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Difference in nicotine metabolism as a potential factor causing disparities in tobacco consumption estimates by wastewater-based epidemiology
Pub Date : 2025-01-10 DOI: 10.1016/j.hsr.2025.100210
Min-Tz Weng , Kathryn J Steadman , Kelly Zhong , Maryam Al-Gharibeh , Qiuda Zheng , Phong K Thai
Wastewater-based epidemiology (WBE) can be used for estimating tobacco consumption at a population level. It involves analysing wastewater for the nicotine biomarkers cotinine (COT) and 3-hydroxycotinine (3HC). However, large discrepancies between WBE estimates for tobacco consumption compared to surveys and sales data have been reported. We hypothesise it could be partly related to genetic differences in CYP2A6 enzyme activity affecting COT and 3HC excretion. To review the use of COT and 3HC excretion factors within WBE calculations of tobacco consumption, a literature search for relevant articles was conducted using PubMed, EMBASE, CINAHL, PsycINFO, Web of Science, and Medline. A total of 34 papers were identified across the Americas, Oceania, Asian and European regions. In contrast to the other regions, 100 % of WBE cases involving East and Southeast Asian populations exhibited an underestimation of tobacco use when compared to surveys or sales data. The excretion factors used across all 34 papers had been derived from urine samples from predominantly White populations. People of Asian descent tend to have lower urinary concentrations of COT and 3HC than White populations due to slower CYP2A6 enzyme activity diverting nicotine metabolism towards non-CYP2A6 pathways. We show that using excretion factors that better represent Asian populations in WBE calculations can result in more accurate estimates of tobacco use. Measurement and use of excretion factors tailored to specific ethnic backgrounds can be expected to enhance the precision of WBE analysis.
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引用次数: 0
Methods to train and evaluate clinical communication skills of medical professionals and medical interpreters
Pub Date : 2024-12-15 DOI: 10.1016/j.hsr.2024.100208
Naoko Ono , Jinghua Yang , Taeko Hamai
There is increasing recognition of the importance of communication through medical interpreters in medical care provision for foreigners. However, there is no established method for developing the communication skills of medical interpreters. This literature review summarized methods of communication skills training and evaluation for medical professionals, and investigated the applicability of such methods to medical interpreters. A literature review was performed according to the process described in the PRISMA-S (Preferred Reporting Items for Systematic Review and Meta-Analysis Literature Search Extension), a guideline for systematic reviews in healthcare. Analysis of the extracted articles showed that 13 articles described original communication skills training programs for medical professionals, and 5 articles described pre-existing programs. A common evaluation method was the comparison of questionnaire survey responses before and after training. The results were used to identify key recommendations for future directions in establishing methods for developing the communication skills of medical interpreters. Most studies were on CST programs for oncology, and most used in-person training programs. This review clarified currently used methods of training and evaluating the clinical communication skills of medical professionals, and their potential applicability to medical interpreters. The findings indicate the need to develop communication skills training programs tailored to situations that medical interpreters encounter in their work.
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引用次数: 0
A Four-Year Journey of Health Sciences Review with Innovation and Growth
Pub Date : 2024-12-01 DOI: 10.1016/j.hsr.2024.100207
Burcin Ekser
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引用次数: 0
An integrative review of cancer-related cachexia and sarcopenia: A different focus in malignant hematology 癌症相关恶病质和肌肉疏松症综合综述:恶性血液病的不同焦点
Pub Date : 2024-11-14 DOI: 10.1016/j.hsr.2024.100205
Sara M. Tinsley-Vance , Tina M. Mason , Rami S. Komrokji

Introduction/background

An improved understanding of cancer-related cachexia and sarcopenia among patients with hematologic malignancies can improve their health outcomes. Patients with hematologic malignancies are affected by cancer-related cachexia and sarcopenia, but this aspect of their care is rarely studied. This review aims to increase awareness and knowledge of cancer-related cachexia and sarcopenia for patients with hematologic malignancies through a comprehensive synthesis of current research.

Methods

An integrative literature review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Ovid MEDLINE, CINAHL Complete, Embase, and Web of Science databases were searched for studies published between 2012 and 2022 using search terms of hematologic malignancies and cancer-related cachexia or sarcopenia.

Results

Twenty-nine studies were examined with data on 5,687 patients, primarily diffuse large B-cell lymphoma.

