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Expression of p27Kip1, A Cell Cycle Repressor Protein with Dual Roles for Both Cancer Prevention and Promotion, Is Regulated Primarily at the Level of Unusual p27Kip1 mRNA—A Short Concept Proposal 被引量:2
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作者 Isao Eto 《American Journal of Molecular Biology》 2018年第3期186-193,共8页
The p27Kip1 is a cell cycle repressor protein that regulates primarily the cell cycle transition from G1 to S phase and hence the DNA replication is in the S phase and cell division in the M phase. Expression of p27Ki... The p27Kip1 is a cell cycle repressor protein that regulates primarily the cell cycle transition from G1 to S phase and hence the DNA replication is in the S phase and cell division in the M phase. Expression of p27Kip1 protein has dual roles for both cancer prevention and promotion. For example, numerous nutritional and chemopreventive anti-cancer agents specifically increase the expression of p27Kip1 protein without directly affecting the expression of any other cell cycle regulatory proteins. On the other hand, pro-cancer agents (like glucose, insulin and other growth factors frequently seen in obesity and/or diabetes) specifically decrease the expression of p27Kip1 protein without directly affecting the expression of any other cell cycle regulatory proteins. Unlike expression of any other cell cycle regulatory proteins, expression of p27Kip1 protein is very unusual. The mRNA of p27Kip1 has a very long and unusual 5’-untranslated region (from -575 to -1 in human). It appears that the 5’-untranslated region of p27Kip1 mRNA forms two alternative secondary structures. One increases the expression of p27Kip1 protein when anti-cancer agents are added and another decrease the expression of p27K1p1 when pro-cancer agents are added. For this short concept proposal, Dr. Albert Einstein’s “visualized thought experiments (German: Gedanken experiment)” were used as a fundamental tool for understanding how either anti- or pro-cancer agents bring the primary structure of the 5’-untranslated region of p27Kip1 mRNA into two alternative secondary structures, thereby either increasing or decreasing, respectively, the translation initiation of p27Kip1 protein. 展开更多
关键词 P27KIP1 Cell Cycle Repressor Protein CANCER prevention Anti-Cancer AGENTS CANCER PROMOTION Pro-Cancer AGENTS P27KIP1 MRNA 5-Prime-Untranslated Region Translation Initiation 5-Prime Cap Upstream Open Reading Frame Internal Ribosome Entry Site
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‘Prediabetes’ as a practical distinctive window for workable fruitful wonders: Prevention and progression alert as advanced professionalism
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作者 Sunil Jain 《World Journal of Clinical Pediatrics》 2024年第1期1-6,共6页
Diabetes is a devastating public health problem.Prediabetes is an intermediate stage in the disease processes leading to diabetes,including types 1 and 2 diabetes.In the article“Prediabetes in children and adolescent... Diabetes is a devastating public health problem.Prediabetes is an intermediate stage in the disease processes leading to diabetes,including types 1 and 2 diabetes.In the article“Prediabetes in children and adolescents:An updated review,”the authors presented current evidence.We simplify and systematically clearly present the evidence and rationale for a conceptual framework we term the‘3ASs’:(1)Awareness Sensible;(2)Algorithm Simple;and(3)Appealing Strategies.Policy makers and the public need to be alerted.The prevalence of prediabetes should send alarm bells ringing for parents,individuals,clinicians,and policy makers.Prediabetes is defined by the following criteria:impaired fasting glucose(100-125 mg/dL);impaired glucose tolerance(2 h postprandial glucose 140-199 mg/dL);or hemoglobin A1c values of 5.7%–6.4%.Any of the above positive test alerts for intervention.Clinical guidelines do not recommend prioritizing one test over the others for evaluation.Decisions should be made on the strengths and shortfalls of each test.Patient preferences and test accessibility should be taken into consideration.An algorithm based on age,physiological stage,health status,and risk factors is provided.Primordial prevention targeting populations aims to eliminate risk factors through public education and encouraging practices through environmental modifications.Access to healthy foods is provided.Primary prevention is for individuals with a prediabetes diagnosis and involves a structured program to reduce body weight and increase physical activity along with a healthy diet.An overall methodical move to a healthy lifestyle for lifelong health is urgently needed.Early energetic prediabetes action is necessary. 展开更多
关键词 Obesity OVERWEIGHT Awareness Algorithm Lifestyle Physical exercise Screening Primordial prevention Primary prevention Adolescents
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Beliefs and practices of young women on utilization of prevention of mother to child transmission of HIV services in Malawi
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作者 Sadandaula Rose Muheriwa Angela Chimwaza +2 位作者 Alfred O. Maluwa Betty Mkwinda Nyasulu Mercy Pindani 《Health》 2013年第7期1172-1179,共8页
