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The Progress of Common Treatments and Research for Androgenetic Alopecia 雄激素性脱发的常用治疗方法及研究进展
Pub Date : 2023-06-01 DOI: 10.56397/crms.2023.06.08
Shan-shan Chen, Yingjie Sun, Jianxing Liu, W. Yan, Jiakun Liu, Wenjun Hu
Androgenetic alopecia (AGA) is the most common type of hair loss, in which patients mostly present with a state of a receding hairline on the forehead. It brings a great mental burden to the patient. Androgenetic alopecia is caused by the combination of dihydrotestosterone (DHT) and androgen receptors (AR), disrupting the hair follicle cycle and minimizing hair follicles. The major treatments currently available include finasteride, minoxidil, hair transplantation, Platelet-rich plasma (PRP), stem cell therapy, etc. This article reviews the mechanism of AGA and the existing major treatments. The author suggested that androgen receptor degrader drugs have good prospects for application among those of various therapeutic options.
雄激素性脱发(AGA)是最常见的脱发类型,患者大多表现为前额发际线后退的状态。这给病人带来很大的精神负担。雄激素性脱发是由双氢睾酮(DHT)和雄激素受体(AR)结合引起的,破坏了毛囊周期,使毛囊最小化。目前可用的主要治疗方法包括非那雄胺、米诺地尔、毛发移植、富血小板血浆(PRP)、干细胞治疗等。本文综述了AGA的发病机制及目前主要的治疗方法。作者认为雄激素受体降解药物在各种治疗方案中具有良好的应用前景。
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引用次数: 0
The Isomers of Some Drugs One Effective and the Other Is Toxic or Ineffective 某些药物的同分异构体,一种有效,另一种有毒或无效
Pub Date : 2023-06-01 DOI: 10.56397/crms.2023.06.10
R. Ayyad, A. Nejm, Ahmed R. Ayyad
The human body has the heart, which is Levo, and the gastrointestinal tract, with the liver in the Dextro position. The carbohydrates in our food are Dextro, and the amino acids in our food are Levo; hence, the isomers of compounds taken by humans may be harmful or ineffective. As a result, we will investigate some drugs in which one of its isomers is effective while the other is ineffective, such as Levo and Dextro-Ethambutol, Levo and Dextro-Dopa, Levo and Dextro-Amphetamine, Dextro and Levo-Rabeprazole, Cis and Trans-Platin, R and S-Hexobarbital, R and S-Fluoxetine. It may be that each isomer has one pharmacological difference from the other isomer, e.g., quinine and quinidine, and R and S-propafenone.
人体的心脏是左旋,胃肠道是右旋,肝脏是左旋。我们食物中的碳水化合物是右旋糖,我们食物中的氨基酸是左旋糖;因此,人类服用的化合物的异构体可能是有害的或无效的。因此,我们将研究一些其中一种异构体有效而另一种无效的药物,如左旋和右旋乙胺丁醇、左旋和右旋多巴、左旋和右旋安非他明、右旋和左旋雷贝拉唑、顺式和反式铂、R和s-己巴比妥、R和s-氟西汀。可能是每一种异构体与另一种异构体有一种药理差异,例如,奎宁和奎尼丁,R和s普罗帕酮。
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引用次数: 0
The Conflict in Ukraine: Medical and Psychological Aspects 乌克兰冲突:医疗和心理方面
Pub Date : 2023-03-01 DOI: 10.56397/crms.2023.03.05
S. Jargin
This mini-review analyzes medical and psychological aspects of the conflict in Ukraine. If the global power shifts to Russia, it may come along with losses of certain values. The quality of many services, products and foodstuffs will decline. Autocratic or military management style will gain sway also in the healthcare and science. Attributes of this style include the lack of criticism and objective discussion, paternalistic approach to patients, bossy management and occasional disregard of the principle of informed consent. Suboptimal practices have been used as per instructions and leading experts’ publications. To name but a few: the overuse of Halsted and Patey mastectomy with excision of pectoral muscles, coagulation of endocervical ectopies without cyto- or histological check for precancerous changes, parabulbar injections of placebos, extensive gastric resections for peptic ulcers, thoracic and abdominal surgery for bronchial asthma and diabetes mellitus, overuse of surgery in tuberculosis. Psychological issues related to the Ukraine conflict are discussed here. Repressed shame may cause aggression. Some topics discussed in this article are associated with shame, summarily reflected by the comparatively low life expectancy and world highest abortion rate in Russia. Instead of machismo and militarism, the propaganda should popularize the image of scrupulous and hardworking people.
