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Coronavirus Disease 2019 (COVID-19) Waves, Treatment Enclaves and Changes in Management 2019冠状病毒病(COVID-19)浪潮、治疗范围和管理变化
Pub Date : 2022-10-20 DOI: 10.33425/2639-944x.1295
A. Rapose, R. Davaro
Background: The coronavirus disease (COVID-19) global pandemic commenced at the end of 2019 and continues into 2022. Throughout the world, countries have seen spikes of an increased number of cases followed by a period of decrease, a phenomenon now referred to as “waves.” Recommendations for management of this infection have changed, guided by new experiences, an ever-increasing plethora of medical publications, and rapid developments in vaccines and therapeutics. Some treatments are recommended only in the outpatient setting, while others are indicated for patients admitted to the hospital, creating mutually exclusive “enclaves” for patients to receive recommended therapies. The purpose of this study was to compare and contrast medication use, as well as outcomes between the first two waves of COVID-19 infection. Methods: This is a retrospective cohort study of patients with COVID-19 infection at a community hospital in Massachusetts, USA. Consecutive adult patients admitted to the hospital with consultation by the authors were included. The first wave extended from March 2020 to June 2020, the second wave was from October 2020 to January 2021. Patient demographics, medications used, and outcomes were abstracted from the electronic medical records. Results: Of the 238 patients evaluated, 109 (45.7%) were admitted in the first wave and 129 (54.2%) were admitted in the second wave. A large number of patients received hydroxychloroquine (50%), azithromycin (17%) and tocilizumab (22%) in the first wave, but none of these medications were used during the second wave. Remdesivir was used in 15% patients in the first wave. No patient in the first wave received corticosteroid therapy. In contrast, the majority of patients in the second wave received corticosteroids (70%) and remdesivir (63%). There were marked differences in overall mortality (25% v/s 6%), admission to intensive care unit (48% v/s 8%), and use of mechanical ventilation (31% v/s 5%) between the first and second waves respectively. Monoclonal antibody therapy was not available for use in hospitalized patients. Conclusions: There were remarkable differences in medications used, need for intensive care admission and need for mechanical ventilation for patients with COVID-19 infection between the first two waves of this pandemic. There was an improvement in outcomes in terms of overall mortality, need of intensive care unit admission, and need for mechanical ventilation during the second wave compared to the first. Further research is needed to determine whether the improved outcomes are a reflection exclusively of better therapeutics or a combination of therapeutics and other early interventions and the role of the COVID-19 variant (beta) in second wave compared to the original wild-type virus in both waves.
背景:冠状病毒病(COVID-19)全球大流行始于2019年底,将持续到2022年。在世界各地,各国都出现了病例数量增加的高峰,然后是一段时间的减少,这种现象现在被称为“波浪”。在新的经验、越来越多的医学出版物以及疫苗和治疗方法的快速发展的指导下,对这种感染管理的建议已经发生了变化。有些治疗方法仅在门诊推荐,而其他治疗方法则适用于住院患者,为接受推荐治疗的患者创造了相互排斥的“飞地”。本研究的目的是比较和对比药物使用情况,以及前两波COVID-19感染的结果。方法:对美国马萨诸塞州一家社区医院的COVID-19感染患者进行回顾性队列研究。经作者咨询后连续入院的成年患者被纳入研究对象。第一波从2020年3月持续到2020年6月,第二波从2020年10月持续到2021年1月。从电子病历中提取患者的人口统计资料、使用的药物和结果。结果:238例患者中,109例(45.7%)在第一波入院,129例(54.2%)在第二波入院。大量患者在第一波中接受了羟氯喹(50%)、阿奇霉素(17%)和托珠单抗(22%),但在第二波中没有使用这些药物。在第一波中,15%的患者使用了Remdesivir。第一波没有患者接受皮质类固醇治疗。相比之下,第二波中的大多数患者接受了皮质类固醇(70%)和瑞德西韦(63%)。第一波和第二波患者的总死亡率(25% v/s 6%)、入住重症监护病房(48% v/s 8%)和使用机械通气(31% v/s 5%)分别有显著差异。单克隆抗体治疗不能用于住院患者。结论:前两波疫情期间COVID-19感染患者用药、重症监护住院需求和机械通气需求存在显著差异。与第一波相比,第二波在总体死亡率、重症监护病房入住需求和机械通气需求方面的结果有所改善。需要进一步的研究来确定改善的结果是否仅仅反映了更好的治疗方法,还是治疗方法和其他早期干预措施的结合,以及与两波中原始野生型病毒相比,COVID-19变体(β)在第二波中的作用。
