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Mesenchymal Stem Cell Therapy for Azoospermia: Navigating Differentiation Challenges and Charting Future Frontiers in Male Fertility Treatment 治疗无精子症的间充质干细胞疗法:应对分化挑战,开辟男性生育治疗的未来前沿
Pub Date : 2024-03-14 DOI: 10.18502/wkmj.v66i1.15679
Farhad Rahmanifar
This minireview explores the current landscape of stem cell therapy for azoospermia, focusing on the potential and challenges associated with Mesenchymal Stem Cells (MSCs). The discussion encompasses the precise regulation of MSC differentiation, safety considerations, and ethical implications. Recent advancements in optimizing differentiation protocols, improving engraftment efficiency, and ongoing clinical trials are highlighted. Despite the hurdles, MSCs emerge as a promising avenue for male infertility treatment. The conclusion emphasizes the necessity for continued research and clinical trials to unlock the full potential of MSC therapy in addressing the complexities of azoospermia.
这篇微型综述探讨了干细胞疗法治疗无精子症的现状,重点是间充质干细胞(MSCs)的潜力和相关挑战。讨论包括间充质干细胞分化的精确调控、安全性考虑和伦理影响。重点介绍了在优化分化方案、提高移植效率和正在进行的临床试验方面取得的最新进展。尽管障碍重重,但间充质干细胞已成为治疗男性不育症的一条大有可为的途径。结论强调了继续研究和临床试验的必要性,以充分释放间充质干细胞疗法的潜力,解决无精子症的复杂问题。
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引用次数: 0
Squid as a Model Organism - Part 2: Biomedical and Tissue Engineering Technologies of Skin 乌贼作为模式生物--第 2 部分:皮肤生物医学和组织工程技术
Pub Date : 2024-03-14 DOI: 10.18502/wkmj.v66i1.15602
Hamzeh Ghaempanah, Mahsa Jalilinezhad, Leila Satarian
Nature has always been the greatest teacher for humans, and many of our inventions have been inspired by a careful examination of natural phenomena. Even today, despite significant advancements in technology, scientists continue to turn to nature to find solutions to problems and enhance various systems. Discovering the complex mechanisms within the bodies of living organisms has consistently provided a foundation for numerous ideas and innovations. The colossal squid, with its unique characteristics, has recently garnered the attention of many scientists, serving as a source of inspiration for diverse medical and engineering designs. In this study, we will focus on the squid’s skin and its camouflage mechanisms, highlighting how humanity has leveraged this remarkable creature for scientific, and engineering progress.   Keywords: squid, nature-inspired, biotechnology, biological and engineering technologies
大自然一直是人类最伟大的老师,我们的许多发明都是在仔细研究自然现象后获得的灵感。时至今日,尽管科技取得了长足进步,科学家们仍在继续从大自然中寻找解决问题的办法,并不断改进各种系统。发现生物体内的复杂机制一直是无数创意和创新的基础。巨型乌贼以其独特的特性最近引起了许多科学家的关注,成为各种医学和工程设计的灵感来源。在本研究中,我们将重点关注乌贼的皮肤及其伪装机制,突出人类如何利用这种非凡的生物促进科学和工程进步。 关键词:乌贼;自然启发;生物技术;生物和工程技术
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引用次数: 0
Empirical Nutrition Models and Their Impact on Public Health 经验营养模型及其对公众健康的影响
Pub Date : 2024-03-14 DOI: 10.18502/wkmj.v66i1.15681
Elmira Khairullina, A. Baspakova, Saltanat Zhumagaliyeva
This mini review delves into the transformative role of empirical nutrition models in the field of public health. By leveraging large-scale datasets and advanced statistical analyses, these models offer a more precise understanding of individual dietary needs, moving beyond traditional one-size-fits-all approaches. Their ability to identify and analyze complex dietary patterns, such as the Mediterranean diet or plant-based lifestyles, contributes to a more comprehensive assessment of overall dietary quality. Moreover, empirical nutrition models facilitate early intervention and prevention strategies by identifying risk factors for chronic diseases at an early stage. This proactive approach holds significant promise in reducing the burden of prevalent health issues, including obesity, diabetes, and cardiovascular disorders. The article also highlights the crucial role of these models in guiding policy development and influencing public health campaigns, providing evidence-based recommendations that address the diverse dietary needs of populations. Despite their promise, challenges such as data quality, standardization, and the dynamic nature of nutritional science are acknowledged. The abstract underscores the importance of continuous technological advancements and collaborative efforts among researchers, policymakers, and healthcare professionals to address these challenges and refine the accuracy of nutrition models. In conclusion, empirical nutrition models represent a paradigm shift toward more personalized and effective public health strategies. As these models continue to evolve with technological advancements, their impact on public health is poised to grow. They can contribute to creating healthier communities and foster a more nuanced understanding of the complex relationship between diet and overall well-being.