Conclusion

The results are grouped by themes identified in the studies of cancer-related cachexia and sarcopenia in hematologic cancers. The major themes identified were health outcomes, patient identification, transplant effects, and sex differences. Cancer-related cachexia and sarcopenia are associated with decreased overall survival and progression-free survival, similar to solid tumors. Cancer-related cachexia and sarcopenia reduce tolerance to chemotherapy and increase hematologic toxicities. With this effect, biomarkers and cachexia prognostic scores are available to improve patient identification, prognostication, and support. These affected individuals will benefit from increased awareness by the healthcare team to tailor care and mitigate the deleterious effects of the condition.
导言/背景加深血液恶性肿瘤患者对癌症相关恶病质和肌肉疏松症的了解,可改善他们的健康状况。血液系统恶性肿瘤患者会受到癌症相关恶病质和肌肉疏松症的影响,但有关这方面的研究却很少。本综述旨在通过对当前研究的全面综述,提高血液恶性肿瘤患者对癌症相关恶病质和肌肉疏松症的认识和了解。采用血液系统恶性肿瘤和癌症相关恶病质或肌肉疏松症为检索词,检索了 Ovid MEDLINE、CINAHL Complete、Embase 和 Web of Science 数据库中 2012 年至 2022 年间发表的研究。主要研究主题包括健康结果、患者识别、移植影响和性别差异。癌症相关恶病质和肌肉疏松症与总生存率和无进展生存率下降有关,这一点与实体瘤类似。癌症相关恶病质和肌肉疏松症会降低化疗耐受性,增加血液毒性。在这种影响下,生物标记物和恶病质预后评分可用于改善患者识别、预后和支持。医护团队提高对恶病质的认识,为患者提供有针对性的护理,减轻恶病质的有害影响,将使这些患者受益匪浅。
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引用次数: 0
Screening for pancreatic cancer among smokers as high-risk individuals: Systematic review and meta-analysis of prospective cohort studies 对作为高危人群的吸烟者进行胰腺癌筛查:前瞻性队列研究的系统回顾和荟萃分析
Pub Date : 2024-10-24 DOI: 10.1016/j.hsr.2024.100203
Melissa M. Elder , Yves Paul Vincent Mbous , Toni Marie Rudisill , George A. Kelley
<div><h3>Objective</h3><div>The main objective of this study was to conduct an aggregate data systematic review with meta-analysis of prospective cohort studies to determine the association between imaging screening for smoking and early diagnosis of pancreatic cancer (PC).</div></div><div><h3>Methods</h3><div>Eligible studies included the following: 1) prospective cohort studies conducted in humans, 2) appropriate imaging screening method, 3) participants categorized into smoking as a high-risk group with no reported genetic disposition for PC, 4) no prior diagnosis of PC, 5) studies which detected and diagnosed adenocarcinoma following baseline screening, 6) data available for our primary outcome, PC, 7) studies published in the English language from January 1, 1992 to July 22, 2024. Any studies not meeting all of the above criteria were excluded. Information sources included the following: 1) PubMed, 2) CINAHL, 3) Scopus, 4) Cochrane Central Register of Controlled Trials (CENTRAL), 5) NIH National Cancer Institute's Division of Cancer Prevention, 6) Pancreatic Cancer Action Network, 7) ProQuest, 8) The British Medical Journal's <em>Gut</em> and <em>Pancreatology</em>, 9) Clinicaltrials.gov. The date of the last search (PubMed) was conducted on July 22, 2024. Risk of bias was assessed using the Cochrane Collaborations Risk Of Bias In Non-randomized Studies of Exposures [<span><span>2</span></span>] instrument. Small-study effects (publication bias, etc.) was assessed using the Doi plot and LFK index. The effect size metric for the primary outcome, PC, was the odds ratio (OR). Odd's ratios were pooled using the inverse-variance (IVhet) model. The strength/certainty of evidence was assessed using the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) instrument.