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引用次数: 0
The Case of a Cambodian man with Disabilities who Received Rehabilitative Education Support (Dohsa-hou) and Realized Social Participation 一名柬埔寨残疾男子接受康复教育支持(Dohsa-hou)并实现社会参与的案例
Pub Date : 2022-10-20 DOI: 10.33425/2639-944x.1294
Shinnosuke Harada, Yumiko Yokogi, Anna Ueda, Toshiaki Ohishi, Sumire Sato, Hiroshi Miyawaki
This study presents a case of a Cambodian person with physical disabilities who was able to attain social participation through the practice of rehabilitation and education. This case will be considered a valuable case model to develop an understanding of the practice of rehabilitation and education and its necessity for people with disabilities; a belief not yet widespread in Cambodia. The rehabilitation and educational method developed in Japan called Dohsa-hou (translated to “movement therapy”) was implemented for a client who had been confined to his home due to a disability in his limbs. Dohsa-hou’s primary goal is to improve the client's physical movements and to develop the client's ability to control their movements. Through this method, the client in this case improved his standing and walking movements and developed positive communication skills with others. As a result of the growth and improvement, the client was able to obtain a job in the community and earn a living.
这项研究提出了一个柬埔寨残疾人的案例,他能够通过康复和教育实践获得社会参与。这个案例将被认为是一个有价值的案例模型,以发展对康复和教育实践的理解及其对残疾人的必要性;这种信仰在柬埔寨尚未普及。在日本开发的康复和教育方法被称为Dohsa-hou(翻译为“运动疗法”),是为一位由于四肢残疾而被限制在家中的客户实施的。Dohsa-hou的主要目标是改善病人的身体动作,培养病人控制自己动作的能力。通过这种方法,这个案例中的客户改善了他的站立和行走动作,并培养了与他人积极沟通的能力。由于发展和改善,客户能够在社区找到一份工作并谋生。
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引用次数: 0
Treatment of Lateral Epicondylitis with Physiotherapy during a Clinical Trial: Comparison of Mobilization Technique and Shock Wave 物理疗法治疗外上髁炎的临床试验:动员技术与冲击波的比较
Pub Date : 2022-10-11 DOI: 10.33425/2639-944x.1293
A. Alarab, Ratib Abu Shameh, Aseel Hajahja, Mohammed Himoni, Aseel Manasra, Suhaib Al Natsha, Muntaser S. Ahmad
Objective: The current study aimed to examine effect of ESWT vs. MWM in the management of tennis elbow. Methods: The study was conducted in the physiotherapy department at PAU. Sample of the study consisted of 22 patients aged between 20-50 years. Patients were selected in the orthopedic clinic and randomly separated into 2 groups. The ESWT group included (12) patients, whereas the MWM group included (10) patients. The first group underwent 3 sessions/week and the latter underwent 2 sessions/week for 4 weeks. The demographic data were assessed. VAS was used for pain intensity. A hand-held dynamometer was used for wrist strength and Quick DASH was used for a functional disability. Results: Inter-group analysis was done using t-test. Comparing pre-post treatments using VAS disclosed that there were not significant differences between groups, P= 0.25. Pre-post treatment for wrist strength uncovered that there wasn't a significant difference between groups, P= 0.47. Pre-post QUICK DASH scores, P=0.35. Therefore, there wasn't a statistically significant difference between groups with functional disabilities. Conclusion: The study found that ESWT and MWM were effective in all outcome measures.