本迷你评论分析了乌克兰冲突的医疗和心理方面。如果全球权力转移到俄罗斯,可能会带来某些价值观的损失。许多服务、产品和食品的质量将下降。独裁或军事管理风格也将在医疗保健和科学领域占据主导地位。这种风格的特点包括缺乏批评和客观讨论,对病人采取家长式的态度,专横的管理和偶尔无视知情同意原则。次优实践已经按照指导和主要专家的出版物使用。仅举几个例子:过度使用切除胸肌的Halsted和Patey乳房切除术,未对癌前病变进行细胞或组织学检查的宫颈内膜切除术,在球旁注射安慰剂,为消化性溃疡进行广泛的胃切除术,为支气管哮喘和糖尿病进行胸腹手术,过度使用手术治疗结核病。这里讨论与乌克兰冲突有关的心理问题。压抑的羞耻感可能导致攻击性。本文中讨论的一些话题与羞耻有关,俄罗斯相对较低的预期寿命和世界上最高的堕胎率概括地反映了这一点。宣传不应该是大男子主义和军国主义,而应该是宣传严谨、勤劳的人民形象。
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引用次数: 2
Can Modern Medicine Have Distorted Ideas? 现代医学是否有扭曲的观念?
Pub Date : 2023-03-01 DOI: 10.56397/crms.2023.03.01
Igor Klepikov
The reasons for the misconceptions that have arisen in modern ideas about the features of acute nonspecific inflammation of the lung tissue and the direction of the necessary correction are considered.
对现代观念中出现的关于肺组织急性非特异性炎症特征的误解的原因和必要的纠正方向进行了考虑。
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引用次数: 0
Research Progress in Diagnosis and Treatment of Postpartum Depression by Traditional Chinese Medicine 产后抑郁症的中医诊断与治疗研究进展
Pub Date : 2023-03-01 DOI: 10.56397/crms.2023.03.03
Yujuan Yan, Yingchun Tai, Hua-yuan Yang, Mengmeng Wang
In this paper, by analyzing a large number of domestic and foreign literatures on the treatment of postpartum depression in recent years, the research progress of traditional Chinese medicine (TCM) in the treatment of postpartum depression was systematically reviewed. Sum up after a postpartum depression of the most common etiology and pathogenesis, from the compound Chinese medicine, acupuncture, needle medicine use, massage, music therapy and traditional Chinese medicine fumigation treatment, according to the basic theory of TCM in detail its historical source, choose party on the basis of TCM syndrome differentiation, acupuncture and moxibustion therapy in a variety of acupuncture and moxibustion treatment of forms, and other characteristics of traditional Chinese medicine therapy. Literature review shows that: The doctor of traditional Chinese medicine in the treatment of postpartum depression, with overall concept as guiding ideology, thus improve the systemic symptom of patients, improve the quality of life, and there are diversified TCM therapies, patients and their families have high acceptance, small side effects, make up the deficiency of western medicine, not only in the clinical practice to improve the curative effect of treatment of postpartum depression, also for the general medical compatriots to broaden the diagnosis and treatment method of postpartum depression, provide evidence for the selection of treatment for such patients.
本文通过分析近年来大量国内外关于产后抑郁症治疗的文献,系统综述了中医药在产后抑郁症治疗中的研究进展。总结产后抑郁症最常见的病因病机,从复方中药、针灸、针药使用、推拿、音乐疗法和中药熏蒸治疗等方面入手,根据中医基本理论详细介绍其历史渊源,在中医辨证论治的基础上,选择当事人在多种针灸治疗形式中的针灸疗法;等特点的中医疗法。文献综述表明:中医医生在治疗产后抑郁症时,以整体观念为指导思想,从而改善了患者的全身症状,提高了患者的生活质量,而且中医疗法有多种多样,患者及其家属接受度高,副作用小,弥补了西医的不足,不仅在临床实践中提高了治疗产后抑郁症的疗效,也为广大医务同胞拓宽产后抑郁症的诊断和治疗方法,为此类患者的治疗选择提供依据。
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引用次数: 0
Research Progress of Hippo-Yap/Taz Signaling in Skeletal Muscle Hypertrophy Hippo-Yap/Taz信号在骨骼肌肥大中的研究进展
Pub Date : 2023-03-01 DOI: 10.56397/crms.2023.03.06
C. Feng, Bruce Song, Xiyang Peng
The Hippo pathway is an important pathway to control cell proliferation and organ size. By sensing extracellular matrix stiffness and intercellular mechanical force and converting them into molecular signal transduction, through a series of cascade amplification effects of kinases, the final the phosphorylation of YAP/TAZ, the main downstream target of the Hippo pathway, plays a series of regulatory roles. Although many studies have shown that Hippo signaling changes during skeletal muscle hypertrophy, the complex mechanism of Hippo signaling in skeletal muscle hypertrophy remains to be further studied. In this review, we summarize the relationship between Hippo-YAP/TAZ signaling and skeletal muscle hypertrophy and sort out the contribution of the main factors in the process of skeletal muscle hypertrophy.
