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A review of research advances in the clinical management of adolescent depression 青少年抑郁症临床治疗研究进展综述
Pub Date : 2024-01-08 DOI: 10.54254/2753-8818/29/20240815
Siyuan Liu
With the change of time and the development of society, in recent years, the problem of depression among adolescents has attracted much attention in China and even in the world. Depression is a relatively common psychiatric disorder at this stage. Focusing on the clinical treatment methods of adolescent depression, this review summarizes and discusses the progress of psychotherapy, the progress of medication, and other physical therapy methods applied in todays clinic for treating adolescent patients with depression and finds that the psychotherapeutic method that is applied more in todays clinic is cognitive-behavioral therapy (CBT); medications such as fluoxetine are mostly used, but it is difficult to guarantee the safety of medication use, and the combination of Chinese and Western medications is often used in China. In China, a combination of Chinese and Western medicines is often used; at the same time, repetitive transcranial magnetic therapy is often used, and electroconvulsive therapy is occasionally used. At the same time, the combination of multiple therapies has a better effect.
随着时代的变迁和社会的发展,近年来,青少年抑郁症问题在我国乃至世界范围内都引起了广泛关注。抑郁症是现阶段较为常见的一种精神疾病。本综述围绕青少年抑郁症的临床治疗方法,总结和探讨了当今临床上应用于治疗青少年抑郁症患者的心理治疗进展、药物治疗进展以及其他物理治疗方法,发现当今临床上应用较多的心理治疗方法是认知行为治疗(CBT);药物治疗多采用氟西汀等药物,但用药安全性难以保证,国内多采用中西药结合治疗。在中国,经常使用中西医结合疗法;同时,经常使用重复经颅磁疗法,偶尔使用电休克疗法。同时,多种疗法联合使用效果更好。
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引用次数: 0
Analysis of the current status and development prospects of artificial hearts 人工心脏的现状和发展前景分析
Pub Date : 2024-01-08 DOI: 10.54254/2753-8818/29/20240755
Yuan Yuan
Confronted with the rapid need for transplantable hearts, patients who need a heart transplant cannot receive the suitable configuration. Thus contributes to the development of artificial hearts, which can be created to substitute the old, the ill heart without waiting for transplantable hearts. Nowadays, this paper shows the public the artificial hearts. Through the extensive literature, it is clear that the development of artificial hearts. Dating back to the fifties of the last century, scientists began studying artificial hearts. Till now, China has created four generations of artificial hearts. They became more and more strong. The importance of the heart goes without saying, however, every year there are more and more heart failure patients. Paying more attention to the artificial hearts helps reduce the death rate of heart failures. Actually, although the patients can get the heart donors, they may not tolerate rejection. So research into artificial hearts more suitable for patients is imminent. This paper mainly introduces the fourth-generation artificial hearts (in fact, it is an improved version of the third generation), the magnetic levitation artificial heart attracts much more attention, and its composition and function have been greatly improved, reducing the difficulty of surgery. It is hoped that people can know much more about artificial hearts, and prospects for better methods to make better artificial hearts, and promote heart transplantations.
面对对可移植心脏的快速需求,需要心脏移植的患者无法获得合适的配置。因此,人工心脏应运而生,无需等待移植心脏就能替代老化、患病的心脏。如今,本文向公众展示了人造心脏。通过大量文献,我们可以清楚地看到人工心脏的发展。早在上世纪五十年代,科学家们就开始研究人工心脏。迄今为止,中国已经制造了四代人工心脏。它们变得越来越强大。心脏的重要性不言而喻,然而,心衰患者却逐年增多。对人工心脏的重视有助于降低心衰的死亡率。事实上,虽然患者可以得到心脏捐献者,但他们可能无法忍受排斥反应。因此,研究更适合患者的人工心脏迫在眉睫。本文主要介绍第四代人工心脏(其实是第三代的改进版),磁悬浮人工心脏更受关注,其组成和功能都有了很大的改进,降低了手术难度。希望人们能更多地了解人工心脏,展望更好的方法,制造出更好的人工心脏,促进心脏移植。
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引用次数: 0
Research on the relationship between sleep and aging 睡眠与衰老之间关系的研究
Pub Date : 2024-01-08 DOI: 10.54254/2753-8818/29/20240847
Yihan Chang
With the in-depth development of population aging, the level of health reduction of the elderly groups sharply increased, the rapid aging of the population brought health problems became a major challenge of 21st-century Chinese society, how to healthy aging, continuously improve the health level of older people, improve the quality of life in old age, there is no doubt more holistic, targeted and innovative thinking. Several studies have proved that a healthy lifestyle can effectively improve the health of the elderly. However, a series of factors, such as poor sleep quality, continue to harm the health of the elderly, resulting in reduced quality of life. With the large scale and rapid aging, the proportion of the elderly in the population is also increasing. In an aging society, the biggest problems plaguing the elderly are the loss of sleep quality and the loss of memory and concentration. People may have sleep disorders as they get older, and sleep problems will affect memory. This study used literature research to summarize the relationship between population aging and sleep. Compared with previous studies, this paper is more targeted and comprehensive in explaining the relationship between the three from micro and macro perspectives: aging leads to changes in sleep structure and duration, which further affects memory ability.