This study explored beliefs and actual practices of young women on utilization of Prevention of Mother to Child Transmission (PMTCT) of HIV services in Balaka district of Southern Malawi. The study design wascross sec... This study explored beliefs and actual practices of young women on utilization of Prevention of Mother to Child Transmission (PMTCT) of HIV services in Balaka district of Southern Malawi. The study design wascross sectional which utilized qualitative data collection and analysis methods. In-depth interviews were conducted on 12 young mothers of 15 to 24 years old. The respondents were drawn from 6 health centres in the district during their visits to either the under-five clinic, HIV and AIDS support groups or HIV follow up clinics. Data were analyzed using thematic analysis approach. Overall the respondents had positive beliefs on utilization of PMTCT services. They believed that adherence to PMTCT guidelines such as condom use, taking of Nevirapine (NVP) and exclusive breastfeeding protected the baby from contracting the virus. Nevertheless, all respondents believed that HIV testing was mandatory and that early weaning caused malnutrition and death of babies. Actual practice was very low. Very few young mothers breastfed exclusively, weaned their babies abruptly and took NVP as recommended. Not all positive beliefs translated into positive behavior. Lack of male support, inability of the midwives to provide comprehensive care to HIV infected mothers and their infants, and fear of stigma and discrimination were other factors that hindered utilization of PMTCT services. Culture was also a major barrier because traditionally babies are expected to be breastfed and supplements are fed to babies too. Therefore, there is a need to mobilize communities on PMTCT of HIV. Education programmes in HIV should emphasize behavior change interventions and should focus on both men and women and significant others. There is also need to intensify monitoring and evaluation of health workers’ activities to ensure that beliefs translate into positive behavior. 展开更多
关键词 prevention of Mother to Child Transmission of HIV HIV Positive Young Women BELIEFS on PMTCT SERVICES PMTCT Practice EXCLUSIVE Breast Feeding
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Using quality improvement methods to increase use of pain prevention strategies for childhood vaccination 被引量:3
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作者 Jennifer Verrill Schurman Amanda D Deacy +6 位作者 Rebecca J Johnson Jolynn Parker Kristi Williams Dustin Wallace Mark Connelly Lynn Anson Kevin Mroczka 《World Journal of Clinical Pediatrics》 2017年第1期81-88,共8页
AIM To increase evidence-based pain prevention strategy use during routine vaccinations in a pediatric primary care clinic using quality improvement methodology.METHODS Specific intervention strategies(i.e.,comfort po... AIM To increase evidence-based pain prevention strategy use during routine vaccinations in a pediatric primary care clinic using quality improvement methodology.METHODS Specific intervention strategies(i.e.,comfort positioning,nonnutritive sucking and sucrose analgesia,distraction) were identified,selected and introduced in three waves,using a Plan-Do-Study-Act framework.System-wide change was measured from baseline to post-intervention by:(1) percent of vaccination visits during which an evidence-based pain prevention strategy was reported as being used; and(2) caregiver satisfaction ratings following the visit.Additionally,self-reported staff and caregiver attitudes and beliefs about pain prevention were measured at baseline and 1-year post-intervention to assess for possible long-term cultural shifts.RESULTS Significant improvements were noted post-intervention.Use of at least one pain prevention strategy was documented at 99% of patient visits and 94% of caregivers were satisfied or very satisfied with the pain prevention care received.Parents/caregivers reported greater satisfaction with the specific pain prevention strategy used [t(143) = 2.50,P ≤ 0.05],as well as greater agreement that the pain prevention strategies used helped their children's pain [t(180) = 2.17,P ≤ 0.05] and that they would be willing to use the same strategy again in the future [t(179) = 3.26,P ≤ 0.001] as compared to baseline.Staff and caregivers also demonstrated a shift in attitudes from baseline to 1-year post-intervention.Specifically,staff reported greater agreement that the pain felt from vaccinations can result in harmful effects [2.47 vs 3.10; t(70) =-2.11,P ≤ 0.05],less agreement that pain from vaccinations is "just part of the process" [3.94 vs 3.23; t(70) = 2.61,P ≤ 0.05],and less agreement that parents expect their children to experience pain during vaccinations [4.81 vs 4.38; t(69) = 2.24,P ≤ 0.05].Parents/caregivers reported more favorable attitudes about pain prevention strategies for vaccinations across a variety of areas,including safety,cost,time,and effectiveness,as well as less concern about the pain their children experience with vaccination [4.08 vs 3.26; t(557) = 6.38,P ≤ 0.001],less need for additional pain prevention strategies [3.33 vs 2.81; t(476) = 4.51,P ≤ 0.001],and greater agreement that their doctors' office currently offers pain prevention for vaccinations [3.40 vs 3.75; t(433) =-2.39,P ≤ 0.05].CONCLUSION Quality improvement methodology can be used to help close the gap in implementing pain prevention strategies during routine vaccination procedures for children. 展开更多
关键词 PEDIATRICS Quality improvement DISTRACTION PAIN management IMMUNIZATION VACCINATION Sucrose analgesia PAIN prevention Non-nutritive SUCKING Comfort positioning Primary care
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Comprehensive Disaster Risk Prevention of "the Belt and Road Initiative":Important Significance,Catastrophe Risk,International Cooperation and Strategic Countermeasure
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作者 Feng KONG 《Asian Agricultural Research》 2019年第9期46-50,共5页
