复杂的疾病表型。患病的类器官可以很容易地在体外扩展用于药物发现或高通量治疗筛选。类器官移植目前也在再生医学领域进行探索。研究人员现在正在寻找“下一代”类器官,这些类器官反映出更高程度的器官复杂性,以实现更高水平的细胞成熟度和功能,同时仍保持其相对简单的形式。毫无疑问,类器官在帮助我们理解和治疗一系列人类疾病方面有着巨大的希望。
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引用次数: 0
Cardiology Clinic in COVID-19 Era- Review Article COVID-19时代心脏病临床研究综述
Pub Date : 2021-08-07 DOI: 10.37191/mapsci-2582-385x-3(5)-085
N. Iqbal
The outbreak of COVID-19 and succeeding lockdown curtailment of routine life activities resulted in a profound effect on healthcare systems, globally. There were difficulties in Outpatient follow-up during this time. Since the start of the lockdowns, the general cardiology clinics have faced challenges of social distancing and safe clinical practices to ensure the safety of healthcare workers and cardiology patients. During the lockdowns, telemedicine gained significance in the healthcare industry. It was utilized to triage patients before allowing them to the emergency department. It also offered help in remote monitoring for isolated patients in high dependency patients in hospitals. The aim of this review was to delve into this important aspect in the current literature on both the direct ramifications due to COVID-19 on clinical practice in cardiology clinics. Challenges to the patients and the healthcare personnel. Measures to have a prudent strategy to cope with all these challenges because of the ways in which containment and social distancing measures have derailed daily life.
2019冠状病毒病的爆发和随后的封锁对日常生活活动的限制对全球医疗保健系统产生了深远影响。这段时间门诊随访存在困难。自封锁开始以来,普通心脏病诊所面临着保持社会距离和安全临床实践的挑战,以确保医护人员和心脏病患者的安全。在封锁期间,远程医疗在医疗保健行业发挥了重要作用。它被用来对病人进行分类,然后再让他们去急诊室。它还为医院高度依赖患者中的隔离患者提供远程监测帮助。本综述的目的是深入研究当前文献中COVID-19对心脏病临床实践的直接影响这一重要方面。对患者和医护人员的挑战。采取审慎战略应对所有这些挑战的措施,因为遏制和保持社会距离措施已经影响了日常生活。
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引用次数: 0
Osteonecrosis Development Post Covid-19 Infection Covid-19感染后骨坏死的发展
Pub Date : 2021-08-04 DOI: 10.37191/mapsci-2582-385x-3(5)-087
G. Daltro
The COVID19 pandemic, originating in China, has spread across the world, with serious proportions in populations and public health. Systemic lesions in those infected generate cascading changes affecting different organs. Osteonecrosis is a bone pathology, of different etiologies, common throughout the world, which directs the hip to a disabling condition. Furthermore, there is a polygenic and multifactorial interaction in its pathophysiology. The objective of this paper is to present the first series of cases of osteonecrosis of the femoral head after infection by SARS-CoV-2 and to discuss the possible pathological mechanisms. This is a sample with a male majority with a mean age of 43.5 years, bilateral involvement of the hip sin 100% of cases, mean time between infection and onset of symptoms was 132.8 days. About 33% had osteonecrosis of the femoral head after a mild infection, 66% were moderate or severe cases that used corticosteroid therapy with a minimum dose of 40mg/day of dexamethasone for an average time of 14.6 days. We believe that the association of hypercoagulability mechanisms inherent to COVID-19, direct cell infection and instituted cortico therapy may be responsible for the high incidence of osteonecrosis in the post-covid syndrome.