随着人口老龄化的深入发展,老年群体的健康水平急剧下降,人口快速老龄化带来的健康问题成为 21 世纪中国社会的一大挑战,如何健康老龄化,不断提高老年人的健康水平,改善老年生活质量,无疑需要更多整体性、针对性和创新性的思考。多项研究证明,健康的生活方式可以有效提高老年人的健康水平。然而,睡眠质量差等一系列因素仍在损害着老年人的健康,导致生活质量下降。随着老龄化规模的扩大和速度的加快,老年人口的比例也在不断增加。在老龄化社会中,困扰老年人的最大问题是睡眠质量下降、记忆力和注意力减退。随着年龄的增长,人们可能会出现睡眠障碍,而睡眠问题会影响记忆力。本研究通过文献研究,总结了人口老龄化与睡眠之间的关系。与以往的研究相比,本文更有针对性,从微观和宏观角度全面阐述了三者之间的关系:老龄化导致睡眠结构和睡眠时间的变化,从而进一步影响记忆能力。
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引用次数: 0
L-theanine mechanism and application in the treatment of breast cancer 左旋茶氨酸治疗乳腺癌的机制和应用
Pub Date : 2024-01-08 DOI: 10.54254/2753-8818/29/20240762
Cong Li, Renyue Cai, Linjiusheng Chen, Shizhen Xu, Xiaoyu Yang, Yixin Huang
Breast cancer has been recognized as the leading cancer worldwide and is one of the most common diseases among women, with an incidence rate of up to 7.7%. The pathogenesis of breast cancer can be categorized into congenital and acquired factors, including epigenetics and mutations. The occurrence of breast cancer is closely related to acquired factors such as environment, emotions, and diet. Numerous studies have demonstrated that L-theanine in tea can intervene in the growth and spread of breast cancer cells, thus playing a role in the treatment and prevention of breast cancer. This article provides an overview of the current research on the prevention and treatment of breast cancer using L-theanine, and also prospects the future development and application of L-theanine.
乳腺癌已被公认为全球第一大癌症,也是女性最常见的疾病之一,发病率高达 7.7%。乳腺癌的发病机制可分为先天因素和后天因素,包括表观遗传学和基因突变。乳腺癌的发生与环境、情绪、饮食等后天因素密切相关。大量研究表明,茶叶中的左旋茶氨酸可以干预乳腺癌细胞的生长和扩散,从而在治疗和预防乳腺癌方面发挥作用。本文概述了目前利用左旋茶氨酸预防和治疗乳腺癌的研究情况,并对左旋茶氨酸的未来发展和应用进行了展望。
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引用次数: 0
Immune checkpoint inhibitor combination therapy 免疫检查点抑制剂联合疗法
Pub Date : 2024-01-08 DOI: 10.54254/2753-8818/29/20240664
Xiaoying Liu
In recent years, Immune checkpoint inhibitors (ICIs) are being approved for the treatment of a wide range of malignancies, and they are one of the most popular immunotherapies for tumours, bringing new hope to patients. However, single-agent ICI therapy has limited efficacy and is prone to drug resistance, and the objective remission rate of ICI alone is only 10-20% in some tumours, therefore, how to improve clinical efficacy is the key point of clinical research associated with immunotherapy. New research has found that the combination of ICIs with differing mechanisms not only improves efficacy, but also prolongs the anti-tumour effect, while an appropriate dosing regimen can effectively balance efficacy and safety. It is proposed to review the mechanism, pharmacokinetics and clinical research progress of ICI combination therapy.