</div></div><div><h3>Results</h3><div>Five retrospective cohort studies representing 3,517 patients met the criteria for inclusion, 944 of whom were smokers. Two of the five studies reported the exact diagnosis stage for smokers. Among cases of pancreatic cancer (<em>n</em> = 34), the estimated effect of smoking suggested harm (OR = 2.24, 95 % CI, 0.96 to 5.23) though with weak statistical significance (<em>p</em> = 0.06). Statistically significant heterogeneity (<em>Q</em> = 11.1, <em>p</em> = 0.03) and moderate inconsistency (<em>I<sup>2</sup></em> = 63.9 %, 95 % CI, 5.0 to 86.3 %) were observed. The 95 % prediction interval (PI) was 0.15 to 32.38. Risk of bias, based on ROBINS-E ranged from high to very high, with very low certainty of evidence based on the GRADE assessment.</div></div><div><h3>Conclusions</h3><div>While not statistically significant, our findings suggest that smokers may be at an increased odds of having pancreatic cancer. However, these findings need to be interpreted with respect to the high risk of bias and very low certainty of evidence observed. A need exists for additional, well-designed studies that include intentional assessment of scr
目的:本研究的主要目的是对前瞻性队列研究的总体数据进行系统综述和荟萃分析,以确定吸烟影像筛查与胰腺癌(PC)早期诊断之间的关联:1) 在人类中进行的前瞻性队列研究;2) 适当的成像筛查方法;3) 参与者被归类为吸烟高危人群,且无 PC 遗传倾向的报告;4) 既往未确诊 PC;5) 在基线筛查后检测并诊断出腺癌的研究;6) 可获得主要结果 PC 的数据;7) 1992 年 1 月 1 日至 2024 年 7 月 22 日期间以英语发表的研究。不符合上述所有标准的研究均被排除在外。信息来源包括1) PubMed、2) CINAHL、3) Scopus、4) Cochrane 对照试验中央登记册 (CENTRAL)、5) NIH 国家癌症研究所癌症预防部、6) 胰腺癌行动网络、7) ProQuest、8) 英国医学杂志肠道与胰腺学、9) Clinicaltrials.gov。最后一次检索(PubMed)的日期为 2024 年 7 月 22 日。偏倚风险采用 Cochrane Collaborations Risk Of Bias In Non-randomized Studies of Exposures [2] 工具进行评估。小规模研究效应(发表偏倚等)采用 Doi 图和 LFK 指数进行评估。主要结果 PC 的效应大小指标为几率比(OR)。采用逆方差(IVhet)模型对奇数比进行汇总。采用建议、评估、发展和评价分级(GRADE)工具对证据的强度/确定性进行评估。五项研究中有两项报告了吸烟者的确切诊断阶段。在胰腺癌病例(n = 34)中,吸烟的估计效应表明吸烟有害(OR = 2.24,95 % CI,0.96 至 5.23),但统计学意义较弱(p = 0.06)。在统计学上观察到明显的异质性(Q = 11.1,P = 0.03)和中度不一致性(I2 = 63.9 %,95 % CI,5.0 至 86.3 %)。95 % 预测区间 (PI) 为 0.15 至 32.38。基于 ROBINS-E 的偏倚风险从高到非常高不等,基于 GRADE 评估的证据确定性非常低。结论虽然没有统计学意义,但我们的研究结果表明吸烟者患胰腺癌的几率可能会增加。然而,在解释这些发现时,需要考虑到所观察到的高偏倚风险和极低的证据确定性。在得出明确结论之前,还需要进行更多设计良好的研究,包括对吸烟和其他高危人群筛查方法的有意评估,以支持临床指南的制定。
{"title":"Screening for pancreatic cancer among smokers as high-risk individuals: Systematic review and meta-analysis of prospective cohort studies","authors":"Melissa M. Elder ,&nbsp;Yves Paul Vincent Mbous ,&nbsp;Toni Marie Rudisill ,&nbsp;George A. Kelley","doi":"10.1016/j.hsr.2024.100203","DOIUrl":"10.1016/j.hsr.2024.100203","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;The main objective of this study was to conduct an aggregate data systematic review with meta-analysis of prospective cohort studies to determine the association between imaging screening for smoking and early diagnosis of pancreatic cancer (PC).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Eligible studies included the following: 1) prospective cohort studies conducted in humans, 2) appropriate imaging screening method, 3) participants categorized into smoking as a high-risk group with no reported genetic disposition for PC, 4) no prior diagnosis of PC, 5) studies which detected and diagnosed adenocarcinoma following baseline screening, 6) data available for our primary outcome, PC, 7) studies published in the English language from January 1, 1992 to July 22, 2024. Any studies not meeting all of the above criteria were excluded. Information sources included the following: 1) PubMed, 2) CINAHL, 3) Scopus, 4) Cochrane Central Register of Controlled Trials (CENTRAL), 5) NIH National Cancer Institute's Division of Cancer Prevention, 6) Pancreatic Cancer Action Network, 7) ProQuest, 8) The British Medical Journal's &lt;em&gt;Gut&lt;/em&gt; and &lt;em&gt;Pancreatology&lt;/em&gt;, 9) Clinicaltrials.gov. The date of the last search (PubMed) was conducted on July 22, 2024. Risk of bias was assessed using the Cochrane Collaborations Risk Of Bias In Non-randomized Studies of Exposures [&lt;span&gt;&lt;span&gt;2&lt;/span&gt;&lt;/span&gt;] instrument. Small-study effects (publication bias, etc.) was assessed using the Doi plot and LFK index. The effect size metric for the primary outcome, PC, was the odds ratio (OR). Odd's ratios were pooled using the inverse-variance (IVhet) model. The strength/certainty of evidence was assessed using the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) instrument.