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Topic Review
Myelodysplastic Syndromes
The molecular pathogenesis of myelodysplastic syndrome (MDS) is complex due to high rate of genomic heterogeneity. Significant advances have been made in the last decade in elucidating the landscape of molecular alterations (cytogenetic abnormalities, gene mutations) in MDS. Seminal experimental studies have clarified the role of diverse gene mutations in the context of disease phenotypes, but the lack of faithful murine models and/ or cell lines spontaneously carrying certain gene mutations have hampered the knowledge on how and why specific pathways are associated with MDS pathogenesis.
  • 1.0K
  • 09 Dec 2020
Topic Review
Adult ADHD Self-Report Scale
The Adult ADHD Self-Report Scale (ASRS) Symptom Checklist is a self-reported questionnaire used to assist in the diagnosis of adult ADHD. ADHD is a neurological disorder that can present itself in adolescence and adulthood. Some individuals can outgrow ADHD but around 30% will continue to have ADHD throughout their adulthood. Adults with ADHD may experience difficulties in relation to cognitive, academic, occupational, social and economic situations. The PhenX Toolkit uses ASRS as its adult protocol for Attention-Deficit/Hyperactivity Disorder Symptoms.
  • 1.0K
  • 15 Nov 2022
Topic Review
Pneumococcal Pneumonia
Pneumococcal infection can have serious implications in pneumonia and sepsis. Patients with SCD who have functional asplenia and increased oxidative stress in the vasculature, are at great risk for pneumococcal infections from infancy through to their adult lives.
  • 1.0K
  • 23 Mar 2021
Topic Review
Minimally Invasive Procedures
Minimally invasive procedures (also known as minimally invasive surgeries) encompass surgical techniques that limit the size of incisions needed and so lessen wound healing time, associated pain and risk of infection. Surgery by definition is invasive and many operations requiring incisions of some size are referred to as open surgery, in which incisions made can sometimes leave large wounds that are painful and take a long time to heal. Minimally invasive procedures have been enabled by the advance of various medical technologies. An endovascular aneurysm repair as an example of minimally invasive surgery is much less invasive in that it involves much smaller incisions than the corresponding open surgery procedure of open aortic surgery. This minimally invasive surgery became the most common method of repairing abdominal aortic aneurysms in 2003 in the United States. The front-runners of minimally invasive procedures were interventional radiologists. By the use of imaging techniques, interventional instruments could be directed throughout the body by the radiologists by way of catheters instead of large incisions needed in traditional surgery, so that many conditions once requiring surgery can now be treated non-surgically. Diagnostic techniques that do not involve the puncturing of the skin or incision, or the introduction into the body of foreign objects or materials, are known as non-invasive procedures. There are also several treatment procedures that are classed as non-invasive. A major example of a non-invasive alternative treatment to surgery is radiation therapy, also called radiotherapy.
  • 1.0K
  • 11 Nov 2022
Biography
Keith Holyoak
Keith James Holyoak (born January 16, 1950) is a Canadian-American researcher in cognitive psychology and cognitive science, working on human thinking and reasoning. Holyoak's work focuses on the role of analogy in thinking.[1] His work showed how analogy can be used to enhance learning of new abstract concepts by both children and adults,[2] as well as how reasoning breaks down in cases of brai
  • 1.0K
  • 23 Nov 2022
Topic Review
Video Game-related Health Problems
Game addiction problems can induce repetitive strain injuries, skin disorders or other health issues. Other problems include video game-provoked seizures in patients with epilepsy. In rare and extreme cases, deaths have resulted from excessive video game playing (see Deaths due to video game addiction).
