首页 > 最新文献

Central Asian Journal of Medical Hypotheses and Ethics最新文献

英文 中文
GENERATING WORKING HYPOTHESES FOR ORIGINAL RESEARCH STUDIES 为原始研究提出可行的假设
Pub Date : 2020-08-07 DOI: 10.47316/cajmhe.2020.1.1.02
D. Misra, V. Agarwal
A hypothesis is a statement of the expected outcome of a research study, generally based on analysis of prior published knowledge, or with reference to the previous work of the investigators. The hypothesis forms the foundation of a research proposal. A study based, and planned, on a sound hypothesis may have a greater likelihood of meaningfully contributing to science. After the generation of a hypothesis, it is equally important to appropriately design and adequately power a study (by ensuring a sufficient sample size) in order to test the hypothesis. Adhering to principles discussed forthwith shall help young researchers to generate and test their own hypotheses, and these are best learnt with experience.
假设是对一项研究的预期结果的陈述,通常基于对先前发表的知识的分析,或参考研究者以前的工作。假设构成了研究计划的基础。一项基于合理假设并有计划的研究可能更有可能对科学做出有意义的贡献。在产生假设之后,为了检验假设,适当地设计和充分地推动研究(通过确保足够的样本量)也同样重要。坚持下面讨论的原则将有助于年轻的研究人员产生和检验他们自己的假设,而这些最好是通过经验来学习的。
{"title":"GENERATING WORKING HYPOTHESES FOR ORIGINAL RESEARCH STUDIES","authors":"D. Misra, V. Agarwal","doi":"10.47316/cajmhe.2020.1.1.02","DOIUrl":"https://doi.org/10.47316/cajmhe.2020.1.1.02","url":null,"abstract":"A hypothesis is a statement of the expected outcome of a research study, generally based on analysis of prior published knowledge, or with reference to the previous work of the investigators. The hypothesis forms the foundation of a research proposal. A study based, and planned, on a sound hypothesis may have a greater likelihood of meaningfully contributing to science. After the generation of a hypothesis, it is equally important to appropriately design and adequately power a study (by ensuring a sufficient sample size) in order to test the hypothesis. Adhering to principles discussed forthwith shall help young researchers to generate and test their own hypotheses, and these are best learnt with experience.","PeriodicalId":388483,"journal":{"name":"Central Asian Journal of Medical Hypotheses and Ethics","volume":"289 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132969553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
LAUNCHING A SCHOLARLY JOURNAL 创办学术期刊
Pub Date : 2020-08-07 DOI: 10.47316/cajmhe.2020.1.1.10
I. Benlidayı
LAUNCHING A SGHOLARLY JOURNAL
创办学术期刊
{"title":"LAUNCHING A SCHOLARLY JOURNAL","authors":"I. Benlidayı","doi":"10.47316/cajmhe.2020.1.1.10","DOIUrl":"https://doi.org/10.47316/cajmhe.2020.1.1.10","url":null,"abstract":"LAUNCHING A SGHOLARLY JOURNAL","PeriodicalId":388483,"journal":{"name":"Central Asian Journal of Medical Hypotheses and Ethics","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133115766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
PHYSICAL MEDICINE AND REHABILITATION APPROACHES IN THROMBOSIS ASSOCIATED WITH COVID-19 COVID-19相关血栓形成的物理医学和康复方法
Pub Date : 1900-01-01 DOI: 10.47316/cajmhe.2021.2.3.02
B. Koçyiğit, A. Akyol
An increasing number of publications have supported the determination of thrombosis associated with coronavirus disease 2019 (COVID-19). Despite prophylactic drug applications, post-COVID-19 thrombosis cannot be completely prevented. Thrombosis becomes a complex problem that is difficult to avoid, particularly in intensive care patients. It is also possible to see cases of thromboembolism secondary to quarantine and home isolation. In addition to the classical pathophysiological mechanisms in Virchow’s triad, more complex processes specific to COVID-19 may also trigger thrombosis. The aims of this review were to describe physical medicine and rehabilitation practices that can be applied in addition to medical recommendations for thrombosis in COVID-19 patients, and to explain the specific features and mechanism of action of these methods. This process, which starts with education sessions, should continue to reduce immobility as much as possible. Personalized exercise programs should be recommended after evaluating the individual’s condition, exercise history, risk of falling, and comorbid diseases. In parallel with technological progress, more innovative devices have been developed and thus mechanical compression methods and neuromuscular electrical stimulation have become available for this purpose. The most important features of physical medicine and rehabilitation practices are the relatively low cost and the low incidence of complications.
