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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
Osteoblast Dysfunction
Osteoblasts (Ob) originate from mesenchymal cells, secrete matrix proteins and promote mineralization during the bone modelling and restructuring process. Ob are unable to function as a single cell, in fact they function in a group of cells and the functional unit made up of Ob and the bone produced is called bone multicellular units (BMU). The mineralized skeleton is the support for human body and is a fundamental store of calcium, phosphate, participating also to the basic-acid homeostasis.
  • 1.0K
  • 10 Sep 2021
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
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
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
Flavonoids and Their Anti-Diabetic Effects
Diabetes mellitus (DM) is a prevailing global health metabolic disorder, with an alarming incidence rate and a huge burden on health care providers. DM is characterized by the elevation of blood glucose due either to a defect in insulin synthesis, secretion, binding to receptor, or an increase of insulin resistance. The internal and external factors such as obesity, urbanizations, and genetic mutations could increase the risk of developing DM. Flavonoids are phenolic compounds existing as secondary metabolites in fruits and vegetables as well as fungi. Their structure consists of 15 carbon skeletons and two aromatic rings (A and B) connected by three carbon chains. Flavonoids are furtherly classified into 6 subclasses: flavonols, flavones, flavanones, isoflavones, flavanols, and anthocyanidins. Naturally occurring flavonoids possess anti-diabetic effects. As in vitro and animal model’s studies demonstrate, they have the ability to prevent diabetes and its complications.The aim of this review is to summarize the current knowledge addressing the anti-diabetic effects of dietary flavonoids and their underlying molecular mechanisms on selected pathways: Glucose transporter, hepatic enzymes,tyrosine kinase inhibitor, AMPK, PPAR, and NF-B. Flavonoids improve the pathogenesis of diabetes and its complications through the regulation of glucose metabolism, hepatic enzymes activities, and lipid profile. Most studies illustrate a positive role of specific dietary flavonoids on diabetes, but the mechanisms of action and the side effects need more clarification. Overall, more research is needed to provide a better understanding of the mechanisms of diabetes treatment using flavonoids.
  • 1.0K
  • 26 Jul 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
Biography
Róbert Bárány
Robert Bárány (Hungarian: Bárány Róbert; Hungarian pronunciation: [ˈroːbɛrt ˈbaːraːɲ]; 22 April 1876 – 8 April 1936) was an ethnic Hungarian otologist from Austria.[1] He received the 1914 Nobel Prize in Physiology or Medicine for his work on the physiology and pathology of the vestibular apparatus.[2] Bárány was born in Vienna, Austria-Hungary. He was the eldest of six child
  • 1.0K
  • 30 Nov 2022
Topic Review
Mood Dysregulations in GDM
Gestational diabetes mellitus (GDM) is a metabolic condition of increased maternal blood glucose leve. GDM affects up to 36% of pregnant women. Mood dysregulations (MDs, e.g., depression, distress, and anxiety) are common among women with GDM. Symptoms of depression and anxiety usually overlap with one another as well as with distress symptoms; they develop in up to 27% and 24% of pregnancies, respectively.
  • 1.0K
  • 08 Jan 2021
Topic Review
Etiopathogenetic Models on BIA-ALCL
BIA-ALCL is a rare T-cell lymphoma, CD30 positive, ALK-negative usually discovered after the diagnosis of spontaneous periprosthetic seroma or intracapsular mass around the breast implant.
  • 1.0K
  • 22 Sep 2021
Topic Review
Radon Exposure
Radon, an imperceptible natural occurring radioactive noble gas, contributes as the largest single fraction to radiation exposure from natural sources. For that reason, radon represents a major issue for radiation protection. Nevertheless, radon is also applied for the therapy of inflammatory and degenerative diseases in galleries and spas to many thousand patients a year. In either case, chronic environmental exposure or therapy, the effect of radon on the organism exposed is still under investigation at all levels of interaction. This includes the physical stage of diffusion and energy deposition by radioactive decay of radon and its progeny and the biological stage of initiating and propagating a physiologic response or inducing cancer after chronic exposure.
  • 1.0K
  • 19 Jan 2021
Topic Review
MRI function in Bone Microstructure
Bone microarchitecture has been shown to provide useful information regarding the evaluation of skeleton quality with an added value to areal bone mineral density, which can be used for the di-agnosis of several bone diseases. Bone mineral density estimated from dual-energy x-ray absorp-tiometry (DXA) has shown to be a limited tool to identify patients’ risk stratification and therapy delivery. Magnetic resonance imaging (MRI) has been proposed as another technique to assess bone quality and fracture risk by evaluating the bone structure and microarchitecture.
  • 1.0K
  • 15 Mar 2021
Topic Review
Antisense Oligonucleotide for Chronic Kidney Disease
Chronic kidney disease (CKD) is a global public health issue that places an increasing burden on the healthcare systems of both the developed and developing countries. CKD is a progressive and irreversible condition, affecting approximately 10% of the population worldwide. Patients that have progressed to end-stage renal disease (ESRD) require expensive renal replacement therapy, i.e., dialysis or kidney transplantation. Current CKD therapy largely relies on the use of angiotensin-converting enzyme inhibitors (ACEis) and angiotensin receptor blockers (ARBs). However, these treatments by no means halt the progression of CKD to ESRD. Therefore, the development of new therapies is urgently needed. Antisense oligonucleotide (ASO) has recently attracted considerable interest as a drug development platform. Thus far, eight ASO-based drugs have been granted approval by the US Food and Drug Administration for the treatment of various diseases.