"The Belt and Road Initiative"is major decision proposed by the CPC Central Committee with comrade Xi Jinping as the core co-ordinating the domestic and international overall situations,and concerns peaceful... "The Belt and Road Initiative"is major decision proposed by the CPC Central Committee with comrade Xi Jinping as the core co-ordinating the domestic and international overall situations,and concerns peaceful rise of China and extension of the strategic opportunity period of modernization construction.It needs multi-faceted safeguards to successfully impel"the Belt and Road Initiative",in which disaster risk identification and its effective prevention and control are indispensable links.By integrating geogeographic and atmospheric environmental factors,countries along"the Belt and Road Initiative"belong to frequent occurrence region of major natural disasters.It restricts not only the economic and social development of relevant countries but also implementation effect of"the Belt and Road Initiative"construction,and is also related to the success or failure of Chinese enterprises going out to a certain extent.It should enhance disaster prevention and mitigation and ensure safety of major infrastructure construction related to interconnection of"the Belt and Road Initiative"by disaster identification and prevention,which is the key of successfully impelling strategy implementation and major need for guaranteeing the people s livelihood of the countries along the line.The work of disaster prevention and mitigation in the countries along the line is generally weak,and it is urgent to raise the level of disaster prevention as a whole by promoting the disaster prevention and mitigation cooperation in the"the Belt and Road Initiative"area;improve the coverage and level of disaster risk insurance;enhance construction in monitoring and early warning capability of natural disaster;strengthen structural adjustment of economy,industry and land use responding to climate change risks;establish a comprehensive disaster reduction forum of"the Belt and Road Initiative",and contain relevant content in"the Belt and Road Initiative"series of high-end forum topics. 展开更多
关键词 The BELT and ROAD INITIATIVE COMPREHENSIVE disaster prevention and mitigation CATASTROPHE risk Climate change National security and sustainable development
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Mandatory Testing for HIV and Sexually Transmissible Infections among Sex Workers in Australia: A Barrier to HIV and STI Prevention
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作者 Elena Jeffreys Janelle Fawkes Zahra Stardust 《World Journal of AIDS》 2012年第3期203-211,共9页
Australia is an apt landscape upon which to measure the success of mandatory testing of HIV and sexually transmissible infections (STIs) among sex workers. Mandatory testing is implemented in some Australian jurisdict... Australia is an apt landscape upon which to measure the success of mandatory testing of HIV and sexually transmissible infections (STIs) among sex workers. Mandatory testing is implemented in some Australian jurisdictions and not others, allowing for a comprehensive comparison of the outcomes. It is apparent that mandatory testing of HIV and STIs among sex workers in Australia has proven to be a barrier to otherwise successful HIV and STI peer education, prevention and free and anonymous testing and treatment. The outcomes of mandatory testing are counterproductive to reducing HIV and STI rates, do not reach the intended target group, are costly and inefficient, and mandatory testing has proven to be a very difficult policy to repeal once in place. Scarlet Alliance, the Australian Sex Workers Association, as well as numerous academics and policy leaders in Australia recommend against mandatory testing of HIV and STIs among sex workers. 展开更多
关键词 Sex Work Mandatory Testing STI and HIV prevention HEALTH Promotion Public HEALTH Objectives CRIMINALIZATION Law Reform SCARLET Alliance
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Effectiveness of a Self-Foot-Care Educational Program for Prevention of Diabetic Foot Disease
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作者 Kayo Yokota Yuko Hayashi +1 位作者 Junichi Kurata Atsuyo Fujita 《Health》 2019年第1期9-19,共11页
Objective: To verify the effectiveness of a “self-foot-care educational program (SFCEP)” for prevention of type 2 diabetes foot disease. Methods: A single-center, randomized and controlled trial was conducted. Fifty... Objective: To verify the effectiveness of a “self-foot-care educational program (SFCEP)” for prevention of type 2 diabetes foot disease. Methods: A single-center, randomized and controlled trial was conducted. Fifty-five patients with type 2 DM, 40 - 75 years of age who were asked to return for a follow-up hospital visit, were allocated to either an SFCEP group (n = 29) or a conventional education program (CEP) group (n = 26). Both of the groups were given foot-care education, monthly for four times in the SFCEP group and in the CEP group one time only by a printed leaflet. The two groups had no statistically significant differences in patient background of the type 2 diabetes history. We evaluated removal rate of skin debris, and the symptoms and conditions of the feet. Results: Between the SFCEP and CEP there were significant differences in removal rate of skin debris (p Conclusion: This study strongly suggests the effectiveness of SFCEP in preventing the occurrence or worsening of diabetic foot diseases. 展开更多
关键词 Patients with Type 2 Diabetes Self-Foot-Care EDUCATIONAL Program prevention of DIABETIC FOOT Disease Randomized Controlled Trial
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Oral health status of Chinese residents and suggestions for prevention and treatment strategies 被引量:2