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Five retrospective cohort studies representing 3,517 patients met the criteria for inclusion, 944 of whom were smokers. Two of the five studies reported the exact diagnosis stage for smokers. Among cases of pancreatic cancer (&lt;em&gt;n&lt;/em&gt; = 34), the estimated effect of smoking suggested harm (OR = 2.24, 95 % CI, 0.96 to 5.23) though with weak statistical significance (&lt;em&gt;p&lt;/em&gt; = 0.06). Statistically significant heterogeneity (&lt;em&gt;Q&lt;/em&gt; = 11.1, &lt;em&gt;p&lt;/em&gt; = 0.03) and moderate inconsistency (&lt;em&gt;I&lt;sup&gt;2&lt;/sup&gt;&lt;/em&gt; = 63.9 %, 95 % CI, 5.0 to 86.3 %) were observed. The 95 % prediction interval (PI) was 0.15 to 32.38. Risk of bias, based on ROBINS-E ranged from high to very high, with very low certainty of evidence based on the GRADE assessment.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;While not statistically significant, our findings suggest that smokers may be at an increased odds of having pancreatic cancer. However, these findings need to be interpreted with respect to the high risk of bias and very low certainty of evidence observed. A need exists for additional, well-designed studies that include intentional assessment of scr","PeriodicalId":73214,"journal":{"name":"Health sciences review (Oxford, England)","volume":"13 ","pages":"Article 100203"},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142572082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The impact of reduced perineal lacerations during delivery: A systematic review 减少分娩时会阴撕裂伤的影响:系统回顾
Pub Date : 2024-10-21 DOI: 10.1016/j.hsr.2024.100204
Li-Li Chen , Meei-Ling Gau , Mei-Zen Huang , Chin-Hsing Tsai , Fang-Ting Chang
Various interventions to reduce perineal lacerations during childbirth have been reported, but no systematic assessment of each intervention's impact has been conducted. This study conducted an umbrella review to describe and categorize various interventions for preventing perineal lacerations and evaluate their outcomes.
The review included studies on perineal laceration interventions during childbirth from existing quantitative systematic reviews, with or without meta-analysis. A comprehensive search conducted up to September 2023 spanned eight bibliometric databases and gray literature sources. Two reviewers independently assessed five systematic reviews using the Joanna Briggs Institute checklist and extracted data with a standardized tool. Findings were summarized in a tabular format with supporting text.
Of the 57 articles initially shortlisted, six were selected for in-depth analysis. These reviews included 77 randomized controlled trials involving 27,782 patients. Perineal massages and antenatal pelvic floor exercises were identified as the most effective interventions, both of which shortened the second stage of labor and reduced laceration rates. The efficacy of other interventions remains uncertain due to limited research. Future studies should explore the impact of varying intensities and frequencies of perineal massages throughout pregnancy. Integrating these practices into antenatal education and routine midwifery care could further improve clinical outcomes and prevent perineal lacerations during labor.