  • 1.0K
  • 05 Dec 2022
Topic Review
Cover Test
A cover test or cover-uncover test is an objective determination of the presence and amount of ocular deviation. It is typically performed by orthoptists, ophthalmologists and optometrists during eye examinations. The two primary types of cover tests are: The test involves having the patient focusing on both a distance as well as near object at different times during the examination. A cover is placed over an eye for a short moment then removed while observing both eyes for movement. The misaligned eye will deviate inwards or outwards. The process is repeated on both eyes and then with the child focusing on a distant object. The cover test is used to determine both the type of ocular deviation and measure the amount of deviation. The two primary types of ocular deviations are the tropia and the phoria. A tropia is a misalignment of the two eyes when a patient is looking with both eyes uncovered. A phoria (or latent deviation) only appears when binocular viewing is broken and the two eyes are no longer looking at the same object. The unilateral cover test is performed by having the patient focus on an object then covering the fixating eye and observing the movement of the other eye. If the eye was exotropic, covering the fixating eye will cause an inwards movement; and esotropic if covering the fixating eye will cause an outwards movement. The alternating cover test, or cross cover test is used to detect total deviation (tropia + phoria).
  • 1.0K
  • 16 Nov 2022
Topic Review
Maintaining Digestive Health in Diabetes
Over the last decades, the incidence of diabetes has increased in developed countries and beyond the genetic impact, environmental factors, which can trigger the activation of the gut immune system, seem to affect the induction of the disease process. Since the composition of the gut microbiome might disturb the normal interaction with the immune system and contribute to altered immune responses, the restoration of normal microbiota composition constitutes a new target for the prevention and treatment of diabetes. Thus, the interaction of gut microbiome and diabetes, focusing on mechanisms connecting gut microbiota with the occurrence of the disorder, is discussed in the present review. Finally, the challenge of functional food diet on maintaining intestinal health and microbial flora diversity and functionality, as a potential tool for the onset inhibition and management of the disease, is highlighted by reporting key animal studies and clinical trials. Early onset of the disease in the oral cavity is an important factor for the incorporation of a functional food diet in daily routine.
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  • 24 Mar 2021
Topic Review
Korean Red Ginseng Ameliorates Fatigue
Fatigue is both a physiological defense response and a disease-associated symptom; therefore, it is a common complaint in both the general population and patients with various disorders. Fatigue can be generally classified according to duration as acute (≤1 month), prolonged (1< and ≤6 months), and chronic, lasting over 6 months. Chronic fatigue is the main fatigue-related issue in the clinic, and its prevalence is approximately 10% in the general population. In particular, medically unexplained chronic fatigue, such as chronic fatigue syndrome (CFS), has a more serious impact on health-related quality of life than brain stroke, angina pectoris, or schizophrenia.
  • 1.0K
  • 10 Sep 2021
Topic Review
Shoulder Periprosthetic Infections Management
Periprosthetic joint infections of the shoulder are the major cause for revision within the first two post-operative years: bacteria diagnosis and management of humeral bone loss after implant removal may be fronted by new instruments in shoulder surgery.
  • 1.0K
  • 30 Nov 2020
Topic Review
Islet Transplantation
Islet transplantation is considered as a promising and reliable cellular replacement therapy for severe diabetes mellitus patients with unstable condition of blood glucose level despite intensive insulin therapy, especially for insulin-dependent type 1 diabetes mellitus patients. The therapeutic outcomes of islet transplantation have gradually, but dramatically, improved through innovations in technology regarding islet isolation, transplantation procedures, and immunosuppressants [1].  