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作者 Yan Si Baoiun Tai +9 位作者 Deyu Hu Huancai Lin Bo Wang Chunxiao Wang Shuguo Zheng Xuenan Liu Wensheng Rong Weijian Wang Xiping Feng Xing Wang 《Global Health Journal》 2019年第2期50-54,共5页
Objective:To understand the oral health status of urban and rural residents in China,the Fourth National Oral Health Epidemiological Survey (FNOHES) was conducted in 2015.Materials and methods:Based on the principles ... Objective:To understand the oral health status of urban and rural residents in China,the Fourth National Oral Health Epidemiological Survey (FNOHES) was conducted in 2015.Materials and methods:Based on the principles of multi-stage,stratified,equal capacity,and random sampling,the subjects included five groups of residents aged 3-5,12-15,35-44,55-64,and 65-74 years in all 31 provinces,municipalities,and autonomous regions except Hong Kong,Macao,and Taiwan.The total sample size was 172,425.The survey covered two areas,namely oral health status and knowledge,attitude and oral health behavior.Results:Residents in China had serious caries and poor periodontal condition.The prevalence of caries was above 50% in all age groups,subjects without periodontal disease accounted for <50%,and fewer than 50% of subjects brushed their teeth twice a day.Based on the results of the FNOHES,the following suggestions were proposed for improving the oral health in China in the future:to establish and improve the comprehensive prevention and control system for oral diseases,implement a comprehensive prevention and control strategy for priority groups,strengthen the oral health education for all people to improve oral health literacy,enhance dynamic monitoring to scientifically evaluate oral health status,and coordinate multi-party resources to establish and improve the oral health service security system.Conclusion:The oral health status of Chinese residents and their oral health behavior habits need to be improved.With the support of the administrative departments of the government and unremitting efforts of the oral health staff,all sectors of society must be coordinated to strengthen oral health education for the whole population.Furthermore,comprehensive prevention and control measures must be implemented for priority groups. 展开更多
关键词 CARIES PERIODONTITIS ORAL HEALTH ORAL disease EPIDEMIOLOGICAL study Comprehensive prevention and control The Fourth National ORAL HEALTH EPIDEMIOLOGICAL Survey
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Applying the Socio-Ecological Model to barriers to implementation of ACL injury prevention programs: A systematic review 被引量:1
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作者 DRima L.Bogardus Ryan J.Martin +1 位作者 Alice R.Richman Anthony S.Kulas 《Journal of Sport and Health Science》 SCIE 2019年第1期8-16,共9页
Background: Preventing anterior cruciate ligament(ACL) injuries is important to avoid long-term adverse health consequences. Identifying barriers to implementation of these prevention programs is crucial to reducing t... Background: Preventing anterior cruciate ligament(ACL) injuries is important to avoid long-term adverse health consequences. Identifying barriers to implementation of these prevention programs is crucial to reducing the incidence of these injuries. Our purpose was to identify barriers of implementation for ACL injury prevention programs and suggest mechanisms for reducing the barriers through application of a SocioEcological Model(SEM).Methods: Studies investigating ACL prevention program effectiveness were searched in Medline via PubMed and the Cochrane Library, and a subsequent review of the references of the identified articles, yielded 15 articles total. Inclusion criteria encompassed prospective controlled trials, published in English, with ACL injuries as the primary outcome. Studies were independently appraised by 2 reviewers for methodological quality using the PEDro scale. Barriers to implementation were identified when reported in at least 2 separate studies. A SEM was used to suggest ways to reduce the identified barriers.Results: Five barriers were identified: motivation, time requirements, skill requirements for program facilitators, compliance, and cost. The SEM suggested ways to minimize the barriers at all levels of the model from the individual through policy levels.Conclusion: Identification of barriers to program implementation and suggesting how to reduce them through the SEM is a critical first step toward enabling ACL prevention programs to be more effective and ultimately reducing the incidence of these injuries. 展开更多
关键词 Anterior CRUCIATE LIGAMENT INJURY prevention Barriers to IMPLEMENTATION NEUROMUSCULAR training programs Socio-Ecological Model Sports INJURY prevention
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Understanding the molecular mechanisms of cancer prevention by dietary phytochemicals:From experimental models to clinical trials 被引量:3
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作者 Girish B Maru Rasika R Hudlikar +2 位作者 Gaurav Kumar Khushboo Gandhi Manoj B Mahimkar 《World Journal of Biological Chemistry》 CAS 2016年第1期88-99,共12页