Hippo通路是控制细胞增殖和器官大小的重要途径。通过感知细胞外基质刚度和细胞间机械力并将其转化为分子信号转导,通过激酶的一系列级联扩增效应,最终使Hippo通路的主要下游靶点YAP/TAZ磷酸化发挥一系列调控作用。虽然许多研究表明,Hippo信号在骨骼肌肥厚过程中发生变化,但Hippo信号在骨骼肌肥厚过程中的复杂机制仍有待进一步研究。本文就Hippo-YAP/TAZ信号通路与骨骼肌肥厚的关系进行综述,并对骨骼肌肥厚过程中主要因子的贡献进行梳理。
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引用次数: 0
A Case of Rheumatic Heart Disease Complicated by Acute Infective Endocarditis and Valve Leaflet Perforation 风湿性心脏病并发急性感染性心内膜炎及瓣膜小叶穿孔1例
Pub Date : 2023-03-01 DOI: 10.56397/crms.2023.03.04
Minghui Sun, Yuewei Li, Shibo Zhao
Rheumatic Heart Disease (RHD), abbreviated as rheumatic heart disease, is a heart disease caused by repeated attacks or further deterioration of Acute Rheumatic Fever (ARF), which is mostly caused by valve damage (Zhang P & Wang P., 2021). The production of ARF is the result of a series of autoimmune reactions by group A streptococci that invade the pharynx of a susceptible host. Clinically, rheumatic heart disease mostly involves valves, which can cause patients to have a variety of manifestations such as incomplete valve closure or stenosis, structural remodeling of the heart, etc. If patients do not seek medical attention in time to delay the best time for treatment, they often develop acute heart failure, malignant arrhythmias and other acute complications of the cardiovascular system in the later stages of the disease. Clinically, rheumatic heart disease complicated by infective endocarditis is not common, and valve leaflet perforation due to severe infection is even rarer! A case of acute infective endocarditis complicated by atypical rheumatic heart disease and simultaneous valve leaflet perforation in our hospital is reviewed and reported below.
风湿性心脏病(rheumatatic Heart Disease, RHD),简称风湿性心脏病,是急性风湿热(Acute rheumatatic Fever, ARF)反复发作或进一步恶化引起的心脏病,多由瓣膜损伤引起(张鹏、王鹏,2021)。ARF的产生是a群链球菌侵入易感宿主咽部的一系列自身免疫反应的结果。临床上风湿性心脏病多累及瓣膜,可使患者出现瓣膜关闭不全或狭窄、心脏结构重塑等多种表现。如果患者不及时就医,耽误了治疗的最佳时机,往往会在疾病的后期发展为急性心力衰竭、恶性心律失常等心血管系统的急性并发症。临床上风湿性心脏病合并感染性心内膜炎并不常见,严重感染导致瓣膜小叶穿孔更是罕见!现报告我院一例急性感染性心内膜炎合并不典型风湿性心脏病并发瓣膜小叶穿孔。
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引用次数: 0
Gum, Sap and Canker-Colloid Carcinoma-Pancreas 牙龈,树液和溃疡病-胶体癌-胰腺
Pub Date : 2023-03-01 DOI: 10.56397/crms.2023.03.11
Anu Bajaj
Colloid carcinoma pancreas is an infiltrative ductal epithelial neoplasm of pancreas characteristically denominating a preponderant (>80%) component of enlarged pools of extracellular stromal mucin pervaded with suspended neoplastic cells. Colloid carcinoma pancreas is a microsatellite stable tumefaction and exhibits KRAS genetic mutation confined to codon 12. Tumefaction is posited to arise from inverse polarization of cells with stromal mucin glycoproteins facing intrinsic cellular surface. Cogent clinical symptoms as abdominal or epigastric pain, pancreatitis, diarrhoea, hyperbilirubinemia or loss of weight are discerned. Tumefaction emerges as an enlarged, well demarcated lesion with a mean diameter of 5 centimetres and a solid, firm, gelatinous cut surface. Neoplasm is predominantly comprised of enlarged, extracellular accumulates of stromal mucin with minimal carcinoma cells suspended within extra-cellular mucin pools. Cuboidal or columnar epithelial cells configure cribriform or stellate cellular clusters or miniature tubules and strips of columnar cells along with signet ring cells. Colloid carcinoma pancreas is intensely immune reactive to CDX2, MUC2 and CEA. Neoplasm requires segregation from tumours as extravasation of benign stromal mucin, intra-ductal papillary mucinous neoplasm, mucinous cystic neoplasm or conventional pancreatic ductal adenocarcinoma. Colloid carcinoma pancreas is devoid of specific therapeutic guidelines or recommended treatment.