新冠肺炎疫情发源于中国,已蔓延至全球,造成严重的人口和公共卫生问题。被感染者的全身病变会产生影响不同器官的级联变化。骨坏死是一种不同病因的骨病理,在世界各地都很常见,它导致髋关节致残。此外,在其病理生理中存在多基因和多因子的相互作用。本文的目的是介绍SARS-CoV-2感染后股骨头骨坏死的第一批病例,并讨论可能的病理机制。这是一个男性为主的样本,平均年龄为43.5岁,双侧髋关节受累100%的病例,从感染到出现症状的平均时间为132.8天。轻度感染后股骨头骨坏死约33%,中度或重度患者66%,使用皮质类固醇治疗,最小剂量为地塞米松40mg/天,平均时间为14.6天。我们认为,COVID-19固有的高凝机制、直接细胞感染和建立皮质治疗的关联可能是COVID-19综合征后骨坏死高发的原因。
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引用次数: 2
Masitinib and Its Role in Inhibiting SARS-CoV-2 Infection 马西替尼及其抑制SARS-CoV-2感染的作用
Pub Date : 2021-07-08 DOI: 10.37191/https://doi.org/10.37191/mapsci-2582-385x-3(5)-084
Dr. Stefan Bittmann
A drug used successfully in veterinary medicine to treat mast cell tumors in dogs may be effective against COVID-19 and some other viral diseases in humans, according to laboratory experiments and preclinical studies published in Science 2021 [1]. Coronaviruses also require such enzymes. After entering the cells, their genome is first converted into 2 polyproteins, which must be broken down into smaller units. This task is performed by 2 proteases. This is once the main protease 3CL (also called Mpro or nsp5). The 2nd enzyme is the "papain-like" protease, abbreviated PLpro. Drugs that block one of these enzymes could prevent the viruses from replicating in the cells and thus stop the progression of the infection.
根据实验室实验和发表在《科学2021》杂志上的临床前研究,一种成功用于治疗犬肥大细胞肿瘤的兽医学药物可能对人类的COVID-19和其他一些病毒性疾病有效。冠状病毒也需要这种酶。进入细胞后,它们的基因组首先被转化为2种多蛋白,这些多蛋白必须被分解成更小的单位。这个任务是由2种蛋白酶完成的。这曾经是主要的蛋白酶3CL(也称为Mpro或nsp5)。第二种酶是“木瓜样”蛋白酶,缩写为PLpro。阻断其中一种酶的药物可以阻止病毒在细胞内复制,从而阻止感染的进展。
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引用次数: 0
First-level Neurocognitive Screening Tests and Their Application 一级神经认知筛选试验及其应用
Pub Date : 2021-07-01 DOI: 10.37191/MAPSCI-2582-385X-3(5)-083
F. Salis
Finding an effective therapy able to slow Neurocognitive Disorder’s (NCD) progression represents an ambitious purpose of biomedical research.In June 2021, the Food and Drug Administration approved Aducanumab for the treatment of Alzheimer’s disease – the most common cause of dementia worldwide [1]. This drug is a monoclonal antibody that would be cause amyloid-β plaques reduction in the brain [2]. Whether its effectiveness will be confirmed or not, the fact remains that the patients that will benefit the most from any treatment are the ones suffering from mild NCD. Mild NCD is a clinically insidious and difficult-to-diagnose disorder, and consequently, the development and the spread of screening methods are necessary to early intercept these subjects.
寻找一种能够减缓神经认知障碍(NCD)进展的有效疗法是生物医学研究的一个雄心勃勃的目标。2021年6月,美国食品和药物管理局批准Aducanumab用于治疗阿尔茨海默病——全球最常见的痴呆症病因[1]。该药物是一种单克隆抗体,可导致脑内淀粉样蛋白-β斑块减少[2]。无论其有效性是否得到证实,事实仍然是,将从任何治疗中获益最多的患者是患有轻度非传染性疾病的患者。轻度非传染性疾病是一种临床隐匿且难以诊断的疾病,因此,筛查方法的发展和推广对于早期拦截这些受试者是必要的。
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引用次数: 0
Allogenic Human Umbilical Cord Derived Mesenchymal Stem Cells for Managing Knee Osteoarthritis in Human – A Clinical Trial 同种异体人脐带间充质干细胞治疗人类膝关节骨关节炎-一项临床试验
Pub Date : 2021-06-12 DOI: 10.37191/mapsci-2582-385x-3(5)-082
Bhasker Banerji