Chemoprevention is one of the cancer prevention approaches wherein natural/synthetic agent(s) are prescribed with the aim to delay or disrupt multiple pathways and processes involved at multiple steps, i.e., initiatio... Chemoprevention is one of the cancer prevention approaches wherein natural/synthetic agent(s) are prescribed with the aim to delay or disrupt multiple pathways and processes involved at multiple steps, i.e., initiation, promotion, and progression of cancer. Amongst environmental chemopreventive compounds, diet/beverage-derived components are under evaluation, because of their long history of exposure to humans, high tolerability, low toxicity, and reported biological activities. This compilation briefly covers and compares the available evidence on chemopreventive efficacy and probable mechanism of chemoprevention by selected dietary phytochemicals(capsaicin, curcumin, diallyl sulphide, genistein, green/black tea polyphenols, indoles, lycopene, phenethyl isocyanate, resveratrol, retinoids and tocopherols) in experimental systems and clinical trials. All the dietary phytochemicals covered in this review have demonstrated chemopreventive efficacy against spontaneous or carcinogen-induced experimental tumors and/or associated biomarkers and processes in rodents at several organ sites. The observed anti-initiating, anti-promoting and anti-progression activity of dietary phytochemicals in carcinogen-induced experimental models involve phytochemical-mediated redox changes, modulation of enzymes and signaling kinases resulting to effects on multiple genes and cell signaling pathways. Results from clinical trials using these compounds have not shown them to be chemopreventive. This may be due to our:(1) inability to reproduce the exposure conditions, i.e., levels, complexity, other host and lifestyle factors; and(2) lack of understanding about the mechanisms of action and agent-mediated toxicity in several organs and physiological processes in the host. Current research efforts in addressing the issues of exposure conditions, bioavailability, toxicity and the mode of action of dietary phytochemicals may help address the reason for observed mismatch that may ultimately lead to identification of new chemopreventive agents for protection against broad spectrum of exposures. 展开更多
关键词 Cancer prevention DIETARY PHYTOCHEMICALS CHEMOprevention Experimental efficacy Mechanisms of action Clinical trials BIOAVAILABILITY TOXICITY
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The Use of VHSR Imagery for Wildland Fire Prevention: Application to Land-Clearing Management in the South of France
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作者 Sophie Sauvagnargues Pierre-Alain Ayral +3 位作者 Boris Kabar David Salze Vincent Thierion Denis Marechal 《Journal of Geographic Information System》 2013年第2期161-174,共14页
Every year, the French Mediterranean area is subject to wildland fires. The prevention policy promotes the major role of forest layout, for which it is necessary to build appropriate facilities such as reducing igniti... Every year, the French Mediterranean area is subject to wildland fires. The prevention policy promotes the major role of forest layout, for which it is necessary to build appropriate facilities such as reducing ignition and fire propagation risks near the borders of roads and tracks, creating forest tracks to allow firefighters to move safely through the forest during a fire, creating fuel breaks in order to divide up forests and limit the propagation of fire. Land-clearing along a forest track consists in creating discontinuity between the herbaceous stratum and the tree stratum by eliminating the shrubby stratum and cutting tree crowns. It avoids fire propagation by convection, and enables firefighters to deal with the fire in safety. The main difficulty for forest officers is to identify an optimized method to select appropriate tracks to clear, because it is impossible to clear all the tracks each year. Remote sensing tools would seem to be particularly useful for obtaining the best strategic and economic overview of forest tracks at departmental scale. This theme “land-clearing evaluation method” was selected as a target application for the images derived from the new Pleiades sensors: products and services required by end users. The objective of this work is to assess the real potentiality of such Very High Spatial Resolution (VHSR) imagery for land-clearing management. The methodology used consists in image classification and spatial analysis in order to extract land-clearing quality, and also evaluation of land-clearing quality based on field questionnaires validated through interactions with firefighters and rangers. The development of this methodology and its application to QuickBird images-used as Pleiades data simulations-successfully showed that VHSR Imagery is useful for preventing fire risk. It seems to be a good perspective for providing operational mapping services to help land-clearing management. 展开更多
关键词 Remote Sensing Land-Clearing MANAGEMENT Very High Spatial Resolution prevention Policy to PROTECT FORESTS from Fire
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Prevention of macrovascular complications in patients with type 2 diabetes mellitus: Review of cardiovascular safety and efficacy of newer diabetes medications 被引量:6
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作者 Ravi Kant Kashif M Munir +1 位作者 Arshpreet Kaur Vipin Verma 《World Journal of Diabetes》 SCIE CAS 2019年第6期324-332,共9页