这篇微型综述深入探讨了实证营养模型在公共卫生领域的变革性作用。通过利用大规模数据集和先进的统计分析,这些模型超越了传统的 "一刀切 "方法,提供了对个人膳食需求更精确的理解。它们能够识别和分析复杂的膳食模式,如地中海膳食或以植物为基础的生活方式,有助于对整体膳食质量进行更全面的评估。此外,实证营养模型通过在早期阶段识别慢性疾病的风险因素,有助于早期干预和预防策略。这种积极主动的方法在减轻肥胖、糖尿病和心血管疾病等普遍健康问题的负担方面大有可为。文章还强调了这些模型在指导政策制定和影响公共卫生运动方面的关键作用,它们提供了以证据为基础的建议,满足了不同人群的饮食需求。尽管这些模型大有可为,但数据质量、标准化和营养科学的动态性质等挑战也得到了认可。摘要强调了技术不断进步的重要性,以及研究人员、决策者和医疗保健专业人员通力合作应对这些挑战并提高营养模型准确性的重要性。总之,实证营养模型代表着向更个性化、更有效的公共卫生策略的范式转变。随着这些模型不断随着技术进步而发展,它们对公共卫生的影响也会越来越大。它们有助于创建更健康的社区,促进对饮食与整体健康之间复杂关系的更细致入微的理解。
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引用次数: 0
Squid as a Model Organism - Part 3: Ocular Morphology and its Implications in Biomimicry for Human Ophthalmology 作为模式生物的乌贼--第 3 部分:眼部形态学及其对人类眼科生物仿生学的影响
Pub Date : 2024-03-14 DOI: 10.18502/wkmj.v66i1.15678
Fatemeh Sadat Hosseini Mazinani, Shadi Mayadani, Sajedeh Mosaffa, Alireza Arandian, Ahmad Bereimipour, Sara Poosti, Leila Satarian
The distinctive feature of cephalopods is their lack of scales, possession of eight arms and two long tentacles, with considerable diversity in shape, size, and habitat. Giant and colossal squids represent some of the largest marine creatures. Giant squids, in particular, are exceptionally captivating beings with unique characteristics that allow them to thrive in the incredibly dark depths of the oceans. Despite their large size, these cephalopods are agile swimmers, capable of sudden changes in direction. Vision is the primary sense for cephalopods, enabling them to perform these rapid movements. The giant squid (Architeuthis) has the largest eyes among marine and terrestrial animals, constituting a significant percentage of its weight and volume. These large eyes have captured the attention of biologists, leading to investigations into the anatomy, physiology, and histology of the cephalopod eye. It is noteworthy that the highest concentration of neural cells in the brain is found in the optic lobes of the giant squid, emphasizing the importance of vision in its life in dark and formidable habitats. In this review, we delve into the evolution, histology, structure, and physiology of the giant squid’s vision, followed by a comparative analysis with human optics.