越来越多的出版物支持确定与2019冠状病毒病(COVID-19)相关的血栓形成。尽管预防性用药,但仍不能完全预防covid -19后血栓形成。血栓形成成为一个难以避免的复杂问题,特别是在重症监护患者中。也可能看到继发于隔离和家庭隔离的血栓栓塞病例。除了Virchow 's triad中的经典病理生理机制外,COVID-19特有的更复杂过程也可能引发血栓形成。本综述的目的是描述在医学建议之外可用于COVID-19患者血栓形成的物理医学和康复实践,并解释这些方法的具体特点和作用机制。这一进程从教育会议开始,应继续尽可能地减少不行动。应在评估个人状况、运动史、跌倒风险和合并症后推荐个性化的运动计划。随着技术的进步,越来越多的创新设备被开发出来,因此机械压缩方法和神经肌肉电刺激已经可以用于这一目的。物理医学和康复实践最重要的特点是成本相对较低,并发症发生率较低。
{"title":"PHYSICAL MEDICINE AND REHABILITATION APPROACHES IN THROMBOSIS ASSOCIATED WITH COVID-19","authors":"B. Koçyiğit, A. Akyol","doi":"10.47316/cajmhe.2021.2.3.02","DOIUrl":"https://doi.org/10.47316/cajmhe.2021.2.3.02","url":null,"abstract":"An increasing number of publications have supported the determination of thrombosis associated with coronavirus disease 2019 (COVID-19). Despite prophylactic drug applications, post-COVID-19 thrombosis cannot be completely prevented. Thrombosis becomes a complex problem that is difficult to avoid, particularly in intensive care patients. It is also possible to see cases of thromboembolism secondary to quarantine and home isolation. In addition to the classical pathophysiological mechanisms in Virchow’s triad, more complex processes specific to COVID-19 may also trigger thrombosis. The aims of this review were to describe physical medicine and rehabilitation practices that can be applied in addition to medical recommendations for thrombosis in COVID-19 patients, and to explain the specific features and mechanism of action of these methods. This process, which starts with education sessions, should continue to reduce immobility as much as possible. Personalized exercise programs should be recommended after evaluating the individual’s condition, exercise history, risk of falling, and comorbid diseases. In parallel with technological progress, more innovative devices have been developed and thus mechanical compression methods and neuromuscular electrical stimulation have become available for this purpose. The most important features of physical medicine and rehabilitation practices are the relatively low cost and the low incidence of complications.","PeriodicalId":388483,"journal":{"name":"Central Asian Journal of Medical Hypotheses and Ethics","volume":"229 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132806113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
AUTOIMMUNE MYELOFIBROSIS ASSOCIATED WITH LUPUS: UNUSUAL OR UNDETECTED? 自身免疫性骨髓纤维化与狼疮相关:异常或未被发现?
Pub Date : 1900-01-01 DOI: 10.47316/cajmhe.2021.2.2.05
Misra Durga Prasanna
AUTOIMMUNE MYELOFIBROSIS ASSOCIATED WITH LUPUS: UNUSUAL OR UNDETECTED?
自身免疫性骨髓纤维化与狼疮相关:异常或未被发现?
{"title":"AUTOIMMUNE MYELOFIBROSIS ASSOCIATED WITH LUPUS: UNUSUAL OR UNDETECTED?","authors":"Misra Durga Prasanna","doi":"10.47316/cajmhe.2021.2.2.05","DOIUrl":"https://doi.org/10.47316/cajmhe.2021.2.2.05","url":null,"abstract":"AUTOIMMUNE MYELOFIBROSIS ASSOCIATED WITH LUPUS: UNUSUAL OR UNDETECTED?","PeriodicalId":388483,"journal":{"name":"Central Asian Journal of Medical Hypotheses and Ethics","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114513216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
AUTOIMMUNE MYELOFIBROSIS ASSOCIATED WITH SYSTEMIC LUPUS ERYTHEMATOSUS: EXCEPTIONALLY RARE OR UNDERRECOGNIZED? 自身免疫性骨髓纤维化与系统性红斑狼疮相关:异常罕见还是未被充分认识?