Introduction: Human Mesenchymal Stem Cell has been scientifically accepted as a method of managing Osteoarthritis in the Human knee. They can be derived from Autologous Bone Marrow, Adipose Tissue, and less commonly Synovial Cells. However, Allogenic Human Umbilical Cord derived Mesenchymal Stem Cells has recently generated interest because harvesting it is noninvasive, availability easy, the cells relatively younger, have insignificant antigenic markers. A Clinical Trial of Allogeneic Intraarticular Human Umbilical Cord derived Mesenchymal Stem Cells was conducted to assess their efficacy in Osteo Arthritis Human Knees. Material and Method: The clinical trials were conducted from my clinic at 72 Tagore Town, Allahabad, UP, India from December 2018 to the third week of March 2021. The period of study was between December 2018 to April 2021. FIRST COVID Lockdown in this city was from 22nd of March 2020 to September 2020. The second Lockdown was from April 2021 to May 2021. Nine human subjects were selected initially for this clinical trial, but three were lost to follow-up. So 6 human subjects with bilateral knee Osteoarthritis (12 knees with OA) were studied in this clinical trial. The severity of the Knee Osteoarthritis was grade 2 to 3 of KL Score. After patient selection, Pre-Intra-Articular Injection, a Clinical Examination -General and local Knee Examination was done. Pre-determined functional outcome assessments using KOOS (Knee Injury and Osteoarthritis Scale) Outcome score, validated in Hindi, VAS (Visual Analogue Scale) Score, Kellgren Lawrence Score (KL Score), and Basal Metabolic Index recorded. After an Informed consent, each Knee was injected One Intraarticular Injection of Allogeneic Human umbilical Cord derived Mesenchymal Stem Cell (50x10^6). Cells were provided courtesy MEDITEKFUTURO, for this Clinical Trial. Six subjects with 12 knees were in this clinical trial. The follow-up after the Intra Articular Injection was at 15 ± 3 months and 24 ± 4 months. The first follow-up at 15 ± 3 months was during the first Covid Lockdown, done digitally by remote means, (The First Covid Lockdown in This District of Allahabad, State of Uttar Pradesh, India was from 22nd March 2020 to September 2020). The Lockdown was opened from October 2020 to April 2021. During this window, the second follow up 24 ± 4 months, was done clinically. (The second COVID lockdown was restarted from the end of April to 31st 2021 to the end of May 2021, in this City).The follow up post-injection results at 15 ± 3months and at 24 ± 4 months, recorded importantly for adverse reaction as per WHO guidelines (using CTCAE version 3 of NCI Common Terminology Criteria for Adverse Events, functional parameters did preoperatively were serially recorded at the two follow up period mentioned, and analyzed. The correlation with age and BMI was also analyzed.Results:• Allogenic Human Umbilical Cord derived Mesenchymal Stem Cells used as Intra articular Knee injections w
人类间充质干细胞已被科学地接受为治疗人类膝关节骨关节炎的一种方法。它们可以来源于自体骨髓、脂肪组织和较少见的滑膜细胞。然而,同种异体人脐带间充质干细胞最近引起了人们的兴趣,因为它的收获是无创的,容易获得,细胞相对年轻,具有微不足道的抗原标记。一项异体人脐带间充质干细胞关节内的临床试验进行了评估其疗效骨关节炎人膝盖。材料和方法:临床试验于2018年12月至2021年3月第三周在我位于印度北方邦阿拉哈巴德泰戈尔镇72号的诊所进行。研究期间为2018年12月至2021年4月。这座城市的第一次封锁是从2020年3月22日到2020年9月。第二次封城是从2021年4月至2021年5月。最初选择了9名人类受试者进行这项临床试验,但有3人失去了随访。因此,本临床试验选取了6例双侧膝骨关节炎患者(其中12例膝关节炎)作为研究对象。膝关节骨性关节炎的严重程度KL评分为2 ~ 3级。患者选择,预关节内注射,临床检查-一般和局部膝关节检查。预先确定的功能结果评估采用kos(膝关节损伤和骨关节炎量表)结果评分,以印度语验证,VAS(视觉模拟量表)评分,Kellgren Lawrence评分(KL评分)和基础代谢指数记录。在知情同意后,每个膝关节注射1次异基因人脐带间充质干细胞关节内注射(50x10^6)。细胞由MEDITEKFUTURO提供,用于本临床试验。这项临床试验共有6名受试者,共12个膝盖。关节内注射后随访时间分别为15±3个月和24±4个月。第一次随访时间为15±3个月,是在首次冠状病毒封锁期间,通过远程数字方式进行的(印度北方邦阿拉哈巴德地区的首次冠状病毒封锁时间为2020年3月22日至2020年9月)。封锁时间为2020年10月至2021年4月。在此期间,第二次临床随访24±4个月。(第二次封锁于2021年4月底至2021年5月底在该市重新启动)。注射后随访15±3个月和24±4个月的结果,按照WHO指南(使用CTCAE版本3的NCI不良事件通用术语标准)记录重要的不良反应,在上述两个随访期间连续记录术前的功能参数,并进行分析。并分析其与年龄和BMI的相关性。结果:同种异体人脐带间充质干细胞用于膝关节内注射被发现对治疗人类膝关节骨关节炎有效。•未见局部或全身性并发症。•膝关节功能(KOOS评分、VAS评分)改善。改善一直持续到研究结束。•临床结果随着年龄和BMI的增加而持续。直到这个临床试验期间。•15±3个月的临床试验是在COVID封锁期间进行的,采用功能性KOOS和Vas评分的数字手段,这是出于强迫。•一个更大的多中心试验,更长的时间框架,该临床试验将更具统计学意义。