头足纲动物的显著特点是没有鳞片,拥有八只手臂和两根长触手,在形状、大小和栖息地方面具有相当大的多样性。巨型鱿鱼和大鱿鱼是最大的海洋生物。尤其是巨型鱿鱼,它们是异常迷人的生物,具有独特的特征,能够在无比黑暗的海洋深处繁衍生息。尽管体型巨大,但这些头足类动物游动灵活,能够突然改变方向。视觉是头足类的主要感官,使它们能够进行这些快速运动。巨乌贼(Architeuthis)的眼睛是海洋和陆地动物中最大的,占其重量和体积的很大比例。这双大眼睛吸引了生物学家的注意,从而引发了对头足类动物眼睛的解剖学、生理学和组织学的研究。值得注意的是,巨乌贼的视叶是大脑神经细胞最集中的地方,这强调了视觉对其在黑暗和可怕的栖息地生活的重要性。在这篇综述中,我们将深入探讨巨乌贼视觉的进化、组织学、结构和生理学,然后与人类的光学进行比较分析。
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引用次数: 0
Ethical Challenges for Patients and Healthcare Providers with the Approach to COVID-19 Context: A Review 在 COVID-19 的背景下,患者和医疗服务提供者面临的伦理挑战:综述
Pub Date : 2024-03-14 DOI: 10.18502/wkmj.v66i1.15600
Sahar Haghighat, A. Montazeri, A. Zare, Nasrin Fadae Aghdam
Emerging diseases create ethical challenges in medical centers, so that health care providers have a moral duty to respect the rights of patients. Failure to comply with ethical principles leads to challenges and consequences that decrease patient satisfaction and reduce the quality-of-service delivery. In this review study, the published articles were retrieved using the main keywords in the databases including Medline, Web of Knowledge, Google Scholar, Scopus, and Cochrane Central Register of Controlled Trials in the Cochrane Library in 2020, and 42 articles were analyzed and reviewed. To extract the data, two researchers simultaneously reviewed and analyzed the articles. To increase the validity and reliability of the study, two researchers evaluated the quality of the articles separately. The most important challenges raised in the articles include two categories: ethical challenges of patients with emerging diseases and ethical challenges of healthcare providers with emerging diseases. It seems that in addition to dealing with the ethical needs of serving patients, dealing with issues related to the medical staff, especially the ethical aspects of their service, should also be considered. Keywords: emerging disease, COVID-19, ethical challenges, management, health care centers
新出现的疾病给医疗中心带来了伦理挑战,因此医疗服务提供者有道德责任尊重患者的权利。不遵守伦理原则会带来挑战和后果,降低患者满意度和服务质量。在本综述研究中,使用主要关键词在Medline、Web of Knowledge、Google Scholar、Scopus和2020年Cochrane图书馆的Cochrane Central Register of Controlled Trials等数据库中检索了已发表的文章,并对42篇文章进行了分析和综述。为了提取数据,两名研究人员同时对文章进行了审阅和分析。为了提高研究的有效性和可靠性,两名研究人员分别对文章的质量进行了评估。文章中提出的最重要挑战包括两类:新兴疾病患者的伦理挑战和新兴疾病医疗服务提供者的伦理挑战。看来,除了应对服务患者的伦理需求外,还应考虑处理与医务人员相关的问题,尤其是他们的服务伦理问题。关键词:新兴疾病;COVID-19;伦理挑战;管理;医疗中心
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引用次数: 0
The Role of Cobalt in Human Health: A Brief Overview 钴在人类健康中的作用:简要概述
Pub Date : 2024-03-14 DOI: 10.18502/wkmj.v66i1.15599
Gulnara A. Batyrova
Cobalt is a crucial trace element for the human body. It serves as an essentialcomponent of vitamin B12 and plays a pivotal role in the synthesis of amino acids andselect proteins within nerve cells, as well as in the synthesis of neurotransmitters vitalfor the proper functioning of the body. Both excess and deficiency of cobalt can havedetrimental effects on the human body. Notwithstanding the paramount significanceof cobalt as a trace element, comprehensive studies are necessary to evaluate its rolein physiological processes. Keywords: cobalt, human health, trace element, vitamin B12, physiological processes