Lack of conclusive beneficial effects of strict glycemic control on macrovascular complications has been very frustrating for clinicians involved in care of patients with diabetes mellitus (DM). Highly publicized cont... Lack of conclusive beneficial effects of strict glycemic control on macrovascular complications has been very frustrating for clinicians involved in care of patients with diabetes mellitus (DM). Highly publicized controversy surrounding cardiovascular (CV) safety of rosiglitazone resulted in major changes in United States Food and Drug Administration policy in 2008 regarding approval process of new antidiabetic medications, which has resulted in revolutionary data from several large CV outcome trials over the last few years. All drugs in glucagon-like peptide-1 receptor agonist (GLP-1 RA) and sodium-glucose cotransporter-2 (SGLT-2) inhibitor classes have shown to be CV safe with heterogeneous results on CV efficacy. Given twofold higher CV disease mortality in patients with DM than without DM, GLP-1 RAs and SGLT-2-inhibitors are important additions to clinician’s armamentarium and should be second line-therapy particularly in patients with T2DM and established atherosclerotic CV disease or high risks for CV disease. Abundance of data and heterogeneity in CV outcome trials results can make it difficult for clinicians, particularly primary care physicians, to stay updated with all the recent evidence. The scope of this comprehensive review will focus on all major CV outcome studies evaluating CV safety and efficacy of GLP-1 RAs and SGLT-2 inhibitors. 展开更多
关键词 Newer antidiabetic MEDICATIONS Glucagon-like peptide-1 receptor agonist Sodium-glucose cotransporter-2 inhibitors Type 2 DIABETES MELLITUS Macrovascular complications CARDIOVASCULAR outcome trials Major CARDIOVASCULAR events HEART failure prevention of HEART disease
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Traditional Chinese medicine for prevention and treatment of hepatocarcinoma: From bench to bedside 被引量:22
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作者 Bing Hu Shuang-Shuang Wang Qin Du 《World Journal of Hepatology》 CAS 2015年第9期1209-1232,共24页
Traditional Chinese medicine(TCM) has played a positive role in the management of hepatocarcinoma. Hepatocarcinoma patients may present Qi-stagnation, damp-heat, blood stasis, Qi-deficiency, Yin-deficiency and other T... Traditional Chinese medicine(TCM) has played a positive role in the management of hepatocarcinoma. Hepatocarcinoma patients may present Qi-stagnation, damp-heat, blood stasis, Qi-deficiency, Yin-deficiency and other TCM syndromes(Zheng). Modern treatments such as surgery, transarterial chemoembolization(TACE) and high intensity focus ultrasound treatment would influence the manifestation of TCM syndromes. Herbs with traditional efficacy of tonifying Qi, blood and Yin, soothing liver-Qi stagnation, clearing heat and detoxifying and dissolving stasis, have been demonstrated to be potent to prevent hepatocarcinogenesis. TCM has been widely used in all aspects of integrative therapy in hepatocarcinoma, including surgical resection, liver transplantation, TACE, local ablative therapies and even as monotherapy for middle-advanced stage hepatocarcinoma. Clinical practices have confirmed that TCM is effective to alleviate clinical symptoms, improve quality of life and immune function, prevent recurrence and metastasis, delay tumor progression, and prolong survival time in hepatocarcinoma patients. The effective mechanism of TCM against hepatocarcinoma is related to inducing apoptosis, autophagy, anoikis and cell senescence, arresting cell cycle, regulating immune function, inhibiting metastasis and angiogenesis, reversing drug resistance and enhancing effects of chemotherapy. Along with the progress of research in this field, TCM will contribute more to the prevention and treatment of hepatocarcinoma. 展开更多
关键词 HEPATOCARCINOMA TRADITIONAL Chinesemedicine prevention Treatment TRADITIONAL Chinesemedicine syndrome (Zheng) Therapeutic principle CHINESE herbal formula CHINESE HERB
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The importance of different forms of prevention in travel medicine
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作者 Peter Felkai 《Asian Pacific Journal of Tropical Medicine》 SCIE CAS 2010年第1期74-77,共4页
The Asia-Pacific region is becoming an increasingly popular destination for holidaymakers and business travelers.Despite the seductive tourist attractions and the growing financial importance of the region,infectious ... The Asia-Pacific region is becoming an increasingly popular destination for holidaymakers and business travelers.Despite the seductive tourist attractions and the growing financial importance of the region,infectious diseases have unfortunately repeatedly caused major epidemics in the region.The area includes various geographical situations from high mountains to the subtropical and monsoon forests,dry deserts and seashore.The travel medicine specialist’s task is to decrease the various risk of travel to the region.Infectious diseases,extreme temperatures and marine hazards could be almost entirely prevented by primary prevention forms of travel medicine such as vaccination,chemoprophylaxis and pretravel advice.There are some high-risk groups(e.g.,elderly people,backpackers,families with children,adventure travelers) among the growing number of tourists.Obviously,the increased numbers of such travelers result in a rising incidence of travelrelated illnesses and accidents.For those groups,primary prevention sometimes is not enough. The pretravel medical check up,specialists’ consultations and treatment,as forms of secondary prevention,are also essential in travel medicine.Patients who suffer from serious illnesses or who have accidents must often be repatriated."State-of-the-art repatriation",as a special form of tertiary prevention of travel medicine will play an important role in the future and is direcdy related to effective travel insurance,which could help in providing good medical care to the patients even far from their home.The levels,methods and importance of prevention in travel medicine are discussed in this article. 展开更多