胰腺胶质癌是胰腺浸润性导管上皮性肿瘤,其特征是细胞外基质黏液池扩大(bbb80 %),弥漫着悬浮的肿瘤细胞。胰腺胶体癌是一种微卫星稳定肿瘤,KRAS基因突变局限于密码子12。肿胀被认为是由基质粘蛋白糖蛋白面向细胞内在表面的细胞的反向极化引起的。有明显的临床症状,如腹部或上腹疼痛、胰腺炎、腹泻、高胆红素血症或体重减轻。肿胀表现为一个扩大的、界限清楚的病灶,平均直径为5厘米,切面坚实、坚固、凝胶状。肿瘤主要由增大的细胞外基质黏液堆积组成,细胞外黏液池中悬浮着少量癌细胞。立方或柱状上皮细胞形成筛网状或星状细胞簇或微管和条状柱状细胞以及印戒细胞。胰腺胶体癌对CDX2、MUC2和CEA有强烈的免疫反应。肿瘤需要与良性间质黏液外渗、导管内乳头状黏液瘤、黏液囊性肿瘤或常规胰腺导管腺癌等肿瘤分离。胰腺胶质癌缺乏具体的治疗指南或推荐治疗方法。
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引用次数: 0
Left Pubic Tuberculosis Was Misdiagnosed as Synovitis of the Left Hip 左耻骨结核误诊为左髋关节滑膜炎
Pub Date : 2023-03-01 DOI: 10.56397/crms.2023.03.07
Nan-nan Zheng, Zhibin Li
A 51-year-old male patient was admitted to hospital with “1 week of restricted movement in left hip pain.” The patient denied trauma and had no other specific discomfort. Slightly reduced weight and physical strength, normal diet. No previous history of tuberculosis or exposure. Admission examination: no obvious abnormalities in the appearance of the spine, no tenderness and percussion pain. Left groin tenderness (+), left hip and buttock percussion pain (+), left 4-word experiment (+). Admission to complete relevant investigations: consider infectious lesions of the left pubic bone. After admission to the hospital and standardized treatment of tuberculosis, the patient's left pubic pain was significantly improved.
51岁男性患者因“左髋关节疼痛,活动受限1周”入院。患者否认有外伤,并无其他特殊不适。体重和体力略有下降,饮食正常。既往无肺结核史或暴露史。入院检查:脊柱外观无明显异常,无压痛及叩击痛。左侧腹股沟压痛(+),左侧髋部及臀部叩击痛(+),左侧4字实验(+)。入院完成相关检查:考虑左耻骨感染性病变。入院后经肺结核规范化治疗,患者左耻骨疼痛明显改善。
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引用次数: 0
A Review of the Role of DWI in Radiation Therapy Planning and Treatment Response Assessment for NPC Management DWI在鼻咽癌放射治疗计划及治疗反应评估中的作用综述
Pub Date : 2023-03-01 DOI: 10.56397/crms.2023.03.13
Zhonghui Huang, Kui Liao
Nasopharyngeal carcinoma (NPC) is a malignant tumor that occurs in the nasopharynx. Its high incidence rate in certain regions of the world poses a significant challenge for healthcare providers. Imaging plays a crucial role in the diagnosis, treatment, and prognosis of NPC. Among various imaging modalities, diffusion-weighted imaging (DWI) has emerged as a promising technique due to its ability to provide functional information on tissue activity. This paper reviews the principles of DWI, its role in the diagnosis, treatment, and prognosis of NPC, and its potential applications in radiation therapy planning and treatment monitoring. DWI has been shown to have higher sensitivity and specificity for the detection of NPC compared to other imaging modalities. It can aid in the selection of radiation dose and target volumes, and monitor the timing and extent of treatment response. Further research is needed to explore the full potential of DWI in the management of NPC.
鼻咽癌(NPC)是发生在鼻咽部的恶性肿瘤。它在世界某些地区的高发病率对卫生保健提供者构成了重大挑战。影像学对鼻咽癌的诊断、治疗及预后具有重要意义。在各种成像方式中,扩散加权成像(DWI)因其能够提供组织活动的功能信息而成为一种有前途的技术。本文就DWI的原理、在鼻咽癌的诊断、治疗、预后中的作用以及在放疗计划和治疗监测中的潜在应用作一综述。与其他成像方式相比,DWI对鼻咽癌的检测具有更高的灵敏度和特异性。它可以帮助选择辐射剂量和靶体积,并监测治疗反应的时间和程度。需要进一步的研究来探索DWI在NPC管理中的全部潜力。
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引用次数: 0
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Current research in medical sciences
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