钴是人体的一种重要微量元素。它是维生素 B12 的重要组成部分,在合成氨基酸和神经细胞内的特定蛋白质以及合成对人体正常功能至关重要的神经递质方面发挥着关键作用。钴的过量和缺乏都会对人体产生有害影响。尽管钴作为一种微量元素具有重要意义,但仍有必要进行全面研究,以评估其在生理过程中的作用。关键词:钴;人体健康;微量元素;维生素 B12;生理过程
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引用次数: 0
Cardiotoxicity of Anthracycline-based Chemotherapy in Breast Cancer Patients: A Case Series 乳腺癌患者接受蒽环类化疗的心脏毒性:病例系列
Pub Date : 2024-03-14 DOI: 10.18502/wkmj.v66i1.15682
Zhenisgul Sh. Tlegenova, Saule K. Balmagambetova, Bekolat K. Zholdin, Gulnara L. Kurmanalina, Iliada Zh. Talipova, Arip K. Koyshybaev, Gulmira A. Sultanbekova, Kulparshan I. Kubenova, Mira B. Baspayeva, Saule S. Madinova, Ayganym Amanova
In Kazakhstan, breast cancer (BC) remains the leading cause of cancer morbidity and mortality among women. The presented case series aims to summarize cardiovascular events that resulted in anthracycline-based chemotherapy discontinuation or suspension during the ongoing project on studying the cardiotoxicity effects. Case 1. Classic acute cardiotoxicity with asystole. Patient Sh., 46 years old, was admitted with a baseline LVEF of 64% and GLS of 22.4%. After the first dose of doxorubicin 60 mg/m2 and cyclophosphamide 600 mg/m2, the patient experienced two episodes of asystole. She was prescribed Trimetazidine at a dose of 80 mg. Eventually, Sh. completed the courses of anthracycline therapy after a 1-month delay at a cumulative dose of 455 mg/m2. Case 2. Subacute cardiotoxicity with ventricular extrasystole. Patient Zh., aged 47, developed single, paired, and group ventricular extrasystoles after the 2nd course of chemotherapy with doxorubicin 200 mg/m2 (23 days after admission). Carvedilol was prescribed at 25 mg twice daily and Trimetazidine at 80 mg once a day. After 1 month of monitoring, ventricular extrasystoles disappeared. With a month’s delay, the patient completed chemotherapy at a cumulative dose of 400 mg/m2. Case 3. Severe cardiotoxicity due to pre-existing cardiovascular disease with discontinuation of chemotherapy. Patient M., aged 58, was referred to the very highrisk group for developed atrial fibrillation and heart failure with LVEF 51%. M. received Enalapril 5 mg two times per day, Bisoprolol 5 mg, Eplerenone 50 mg, Dapagliflozin 10 mg, and Dabigatran 150 mg twice daily. After 3 months, anthracycline therapy was canceled at a cumulative dose of 260 mg/m2 due to the deterioration of the patient’s condition (LVEF 41%.). Discontinuation or the delay of vitally needed chemotherapy in BC patients deteriorate their prognosis for survival. Patients should be constantly monitored during and after anticancer treatment.
