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Topic Review
Pathophysiology of Inflammation in Peripheral Artery Disease
Inflammation has a critical role in the development and progression of atherosclerosis. On the molecular level, inflammatory pathways negatively impact endothelial barrier properties and thus, tissue homeostasis. Conformational changes and destruction of the glycocalyx further promote pro-inflammatory pathways also contributing to pro-coagulability and a prothrombotic state. In addition, changes in the extracellular matrix composition lead to (peri-)vascular remodelling and alterations of the vessel wall, e.g., aneurysm formation. Moreover, progressive fibrosis leads to reduced tissue perfusion due to loss of functional capillaries.
  • 216
  • 07 Sep 2023
Topic Review
Vitamin D and Urogenital Functions in Postmenopausal Women
Recent years have witnessed the emergence of growing evidence concerning vitamin D's potential role in women's health, specifically in postmenopausal women. This evidence also includes its connection to various genitourinary disorders and symptoms. Numerous clinical studies have observed improvements in vulvovaginal symptoms linked to the genitourinary syndrome of menopause (GSM) with vitamin D supplementation. These studies have reported positive effects on various aspects such as vaginal pH, dryness, sexual functioning, reduced libido, and a decrease in urinary tract infections. Many mechanisms underlying these pharmacological effects have since been proposed. Vitamin D receptors (VDRs) have been identified as a major contributor to its effects. It is now well known that VDRs are expressed in the superficial layers of the urogenital organs. Additionally, vitamin D plays a crucial role in supporting immune function and modulating the body's defense mechanisms. However, the characterization of these effects requires more investigation. Reviewing existing evidence regarding vitamin D's impact on post-menopausal women's vaginal, sexual, and urological health is the purpose of this article. As research in this area continues, there is a potential for vitamin D to support women's urogenital and sexual health during the menopausal transition and postmenopausal periods.
  • 207
  • 07 Sep 2023
Topic Review
Biofluid Biomarkers in Chronic Subdural Hematoma
Chronic subdural hematoma (cSDH) is a common neurosurgical entity that typically affects elderly patients. Studies have sought to establish the factors associated with an increased risk of cSDH recurrence and/or which can aid in the prediction of neurological/functional outcomes.
  • 124
  • 07 Sep 2023
Topic Review
miRNA Dysregulation in Cancer
miRNAs are a subset of non-coding RNAs that regulate the expression of a multitude of genes post-transcriptionally and thus are potential diagnostic, prognostic, and predictive biomarkers and have also emerged as potential therapeutics. Because miRNAs are involved in the post-transcriptional regulation of their target mRNAs via repressing gene expression, defects in miRNA biogenesis pathway and miRNA expression perturb the expression of a multitude of oncogenic or tumor-suppressive genes that are involved in the pathogenesis of various cancers. As such, numerous miRNAs have been identified to be downregulated or upregulated in many cancers, functioning as either oncomes or oncosuppressor miRs. Moreover, dysregulation of miRNA biogenesis pathways can also change miRNA expression and function in cancer.
  • 327
  • 07 Sep 2023
Topic Review
The Role of Alarmins in Osteoarthritis Pathogenesis
Osteoarthritis (OA) is a multifactorial disease in which genetics, aging, obesity, and trauma are well-known risk factors. It is the most prevalent joint disease and the largest disability problem worldwide. Findings have described the role of damage-associated molecular patterns (DAMPs) in the course of the disease. In particular, alarmins such as HMGB1, IL-33, and S100B, appear implicated in enhancing articular inflammation and favouring a catabolic switch in OA chondrocytes.
  • 207
  • 07 Sep 2023
Topic Review
Framework for Training Parkinson Nurses
Delivering healthcare to people living with Parkinson’s disease (PD) may be challenging in face of changing care needs during a PD journey and a growing complexity. In this regard, integrative and personalized care models may foster flexible solutions to patients’ care needs whereas Parkinson Nurses (PN) may be pivotal facilitators. However, existing training frameworks do not include aspects of personalized care for PD although there is a great deal of literature on patient needs and the resulting care requirements. The conceptualization of a need-based training framework may thus be achieved by synthesizing theoretical concepts on care priorities from existing literature. Following, a novel framework for training PN is presented, which is based on a line of reasoning. In this approach, different hypotheses are formulated which then are integrated into a proposed model.
  • 616
  • 07 Sep 2023
Topic Review
Substantia Nigra Imaging in Parkinson
Parkinson’s disease (PD) is a progressive neurodegenerative disorder, characterized by motor and non-motor symptoms due to the degeneration of the pars compacta of the substantia nigra (SNc) with dopaminergic denervation of the striatum. Although the diagnosis of PD is principally based on a clinical assessment, great efforts have been expended over the past two decades to evaluate reliable biomarkers for PD. Among these biomarkers, magnetic resonance imaging (MRI)-based biomarkers may play a key role. Conventional MRI sequences are considered by many in the field to have low sensitivity, while advanced pulse sequences and ultra-high-field MRI techniques have brought many advantages, particularly regarding the study of brainstem and subcortical structures. Nowadays, nigrosome imaging, neuromelanine-sensitive sequences, iron-sensitive sequences, and advanced diffusion weighted imaging techniques afford new insights to the non-invasive study of the SNc. 
  • 895
  • 07 Sep 2023
Topic Review
Locoregional Treatment in Intrahepatic Cholangiocarcinoma
For unresectable intrahepatic cholangiocarcinoma (iCC), different locoregional treatments (LRT) could be proposed to patients, including radiofrequency ablation (RFA) and microwave ablation (MWA), external beam radiotherapy (EBRT) or transarterial treatments, depending on patient and tumor characteristics and local expertise. 
  • 133
  • 06 Sep 2023
Topic Review
Bedside Testing in Acute Vestibular Syndrome
Patients with stroke and vestibular neuritis can both present with an acute vestibular syndrome (AVS). Patients with AVS have acute-onset, continuous vertigo, dizziness, or unsteadiness lasting days to weeks, usually associated with vomiting, nystagmus, severe postural instability, and head movement intolerance.
  • 268
  • 06 Sep 2023
Topic Review
Three-Dimensional Printing Technologies for Oral Films
The interest in buccal drug delivery is under consideration due to some distinct properties compared to the traditional pharmaceutical formulations for oral administration: significantly higher bioavailability, a faster absorption rate of the drug, and substantial compliance for special needs patients. Oral films are obtained through various technologies, from conventional tools to 3D and 4D printing approaches. Three-dimensional printing can solve the formulation problems of producing oral films (OFs).
  • 522
  • 06 Sep 2023
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