  • 1.0K
  • 17 Jan 2022
Topic Review
Psychiatric Disorders of Childbirth
This article covers the complications of childbirth (parturition, labour, delivery,) not those of pregnancy or the postpartum period. Even with modern obstetrics and pain control, childbirth is still an ordeal for many women. During delivery, or immediately afterwards, dramatic complications are occasionally seen - delirium, stupor, rage, acts of desperation or neonaticide. These complications will be briefly reviewed in turn. With the great improvement in obstetric care, most of them have become rare. There is, however, a great contrast between Europe, North America, Australia, Japan and some other countries with advanced medical care, and the rest of the world. The wealthiest nations produce only 10 million children each year, from a total of 135 million. They have a maternal mortality rate (MMR) of 6–20/100,000. Some poorer nations with high birth rates have an MMR more than 100 times as high, and, presumably, a corresponding prevalence of severe morbidity. In Africa, India & South East Asia, and Latin America, these complications of parturition may still be as important as they have been throughout human history.
  • 1.0K
  • 14 Nov 2022
Topic Review
Chronic Obstructive Lung Disease
The concept of early COPD should be understood from the perspective of the longitudinal course of the disease. This represents an earlier point in the course of COPD that does not yet show spirometric airway obstruction or typical clinical manifestations. It should be distinguished from “mild COPD,” which is generally perceived as a cross-sectional-perspective mild spirometric airway obstruction regardless of the point in the course of the disease. However, due to a lack of evidence to identify COPD patients in the early stages of the course of the disease, many groups have used the definition of mild COPD without distinguishing it from early COPD.
  • 1.0K
  • 20 Nov 2020
Topic Review
Hyaluronic Acid-Conjugated Carbon Nanomaterials
Hyaluronic acid (HA) has been implemented for chemo and photothermal therapy to target tumour cells overexpressing the CD44+ receptor. HA-targeting hybrid systems allows carbon nanomaterial (CNM) carriers to efficiently deliver anticancer drugs, such as doxorubicin and gemcitabine, to the tumour sites. 
  • 1.0K
  • 07 Jan 2022
Topic Review
Dandelion Program
Established in 2014, the DXC Technology Dandelion Program is an initiative designed to build skills and careers for people on the autism spectrum. The original concept was developed by Michael Fieldhouse an executive at DXC. Since its inception, the program has established seven teams in four states and territories across Australia. The program identifies and trains teams of individuals who deliver services to the Australian Government Department of Human Services, Department of Defence, Department of Home Affairs, Department of Social Services, ANZ bank and National Australia Bank. The program's aim is to offer opportunities for people who are on the autism spectrum and harness their skills that will prepare them for future careers.
  • 1.0K
  • 09 Nov 2022
Topic Review
Antibiotic-Related Changes in Microbiome
The interplay between drugs and microbiota is critical for successful treatment. An accumulating amount of evidence has identified the significant impact of intestinal microbiota composition on cancer treatment response, particularly immunotherapy. The possible molecular pathways of the interaction between immune checkpoint inhibitors (ICIs) and the microbiome can be used to reverse immunotherapy tolerance in cancer by using various kinds of interventions on the intestinal bacteria. This paper aimed to review the data available on how the antibiotic-related changes in human microbiota during colorectal cancer (CRC) treatment can affect and determine ICI treatment outcomes. We also covered the data that support the potential intimate mechanisms of both local and systemic immune responses induced by changes in the intestinal microbiota. However, further better-powered studies are needed to thoroughly assess the clinical significance of antibiotic-induced alteration of the gut microbiota and its impact on CRC treatment by direct observations of patients receiving antibiotic treatment. 
  • 1.0K
  • 18 Feb 2021
Topic Review
Interdisciplinary Approaches to Deal with Alzheimer’s Disease
Alzheimer’s disease is one of the most common neurodegenerative diseases in the western population. The incidence of this disease increases with age. Rising life expectancy and the resulting increase in the ratio of elderly in the population are likely to exacerbate socioeconomic problems. Alzheimer’s disease is a multifactorial disease. In addition to amyloidogenic processing leading to plaques, and tau pathology, but also other molecular causes such as oxidative stress or inflammation play a crucial role. Unfortunately, all previous single-domain interventions have been shown to have limited benefit to patients. However, the latest studies indicate that combining these efforts into multidomain approaches may have increased preventive or therapeutic potential.
  • 1.0K
  • 21 Dec 2022
Topic Review
GVHD Pathophysiology and MDSCs
The backbone of conventional treatment for aGVHD relies on the use of corticosteroids. Corticosteroids, as the gold standard of initial therapy, result in diverse complete responses (25–69%). As aGVHD severity increases, so does mortality, which is indicated by mortality rates reaching 95% in grade III-IV aGVHD. Despite the research community’s efforts to establish novel targeted strategies against GVHD, no optimal treatment regimen has been described.
  • 1.0K
  • 08 Jun 2021
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