  • 1.0K
  • 09 Nov 2020
Topic Review
Dietary and Pharmacological Antioxidants
Reactive oxygen species (ROS) have physiological roles as second messengers, but can also exert detrimental modifications on DNA, proteins and lipids if resulting from enhanced generation or reduced antioxidant defense (oxidative stress). Venous thrombus (DVT) formation and resolution are influenced by ROS through modulation of the coagulation, fibrinolysis, proteolysis and the complement system, as well as the regulation of effector cells such as platelets, endothelial cells, erythrocytes, neutrophils, mast cells, monocytes and fibroblasts. Many conditions that carry an elevated risk of venous thrombosis, such as the Antiphospholipid Syndrome, have alterations in their redox homeostasis. Dietary and pharmacological antioxidants can modulate several important processes involved in DVT formation, but their overall effect is unknown and there are no recommendations regarding their use. The development of novel antioxidant treatments that aim to abrogate the formation of DVT or promote its resolution will depend on the identification of targets that enable ROS modulation confined to their site of interest in order to prevent off-target effects on physiological redox mechanisms. Subgroups of patients with increased systemic oxidative stress might benefit from unspecific antioxidant treatment, but more clinical studies are needed to bring clarity to this issue. (From: Reactive Oxygen Species in Venous Thrombosis, 10.3390/ijms21061918)
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  • 27 Oct 2020
Topic Review
Biosimilars
Biosimilars are recombinant DNA products that join DNA from different species and subsequently insert the hybrid DNA into a host cell, often a bacterium or mammalian cell, to express the target protein; this molecular chimera was first created by researchers from UC San Francisco and Stanford in 1972. Stanley Cohen of Stanford and Herbert Boyer of UCSF received the US patent in 1980. Boyer co-founded Genentech, Inc. in 1976. The Cohen-Boyer patents will eventually have more than 500 licensees to biotechnology and pharmaceutical companies and earn Stanford and UCSF more than USD 250 million in royalties. These patents have now expired. Biosimilars include monoclonal antibodies, cytokines, growth factors, enzymes, immunomodulators, and thrombolytics, proteins extracted from animals or microorganisms, including recombinant versions of these products (except clotting factors), and other non-vaccine therapeutic immunotherapies. Billions of patients receiving biosimilars have shown therapeutic equivalence. None of these products have shown adverse events more than the reference product, including immunogenicity responses. It is estimated that the cumulative exposure to EU-approved biosimilars was more than two billion patient treatment days in 2020, with no adverse event reporting or withdrawal from the market due to safety reasons and no biosimilar-specific adverse effects have been added to the product information.
  • 1.0K
  • 02 Aug 2022
Topic Review
Adhesion
Adhesions are fibrous bands that form between tissues and organs, often as a result of injury during surgery. They may be thought of as internal scar tissue that connects tissues not normally connected.
  • 1.0K
  • 22 Nov 2022
Topic Review
Current Vaccines  and Mechanisms of Cancer Vaccines
A vaccine is created to develop specific immunity against a particular disease or infection. The purpose of cancer immunotherapy is to activate the immune system so that it can identify and eliminate cancer cells. Anticancer immunotherapies are classified as either “passive” or “active” based on their ability to (re-)activate the host immune system against malignant cells. Tumor-targeting monoclonal antibodies (mAbs) and adoptively transferred T-cells (among other approaches) are considered passive forms of immunotherapy because they have intrinsic anticancer activity. Antigen-specificity is an alternative classification of immunotherapeutic anticancer regimens. While tumor-targeting mAbs are widely regarded as antigen-specific interventions, immunostimulatory cytokines or checkpoint blockers activate anticancer immune responses with unknown (and generally broad) specificity.
  • 1.0K
  • 15 Dec 2022
Topic Review
Personalised Ageing
Given the growing number of older people, society as a whole should ideally provide a higher quality of life (QoL) for its ageing citizens through the concept of personalised ageing. Information and communication technologies (ICT) are subject to constant and rapid development, and can contribute to the goal of an improved QoL for older adults. In order to utilise future ICT solutions as a part of an age-friendly smart environment that helps achieve personalised ageing with an increased QoL, one must first determine whether the existing ICT solutions are satisfying the needs of older people. In order to accomplish that, this study contributes in three ways. First, it proposes a framework for the QoL of older adults, in order to provide a systematic review of the state-of-the-art literature and patents in this field. The second contribution is the finding that selected ICT solutions covered by articles and patents are intended for older adults and are validated by them.The third contribution of the study are the six recommendations that are derived from the review of the literature and the patents which would help move the agenda concerning the QoL of older people and personalised ageing with the use of ICT solutions forward.
