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Calcium Dyshomeostasis in Neuropathy Diabetes 神经病变糖尿病的钙平衡失调
Pub Date : 2020-03-09 DOI: 10.5772/INTECHOPEN.91482
S. Kurniawan
Diabetes is a ceaseless ailment that is basic in practically all nations. Neuropathy is the most well-known constant difficulty of diabetes and is the underlying reason for ulceration in the legs of lower appendage removals. The predominance of diabetic polyneuropathy shifts from 23 to 29%. Incessant metabolic pressure incited by hyperglycemia, either low insulin creation in type 1 diabetes or diminished fringe affectability to insulin in type 2 diabetes influences cell homeostasis in practically all phone types. Changes in the sign Ca have been recognized in different seclusion tissues from creatures initiated to diabetes just as patients with diabetes. Ca homeostasis variations from the norm have likewise been found in an assortment of tissues, including bone, heart and smooth muscle, secretory cells, platelets, kidneys and osteoblasts. This variation from the norm by and large shows as an expanded resting centralization of intracellular Ca ([Ca]I), diminished Ca transporter movement and diminished boost that produces Ca signals. Ca flagging issue are likewise found in neuron-sensory from trial creatures with diabetes.
糖尿病是一种持续不断的疾病,几乎是所有国家的基本疾病。神经病变是糖尿病患者最常见的顽疾,也是切除下肢附属物后腿部溃疡的根本原因。糖尿病多发神经病变的发生率从23%上升到29%。由高血糖引起的持续代谢压力,无论是1型糖尿病的胰岛素生成低,还是2型糖尿病对胰岛素的边缘敏感性降低,都会影响几乎所有类型的细胞稳态。Ca标志的变化已经在不同的隔离组织中被识别出来,从生物到糖尿病,就像糖尿病患者一样。在各种组织中,包括骨、心脏和平滑肌、分泌细胞、血小板、肾脏和成骨细胞,也同样发现了钙稳态的变化。这种与正常值的差异总体上表现为细胞内Ca ([Ca]I)的静息集中扩大,Ca转运体运动减弱,产生Ca信号的增强减弱。在糖尿病试验动物的神经元感觉细胞中也发现了Ca标记问题。
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引用次数: 0
Beneficial Effects of Proanthocyanidins on Intestinal Permeability and Its Relationship with Inflammation 原花青素对肠道通透性的有益作用及其与炎症的关系
Pub Date : 2020-02-25 DOI: 10.5772/intechopen.91212
Carlos González-Quilen, E. Rodríguez-Gallego, R. Beltrán-Debón, Montserrat Pinent, A. Ardévol, M. Blay, X. Terra
The intestinal barrier is constantly exposed to potentially harmful environmental factors including food components and bacterial endotoxins. When the intestinal barrier function and immune homeostasis are compromised, inflammatory conditions may be developed and impact overall health. Evidence from experimental animal and cell-culture studies suggests that exposure of intestinal mucosa to proanthocyanidin-rich plant products may contribute to maintain the barrier function and to ameliorate the inflammation present in prevalent pathologies such as diet-induced obesity and inflammatory bowel disease. In this review, we aim to update the current knowledge on the bioactivity of PACs in experimental models of altered intestinal permeability and in humans, emphasizing the beneficial effects of grape-seed proanthocyanidin extracts in intestinal health and giving insights into the subjacent biochemical and molecular mechanism.
肠道屏障不断暴露于潜在的有害环境因素,包括食物成分和细菌内毒素。当肠道屏障功能和免疫稳态受到损害时,炎症可能会发展并影响整体健康。来自实验动物和细胞培养研究的证据表明,肠道黏膜暴露于富含原花青素的植物产品可能有助于维持屏障功能,并改善存在于饮食引起的肥胖和炎症性肠病等常见病理中的炎症。在这篇综述中,我们的目的是更新目前对PACs在肠道通透性改变和人体实验模型中的生物活性的了解,强调葡萄籽原花青素提取物对肠道健康的有益作用,并对其潜在的生化和分子机制进行深入研究。
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引用次数: 0
Obesity: A Risk Factor for Infection after Surgery 肥胖:手术后感染的危险因素
Pub Date : 2020-02-20 DOI: 10.5772/intechopen.91216
J. Suclla-Velásquez, Connie Smedts
Obesity is a prevalent health problem all over the world. It is associated with several diseases including infections. It impairs the immune system function by plenty of mechanisms. For instance, leptin and adiponectin are cytokines produced by the adipose tissue, both participating in immunity, but their effects are impaired in obese patients. Moreover, immune cells also show defects in their functions. They produce a pro-inflammatory state and contribute to obesity-related diseases. Innate immune system and adaptive immunity are both impaired in obese patients which causes a poor response to infections. In addition, in surgical site infections (SSI), there are local factors that must be considered. The large adipose panicle and visceral adipose tissue increase the surgical technique difficulty and extend the operative time. Besides, the adipose tissue has poor oxygenation and reduces operative field. It has been proven that obesity is associated to surgical site infection irrespective of type of surgery. However, minimal invasive surgery has demonstrated that reducing surgical trauma can diminish the risk for surgical site infection.
