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Topic Review
Biography
Topic Review
Fertility Preservation Options for Transgender Patients
Fertility preservation technologies have existed for decades, and the field is rapidly advancing; limited data exist regarding the use of these technologies by transgender patients. Many options are available for transgender patients who wish to preserve fertility before transitioning. These options include the cryopreservation of gametes, embryos, or ovarian tissue.
248
18 Oct 2023
Topic Review
Ethical Implications of Chatbot Utilization in Nephrology
In the realm of medicine, chatbots have risen as an instrumental tool, seamlessly enhancing patient interactions, streamlining administrative workflows, and elevating healthcare service quality. Their multifaceted applications span from enlightening patients, sending medication alerts, and assisting with preliminary diagnoses to operational responsibilities such as scheduling visits and gathering patient insights. Their ascendancy is attributed to a mix of elements, such as the widespread use of intelligent devices, amplified internet connectivity, and consistent advancements in AI technologies.
141
18 Oct 2023
Topic Review
Acupuncture in Children Frequent or Chronic Primary Headaches
Acupuncture is a spreading and promising intervention, which has proven to be very useful in the treatment and prevention of chronic pain, in particular chronic headaches, in adults. Despite the differences in tools, procedures, and application sites, acupuncture demonstrated a positive effect on both the frequency and intensity of headaches and was well tolerated.
241
18 Oct 2023
Topic Review
Neonatal Outcomes of Children Born from Frozen Embryo
The growing use of ART (assisted reproductive techniques) has led to a progressive improvement of protocols; embryo freezing is certainly one of the most important innovations. This technique is selectively offered as a tailored approach to reduce the incidence of multiple pregnancies and, most importantly, to lower the risk of developing ovarian hyperstimulation syndrome when used in conjunction with an ovulation-triggering GnRH antagonist. The increase in transfer cycles with frozen embryos made it possible to study the effects of the technique in children thus conceived. Particularly noteworthy is the increase in macrosomal and LGA (large for gestational age) newborns, in addition to a decrease in SGA (small for gestational age) and LBW (low birth weight) newborns.
258
17 Oct 2023
Topic Review
Quercetin Derivatives in Nicotine-Induced Non-Small Cell Lung-Cancer Therapy
Flavonoids are the largest group of polyphenols, represented by many compounds that exhibit high anticancer properties. Quercetin (Q) and its main derivatives (rutin, quercitrin, isoquercitrin, isorhamnetin, tamarixetin, rhamnetin, and hyperoside) in the class of flavonols have been documented to exert anticancer activity. Q has been shown to be useful in the treatment of non-small cell lung cancer (NSCLC), as demonstrated by in vitro/in vivo studies, due to its antitumor, anti-inflammatory, anti-proliferative, anti-angiogenesis, and apoptotic properties. Some flavonoids (flavone, anthocyanins, and proanthocyanidins) have been demonstrated to be effective in nicotine-induced NSCLC treatment.
247
17 Oct 2023
Topic Review
Management of Hepatocellular Carcinoma Associated with NAFLD
Non-alcoholic fatty liver disease (NAFLD) has gained attention due to its increasing prevalence worldwide becoming a global epidemic. The increasing incidence of NAFLD and the concurrent increase in the number of hepatocellular carcinoma (HCC) cases at a global level is a matter of concern. HCC has several risk factors, of which NAFLD and its associated metabolic disturbances—type 2 diabetes mellitus, obesity, and dyslipidemia—are of great interest due to their accelerating rise in incidence worldwide. There is a high amount of data derived from basic and clinical studies that reveal the molecular pathways that drive NAFLD-associated HCC. Based on these findings, new prevention, surveillance, and treatment strategies are emerging.
224
17 Oct 2023
Topic Review
Reentry Arrhythmia in Cardiac Tissue Models
Cardiac arrhythmias are a major cause of cardiovascular mortality worldwide. Many arrhythmias are caused by reentry, a phenomenon where excitation waves circulate in the heart. Optical mapping techniques have revealed the role of reentry in arrhythmia initiation and fibrillation transition, but the underlying biophysical mechanisms are still difficult to investigate in intact hearts.
414
17 Oct 2023
Topic Review
Metabolomics Analysis in Hearing Impairment
With more than 466 million people affected, hearing loss represents the most common sensory pathology worldwide. In this context, metabolomics emerges as a promising approach. Indeed, lying downstream from molecular biology’s central dogma, the metabolome reflects both genetic traits and environmental influences. Furthermore, its dynamic nature facilitates well-defined changes during disease states, making metabolomic analysis a unique lens into the mechanisms underpinning various hearing impairment forms.
151
17 Oct 2023
Topic Review
Functionalization of Cyclodextrins
Cyclodextrins (CDs) are cyclic oligosaccharides bearing several glucopyranose residues connected by α-1,4 glycosidic bonds. Natural cyclodextrins contain six, seven, or eight glucopyranose units (α-, β- and γ-cyclodextrin, respectively) and are natural products, biodegradable, and generally lacking in toxicity. Cyclodextrins have toroidal shapes, with the smaller opening of the toroid (primary rim) corresponding to the C6-OH primary hydroxyls and the larger opening (secondary rim) to the C2-OH and C3-OH secondary hydroxyls.
1.3K
17 Oct 2023
Topic Review
Medical Challenges of HIV and Ageing Population
The continuing increase in patient numbers and improvement in healthcare provisions of HIV services in the UK, alongside the effectiveness of combined antiretroviral therapy (cART), has resulted in increasing numbers of the ageing population among people living with HIV (PLWH). It is expected that geriatricians will need to deal with many older people living with HIV (OPLWH) as life expectancy increases. Therefore, geriatric syndromes in OPLWH will be similar to the normal population, such as falls, cognitive decline, frailty, dementia, hypertension, diabetes and polypharmacy. The increase in the long-term use of cART, diabetes, dyslipidaemia and hypertension may lead to high prevalence of cardiovascular disease (CVD). The treatment of such conditions may lead to polypharmacy and may increase the risk of cART drug–drug interactions. In addition, the risk of developing infection and cancer is high. OPLWH may develop an early onset of low bone mineral density (BMD), osteoporosis and fractures.
123
17 Oct 2023
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