  • 1.0K
  • 29 Oct 2020
Topic Review
Remote management of DFD
Diabetes-related foot disease (DFD), which includes foot ulcers, infection and gangrene, is a leading cause of the global disability burden. About half of people who develop DFD experience a recurrence within one year. Long-term medical management to reduce the risk of recurrence is therefore important to reduce the global DFD burden. This review describes research assessing the value of sensors, wearables and telehealth in preventing DFD. Sensors and wearables have been developed to monitor foot temperature, plantar pressures, glucose, blood pressure and lipids. The monitoring of these risk factors along with telehealth consultations has promise as a method for remotely managing people who are at risk of DFD. This approach can potentially avoid or reduce the need for face-to-face consultations. Home foot temperature monitoring, continuous glucose monitoring and telehealth consultations are the approaches for which the most highly developed and user-friendly technology has been developed. A number of clinical studies in people at risk of DFD have demonstrated benefits when using one of these remote monitoring methods. Further development and evidence are needed for some of the other approaches, such as home plantar pressure and footwear adherence monitoring. As yet, no composite remote management program incorporating remote monitoring and the management of all the key risk factors for DFD has been developed and implemented. Further research assessing the feasibility and value of combining these remote monitoring approaches as a holistic way of preventing DFD is needed.
  • 1.0K
  • 27 Oct 2020
Topic Review
Opioid Tolerance
Opioids are potent analgesics widely used to control acute and chronic pain, but long-term use induces tolerance that reduces their effectiveness. The US Food and Drug Administration (FDA) define opioid tolerance as follows (https://www.fda.gov); Patients are considered opioid tolerant if they are taking, for 1 week or longer, at least: - Oral morphine–60 mg daily - Transdermal fentanyl–25 mcg/h - Oral oxycodone–30 mg daily - Oral hydromorphone–8mgdaily - Oral oxymorphone–25mgdaily - Equianalgesic daily dose of another opioid
  • 1.0K
  • 26 Oct 2020
Topic Review
HIV-1 Latency and Viral Reservoirs
Eradication of latent human immunodeficiency virus (HIV) infection is a global health challenge. Reactivation of HIV latency and killing of virus-infected cells, the so-called “kick and kill” or “shock and kill” approaches, are a popular strategy for HIV cure. While antiretroviral therapy (ART) halts HIV replication by targeting multiple steps in the HIV life cycle, including viral entry, integration, replication, and production, it cannot get rid of the occult provirus incorporated into the host-cell genome. These latent proviruses are replication-competent and can rebound in cases of ART interruption or cessation. In general, a very small population of cells harbor provirus, serve as reservoirs in ART-controlled HIV subjects, and are capable of expressing little to no HIV RNA or proteins. Beyond the canonical resting memory CD4+ T cells, HIV reservoirs also exist within tissue macrophages, myeloid cells, brain microglial cells, gut epithelial cells, and hematopoietic stem cells (HSCs). Despite a lack of active viral production, latently HIV-infected subjects continue to exhibit aberrant cellular signaling and metabolic dysfunction, leading to minor to major cellular and systemic complications or comorbidities. These include genomic DNA damage; telomere attrition; mitochondrial dysfunction; premature aging; and lymphocytic, cardiac, renal, hepatic, or pulmonary dysfunctions. Therefore, the arcane machineries involved in HIV latency and its reversal warrant further studies to identify the cryptic mechanisms of HIV reservoir formation and clearance.
  • 1.0K
  • 10 Mar 2021
Topic Review
Medical Restraint
Medical restraints are physical restraints used during certain medical procedures to restrain patients with the minimum of discomfort and pain and to prevent them from injuring themselves or others.
  • 1.0K
  • 15 Nov 2022
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