肥胖是全世界普遍存在的健康问题。它与包括感染在内的几种疾病有关。它通过多种机制损害免疫系统功能。例如,瘦素和脂联素是由脂肪组织产生的细胞因子,两者都参与免疫,但它们的作用在肥胖患者中受损。此外,免疫细胞的功能也存在缺陷。它们产生促炎状态,导致肥胖相关疾病。肥胖患者先天免疫系统和适应性免疫系统均受损,对感染反应较差。此外,在手术部位感染(SSI)中,必须考虑局部因素。肥大的脂肪穗和内脏脂肪组织增加了手术技术难度,延长了手术时间。此外,脂肪组织氧合不良,缩小手术视野。已经证明,肥胖与手术部位感染有关,与手术类型无关。然而,微创手术已经证明,减少手术创伤可以降低手术部位感染的风险。
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引用次数: 4
Risk and Maintenance Factors for Eating Disorders: An Exploration of Multivariate Models on Clinical and Non-Clinical Populations 饮食失调的风险和维持因素:临床和非临床人群的多变量模型探索
Pub Date : 2020-02-06 DOI: 10.5772/intechopen.91063
S. Cella, Mara Iannaccone, A. Cipriano, P. Cotrufo
The recognition of factors involved in the development and maintenance of eating disorders (EDs) may support the choice of therapeutic strategies and improve the prevention/treatment of eating pathologies and their outcomes. Based on this consideration, the overall purpose of the chapter is to investigate how some psychological characteristics link to EDs. It is organized as follows. First, the epidemiological aspects, risk, and maintaining factors for ED are outlined. Next, we present the findings from our two studies. The purpose of the first study was to identify predictors associated with the severity of eating symptomatology. Then, the objec-tive of the second study was to provide an understanding of the relationship among perceived parental bonding, self-esteem, perfectionism, body shame, body mass index, and ED risk and mainly to test a predictive ED risk model in a non-clinical sample. In conclusion, the major findings and practical implications are discussed.
对饮食失调(EDs)发生和维持的相关因素的认识可以支持治疗策略的选择,并改善饮食病理及其结果的预防/治疗。基于这一考虑,本章的总体目的是研究一些心理特征如何与EDs联系起来。它的组织如下。首先,概述了ED的流行病学方面、风险和维持因素。接下来,我们将介绍我们两项研究的结果。第一项研究的目的是确定与饮食症状严重程度相关的预测因素。然后,第二项研究的目的是了解感知父母关系、自尊、完美主义、身体羞耻、体重指数和ED风险之间的关系,主要是在非临床样本中测试预测ED风险模型。最后,讨论了本研究的主要发现和实际意义。
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引用次数: 2
Warming in Anorexia Nervosa: A Review 神经性厌食症的变暖:综述
Pub Date : 2020-02-05 DOI: 10.5772/intechopen.90353
E. Gutiérrez, O. Carrera
Anorexia nervosa (AN) is a severe psychiatric condition primarily affecting young women, and AN has the highest mortality rate among psychiatric disorders. AN continues to be a disorder refractory to psychological or pharmacologi-cal treatment. An innovative approach arises from research in rats simultaneously placed on a restricted feeding schedule and given free access to an activity wheel. The detrimental effects of combining diet and exercise in rats can be reversed by a manipulation of ambient temperature (AT). Warming animals exposed to these experimental arrangements reverses running activity, preserves food intake, and enables rats to recover from acute weight loss. This represents a strong preclinical evidence that provides a rationale for a translational approach for the treatment of AN. However, heat application to AN patients was already a recommendation made by William Gull in his seminal paper on AN disorder. A historical perspective of supplying heat to AN patients reviews the circumstances and foundation of this practice. The manipulation of AT in activity-based anorexia (ABA) rats has ended with a period of neglect of AT that parallels the complete neglect of the role of AT in the human AN disorder, either as a risk factor, as a modulating factor in the course of the disorder, or in terms of its utility in the treatment of AN.