有报道称,有各种干预措施可减少分娩过程中的会阴撕裂伤,但尚未对每种干预措施的影响进行系统评估。本研究对各种预防会阴撕裂伤的干预措施进行了总括性综述,对其进行了描述和分类,并对其效果进行了评估。综述纳入了现有定量系统综述中有关分娩时会阴撕裂伤干预措施的研究,无论是否进行了荟萃分析。截至 2023 年 9 月的全面检索跨越了 8 个文献计量数据库和灰色文献来源。两名审稿人使用乔安娜-布里格斯研究所的核对表对五篇系统综述进行了独立评估,并使用标准化工具提取数据。在最初入围的 57 篇文章中,有 6 篇被选中进行深入分析。这些综述包括 77 项随机对照试验,涉及 27782 名患者。会阴按摩和产前盆底运动被认为是最有效的干预措施,这两种方法都能缩短第二产程并降低裂伤率。由于研究有限,其他干预措施的疗效仍不确定。未来的研究应探讨在整个孕期进行不同强度和频率的会阴按摩的影响。将这些做法纳入产前教育和常规助产护理可进一步改善临床结果,预防分娩时会阴裂伤。
{"title":"The impact of reduced perineal lacerations during delivery: A systematic review","authors":"Li-Li Chen ,&nbsp;Meei-Ling Gau ,&nbsp;Mei-Zen Huang ,&nbsp;Chin-Hsing Tsai ,&nbsp;Fang-Ting Chang","doi":"10.1016/j.hsr.2024.100204","DOIUrl":"10.1016/j.hsr.2024.100204","url":null,"abstract":"<div><div>Various interventions to reduce perineal lacerations during childbirth have been reported, but no systematic assessment of each intervention's impact has been conducted. This study conducted an umbrella review to describe and categorize various interventions for preventing perineal lacerations and evaluate their outcomes.</div><div>The review included studies on perineal laceration interventions during childbirth from existing quantitative systematic reviews, with or without meta-analysis. A comprehensive search conducted up to September 2023 spanned eight bibliometric databases and gray literature sources. Two reviewers independently assessed five systematic reviews using the Joanna Briggs Institute checklist and extracted data with a standardized tool. Findings were summarized in a tabular format with supporting text.</div><div>Of the 57 articles initially shortlisted, six were selected for in-depth analysis. These reviews included 77 randomized controlled trials involving 27,782 patients. Perineal massages and antenatal pelvic floor exercises were identified as the most effective interventions, both of which shortened the second stage of labor and reduced laceration rates. The efficacy of other interventions remains uncertain due to limited research. Future studies should explore the impact of varying intensities and frequencies of perineal massages throughout pregnancy. Integrating these practices into antenatal education and routine midwifery care could further improve clinical outcomes and prevent perineal lacerations during labor.</div></div>","PeriodicalId":73214,"journal":{"name":"Health sciences review (Oxford, England)","volume":"13 ","pages":"Article 100204"},"PeriodicalIF":0.0,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142534685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Revitalizing respiration: A comprehensive review of oxygen therapy in interstitial lung diseases 振兴呼吸:间质性肺病氧疗综合评述
Pub Date : 2024-10-02 DOI: 10.1016/j.hsr.2024.100202
Alaa Ramadan , Alaa R. Ashour , Alaa M. Sadek , Esraa Zakaria , Eman Zakaria , Aya Abdelhafez Hasan , Doaa A. Salah , Omnia Abdelfattah , Aml Kamal , Esraa Salah , Abdelrahman M. Elettreby , Mohamed Abouzid , Amogh verma , Nathan Ezie Kengo , Eptehal Dongol
Interstitial Lung Diseases (ILDs) encompass a diverse group of disorders characterised by inflammation and fibrosis, leading to significant impairment in lung function and quality of life. With the increasing prevalence of ILDs, managing these conditions has become a pressing medical and economic challenge. Oxygen therapy is crucial in ILD management, offering benefits beyond hypoxemia correction, including symptom relief and potential influence on disease progression. However, patient compliance, long-term use, side effects, and the psychosocial impact of therapy present ongoing challenges. This narrative review examines the critical role of oxygen therapy in ILDs, highlighting its current applications, associated challenges, and emerging innovations such as targeted therapies, personalized oxygen delivery, and advancements in technology that promise to enhance patient care in this complex field.