近年来,免疫检查点抑制剂(ICIs)被批准用于多种恶性肿瘤的治疗,成为最受欢迎的肿瘤免疫疗法之一,为患者带来了新的希望。然而,单药ICI治疗疗效有限,且易产生耐药性,在一些肿瘤中,单用ICI的客观缓解率仅为10%-20%,因此,如何提高临床疗效是免疫疗法相关临床研究的重点。新的研究发现,不同机制的 ICIs 联用不仅能提高疗效,还能延长抗肿瘤作用时间,而合适的给药方案能有效平衡疗效和安全性。本文拟对 ICI 联合疗法的机制、药代动力学和临床研究进展进行综述。
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引用次数: 0
Obesity rates and its various impact to adults over the age of 18 in the United States 肥胖率及其对美国 18 岁以上成年人的各种影响
Pub Date : 2024-01-08 DOI: 10.54254/2753-8818/29/20240822
Yanbo Han
Obesity has become a global public health problem, which will negatively affect individual health along with the social economy, but there are fewer effective ways to control obesity and useful methods to prevent obesity from occurring. A data set about obesity rate was used as the basic data set, and the average obesity rate and BMI for each group were calculated using formulas of descriptive statistics. Then the results were shown through figures using the method of correlation analysis. Also, in addition, for a more comprehensive understanding of the differences between different regions, the study of Ward et al was also referred. Through analysis, obesity rates of adults in different age group in the U.S has a tendency of rising in recent years. There are also differences in obesity rates by various circumstances. In addition, there is a correlation between genetic factors, family environment, social impact, and obesity rates. And a high obesity rate will have bad effects on both adults in the society and the society itself. Obesity causes various impacts on adults over the age of 18 in America. And more usable and effective ways of dealing with obesity should be created.
肥胖已成为全球性的公共卫生问题,对个人健康和社会经济都会产生负面影响,但控制肥胖的有效方法和预防肥胖发生的有用方法却较少。本研究以肥胖率数据集为基础数据集,利用描述性统计公式计算出各组的平均肥胖率和体重指数。然后,利用相关分析方法通过数字显示结果。此外,为了更全面地了解不同地区之间的差异,还参考了 Ward 等人的研究。通过分析,美国不同年龄段成年人的肥胖率近年来有上升趋势。不同环境下的肥胖率也存在差异。此外,遗传因素、家庭环境、社会影响与肥胖率之间也存在相关性。而高肥胖率对社会中的成年人和社会本身都会产生不良影响。肥胖症对美国 18 岁以上的成年人造成了各种影响。我们应该创造更多可用和有效的方法来解决肥胖问题。
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引用次数: 0
Early diagnosis and treatment strategies for pediatric growth hormone deficiency 小儿生长激素缺乏症的早期诊断和治疗策略
Pub Date : 2024-01-08 DOI: 10.54254/2753-8818/29/20240827
Zhaoqi Wang
Over the last century, adult height has shown a marked increase, largely attributed to advancements in nutrition and healthcare. Monitoring child growth is crucial for the early identification of growth-related disorders. One such condition is the underperformance of the pituitary gland, which can lead to a deficiency in growth hormone, manifesting as short stature. Therapeutic interventions, such as growth hormone therapy and low-dose androgen therapy, have proven effective. These treatments utilize synthetic hormones to foster normal growth. Prompt and accurate diagnosis, coupled with precise treatment, is critical to empower individuals to reach their maximum growth potential and alleviate associated health concerns. Future research should aim to deepen our understanding of the interplay between pituitary cells, uncover additional genetic factors contributing to short stature, and enhance growth hormone replacement therapies. Such progress will significantly bolster the diagnostic and therapeutic strategies for children with growth impairments.
在上个世纪,成人身高有了明显的增长,这主要归功于营养和医疗保健的进步。监测儿童生长情况对于及早发现与生长有关的疾病至关重要。其中一种情况是脑垂体功能低下,可导致生长激素缺乏,表现为身材矮小。事实证明,生长激素疗法和低剂量雄激素疗法等治疗干预措施是有效的。这些疗法利用合成激素来促进正常生长。及时、准确的诊断,加上精确的治疗,对于让患者发挥最大生长潜能和减轻相关健康问题至关重要。未来的研究应旨在加深我们对垂体细胞之间相互作用的了解,发现导致身材矮小的其他遗传因素,并改进生长激素替代疗法。这些进展将大大加强对生长障碍儿童的诊断和治疗策略。
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引用次数: 0
Mitochondria in aging: A review of structure, function, and interorganelle relationships 衰老中的线粒体:结构、功能和细胞器间关系综述
Pub Date : 2024-01-08 DOI: 10.54254/2753-8818/29/20240749
Mingyuan Chen
The process of aging is what everyone is experiencing during the whole life. Many factors contribute to the aging process, among which the changes in mitochondrial structure and function are one important step. in this review, we elaborated on the relationship between mitochondria and aging from three aspects: the structure and function of mitochondria, the changes of mitochondria during aging, and the relationship between mitochondria and other organelles, we also described the progress related to mitochondrial targeted therapy. In summary, The passage highlights a review that examines the connection between mitochondria and aging from three main angles: understanding the structure and function of mitochondria, exploring how mitochondria change as an individual ages, and uncovering their relationships with other cellular organelles. Additionally, the passage discusses the advancements in mitochondrial targeted therapy within the context of aging.