神经性厌食症(AN)是一种主要影响年轻女性的严重精神疾病,在精神疾病中死亡率最高。AN仍然是一种难以心理或药物治疗的疾病。一种创新的方法来自对老鼠的研究,这些老鼠同时被置于限制进食的时间表上,并被允许自由使用活动轮。在大鼠中,饮食和运动相结合的有害影响可以通过控制环境温度(AT)来逆转。暴露在这些实验安排下的温暖动物逆转了奔跑活动,保持了食物摄入,并使大鼠从急性体重减轻中恢复过来。这是一个强有力的临床前证据,为AN治疗的转化方法提供了理论依据。然而,威廉·古尔(William Gull)在他关于AN疾病的开创性论文中已经建议对AN患者进行加热。从历史的角度来看,为AN患者提供热量,回顾了这种做法的情况和基础。在活动性厌食症(ABA)大鼠中对AT的操纵已经结束了一段忽视AT的时期,这与完全忽视AT在人类AN障碍中的作用相似,无论是作为风险因素,还是作为障碍过程中的调节因素,还是就其在AN治疗中的实用性而言。
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引用次数: 2
Hyponatremia and Psychiatric Diseases 低钠血症和精神疾病
Pub Date : 2019-10-24 DOI: 10.5772/intechopen.90011
Ermal Bojdani, Flavia De Souza, Aishwarya K. Rajagopalan, A. Chen, Alesia A. Cloutier, Troy R. Nold, Dil Tahera
Eating disorders, psychotic illnesses, and substance use disorders are some of the more common psychiatric conditions encountered in clinical practice that are associated with hyponatremia. The mechanisms that lead to hyponatremia vary, and at times hyponatremia may be a result of a drug side effect or drug-drug interaction. Additionally, hyponatremia from a non-psychiatric condition may lead to psychiatric symptomatology. Given the potential for hyponatremia to cause significant morbidity and potential mortality, clinicians are urged to consider screening for plasma sodium in patients at risk of hyponatremia, such as patients in the three categories of psychiatric conditions described above. Treatment of hyponatremia consists of various acute interventions, with consideration that treatment of the underlying psychiatric condition may help to diminish or eliminate the frequency of hyponatremic episodes in the long run.
饮食失调、精神疾病和物质使用障碍是临床实践中与低钠血症相关的一些更常见的精神疾病。导致低钠血症的机制各不相同,有时低钠血症可能是药物副作用或药物相互作用的结果。此外,非精神疾病引起的低钠血症可能导致精神症状。鉴于低钠血症可能导致显著的发病率和潜在的死亡率,临床医生被敦促考虑对有低钠血症风险的患者进行血浆钠筛查,例如上述三种精神疾病的患者。低钠血症的治疗包括各种急性干预措施,考虑到治疗潜在的精神状况可能有助于减少或消除长期低钠血症发作的频率。
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引用次数: 1
The Role of Internet Technology in Enhancing the Effectiveness of Lifestyle Interventions for Weight Management 互联网技术在提高生活方式干预体重管理有效性中的作用
Pub Date : 2010-06-24 DOI: 10.1089/OBE.2010.0307
David Blackburn, Kristina Spellman
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引用次数: 1
Brain Imaging, the Prefrontal Cortex, and Obesity: Where Do We Stand? 脑成像,前额叶皮层和肥胖:我们站在哪里?
Pub Date : 2010-06-24 DOI: 10.1089/OBE.2010.0306
M. Alonso-Alonso
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引用次数: 5
The Elephant in the Room 房间里的大象
Pub Date : 2010-06-24 DOI: 10.1089/OBE.2010.0300
James O Hill, H. Wyatt
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引用次数: 0
Gastric Bypass and Polyneuropathy Resembling Guillain-Barré Syndrome 胃旁路术和多神经病变类似格林-巴勒综合征
Pub Date : 2010-06-24 DOI: 10.1089/OBE.2010.0310
C. Fehnel, Scott A. Boruchow
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引用次数: 0
期刊
Obesity and weight management
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