在哈萨克斯坦,乳腺癌(BC)仍然是妇女癌症发病率和死亡率的主要原因。本系列病例旨在总结在正在进行的心脏毒性影响研究项目中,导致蒽环类化疗中止或暂停的心血管事件。病例 1.典型的急性心脏毒性伴心搏骤停。患者 Sh. 46 岁,入院时基线 LVEF 为 64%,GLS 为 22.4%。在首次服用多柔比星 60 毫克/平方米和环磷酰胺 600 毫克/平方米后,患者出现了两次晕厥。医生给她开了 80 毫克剂量的曲美他嗪。最终,Sh.在推迟了 1 个月后完成了蒽环类药物治疗疗程,累计剂量为 455 毫克/平方米。病例 2.亚急性心脏毒性伴有室性期外收缩。患者 Zh,47 岁,在接受多柔比星 200 毫克/平方米化疗的第 2 个疗程后(入院后 23 天)出现单个、成对和成组室性期外收缩。医生为其开具了卡维地洛(25 毫克,每天两次)和曲美他嗪(80 毫克,每天一次)处方。经过一个月的监测,室性期外收缩消失了。延迟一个月后,患者完成了累积剂量为 400 毫克/平方米的化疗。病例 3.因原有心血管疾病导致严重心脏毒性而停止化疗。患者 M.,58 岁,因出现心房颤动和心力衰竭(LVEF 51%)而被转入极高风险组。M. 接受了依那普利 5 毫克、比索洛尔 5 毫克、依普利酮 50 毫克、达帕利嗪 10 毫克和达比加群 150 毫克的治疗,每天两次。3 个月后,由于患者病情恶化(LVEF 41%),取消了累计剂量为 260 毫克/平方米的蒽环类药物治疗。停止或推迟对 BC 患者进行急需的化疗会使其生存预后恶化。患者在接受抗癌治疗期间和之后都应接受持续监测。
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引用次数: 0
Squid as a Model Organism - Part 1: Exploring Defense System, Digestion, Respiration, Blood Circulation, Reproduction, and Skin 乌贼作为模式生物 - 第 1 部分:探索防御系统、消化、呼吸、血液循环、生殖和皮肤
Pub Date : 2024-03-14 DOI: 10.18502/wkmj.v66i1.15601
Leila Satarian, Mahsa Jalilinejad, Ahmad Berimipour
The giant squid is an exceptionally intriguing organism with unique features, residing in the depths of the ocean at a depth of 1.5 km. To survive in these dark, high-pressure conditions and evade predators, this giant creature requires specific adaptations in its anatomy and way of life. The anatomy and physiology of the giant squid have inspired engineering and medical topics in human life. In this study, we will explore the potential applications of its defense system, digestion, nervous system, respiration, blood circulation, reproduction, and especially its skin in solving biotechnological challenges. Keywords: giant squid, defense system, digestion, nervous system, blood circulation, respiration, reproduction, skin, nature-inspired, biotechnology
巨型乌贼是一种非常有趣的生物,具有独特的特征,栖息在 1.5 千米深的海洋深处。为了在黑暗、高压的环境中生存并躲避捕食者,这种庞然大物需要在解剖结构和生活方式上做出特殊的调整。巨型乌贼的解剖学和生理学为人类生活中的工程学和医学课题提供了灵感。在本研究中,我们将探讨其防御系统、消化系统、神经系统、呼吸系统、血液循环、生殖系统,特别是其皮肤在解决生物技术难题方面的潜在应用。关键词:大乌贼;防御系统;消化;神经系统;血液循环;呼吸;繁殖;皮肤;自然启发;生物技术
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引用次数: 0
Long-term Results of Optical Laser Urethrotomy for Post-traumatic Stricture of the Membranous Urethra 光学激光尿道切开术治疗创伤后膜状尿道狭窄的长期效果
Pub Date : 2024-03-14 DOI: 10.18502/wkmj.v66i1.15680
Aluadin Nurberdiev, Alexey Suchshenko, Almas Muralovich Kazhitaev, U. Zhanbyrbekuly, Gafur Khairli
Urethral stricture is a common condition characterized by the narrowing of the urethra, leading to difficulty in urination. This article presents a case report of a 47-yearold male with urethral stricture following a pelvic fracture. The patient presented with urinary retention and a history of traumatic injury. Diagnostic imaging revealed a 2.0-2.2 cm stricture in the membranous urethra. Surgical intervention, including optical laser urethrotomy and silicone urethral catheter placement, was performed successfully. Postoperative management included antibacterial and anti-inflammatory therapy, leading to the restoration of independent urination. Urodynamic examination confirmed the successful outcome of the surgery. This case demonstrates that endoscopic surgery for urethral strictures can have a favorable prognosis. However, due to the potential for recurrence, ongoing outpatient care and monitoring by a urologist are essential for these patients.