衰老是每个人一生都要经历的过程。本综述从线粒体的结构和功能、线粒体在衰老过程中的变化、线粒体与其他细胞器的关系三个方面阐述了线粒体与衰老的关系,并介绍了线粒体靶向治疗的相关进展。总之,这段话着重介绍了一篇综述,从三个主要角度探讨了线粒体与衰老之间的联系:了解线粒体的结构和功能、探索线粒体在个体衰老过程中的变化以及揭示线粒体与其他细胞器的关系。此外,这段话还讨论了在衰老背景下线粒体靶向治疗的进展。
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引用次数: 0
Analysis on type 2 diabetes genetic polymorphism of different races/ethnicity 不同种族/族裔的 2 型糖尿病基因多态性分析
Pub Date : 2024-01-08 DOI: 10.54254/2753-8818/29/20240763
Rui Cai
Whether from the perspective of impact scope or patient number, type 2 diabetes is one of the most influential diseases around the world today. However, in regards to type 2 diabetess pathology, scientists still could not provide an accurate explanation. In the long period of research, our understanding of the disease has already become deep enough to realize that type 2 diabetes is closely associated with genetics. This passage is based on this point of view and aims to take a glance at the polymorphism between genetic information of different racial/ethnic groups of people. From the analysis, it could be concluded that genetic polymorphism can provide useful information for the difference of pathology of patients, which could then inspire further drug development and more proper treatment scheme decision.
无论是从影响范围还是患者数量来看,2 型糖尿病都是当今世界上影响最大的疾病之一。然而,对于 2 型糖尿病的病理,科学家们仍然无法给出准确的解释。在长期的研究中,我们对这种疾病的认识已经足够深刻,认识到 2 型糖尿病与遗传密切相关。本段正是基于这一观点,旨在对不同种族/民族人群遗传信息的多态性进行梳理。通过分析,我们可以得出结论:基因多态性可以为患者的病理差异提供有用的信息,从而启发进一步的药物研发和更正确的治疗方案决策。
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引用次数: 0
Improving brain penetration using elacridara P-glycoprotein and BCRP inhibitor 使用艾拉克拉P-糖蛋白和BCRP抑制剂提高脑渗透率
Pub Date : 2024-01-08 DOI: 10.54254/2753-8818/29/20240729
Xinyue Yao
The central nervous system (CNS) is a site for a myriad of disorders and diseases, such as schizophrenia, Alzheimers disease, and Parkinsons disease. Many medications targeting these illnesses remain challenged due to efflux transporters forming a blood-brain barrier (BBB). To combat such challenges, elacridar shown promise at inhibiting such transporters, such as P-glycoprotein (P-gp) and breast cancer resistance protein (BCRP), therefore improving brain penetration. However, as an early clinical candidate, many remain unknown about elacridars pharmacokinetic (PK) properties in the human body. This paper aims to obtain a better understanding of elacridars pharmacokinetic profile and predict the optimal dose and dose interval for its application in the clinic. To begin with, a series of basic PK models were created using fundamental PK equations and the models were fit to elacridar clinical data to obtain elacridar-specific PK parameters. Next, elacridar preclinical PK as well as in vitro inhibition assay were used to determine the therapeutic window. Our final, multiple-dose extravascular PK model reveals that the most convenient and effective dose regimen is 900 mg BID (bis in die; twice per day). With this elacridar PK model, researchers can leverage elacridar human PK to improve clinical outcomes.
中枢神经系统(CNS)是精神分裂症、阿兹海默病和帕金森病等多种疾病的发病部位。由于外流转运体形成了血脑屏障(BBB),许多针对这些疾病的药物仍然面临挑战。为了应对这些挑战,艾拉克瑞达有望抑制此类转运体,如P-糖蛋白(P-gp)和乳腺癌抗性蛋白(BCRP),从而改善脑部渗透。然而,作为一种早期的临床候选药物,艾乐司在人体内的药代动力学(PK)特性仍有许多未知之处。本文旨在更好地了解艾拉瑞达的药代动力学特征,并预测其应用于临床的最佳剂量和剂量间隔。首先,利用基本 PK 方程建立了一系列基本 PK 模型,并将这些模型与依拉克瑞达的临床数据进行拟合,以获得依拉克瑞达的特定 PK 参数。接着,利用艾乐司达的临床前 PK 和体外抑制试验来确定治疗窗口期。我们最终建立的多剂量血管外 PK 模型显示,最方便有效的剂量方案是 900 毫克 BID(双剂量,每天两次)。有了这个艾乐司达 PK 模型,研究人员就可以利用艾乐司达的人体 PK 来改善临床疗效。
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引用次数: 0
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Theoretical and Natural Science
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