间质性肺病(ILDs)是一组以炎症和纤维化为特征的多种疾病,会严重损害肺功能和生活质量。随着间质性肺病发病率的不断上升,治疗这些疾病已成为一项紧迫的医疗和经济挑战。氧气疗法在 ILD 的治疗中至关重要,它不仅能纠正低氧血症,还能缓解症状并对疾病进展产生潜在影响。然而,患者的依从性、长期使用、副作用以及治疗对社会心理的影响都是持续存在的挑战。这篇叙述性综述探讨了氧疗在 ILD 中的关键作用,重点介绍了氧疗的当前应用、相关挑战和新出现的创新,如靶向疗法、个性化供氧以及有望在这一复杂领域加强患者护理的技术进步。
{"title":"Revitalizing respiration: A comprehensive review of oxygen therapy in interstitial lung diseases","authors":"Alaa Ramadan ,&nbsp;Alaa R. Ashour ,&nbsp;Alaa M. Sadek ,&nbsp;Esraa Zakaria ,&nbsp;Eman Zakaria ,&nbsp;Aya Abdelhafez Hasan ,&nbsp;Doaa A. Salah ,&nbsp;Omnia Abdelfattah ,&nbsp;Aml Kamal ,&nbsp;Esraa Salah ,&nbsp;Abdelrahman M. Elettreby ,&nbsp;Mohamed Abouzid ,&nbsp;Amogh verma ,&nbsp;Nathan Ezie Kengo ,&nbsp;Eptehal Dongol","doi":"10.1016/j.hsr.2024.100202","DOIUrl":"10.1016/j.hsr.2024.100202","url":null,"abstract":"<div><div>Interstitial Lung Diseases (ILDs) encompass a diverse group of disorders characterised by inflammation and fibrosis, leading to significant impairment in lung function and quality of life. With the increasing prevalence of ILDs, managing these conditions has become a pressing medical and economic challenge. Oxygen therapy is crucial in ILD management, offering benefits beyond hypoxemia correction, including symptom relief and potential influence on disease progression. However, patient compliance, long-term use, side effects, and the psychosocial impact of therapy present ongoing challenges. This narrative review examines the critical role of oxygen therapy in ILDs, highlighting its current applications, associated challenges, and emerging innovations such as targeted therapies, personalized oxygen delivery, and advancements in technology that promise to enhance patient care in this complex field.</div></div>","PeriodicalId":73214,"journal":{"name":"Health sciences review (Oxford, England)","volume":"13 ","pages":"Article 100202"},"PeriodicalIF":0.0,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142427387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Deciphering the intricacies of immune system dysfunction and its impact on diabetes mellitus: Revisiting the communication strategies to manage diabetes mellitus 解读免疫系统功能障碍的复杂性及其对糖尿病的影响:重新审视管理糖尿病的沟通策略
Pub Date : 2024-09-19 DOI: 10.1016/j.hsr.2024.100201
Vaibhav , Saikh Shireen Nishad , Dipali Dongare , Adhrit Chandra Pati Tripathi , Tripti Tripathi , Pratima Tripathi
Type 2 diabetes mellitus (T2DM) is a prevalent chronic condition, accounting for over 90% of diabetes cases globally, characterized by insulin resistance and chronic hyperglycemia. Beyond metabolic dysfunction, T2DM is associated with significant immune system alterations, including impaired macrophage, neutrophil, and natural killer cell functions. These immune dysfunctions contribute to increased susceptibility to infections, inflammation, and complications in diabetic individuals. Chronic hyperglycemia triggers an inflammatory response that weakens the body's immune defenses, further complicating disease management. This review delves into the intricate interplay between T2DM and the immune system, emphasizing how immune cell dysfunction exacerbates insulin resistance and impacts infection control. It also explores the role of pro-inflammatory markers and cellular responses in T2DM pathophysiology. Additionally, the article examines innovative strategies for managing T2DM, such as personalized medicine, telemedicine, and artificial intelligence. Personalized medicine tailors treatment to individual genetic, environmental, and lifestyle factors, while telemedicine facilitates remote monitoring and care. Artificial intelligence aids in early detection, personalized treatment plans, and enhanced patient management. By addressing both immune system alterations and advanced management strategies, this article provides a comprehensive understanding of T2DM and advocates for a more integrated approach to improve outcomes and patient care.