目的:本研究旨在探讨ESWT与MWM治疗网球肘的效果。方法:本研究在北京大学物理治疗科进行。研究样本包括22例年龄在20-50岁之间的患者。选择骨科门诊患者,随机分为2组。ESWT组有12例患者,而MWM组有10例患者。第一组为3次/周,第二组为2次/周,共4周。对人口统计数据进行了评估。疼痛强度采用VAS评分。手持式测功机用于腕部力量测试,Quick DASH用于功能性残疾测试。结果:组间分析采用t检验。采用VAS进行前后比较,组间差异无统计学意义,P= 0.25。腕关节力量治疗前后组间差异无统计学意义,P= 0.47。Pre-post QUICK DASH得分,P=0.35。因此,功能障碍组间差异无统计学意义。结论:研究发现ESWT和MWM在所有结局指标中都是有效的。
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引用次数: 1
Ability of MRI Diagnostic Value to Detect the Evidence of Physiotherapy Outcome Measurements in Dealing with Calf Muscles Tearing 在处理小腿肌肉撕裂时,MRI诊断价值检测物理治疗结果测量证据的能力
Pub Date : 2022-10-10 DOI: 10.33425/2639-944x.1292
Muntaser S. Ahmad, Azzam Arab
Background: Calf muscle tearing is one of the most sudden pain that affects the calf, foot, or thigh area. It can be diagnosed through Magnetic Resonance Imaging (MRI) and treated through physiotherapy interventions. The aim of the current study is to evaluate and assess the efficiency of physiotherapy interventions using Myofascial release and Stretching exercises in calf muscle treatment, and verification this effectiveness by traditional physiotherapy measurement tools and MRI. Methods: The study included 30 patients with at least one degree tearing of the calf muscles. All patients were undergoing leg MRI imaging using a 1.5 Tesla MRI. The Visual analogue scales (VAS) and Functional disability scale for ankle (FADI) were assessed before the patients were offered therapies. Then the patients were randomly distributed into two groups: the first group was 15 patients who were given Myofascial release treatment, while the second group was 15 patients who were given treatment using Stretching exercises. After treatment, the efficacy of treatment was checked for patients by different tools: VAS, FADI, and MR imaging. Patients' outcomes before and after treatment were compared. Results: The results showed that both Myofascial release and Stretching exercises had the same effect on patients. Comparison between pre- and post-score within groups for VAS, FADI, and MRI findings. Whereas, all P value values were less than 0.05 for all samples. When comparing the techniques presented for treatment between the two groups, the results showed that there were no differences between the two techniques in each of the VAS, FADI, and MRI findings, where the P-values post-treatment were 0.644, 0.112, and 0.831, respectively. Conclusion: Myofascial release and Stretching exercises can be used to treat calf muscle tears in the sub-acute stages.