关键词 TRAVEL MEDICINE PREVENTIVE MEDICINE GRADUATE education Medical ASSISTANCE Pretravel ADVICE Travel-related illness Prexisting disease Emporiatrics
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Scientific evidence is just the starting point: A generalizable process for developing sports injury prevention interventions 被引量:3
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作者 Alex Donaldson David G.Lloyd +4 位作者 Belinda J.Gabbe Jill Cook Warren Young Peta White Caroline F.Finch 《Journal of Sport and Health Science》 SCIE 2016年第3期334-341,共8页
Background: The 2 most cited sports injury prevention research frameworks incorporate intervention development, yet little guidance is available in the sports science literature on how to undertake this complex proces... Background: The 2 most cited sports injury prevention research frameworks incorporate intervention development, yet little guidance is available in the sports science literature on how to undertake this complex process. This paper presents a generalizable process for developing implementable sports injury prevention interventions, including a case study applying the process to develop a lower limb injury prevention exercise training program(Footy First) for community Australian football.Methods: The intervention development process is underpinned by 2 complementary premises:(1) that evidence-based practice integrates the best available scientific evidence with practitioner expertise and end user values and(2) that research evidence alone is insufficient to develop implementable interventions.Results: The generalizable 6-step intervention development process involves(1) compiling research evidence, clinical experience, and knowledge of the implementation context;(2) consulting with experts;(3) engaging with end users;(4) testing the intervention;(5) using theory; and(6)obtaining feedback from early implementers. Following each step, intervention content and presentation should be revised to ensure that the final intervention includes evidence-informed content that is likely to be adopted, properly implemented, and sustained over time by the targeted intervention deliverers. For Footy First, this process involved establishing a multidisciplinary intervention development group, conducting 2targeted literature reviews, undertaking an online expert consensus process, conducting focus groups with program end users, testing the program multiple times in different contexts, and obtaining feedback from early implementers of the program.Conclusion: This systematic yet pragmatic and iterative intervention development process is potentially applicable to any injury prevention topic across all sports settings and levels. It will guide researchers wishing to undertake intervention development. 展开更多
关键词 AUSTRALIAN FOOTBALL Implementation INTERVENTION development Lower LIMB INJURIES Research-to-practice Sports injury prevention Translation
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Missed Prevention of Mother-to-Child Transmission of HIV (PMTCT) Visits and Associated Programmatic Predictors: A Pilot Study
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作者 Augustine Ndaimani Inam Chitsike +1 位作者 Clara Haruzivishe Babill Stray-Pedersen 《Advances in Infectious Diseases》 2017年第4期107-117,共11页
Missed Prevention of Mother-to-Child Transmission of HIV (PMTCT) visits have contributed to the delayed achievement of elimination of mother-to-child transmission of HIV. Missed visits promote attrition from preventio... Missed Prevention of Mother-to-Child Transmission of HIV (PMTCT) visits have contributed to the delayed achievement of elimination of mother-to-child transmission of HIV. Missed visits promote attrition from prevention of mother-to-child transmission of HIV program and antiretroviral drug resistance. The purpose of the study was to determine the prevalence of missed PMTCT visits and its associated predictors. A descriptive cross sectional survey was carried out at a District Hospital in Goromonzi, Zimbabwe. Fifty-three women completed closed-ended questionnaires pertaining to PMTCT visits and exposure to PMTCT activities. A total of 24.5% missed at least one scheduled PMTCT visit. Statistically significant predictors of not missing a PMTCT visit were satisfaction with family support (β = &minus;0.73, p = 0.029) and level of satisfaction with PMTCT services (β = &minus;0.00076;p = 0.04). The number of days by which scheduled visits were missed were inversely correlated with visit number (β = &minus;2.99, p = 0.04). Enhanced family support and quality improvement to improve patient satisfaction may reduce missed visits. Availing women with a more active role in PMTCT may also reduce the prevalence of missed visits. 展开更多
关键词 MISSED VISITS OPTION B Plus Pilot Study PMTCT (prevention of Mother-to-Child Transmission of HIV) PREDICTORS
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Risk prevention and control strategies for the severely affected areas of snow disaster in the Three Rivers Source Region(TRSR), China 被引量:1
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作者 ShiJin Wang ShengYun Chen YanQiang Wei 《Research in Cold and Arid Regions》 CSCD 2019年第3期248-252,共5页