Pub Date : 1900-01-01 DOI: 10.47316/cajmhe.2021.2.2.04
D. Cansu, C. Korkmaz
Systemic lupus erythematosus (SLE) is a chronic autoimmune disease which may involve several organs or organ systems. SLE may also have hematological as well as joint, kidney, and central nervous system involvements. Hematological abnormalities such as anemia, leukopenia, thrombocytopenia, and autoimmune hemolytic anemia are the best-known and most common hematological findings detected in SLE patients which are included in the classification criteria for SLE.  Autoimmune myelofibrosis (AIMF) refers to bone marrow (BM) fibrosis (myelofibrosis) that develops in an autoimmune setting. Myelofibrosis is not among the SLE classification criteria and it is also not well-known. Current reports in the literature on SLE-associated AIMF are mostly restricted to case reports or reviews of such case reports. The occurrence of BM fibrosis in SLE patients has been explored merely in few studies which concluded that myelofibrosis is a rare symptom of SLE. Herein, we propose the hypothesis that SLE-associated AIMF is not rare and, on the contrary, it can indeed be more frequent than what is known or expected.
系统性红斑狼疮(SLE)是一种慢性自身免疫性疾病,可累及多个器官或器官系统。SLE也可累及血液学、关节、肾脏和中枢神经系统。血液学异常,如贫血、白细胞减少、血小板减少和自身免疫性溶血性贫血,是SLE患者最知名和最常见的血液学表现,被纳入SLE的分类标准。自身免疫性骨髓纤维化(AIMF)是指在自身免疫性环境中发生的骨髓纤维化(骨髓纤维化)。骨髓纤维化不属于SLE的分类标准,也不为人所知。目前文献中关于sle相关AIMF的报道大多局限于病例报告或对此类病例报告的综述。SLE患者骨髓纤维化的发生仅在少数研究中进行了探讨,结论是骨髓纤维化是SLE的一种罕见症状。在此,我们提出了一个假设,即与slef相关的AIMF并不罕见,相反,它确实可能比已知或预期的更频繁。
{"title":"AUTOIMMUNE MYELOFIBROSIS ASSOCIATED WITH SYSTEMIC LUPUS ERYTHEMATOSUS: EXCEPTIONALLY RARE OR UNDERRECOGNIZED?","authors":"D. Cansu, C. Korkmaz","doi":"10.47316/cajmhe.2021.2.2.04","DOIUrl":"https://doi.org/10.47316/cajmhe.2021.2.2.04","url":null,"abstract":"Systemic lupus erythematosus (SLE) is a chronic autoimmune disease which may involve several organs or organ systems. SLE may also have hematological as well as joint, kidney, and central nervous system involvements. Hematological abnormalities such as anemia, leukopenia, thrombocytopenia, and autoimmune hemolytic anemia are the best-known and most common hematological findings detected in SLE patients which are included in the classification criteria for SLE.  Autoimmune myelofibrosis (AIMF) refers to bone marrow (BM) fibrosis (myelofibrosis) that develops in an autoimmune setting. Myelofibrosis is not among the SLE classification criteria and it is also not well-known. Current reports in the literature on SLE-associated AIMF are mostly restricted to case reports or reviews of such case reports. The occurrence of BM fibrosis in SLE patients has been explored merely in few studies which concluded that myelofibrosis is a rare symptom of SLE. Herein, we propose the hypothesis that SLE-associated AIMF is not rare and, on the contrary, it can indeed be more frequent than what is known or expected.","PeriodicalId":388483,"journal":{"name":"Central Asian Journal of Medical Hypotheses and Ethics","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122891093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
IS VITAMIN D CAPABLE OF HELPING US RECOVER FROM THE COVID-19 PANDEMIC? 维生素d是否能够帮助我们从COVID-19大流行中恢复过来?
