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Topic Review
Regulation of P-glycoprotein
P-glycoprotein (Pgp, ABCB1 protein, MDR1) is a transporter protein, the most studied representative of the ABC transporter superfamily. Pgp is an efflux protein: it ensures the outflow of molecules from cells into the extracellular space.
  • 177
  • 26 Feb 2024
Topic Review
Pathophysiological Mechanism of Cognitive Impairment in Obese Persons
Cognition is a global concept encompassing various processes virtually scattered over the whole brain. Obesity itself can be viewed as a consequence of impaired energetic feedback loops or as a higher disorder of impaired reward—behavior control mechanisms. However, the adipose tissue—brain relation is much more than a simple direct bilateral communication involving virtually all metabolically active organs and a plethora of messengers.
  • 140
  • 26 Feb 2024
Topic Review
Bathing in Atopic Dermatitis in Pediatric Age
Atopic dermatitis is a chronic inflammatory skin disease. The treatment plays an important role in influencing the patients’ quality of life. The basic management consists of appropriate skin cleansing, including bathing and eventually using bathing additives. Recommendations regarding frequency and duration of bathing, water temperature and usefulness of bathing additives are widely different, often leading to confusion among patients. 
  • 178
  • 26 Feb 2024
Topic Review
Multidisciplinary Approach for Acute Colonic Obstruction Endoscopic Management
Acute colonic obstruction is one of the most common manifestations of locally advanced colorectal cancer. Endoscopic stenting has become by far the minimally invasive treatment of choice for malignant colonic obstruction especially in the palliative setting. 
  • 201
  • 23 Feb 2024
Topic Review
Kidney Transplant Care through the Integration of Chatbot
Kidney transplantation is a critical treatment option for end-stage kidney disease patients, offering improved quality of life and increased survival rates. However, the complexities of kidney transplant care necessitate continuous advancements in decision making, patient communication, and operational efficiency. 
  • 336
  • 23 Feb 2024
Topic Review
Middle Molecular Uremic Toxin and Blood Purification Therapy
The purpose of blood purification therapy is to remove uremic toxins, and middle molecules (MMs) are a specific target. An MM is defined as a solute that passes through the glomerulus with a molecular weight in the range of 0.5–58 kDa, and new classifications of “small-middle 0.5–15 kDa,” “medium-middle 15–25 kDa,” and “large-middle 25–58 kDa” were proposed. 
  • 382
  • 23 Feb 2024
Topic Review
Mechanical Considerations in KOA and PTOA Pathogenesis
Knee osteoarthritis (KOA) represents a prevalent and formidable challenge in the management and treatment of musculoskeletal disorders and exerts a substantial impact on global health, particularly in the context of the natural aging process. Post-traumatic osteoarthritis (PTOA) emerges as a distinct clinical manifestation within the realm of osteoarthritis and is interwoven within the landscape of sports injuries and trauma of the joints. Within the realm of sports, athletes are frequently exposed to joint injury and acute mechanical loading that sets the biological stage for the development of PTOA.
  • 181
  • 23 Feb 2024
Topic Review
The Effect of Oleanolic Acid
The natural product oleanolic acid (OA: 3b-hydroxyolean-12-en-28-oic acid) is a pentacyclic triterpenoid compound. It has been extracted from many species, including Olea europaea. Studies on biological activity have shown that OA has a liver-protective effect, and has been listed as a liver-protective drug in China. OA also has anti-inflammatory, anti-oxidant, anti-hyperglycemia, anti-hyperlipidemia, cardioprotective, anti-atherosclerotic, and some other pharmacological effects.
  • 270
  • 23 Feb 2024
Topic Review
Glycemic Index/Glycemic Load in Gestational Diabetes Mellitus
Gestational diabetes mellitus (GDM) is a common metabolic disorder that often develops during pregnancy, characterized by glucose intolerance and insulin resistance (IR). To ensure the well-being of both the mother and the fetus, the body undergoes multiple metabolic and immunological changes that result in peripheral IR and, under certain hereditary or acquired abnormalities, GDM in predisposed women. The adverse short- and long-term effects of GDM impact both the mother and the fetus. Nutrition seems to play an important role to prevent GDM or improve its evolution. An emphasis has been given to the proportion of carbohydrates (CHO) relative to protein and lipids, as well as dietary patterns, in GDM. The effects of CHO on postprandial glucose concentrations are reflected in the glycemic index (GI) and glycemic load (GL). Diets rich in GI and GL may induce or exacerbate IR, whereas diets low in GI and GL appear to enhance insulin sensitivity and improve glycemic control. These positive outcomes may be attributed to direct interactions with insulin and glucose homeostasis or indirect effects through improved body composition and weight management. 
  • 211
  • 23 Feb 2024
Topic Review
In Utero Origins of Acute Leukemia in Children
Acute leukemias, mainly consisting of acute lymphoblastic leukemia (ALL) and acute myeloid leukemia (AML), comprise a major diagnostic group among hematologic cancers. Due to the early age at onset of ALL, particularly, it has long been suspected that acute leukemias of childhood may have an in utero origin. 
  • 156
  • 23 Feb 2024
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