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Topic Review
Vegetal-Derived Bioactive Compounds in Colorectal Cancer
Colorectal cancer is one of the leading causes of morbidity and mortality today. Knowledge of its pathogenesis has made it possible to advance the development of different therapeutic strategies. However, the appearance of drug resistance constitutes one of the main causes of treatment failure. Bioactive compounds of vegetable origin are being studied as a new strategy to improve antitumor treatment, due to their ability to regulate the pathways involved in the development of carcinogenesis or processes that are decisive in its evolution, including multidrug resistance. In vitro and in vivo studies of these substances in combination with cytotoxic drugs have shown that they reduce resistance and increase therapeutic efficacy. 
  • 228
  • 02 Nov 2023
Topic Review
The PATIENT Approach
PATIENT (P: patient’s perception; A: assessment; T: tailored approach; I: iterative evaluation; E: education; N: non-pharmacological approach; T: team), a bundle which can help to summarize all the steps to follow in the management of chronic pain.
  • 228
  • 02 Nov 2023
Topic Review
Role of Mitochondrial Dysfunction in Oral Inflammatory Diseases
Oral inflammatory diseases (OIDs) include many common diseases such as periodontitis and pulpitis. The causes of OIDs consist microorganism, trauma, occlusal factors, autoimmune dis-eases and radiation therapy. When treated unproperly, such diseases not only affect oral health but also pose threat to people’s overall health condition. Therefore, identifying OIDs at an early stage and exploring new therapeutic strategies are important tasks for oral-related research. Mitochondria are crucial organelles for many cellular activities and disruptions of mitochondrial function not only affect cellular metabolism but also indirectly influence people’s health and life span. Increasing evidence suggests that mitochondrial dysfunction plays a critical role in the development and progression of OIDs and its associated systemic diseases. 
  • 279
  • 02 Nov 2023
Topic Review
Alzheimer’s Disease Risk Loci in hiPSCs-Derived Microglia
Alzheimer’s disease (AD) is the most common neurodegenerative disorder globally. In people aged 65 and older, it is estimated that 1 in 9 currently live with the disease. With aging being the greatest risk factor for disease onset, the physiological, social and economic burden continues to rise. Thus, AD remains a public health priority. Since 2007, genome-wide association studies (GWAS) have identified over 80 genomic loci with variants associated with increased AD risk. Although some variants are beginning to be characterized, the effects of many risk loci remain to be elucidated. One advancement which may help provide a patient-focused approach to tackle this issue is the application of gene editing technology and human-induced pluripotent stem cells (hiPSCs).
  • 247
  • 02 Nov 2023
Topic Review
Ambulatory Antibiotic Management of Acute Pyelonephritis
Acute pyelonephritis (APN) is a relatively common community-acquired infection, particularly in women. The early appropriate antibiotic treatment of this potentially life-threatening infection is associated with improved outcomes. The utilization of clinical tools for the prediction of resistance to first-line antibiotics may mitigate the burden of increasing antibiotic resistance in the community by ensuring that the initial antibiotic prescribed has the highest likelihood of treating APN appropriately. 
  • 176
  • 02 Nov 2023
Topic Review
Non-Coding RNAs in Hepatocellular Carcinoma Progression
Hepatocellular carcinoma (HCC) is a predominant malignancy with increasing incidences and mortalities worldwide. In Western countries, the progressive affirmation of Non-alcoholic Fatty Liver Disease (NAFLD) as the main chronic liver disorder in which HCC occurrence is appreciable even in non-cirrhotic stages, constitutes a real health emergency. In light of this, a further comprehension of molecular pathways supporting HCC onset and progression represents a current research challenge to achieve more tailored prognostic models and appropriate therapeutic approaches. RNA non-coding transcripts (ncRNAs) are involved in the regulation of several cancer-related processes, including HCC. When dysregulated, these molecules, conventionally classified as “small ncRNAs” (sncRNAs) and “long ncRNAs” (lncRNAs) have been reported to markedly influence HCC-related progression mechanisms. 
  • 201
  • 01 Nov 2023
Topic Review
Vitamin D—Practical Considerations and Clinical Guidance
Empirical evidence establishes the connection between exposure and clinical outcomes. Clinical studies show that chronic diseases and infections can be prevented by proactively correcting vitamin D deficiency in individuals who are vitamin D deficient, and in the community. In RCTs, with proper daily or once-a-week vitamin D supplementation in the intervention group, the serum 25(OH)D concentration must be meaningfully increased to the above pre-planned level to ensure the validity of the clinical study. Clinical outcomes correlate well with the serum 25(OH)D concentrations but not necessarily with the administered doses. It is a common error by researchers and healthcare workers to assume that the amount taken automatically produces the stipulated serum levels.
  • 556
  • 01 Nov 2023
Topic Review
Management Implications in Adults with ADHD
ADHD is strongly associated with psychiatric comorbidities; it is reported that roughly 80% of adults with ADHD have at least one coexisting psychiatric disorder, with rates of comorbid bipolar disorder (BD) between 5 and 47%, rates of depression between 9 and 16%, and anxiety rates approaching 50% in the adult ADHD population. There is also a notable increased risk of developing psychiatric comorbidities in individuals who have ADHD, including anxiety disorders, substance use disorders, depression, and bipolar disorder.
  • 244
  • 01 Nov 2023
Topic Review
Nutritional Implications of Bariatric Surgery on Pregnancy Management
One in three women of reproductive age is obese. The mainstay treatment for obesity is bariatric surgery, and the following weight reduction results in a decrease in pregnancy adverse effects, including gestational diabetes mellitus, pregnancy-induced hypertension, and macrosomia. However, nutritional and vitamin deficiencies due to changes in the gastrointestinal tract after bariatric surgery are associated with an increase in the risk of fetal growth retardation and small for gestational-age neonates. 
  • 192
  • 01 Nov 2023
Topic Review
Parasitic Infections of Central Nervous System
The shifting landscape of parasitic infections affecting the central nervous system (CNS) is challenging the established paradigms in Europe. While traditionally confined to low- and middle-income countries, these infections are now encroaching upon non-endemic regions, propelled with escalating international travel, immunosuppression trends, and climatic variations.
  • 205
  • 01 Nov 2023
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