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引用次数: 0
Correlation between Coronavirus Disease 2019 and Heart Failure: A Review 冠状病毒病2019与心力衰竭的相关性研究综述
Pub Date : 2021-06-03 DOI: 10.37191/mapsci-2582-385x-3(4)-081
S. Haruta
Background: The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) led to the coronavirus disease 2019 (COVID-19) pandemic, which has resulted in devastating conditions worldwide. In addition to affecting the respiratory system, COVID-19 affects other systemic organs, and in particular, cardiovascular failure is related to the worsening of symptoms and death. Among these, cardiac insufficiency seems to be an important prognostic factor.Methods and Findings: We reviewed the association between COVID-19 and heart failure by searching Google Scholar and PubMed for reports related to COVID-19 and heart failure and selected those qualitatively and quantitatively established. The presence of heart failure may cause increased susceptibility to SARS-CoV-2 due to an abnormal immune response, which may aggravate COVID-19. In addition, myocardial injury, cytokine storm, endothelial dysfunction, blood coagulation abnormality, and hypoxemia due to respiratory injury may lead to worsening heart failure.Conclusions: Heart failure and COVID-19 are closely related, and their mechanisms are diverse. Multidisciplinary treatment is required to control the progression of cardiac insufficiency, which complicates COVID-19. Further elucidation of the pathology and establishment of efficacious therapy is desirable.
背景:严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)导致2019冠状病毒病(COVID-19)大流行,在世界范围内造成了毁灭性的疾病。除了影响呼吸系统外,COVID-19还会影响其他全身器官,特别是心血管衰竭与症状恶化和死亡有关。其中,心功能不全似乎是一个重要的预后因素。方法和发现:我们通过搜索Google Scholar和PubMed检索与COVID-19和心力衰竭相关的报告,回顾了COVID-19和心力衰竭之间的关系,并选择了那些定性和定量建立的报告。心力衰竭的存在可能由于免疫反应异常而导致对SARS-CoV-2的易感性增加,这可能会加重COVID-19。此外,呼吸损伤引起的心肌损伤、细胞因子风暴、内皮功能障碍、凝血异常、低氧血症等均可导致心力衰竭加重。结论:心力衰竭与COVID-19密切相关,其机制多种多样。需要多学科治疗来控制心功能不全的进展,从而使COVID-19复杂化。进一步阐明病理和建立有效的治疗方法是可取的。
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引用次数: 0
Can Interstitial Lung Disease Be A Para-Neoplastic Syndrome? 间质性肺病是肿瘤旁综合征吗?
Pub Date : 2021-06-02 DOI: 10.37191/mapsci-2582-385x-3(4)-080
Tiyas Sen Dutt
Interstitial lung diseases (ILD) are a group of conditions with varied etiology, clinical presentation, management, outcome and complications. Although studies have described lung cancer as a sequel of ILD, the association of ILD with non-lung malignancies or ILD presenting as a paraneoplastic syndrome of an underlying occult malignancy deserves further study. In this case series, we describe eight patients with an ILD and an associated neoplasm and discuss the different questions raised by this association.
间质性肺病(ILD)是一组病因、临床表现、治疗、预后和并发症各不相同的疾病。尽管已有研究将肺癌描述为ILD的后遗症,但ILD与非肺部恶性肿瘤或表现为潜在隐匿恶性肿瘤的副肿瘤综合征的相关性值得进一步研究。在这个病例系列中,我们描述了8例ILD和相关肿瘤患者,并讨论了这种关联引起的不同问题。
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引用次数: 0
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Journal of Regenerative Biology and Medicine
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