Pub Date : 1900-01-01 DOI: 10.47316/cajmhe.2021.2.2.10
I. Benlidayı
IS VITAMIN D CAPABLE OF HELPING US RECOVER FROM THE COVID-19 PANDEMIC?
维生素d是否能够帮助我们从COVID-19大流行中恢复过来?
{"title":"IS VITAMIN D CAPABLE OF HELPING US RECOVER FROM THE COVID-19 PANDEMIC?","authors":"I. Benlidayı","doi":"10.47316/cajmhe.2021.2.2.10","DOIUrl":"https://doi.org/10.47316/cajmhe.2021.2.2.10","url":null,"abstract":"IS VITAMIN D CAPABLE OF HELPING US RECOVER FROM THE COVID-19 PANDEMIC?","PeriodicalId":388483,"journal":{"name":"Central Asian Journal of Medical Hypotheses and Ethics","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126631833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
DYNAMICS OF CHILDHOOD RESPIRATORY INFECTIONS DURING THE COVID-19 PANDEMIC: THE EFFECT OF QUARANTINE АND BEYOND COVID-19大流行期间儿童呼吸道感染的动态:隔离的影响Аnd超越
Pub Date : 1900-01-01 DOI: 10.47316/cajmhe.2021.2.3.04
S. Lazova, T. Velikova
Monitoring epidemic processes and the dynamics of the spread of infectious diseases is essential for predicting their distribution and effective planning in healthcare. The importance of studying seasonal trends in the spread of respiratory viral infections and the specific effects of non-pharmaceutical interventions in nationwide scales and the use of available vaccines stand out even more in the context of the coronavirus disease-19 (COVID-19) pandemic. Even if the dynamics of pediatric respiratory viral infections show some variation at the national and local levels, depending on health regulation, respiratory viral pathogens follow a typical pattern of incidence. Therefore, we hypothesize that anticipated reduction of the incidence of common respiratory viral infections would undoubtedly exert positive effects, such as ease of burdening healthcare that combates the COVID-19 pandemic. However, we suspect a shift in familiar seasonal characteristics of common respiratory viral infections. We also speculate that strict long-term limitations of the natural spread of respiratory viral infections can lead to the development of hard-to-predict epidemiological outliers. Additionally, the tricky balance between humanity’s natural impulse to return to normalcy and control the new and still dynamically evolving infection could lead to new threats from old and well-known pathogens. Finally, we hypothesize that the absence of regular influenza virus circulation may lead to a high mismatch rate and a significant reduction in flu vaccine efficacy.
监测传染病的流行过程和传播动态对于预测其分布和有效规划医疗保健至关重要。在冠状病毒病-19 (COVID-19)大流行的背景下,研究呼吸道病毒感染传播的季节性趋势、全国范围内非药物干预措施的具体影响以及现有疫苗的使用的重要性更加突出。即使儿童呼吸道病毒感染的动态在国家和地方各级显示出一些差异,取决于卫生法规,呼吸道病毒病原体遵循典型的发病率模式。因此,我们假设,常见呼吸道病毒感染发生率的预期降低无疑会产生积极影响,例如减轻医疗保健负担,从而抗击COVID-19大流行。然而,我们怀疑常见呼吸道病毒感染的常见季节性特征发生了变化。我们还推测,对呼吸道病毒感染自然传播的严格长期限制可能导致难以预测的流行病学异常值的发展。此外,在人类恢复正常的自然冲动与控制新的和仍在动态发展的感染之间的微妙平衡可能导致来自旧的和已知的病原体的新威胁。最后,我们假设缺乏规律的流感病毒循环可能导致高错配率和流感疫苗效力的显着降低。