2 型糖尿病(T2DM)是一种普遍存在的慢性疾病,占全球糖尿病病例的 90% 以上,其特点是胰岛素抵抗和慢性高血糖。除了代谢功能障碍外,T2DM 还与免疫系统的重大改变有关,包括巨噬细胞、中性粒细胞和自然杀伤细胞功能受损。这些免疫功能障碍导致糖尿病患者对感染、炎症和并发症的易感性增加。慢性高血糖会引发炎症反应,从而削弱机体的免疫防御能力,使疾病管理变得更加复杂。本综述深入探讨了 T2DM 与免疫系统之间错综复杂的相互作用,强调了免疫细胞功能障碍如何加剧胰岛素抵抗并影响感染控制。文章还探讨了促炎标志物和细胞反应在 T2DM 病理生理学中的作用。此外,文章还探讨了治疗 T2DM 的创新策略,如个性化医疗、远程医疗和人工智能。个性化医疗根据个人的遗传、环境和生活方式等因素量身定制治疗方案,而远程医疗则为远程监测和护理提供了便利。人工智能有助于早期检测、个性化治疗计划和加强患者管理。通过探讨免疫系统的改变和先进的管理策略,这篇文章提供了对 T2DM 的全面理解,并倡导采用更综合的方法来改善治疗效果和患者护理。
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引用次数: 0
Revolutionizing menopause management: Nonhormonal therapy for vasomotor symptoms 更年期管理的革命:治疗血管运动症状的非激素疗法
Pub Date : 2024-09-18 DOI: 10.1016/j.hsr.2024.100200
Shanzey Rai , Natalia Aslam Khan
{"title":"Revolutionizing menopause management: Nonhormonal therapy for vasomotor symptoms","authors":"Shanzey Rai ,&nbsp;Natalia Aslam Khan","doi":"10.1016/j.hsr.2024.100200","DOIUrl":"10.1016/j.hsr.2024.100200","url":null,"abstract":"","PeriodicalId":73214,"journal":{"name":"Health sciences review (Oxford, England)","volume":"13 ","pages":"Article 100200"},"PeriodicalIF":0.0,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772632024000539/pdfft?md5=8857f209d392c804918acb0ef662b049&pid=1-s2.0-S2772632024000539-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142313064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Harnessing the power of natural products against bacterial urinary tract infections: A perspective review for cultivating solutions 利用天然产品的力量对抗细菌性尿路感染:培养解决方案的视角回顾
Pub Date : 2024-09-11 DOI: 10.1016/j.hsr.2024.100199
Rahima Tanbin Tama , Md. Sakhawat Hossain , Md. Ashikur Rahaman , Md. Ashraful Alam , Md-Mafizur Rahman , Anzana Parvin , Rifaia Sultana Chowdhury , Md. Shahidul Islam

Urinary tract infection (UTI) is a prevalent and recurrent bacterial infection affecting millions of people across the world, often necessitating antibiotic treatment. However, the rise of multidrug-resistant (MDR) strains, commonly known as "superbugs," has complicated the treatment process. This perspective review summarized the mechanisms of herbal or natural therapeutics intervention in UTI from the perspective of UTI bacterial pathogenesis. Initially, the review explores the mechanism of UTI development, identifying the types of UTI-causing bacteria, the complexity of UTI infection, and the human host's immune system against UTI. Then, this review synthesizes the active compounds of natural therapeutics for UTI, exploring their active compounds, efficacy, and mechanisms of action. After that, we summarized the emerging research on herbal compound interventions in UTI and analyzed the literature in this regard, including clinical applications, suggestions for potential natural bioactive compound consumption with the aim of UTI complications, as well as the association between novel mechanisms of UTI remission with the potential for active natural compounds intervention. Finally, we noted key future recommendations for using natural therapeutics. In conclusion, this review sheds light on the potential role of herbal or natural compounds in UTI treatment, from proposed mechanisms to prospects, offering a promising alternative or complement to conventional therapies in relieving UTIs.

尿路感染(UTI)是一种流行且反复发作的细菌感染,影响着全球数百万人,通常需要使用抗生素治疗。然而,耐多药(MDR)菌株(俗称 "超级细菌")的增加使治疗过程变得更加复杂。本视角综述从UTI细菌发病机制的角度总结了草药或自然疗法干预UTI的机制。综述首先探讨了UTI的发病机制,明确了UTI致病菌的类型、UTI感染的复杂性以及人类宿主对UTI的免疫系统。然后,综述了UTI 天然疗法的活性化合物,探讨了其活性化合物、疗效和作用机制。之后,我们总结了UTI草药复方干预的新兴研究,并分析了这方面的文献,包括临床应用、针对UTI并发症的潜在天然生物活性复方食用建议,以及UTI缓解的新机制与活性天然复方干预潜力之间的关联。最后,我们指出了未来使用天然疗法的主要建议。总之,本综述揭示了草药或天然化合物在UTI治疗中的潜在作用,从提出的机制到前景,为缓解UTI提供了一种有前途的替代疗法或传统疗法的补充。
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引用次数: 0
期刊
Health sciences review (Oxford, England)
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