背景:小腿肌肉撕裂是影响小腿、足部或大腿区域的最突然的疼痛之一。它可以通过磁共振成像(MRI)诊断,并通过物理治疗干预治疗。本研究的目的是评估和评估使用肌筋膜释放和拉伸练习进行小腿肌肉治疗的物理治疗干预的有效性,并通过传统物理治疗测量工具和MRI验证其有效性。方法:本研究包括30例小腿肌肉至少程度撕裂的患者。所有患者均使用1.5特斯拉MRI进行腿部MRI成像。治疗前对患者进行视觉模拟评分(VAS)和踝关节功能障碍评分(FADI)。然后将患者随机分为两组:第一组15例患者给予肌筋膜松解治疗,第二组15例患者给予伸展运动治疗。治疗后,通过不同的工具检查患者的治疗效果:VAS、FADI和MR成像。比较治疗前后患者的预后。结果:肌筋膜松解和伸展运动对患者有相同的效果。组内VAS、FADI和MRI评分前后的比较。然而,所有样本的P值均小于0.05。在比较两组治疗方法时,结果显示两种治疗方法在VAS、FADI和MRI上的表现均无差异,治疗后p值分别为0.644、0.112和0.831。结论:肌筋膜松解和拉伸训练可用于治疗亚急性期小腿肌肉撕裂。
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引用次数: 2
Family Functions during Adolescent Pregnancy: Cases Study 青少年怀孕期间的家庭功能:个案研究
Pub Date : 2022-09-30 DOI: 10.33425/2639-944x.1291
Banchamaporn Sirikhun, Saovakon Virasiri
Adolescent pregnancy is an overlapping situation during the normal development period for individuals and families, potentially causing impact and crisis as adolescents are not prepared both physically and psychosocially. The impacts could be more severe if the family does not accept the situation, rendering their functions incomplete or flawed, particularly in terms of caring, coping, socialization, and behavioral control in the hope to promote normal health and parenthood for pregnant adolescents. However, previous studies and most healthcare services emphasized evaluation primarily on the physical and mental health of pregnant adolescents, with limited focus on family functions. This three-case study thus endeavored to grasp family functions among families with adolescent pregnancy; by evaluating the health conditions of families with adolescent pregnancy both intentional and unintentional pregnancy. The content analysis revealed family emphasized the provision of financial support, conducted limited expression of love and care, and found no direct socialization on good parenting, inappropriate coping methods, and health issues among pregnant adolescents and families. Therefore, nurses and health personnel should create effective interventions to support and promote family health as a whole system; during adolescent pregnancy, postpartum care, raising their children, including strengthening new family.
少女怀孕是个人和家庭在正常发育期间的重叠情况,由于青少年在身体和心理社会方面都没有做好准备,可能会造成影响和危机。如果家庭不接受这种情况,其影响可能更严重,使其功能不完整或有缺陷,特别是在照顾、应对、社会化和行为控制方面,以期促进怀孕少女的正常健康和为人父母。然而,以往的研究和大多数医疗保健服务主要强调对怀孕少女的身心健康进行评估,而对家庭功能的关注有限。因此,这三个案例的研究努力掌握青少年怀孕家庭的家庭功能;通过评估有意和无意怀孕少女家庭的健康状况。内容分析显示,家庭强调提供经济支持,爱和关怀的表达有限,在怀孕少女和家庭中没有发现关于良好育儿、不适当的应对方法和健康问题的直接社会化。因此,护士和保健人员应创造有效的干预措施,以支持和促进整个家庭保健系统;少女怀孕期间,产后护理,抚养子女,包括巩固新的家庭。
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引用次数: 1
Emerging Options Using Osteobiologics Treatment for FFP Type IA Comminuted Stable Fragility Fractures Involving the Pubic Rami 使用骨生物学治疗涉及耻骨支的FFP IA型粉碎性脆性骨折的新选择
Pub Date : 2022-09-30 DOI: 10.33425/2639-944x.1289
James M. Ray
Introduction: For many elderly patients who sustain a pubic rami fracture after a fall, the traditional treatment of extended bed rest and restricted mobility is often not practical. A classification for pubic rami fractures has been developed to recommend treatment. There is a technique to augment the biologic fracture environment using Calcium Phosphate through a minimally invasive procedure. In this study FFP Type Ia fractures were treated using Calcium phosphate. Methods: Our study, from January 1, 2018, to December 31, 2019, identified eighty-eight patients with FFP Type Ia fractures, who were treated with Calcium Phosphate. There were 9 males and 79 females, average ages were 78 and 86 respectively. Admission workup included pelvic x-rays as well as a CT scan. All received Calcium Phosphate for fracture fixation. They were followed in the outpatient clinic with pelvic radiographs at 3 weeks, 6 weeks, 6 months. 9 months and 1 year. Evidence of incorporation of the Calcium Phosphate in the fracture healing were documented. Results: There were no infections, no vascular, and no urological complications with this technique. All treated fractures went on to heal. Incorporation of the Calcium Phosphate was noted as early as 12 weeks. Residual presence of Calcium Phosphate was seen at 1 year and was consistent with the research literature. Conclusion: This new method of minimally invasive internal fixation using a bone biologic enhancement material provides an immediate improvement of post injury pain and an increase in immediate post treatment mobility. This treatment is applicable for all pelvic fragility fractures, including Type Ia who present with comminution. Risks with this treatment are low and benefits to the patient are high.