{"title":"DYNAMICS OF CHILDHOOD RESPIRATORY INFECTIONS DURING THE COVID-19 PANDEMIC: THE EFFECT OF QUARANTINE АND BEYOND","authors":"S. Lazova, T. Velikova","doi":"10.47316/cajmhe.2021.2.3.04","DOIUrl":"https://doi.org/10.47316/cajmhe.2021.2.3.04","url":null,"abstract":"Monitoring epidemic processes and the dynamics of the spread of infectious diseases is essential for predicting their distribution and effective planning in healthcare. The importance of studying seasonal trends in the spread of respiratory viral infections and the specific effects of non-pharmaceutical interventions in nationwide scales and the use of available vaccines stand out even more in the context of the coronavirus disease-19 (COVID-19) pandemic. Even if the dynamics of pediatric respiratory viral infections show some variation at the national and local levels, depending on health regulation, respiratory viral pathogens follow a typical pattern of incidence. Therefore, we hypothesize that anticipated reduction of the incidence of common respiratory viral infections would undoubtedly exert positive effects, such as ease of burdening healthcare that combates the COVID-19 pandemic. However, we suspect a shift in familiar seasonal characteristics of common respiratory viral infections. We also speculate that strict long-term limitations of the natural spread of respiratory viral infections can lead to the development of hard-to-predict epidemiological outliers. Additionally, the tricky balance between humanity’s natural impulse to return to normalcy and control the new and still dynamically evolving infection could lead to new threats from old and well-known pathogens. Finally, we hypothesize that the absence of regular influenza virus circulation may lead to a high mismatch rate and a significant reduction in flu vaccine efficacy.","PeriodicalId":388483,"journal":{"name":"Central Asian Journal of Medical Hypotheses and Ethics","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132389178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
AVASCULAR NECROSIS DUE TO CORTICOSTEROID THERAPY IN COVID-19 AS A SYNDEMIC COVID-19综合征中皮质类固醇治疗引起的缺血性坏死
Pub Date : 1900-01-01 DOI: 10.47316/cajmhe.2021.2.2.03
S. Ergözen, Egemen Kaya
To date, over 163 million confirmed cases of COVID-19 and over 3.3 million deaths from COVID-19 have been reported by the World Health Organization (WHO). However, there is still no specific treatment for the disease. Some empirical and supportive medications have been used thus far, including antivirals, antipyretics, antibiotics, and corticosteroids. Corticosteroids are anti-inflammatory and immunosuppressive medications that are used to treat several diseases. These agents can produce undesirable and occasionally severe systemic adverse effects. Although the occurrence and severity of most adverse effects are related to the dose and duration of the corticosteroid therapy, avascular necrosis is not directly associated with this dose and duration, and may occur without osteoporosis. Corticosteroids are not recommended for routine use in COVID-19 patients by the WHO. However, these medications have been widely used for their treatment. Avascular necrosis is a progressive and incapacitating condition. The causes of avascular necrosis are categorized into traumatic and non-traumatic. The majority of non-traumatic cases are associated with the use of corticosteroids. Early diagnosis and treatment is crucial owing to the rapidly progressive nature of the disease. Severe COVID-19 patients are at risk of avascular necrosis due to corticosteroid therapy. The hypothesis presented herein suggests that hyperbaric oxygenation in combination with adequate calcium and vitamin D supplementation and individualized exercise may be an effective, safe, and noninvasive  treatment modality, preventing from the progression of avascular necrosis.