Historically,frequent and heavy snow disaster(SD)has caused serious livestock death and casualties,resulting in a devastating impact on animal husbandry development in the Three Rivers Source Region(TRSR).From winter ... Historically,frequent and heavy snow disaster(SD)has caused serious livestock death and casualties,resulting in a devastating impact on animal husbandry development in the Three Rivers Source Region(TRSR).From winter in 2018 to spring in 2019,the largest SD occurred in this area over the past 10 years,especially in core zones of the Lancang River Source Region.Field research results show that the main causes of the major SD include weak infrastructure(i.e.,roads,communications,warm sheds,and insufficient forage reserve),low rate of domestic animals for sale before the SD,and low loss settlement rate.SD occurrence could furtherly reduce the ability of disaster prevention,mitigation and relief of disaster loss.In the future,heavily affected SD areas should improve the forecasting ability of snowfall incidents,strengthen infrastructure construction,implement grass and livestock balance strategies,optimize livestock structure,improve loss settlement rate,and develop a modern compound model of animal husbandry development model that combines breeding,slaughtering and deep processing of animal product. 展开更多
关键词 THREE RIVERS Source Region SNOW DISASTER severely AFFECTED area risk prevention control strategy
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Research Progress and Prospect on Prevention and Control Measures of Sweet Potato Virus Disease 被引量:1
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作者 Fang DONG Daowei ZHANG Chaofan ZHANG 《Agricultural Biotechnology》 CAS 2018年第6期54-59,共6页
Sweet potato virus disease is a serious biological threat to sweet potato,which seriously affects the development of sweet potato industry in China.This paper gives a brief introduction to the main defensive measures ... Sweet potato virus disease is a serious biological threat to sweet potato,which seriously affects the development of sweet potato industry in China.This paper gives a brief introduction to the main defensive measures of sweet potato virus disease,such as cutting of virus infection source,killing of viral transmission media,cultivation and application of virus-free sweet potato,use of antiviral agents,breeding of varieties with virus resistance,and mild strain cross protection,so as to provide some reference for this field. 展开更多
关键词 SWEET POTATO Virus disease prevention and control measures Biological PESTICIDE ANTIVIRAL breeding VIRUS-FREE SWEET POTATO
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Informationized Technological Path for the School-running Risk Prevention and Supervision of Private Colleges and Universities under the Background of the Internet
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作者 LIU Liangjun 《International English Education Research》 2019年第2期36-39,共4页
At present,with the decrease of the educational population and the gradual deepening of the higher educational reform,the development of the private colleges and universities is facing various contradictions and chall... At present,with the decrease of the educational population and the gradual deepening of the higher educational reform,the development of the private colleges and universities is facing various contradictions and challenges.The development concept of"innovation,coordination,green,open and sharing"put forward at the Fifth Plenary Session of the Eighteenth Central Committee of the CPC provides the value guidance and the practical basis for the private colleges and universities to renew their development concepts and solve their development problems. 展开更多
关键词 Internet BACKGROUND PRIVATE COLLEGES and universities school-running risk prevention regulatory mechanism INFORMATIZATION technological path
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Mechanism prediction analysis of an epidemic prevention sachet in preventing new coronavirus pneumonia
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作者 Xin-Zhe Zhao Zi-Qi Jin +1 位作者 Yao Yang Guo-Wei Zhang 《Asian Toxicology Research》 2020年第2期50-60,共11页
Objective:To explore the prevention mechanism of an anti-epidemic sachet on the new coronavirus pneumonia(COVID-19)based on the network pharmacology and molecular docking method.Methods:The chemical constituents and a... Objective:To explore the prevention mechanism of an anti-epidemic sachet on the new coronavirus pneumonia(COVID-19)based on the network pharmacology and molecular docking method.Methods:The chemical constituents and action targets of wormwood leaves,white peony,borneol,Rhizoma atracylodis,and Herba pogostemonis in the epidemic-preventive sachet were retrieved in TCMSP database.Query the genes of targets through the Uniprot database,and then use Cytoscape 3.7.2 software to build a medicinal drugs-active ingredients-targets(genes)network for visualization.Then we used DAVID to perform gene ontology(GO)function enrichment analysis and genome encyclopedia(KEGG)pathway analysis to predict the mechanisms of action.Draw histograms and bubble charts for visualization with Excel software and Omicshare database.The crystal structure of ACE2 was searched in the RCSB PDB database,and the compounds and proteins were molecularly docked with the help of PyMOL,AutoDockTool,and Vina software.Results:Sixty-seven effective chemical components in the anti-epidemic sachet were screened and a drugs-chemical components-targets network was constructed to obtain 948 targets,and 18 core targets and 28 core target pathways were predicted.6 compounds in Folium artemisiae argyi,13 compounds in Radix angelicae dahuricae,3 compounds in Rhizoma atracylodis,4 compounds in Fructus tsaoko,8 compounds in Herba pogostemonis,and 3 compounds in Rhizoma acori talarinowii have less binding energy with 1R42 than the ligand.Conclusion:It is predicted that the anti-epidemic sachet has prevention effects on new coronavirus pneumonia. 展开更多
关键词 Epidemic prevention SACHET NEW CORONAVIRUS PNEUMONIA COVID-19 Mechanisms of action Network PHARMACOLOGY Molecular DOCKING
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