简介:对于许多老年患者在跌倒后发生耻骨支骨折,传统的延长卧床休息和限制活动的治疗方法往往是不实用的。耻骨支骨折的分类已经发展到推荐治疗。有一种技术可以通过微创手术使用磷酸钙来增强生物骨折环境。本研究采用磷酸钙治疗FFP型骨折。方法:我们的研究,从2018年1月1日到2019年12月31日,确定了88例FFP Ia型骨折患者,他们接受了磷酸钙治疗。男性9例,女性79例,平均年龄78岁、86岁。入院检查包括骨盆x光和CT扫描。所有患者均接受磷酸钙骨折固定。随访时间分别为3周,6周,6个月。9个月1年。在骨折愈合中加入磷酸钙的证据被记录在案。结果:无感染,无血管,无泌尿系统并发症。所有治疗过的骨折都愈合了。早在12周时就发现了磷酸钙的掺入。1年后发现磷酸钙残留,与研究文献一致。结论:这种使用骨生物增强材料的微创内固定新方法可立即改善损伤后疼痛并增加治疗后立即的活动能力。这种治疗方法适用于所有骨盆脆性骨折,包括出现粉碎性骨折的Ia型。这种治疗的风险很低,对患者的益处很高。
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引用次数: 0
Faculty Scholarship at an Academic Health System 学术卫生系统的教员奖学金
Pub Date : 2022-09-30 DOI: 10.33425/2639-944x.1288
J. Jackson, L. Wendt
Objectives: To determine the number of published papers per faculty member and percent of faculty with published papers during the FY 21 academic year at an allopathic medical school stratified by department, academic rank, sex, and academic track. Methods: Published papers from 449 tenure track faculty (351 males, 98 females) and 721 clinical track faculty (364 males, 357 females) were analyzed. Findings: 71.0% of tenure track faculty (69.5% of males, 76.5% of females) and 32.3% of clinical track faculty (39.3% of males, 25.2% of females) published a first/last author paper, and 88.6% of tenure track faculty (88.6% of males, 88.8% of females) vs 54.9% of clinical track faculty (60.7% of males, 49.0% of females) published an authored paper. The percentage of faculty publishing at least one first/last author paper stratified by academic rank was 59.4%, 45.8%, and 37.9% for Professor (61.8% of males, 52.5% of females), Associate Professor (51.0% of males, 37.3% of females), and Assistant Professor (47.3% of males, 28.7% of females), respectively. For tenure track faculty, the median number of published first/last author papers and total number of papers by sex was 1 and 4 for males, while it was 1.5 and 4 for females. For clinical track faculty, the median number of published first/last author papers and total number of papers by sex was 0 and 1 for males, and 0 and 0 for females. The three departments with the highest percentage of faculty with published papers were Urology, Neurosurgery, and Microbiology/Immunology. Conclusions: Tenure track faculty published more papers than clinical track faculty both in terms of quantity and in terms of percentage of faculty with authored papers. A greater percentage of male faculty published papers than female faculty in the clinical track but not the tenure track. Likewise, a greater percentage of faculty at higher academic ranks published papers.