迄今为止,世界卫生组织(世卫组织)报告了超过1.63亿例新冠肺炎确诊病例,330多万人死于新冠肺炎。然而,目前还没有针对这种疾病的特异性治疗方法。到目前为止,已经使用了一些经验性和支持性药物,包括抗病毒药物、退烧药、抗生素和皮质类固醇。皮质类固醇是一种抗炎和免疫抑制药物,用于治疗多种疾病。这些药物可产生不良的,偶尔严重的全身不良反应。虽然大多数不良反应的发生和严重程度与皮质类固醇治疗的剂量和持续时间有关,但缺血性坏死与剂量和持续时间没有直接关系,并且可能在没有骨质疏松的情况下发生。世卫组织不建议在COVID-19患者中常规使用皮质类固醇。然而,这些药物已被广泛用于治疗。缺血性坏死是一种进行性和致残性疾病。缺血性坏死的原因分为创伤性和非创伤性。大多数非创伤性病例与皮质类固醇的使用有关。由于该病进展迅速,早期诊断和治疗至关重要。严重的COVID-19患者由于皮质类固醇治疗有发生血管坏死的风险。本文提出的假设表明,高压氧结合充足的钙和维生素D补充以及个体化运动可能是一种有效、安全、无创的治疗方式,可以预防缺血性坏死的进展。
{"title":"AVASCULAR NECROSIS DUE TO CORTICOSTEROID THERAPY IN COVID-19 AS A SYNDEMIC","authors":"S. Ergözen, Egemen Kaya","doi":"10.47316/cajmhe.2021.2.2.03","DOIUrl":"https://doi.org/10.47316/cajmhe.2021.2.2.03","url":null,"abstract":"To date, over 163 million confirmed cases of COVID-19 and over 3.3 million deaths from COVID-19 have been reported by the World Health Organization (WHO). However, there is still no specific treatment for the disease. Some empirical and supportive medications have been used thus far, including antivirals, antipyretics, antibiotics, and corticosteroids. Corticosteroids are anti-inflammatory and immunosuppressive medications that are used to treat several diseases. These agents can produce undesirable and occasionally severe systemic adverse effects. Although the occurrence and severity of most adverse effects are related to the dose and duration of the corticosteroid therapy, avascular necrosis is not directly associated with this dose and duration, and may occur without osteoporosis. Corticosteroids are not recommended for routine use in COVID-19 patients by the WHO. However, these medications have been widely used for their treatment. Avascular necrosis is a progressive and incapacitating condition. The causes of avascular necrosis are categorized into traumatic and non-traumatic. The majority of non-traumatic cases are associated with the use of corticosteroids. Early diagnosis and treatment is crucial owing to the rapidly progressive nature of the disease. Severe COVID-19 patients are at risk of avascular necrosis due to corticosteroid therapy. The hypothesis presented herein suggests that hyperbaric oxygenation in combination with adequate calcium and vitamin D supplementation and individualized exercise may be an effective, safe, and noninvasive  treatment modality, preventing from the progression of avascular necrosis.","PeriodicalId":388483,"journal":{"name":"Central Asian Journal of Medical Hypotheses and Ethics","volume":"80 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124766974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
PELVIC FLOOR MUSCLE EXERCISE AND PHYSICAL THERAPY MAY IMPROVE SYSTEMIC SCLEROSIS-ASSOCIATED FECAL INCONTINENCE 盆底肌肉锻炼和物理治疗可以改善系统性硬化症相关的大便失禁
Pub Date : 1900-01-01 DOI: 10.47316/cajmhe.2021.2.2.06
N. Gokcen
Gastrointestinal involvement in systemic sclerosis (SSc) is observed in up to 90% of patients. Resolution of some of these gastrointestinal complications is challenging without the support of physical therapy and rehabilitation. One of these complications, SSc-associated fecal incontinence, which can be devastating for those affected, is seen in up to 39%. Studies focusing on fecal incontinence and its treatment are scarce. The hypothesis presented herein suggests that pelvic floor muscle exercise, biofeedback therapy, and neuromodulation methods might be effective and safe treatment strategies for patients affected by this debilitating complication.
