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Topic Review
Gamma-Sarcoglycanopathy
Limb-girdle muscular dystrophies (LGMDs) represent a group of muscle diseases due to monogenic mutations encoding muscle proteins that are defective for heterozygous and homozygous mutations prevalent in certain regions.
  • 1.2K
  • 20 Apr 2023
Topic Review
Pharmacokinetics of Macrolide Antibiotics in Respiratory Infection
Macrolide antibiotics are important drugs to combat infections. The pharmacokinetics (PK) of these drugs are essential for the determination of their optimal dose regimens, which affect antimicrobial pharmacodynamics and treatment success. For most drugs, the measurement of their concentrations in plasma/serum is the surrogate for drug concentrations in target tissues for therapy.
  • 401
  • 20 Apr 2023
Topic Review
Intranasal Insulin in Ischemia, Brain Injuries and Diabetes
A decrease in the activity of the insulin signaling system of the brain leads to neurodegeneration and impaired regulation of appetite, metabolism, and endocrine functions. This is due to the neuroprotective properties of brain insulin, its leading role in maintaining glucose homeostasis in the brain, as well as in the regulation of the brain signaling network responsible for the functioning of the nervous, endocrine and other systems. One of the approaches to restore the brain insulin system is the use of intranasally administered insulin (INI). INI is being considered as a promising drug to treat Alzheimer's disease and mild cognitive impairment. Clinical application of INI is being developed for the treatment of other neurodegenerative diseases and improve cognitive abilities in stress, overwork, and depression. It has been shown that INI can be used for the treatment of cerebral ischemia, traumatic brain injuries, postoperative delirium, as well as diabetes mellitus and its complications, including dysfunctions in the gonadal and thyroid axes.
  • 556
  • 20 Apr 2023
Topic Review
Intestinal Microbiota and miRNA in IBD
Inflammatory bowel disease (IBD) includes Crohn’s disease (CD) and ulcerative colitis (UC) and comprises a chronic gastrointestinal tract disorder characterized by hyperactive and dysregulated immune responses to environmental factors, including gut microbiota and dietary components.
  • 364
  • 20 Apr 2023
Topic Review
Kidney Failure in Extrapulmonary Sarcoidosis in Children
Sarcoidosis is a non-necrotizing granulomatous inflammatory multisystemic disorder of unknown etiology. In children, as in adults, it can involve a few or all organ systems to a varying extent and degree, entailing multisystemic manifestations. Kidney involvement in pediatric-onset adult-type sarcoidosis is rare, with a wide range of renal manifestations, most of them related to calcium metabolism. Children with renal sarcoidosis tend to be more symptomatic than adults, although male patients have a higher prevalence.
  • 237
  • 20 Apr 2023
Topic Review
Imaging in Gastric Cancer
Gastric cancer represents one of the most common oncological causes of death worldwide. In order to treat patients in the best possible way, the staging of gastric cancer should be accurate. In this regard, endoscopy ultrasound (EUS) has been considered the reference standard for tumor (T) and nodal (N) statuses. However, thanks to technological improvements, computed tomography (CT) has gained an important role, not only in the assessment of distant metastases (M status) but also in T and N staging.
  • 378
  • 20 Apr 2023
Topic Review
Role of Genetic Polymorphisms in Differentiated Thyroid Cancer
Thyroid cancer is the most common endocrine malignancy, with an increasing trend in the past decades. It has a variety of different histological subtypes, the most frequent one being differentiated thyroid cancer, which refers to papillary carcinoma, the most common histological type, followed by follicular carcinoma. Associations between genetic polymorphisms and thyroid cancer have been investigated over the years and are an intriguing topic for the scientific world.
  • 421
  • 20 Apr 2023
Topic Review
Interventional Cardiology of Chronic Heart Failure
Chronic heart failure (HF) is classified into two types: HFrEF—heart failure with reduced ejection fraction; and HFpEF—heart failure with “preserved” EF. In both the cases, increased left ventricular filling pressure impact on symptoms and on myocardial perfusion. Thus, device-based solutions were proposed to improve cardiac physiology in HF and to prevent or treat post-capillary pulmonary hypertension.
  • 432
  • 19 Apr 2023
Topic Review
Screening for Non-Alcoholic Fatty Liver Disease
Non-alcoholic fatty liver disease (NAFLD) is the most common cause of abnormal liver function tests worldwide, with an estimated prevalence ranging between 19–46% in the general population. Given the high prevalence and severity of NAFLD, especially in high-risk populations (i.e., patients with type-2 diabetes mellitus and/or obesity), there is a major interest in early detection of the disease in primary care.
  • 402
  • 19 Apr 2023
Topic Review Peer Reviewed
HPV Vaccination for Cervical Cancer Prevention in Switzerland
Human papillomavirus (HPV) is responsible for almost all cases of cervical cancer worldwide. It is also responsible for a variety of other cancers including penile; vaginal; vulvar; anal; and oropharyngeal cancers at the base of the tongue and tonsils. There are a very large number of these HPVs, which are classified into groups from high to low risk based on their oncogenic potential. Every year in Switzerland, over 260 women develop cervical cancer, and nearly 90 of them will die from the disease. Cervical cancer affects young women and is the fourth most common cancer in women between the ages of 20 and 49 years. Among the high-risk HPV types, HPV-16 and -18 are the most common and most carcinogenic ones. Together, these two HPV types are responsible for approximately 70% of cervical cancer cases in developed countries. HPV-6 and -11 are directly responsible for 90% of genital warts. There are two effective public health interventions to prevent this cancer: screening and vaccination. The present entry provides an overview of current literature in order to present these preventative approaches and consider their use within a Swiss context. It is hoped that, going forward, this will encourage the implementation and uptake of such interventions.
  • 326
  • 19 Apr 2023
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