目的:确定一所对抗疗法医学院按院系、学术等级、性别和学术轨迹分层的每名教员发表论文的数量和在21财年发表论文的教员的百分比。方法:对449名终身教职教师(男351人,女98人)和721名临床教职教师(男364人,女357人)发表的论文进行分析。研究结果:71.0%的终身教职教师(男性占69.5%,女性占76.5%)和32.3%的临床教职教师(男性占39.3%,女性占25.2%)发表了第一/最后作者论文,88.6%的终身教职教师(男性占88.6%,女性占88.8%)和54.9%的临床教职教师(男性占60.7%,女性占49.0%)发表了一篇作者论文。教授(男性占61.8%,女性占52.5%)、副教授(男性占51.0%,女性占37.3%)和助理教授(男性占47.3%,女性占28.7%)发表至少一篇第一/最后作者论文的比例分别为59.4%、45.8%和37.9%。在终身教职教师中,按性别划分的第一/最后作者论文数量和论文总数中位数,男性为1篇和4篇,女性为1.5篇和4篇。按性别划分,临床学科教师发表第一/最后作者论文数和论文总数的中位数,男性为0和1,女性为0和0。发表论文比例最高的三个系是泌尿外科、神经外科和微生物学/免疫学。结论:终身制教师发表论文的数量和撰写论文的比例均高于临床制教师。在临床方面,男性教师发表论文的比例高于女性教师,但在终身教职方面则不然。同样,学术排名较高的教师发表论文的比例也更高。
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引用次数: 0
Ageist Stereotypes in Adolescents Living with an Elderly Person 与老年人同住的青少年中的年龄歧视刻板印象
Pub Date : 2022-09-30 DOI: 10.33425/2639-944x.1290
Z. Felc, Brina Felc
Ageism in modern society seems to be internalized in childhood and reinforced in adolescence. The aim of the research was to show the stereotyping of the elderly among adolescents, based on a foreign survey questionnaire adapted to the cultural specifics of Slovenian adolescents. We performed a bivariate analysis on a sample of 188 students in the Slovenian Savinja statistical region and found that ageist stereotyping among adolescents is related to their joint household with an elderly person. The negative attitude towards the elderly could be improved among adolescents through formal and informal education about age and aging in an intergenerational environment which also includes the family.
现代社会的年龄歧视似乎在童年时期内化,并在青春期得到强化。这项研究的目的是根据一份适合斯洛文尼亚青少年文化特点的外国调查问卷,显示青少年对老年人的刻板印象。我们对斯洛文尼亚萨维加统计区的188名学生样本进行了双变量分析,发现青少年的年龄歧视刻板印象与他们与老年人的共同家庭有关。通过在包括家庭在内的代际环境中进行关于年龄和老龄化的正式和非正式教育,可以改善青少年对老年人的消极态度。
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引用次数: 0
Mesenchymal Stem Cells to treat Inflammatory Bowel Disease 间充质干细胞治疗炎症性肠病
Pub Date : 2022-08-29 DOI: 10.33425/2639-944x.1287
Natalia Leigh Diaz, V. Gallicchio
Inflammatory bowel disease (IBD) is a term for two chronic conditions. These diseases are Crohn’s disease and ulcerative colitis that are both identified by inflammation in the gastrointestinal (GI) tract. Crohn’s disease can occur anywhere in the digestive tract. In contrast to that, ulcerative colitis is limited to just the colon. Along with that, Crohn’s disease can have gaps of healthy tissue in between inflamed areas while ulcerative colitis has no healthy gaps amongst inflamed areas. Factors such as stress and diet have been proven to aggravate symptoms of inflammatory bowel diseases. Symptoms include abdominal pain, fatigue, joint pain, and anemia. Crohn’s disease and ulcerative colitis can cause ulcers, bowel obstruction, fistulas, malnutrition, and many other health conditions. There is also increased risk of cancer and blood clots. These factors make efficient treatments crucial for the disease. Researchers have tested stem cells and their efficiency to treat inflammatory bowel diseases. This is because stem cells are cells that have not become specialized. This allows for the cell to produce new cells or replaces specialized damaged or lost cells. Mesenchymal stem cells (MSCs) have been used in both human and animal research to treat inflammatory bowel disease. This type of stem cell can differentiate into various tissue types. Mesenchymal stem cells also contain anti-inflammatory and anti- fibrotic properties making it ideal to treat inflammation in autoimmune diseases. Mesenchymal stem cells have shown to be capable of treating inflammatory bowel disease due to their regenerative capabilities, immune-suppressive properties, and anti-inflammatory components. This has been seen in animal and human patients by achieving an increase in quality of life through results like reduced inflammation, complete remission, and reduced health complications making it an ideal treatment to continue and research for inflammatory bowel disease.