尿道狭窄是一种常见疾病,其特点是尿道变窄,导致排尿困难。本文报告了一例 47 岁男性骨盆骨折后尿道狭窄的病例。患者有尿潴留和外伤史。诊断成像显示膜尿道有一个 2.0-2.2 厘米的狭窄。手术治疗包括光学激光尿道切开术和硅胶尿道导管置入术,手术非常成功。术后治疗包括抗菌和消炎治疗,恢复了独立排尿功能。尿动力学检查证实了手术的成功。本病例表明,内窥镜手术治疗尿道狭窄的预后良好。不过,由于有复发的可能,泌尿科医生对这些患者的持续门诊护理和监测是必不可少的。
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引用次数: 0
Unlocking the Potential: The Importance of Mesenchymal Stem Cell Therapy for Knee Osteoarthritis 释放潜能:间充质干细胞疗法对膝骨关节炎的重要性
Pub Date : 2024-03-14 DOI: 10.18502/wkmj.v66i1.15598
N. Mussin, Amin Tamadon, A. Kaliyev
Mesenchymal stem cell (MSC) therapy for knee osteoarthritis has emerged as a revolutionary approach to address the root cause of this debilitating condition. This editorial provides a concise overview of the significance of MSC therapy in the context of knee osteoarthritis treatment. Knee osteoarthritis is a common and costly condition that affects millions worldwide, necessitating a paradigm shift in treatment strategies. Current approaches primarily focus on symptom management, leaving the underlying cartilage degeneration unaddressed. MSC therapy offers the potential to regenerate damaged cartilage, reduce pain, improve function, and potentially delay the need for surgery. This minimally invasive and safe procedure presents a promising avenue for patients seeking long-lasting relief from knee osteoarthritis. However, while the therapy shows significant potential, ongoing research, clinical trials, and efforts to ensure accessibility and affordability are essential for realizing its full impact. In conclusion, MSC therapy represents a beacon of hope for those afflicted by knee osteoarthritis, holding the promise of transforming a debilitating condition into a manageable one and thereby enhancing the quality of life for countless individuals. Keywords: mesenchymal stem cell therapy, knee osteoarthritis, cartilage regeneration, minimally invasive treatment, introduction
间充质干细胞(MSC)疗法治疗膝骨关节炎已成为一种革命性的方法,可从根本上解决这种使人衰弱的疾病。这篇社论简要概述了间充质干细胞疗法在膝骨关节炎治疗中的意义。膝骨关节炎是一种常见病,影响着全球数百万人的生活,代价高昂,因此有必要转变治疗策略。目前的治疗方法主要集中在症状控制上,而对潜在的软骨退化问题却束手无策。间充质干细胞疗法可使受损软骨再生,减轻疼痛,改善功能,并有可能推迟手术的需要。这种微创、安全的治疗方法为寻求持久缓解膝关节骨关节炎的患者提供了一条前景广阔的途径。不过,虽然这种疗法显示出巨大的潜力,但要充分发挥其作用,还必须不断进行研究、临床试验,并努力确保其可及性和可负担性。总之,间充质干细胞疗法是膝关节骨性关节炎患者的希望灯塔,有望将使人衰弱的病症转变为可控制的病症,从而提高无数人的生活质量。关键词:间充质干细胞疗法;膝骨关节炎;软骨再生;微创治疗;介绍
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引用次数: 0
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West Kazakhstan Medical Journal
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