在高达90%的系统性硬化症(SSc)患者中观察到胃肠道受累。如果没有物理治疗和康复的支持,解决这些胃肠道并发症是具有挑战性的。其中一种并发症,ssc相关的大便失禁,对受影响的人来说可能是毁灭性的,高达39%。关于大便失禁及其治疗的研究很少。本文提出的假设表明,盆底肌肉锻炼、生物反馈疗法和神经调节方法可能是治疗这种衰弱并发症的有效和安全的策略。
{"title":"PELVIC FLOOR MUSCLE EXERCISE AND PHYSICAL THERAPY MAY IMPROVE SYSTEMIC SCLEROSIS-ASSOCIATED FECAL INCONTINENCE","authors":"N. Gokcen","doi":"10.47316/cajmhe.2021.2.2.06","DOIUrl":"https://doi.org/10.47316/cajmhe.2021.2.2.06","url":null,"abstract":"Gastrointestinal involvement in systemic sclerosis (SSc) is observed in up to 90% of patients. Resolution of some of these gastrointestinal complications is challenging without the support of physical therapy and rehabilitation. One of these complications, SSc-associated fecal incontinence, which can be devastating for those affected, is seen in up to 39%. Studies focusing on fecal incontinence and its treatment are scarce. The hypothesis presented herein suggests that pelvic floor muscle exercise, biofeedback therapy, and neuromodulation methods might be effective and safe treatment strategies for patients affected by this debilitating complication.","PeriodicalId":388483,"journal":{"name":"Central Asian Journal of Medical Hypotheses and Ethics","volume":"150 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131475113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
ROLE OF VITAMIN D SUPPLEMENTATION IN THE PREVENTION OF INFECTION AND SEVERE COURSE IN COVID-19: TESTING THE HYPOTHESIS 补充维生素d在预防covid-19感染和重症过程中的作用:检验假设
Pub Date : 1900-01-01 DOI: 10.47316/cajmhe.2021.2.3.03
M. Goyal, Neha Goyal
The coronavirus disease 2019 (COVID-19) pandemic has disrupted the normal activities of various settings, including clinics, laboratories, and libraries. As the world deals with the fast-mutating causative virus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), apart from the search for the best vaccine candidate, efforts towards repurposing existing molecules to save lives must continue. Considerable interest has centered around the implications of vitamin D deficiency and its supplementation on the outcomes in patients with COVID-19. We hypothesize that vitamin D supplementation has the potential to confer protection against SARS-CoV-2 infection and a severe COVID-19 course. Various animal, human observational as well as interventional studies have shown a protective role of vitamin D in COVID-19. More robustly designed studies where vitamin D is supplemented prophylactically and administered to those already infected are needed to determine the precise contribution of this supplementation in preventing SARS-CoV-2 infection and modifying the course of COVID-19.
2019冠状病毒病(COVID-19)大流行扰乱了包括诊所、实验室和图书馆在内的各种环境的正常活动。随着世界应对快速变异的致病病毒——严重急性呼吸综合征冠状病毒2 (SARS-CoV-2),除了寻找最佳候选疫苗外,必须继续努力重新利用现有分子来拯救生命。人们对维生素D缺乏及其补充对COVID-19患者预后的影响非常感兴趣。我们假设补充维生素D有可能对SARS-CoV-2感染和严重的COVID-19病程提供保护。各种动物、人类观察性和干预性研究表明,维生素D在COVID-19中具有保护作用。需要设计更可靠的研究,预防性补充维生素D,并对已经感染的人进行补充,以确定这种补充在预防SARS-CoV-2感染和改变COVID-19病程中的确切作用。
{"title":"ROLE OF VITAMIN D SUPPLEMENTATION IN THE PREVENTION OF INFECTION AND SEVERE COURSE IN COVID-19: TESTING THE HYPOTHESIS","authors":"M. Goyal, Neha Goyal","doi":"10.47316/cajmhe.2021.2.3.03","DOIUrl":"https://doi.org/10.47316/cajmhe.2021.2.3.03","url":null,"abstract":"The coronavirus disease 2019 (COVID-19) pandemic has disrupted the normal activities of various settings, including clinics, laboratories, and libraries. As the world deals with the fast-mutating causative virus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), apart from the search for the best vaccine candidate, efforts towards repurposing existing molecules to save lives must continue. Considerable interest has centered around the implications of vitamin D deficiency and its supplementation on the outcomes in patients with COVID-19. We hypothesize that vitamin D supplementation has the potential to confer protection against SARS-CoV-2 infection and a severe COVID-19 course. Various animal, human observational as well as interventional studies have shown a protective role of vitamin D in COVID-19. More robustly designed studies where vitamin D is supplemented prophylactically and administered to those already infected are needed to determine the precise contribution of this supplementation in preventing SARS-CoV-2 infection and modifying the course of COVID-19.","PeriodicalId":388483,"journal":{"name":"Central Asian Journal of Medical Hypotheses and Ethics","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128735941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
期刊
Central Asian Journal of Medical Hypotheses and Ethics
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1