炎症性肠病(IBD)是两种慢性疾病的统称。这些疾病是克罗恩病和溃疡性结肠炎,这两种疾病都是通过胃肠道炎症来识别的。克罗恩病可以发生在消化道的任何地方。与此相反,溃疡性结肠炎仅限于结肠。与此同时,克罗恩病在炎症区域之间会有健康组织的间隙,而溃疡性结肠炎在炎症区域之间没有健康的间隙。压力和饮食等因素已被证明会加重炎症性肠病的症状。症状包括腹痛、疲劳、关节痛和贫血。克罗恩病和溃疡性结肠炎可引起溃疡、肠梗阻、瘘管、营养不良和许多其他健康问题。患癌症和血栓的风险也会增加。这些因素使得有效的治疗对这种疾病至关重要。研究人员已经测试了干细胞及其治疗炎症性肠病的效率。这是因为干细胞是尚未分化的细胞。这允许细胞产生新的细胞或替换专门受损或丢失的细胞。间充质干细胞(MSCs)已在人类和动物研究中用于治疗炎症性肠病。这种类型的干细胞可以分化成各种组织类型。间充质干细胞还含有抗炎和抗纤维化的特性,使其成为治疗自身免疫性疾病炎症的理想药物。间充质干细胞由于其再生能力、免疫抑制特性和抗炎成分,已被证明能够治疗炎症性肠病。这已经在动物和人类患者中看到,通过减少炎症,完全缓解和减少健康并发症等结果,实现了生活质量的提高,使其成为继续研究炎症性肠病的理想治疗方法。
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引用次数: 0
Mismatch of In Vitro and In Vivo Antiviral Effect of Remdesivir against SARS-CoV-2 瑞德西韦对SARS-CoV-2体内外抗病毒作用的不匹配
Pub Date : 2022-08-29 DOI: 10.33425/2639-944x.1284
A. Chakraborty, Anil Diwan
A recent clinical trial (Clinical Trial: NCT04315948) by Florence Ader et al., published on the preprint server medRxiv (Posted April 12, 2022), reported that RDV was not associated with clinical improvement at day 15 or day 29, nor with a reduction in mortality, nor with a reduction in SARS-CoV-2 RNA. In cell culture studies with SARS-CoV-2 infection in a variety of cell types, the antiviral effect of RDV was satisfactory. However, the authors of this clinical trial state that the efficacy of the drug and its toxicity in humans is over predicted. However, we came up with our own evaluation from our most relevant experimental results.
最近由Florence Ader等人在预印本服务器medRxiv(发布于2022年4月12日)上发表的一项临床试验(临床试验:NCT04315948)报告称,RDV与第15天或第29天的临床改善无关,也与死亡率降低无关,也与SARS-CoV-2 RNA减少无关。在多种细胞类型感染SARS-CoV-2的细胞培养研究中,RDV的抗病毒效果令人满意。然而,这项临床试验的作者指出,这种药物的功效及其对人体的毒性被高估了。然而,我们从我们最相关的实验结果中得出了我们自己的评价。
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引用次数: 0
期刊
Journal of Medical – Clinical Research & Reviews
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