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The Current Status of Physical Therapy in China

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中国康复医学杂志 2013年第6期28卷 493-501页

作者： Alice Jones margot A Skinner Honorary Professor Faculty of Health Sciences University of Sydney Adjunct Professor School of Rehabilitation Sciences Griffiths University Australia WCPT executive Member World Confederation for Physical Therapy Deputy Dean School of Physiotherapy University of Otago Dunedin New Zealand Consultant China's Expert Committee of Internationalized Education for Physical Therapy Chinese Association of Rehabilitation Medicine

The current health system in China has evolved by embracing both traditional Chinese medicine and Western medicine. China is the only country in the world where the number of doctors is larger than the number of nurses but education programmes for other health professions like physical therapy have been slow to develop. In the case of physical therapy it was not until China won the bid for the Olympic Games that permission to establish the first physical therapy programme was granted. Since then China has undergone a period of rapid economic growth enabling many people to have a higher standard of living and improved health, but at the same time the country is faced with massive urbanization, industrialization, increasing environmental health threats, increased health disparities and an aging population. With the support of the Chinese Association of Rehabilitation Medicine, an increased investment by the Government in public health and rehabilitation and engagement of international education experts, entry-level education programmes for physical therapy have started to develop and there are now nine which are modeled, at least to some extent, on the World Confederation for Physical Therapy's international guidelines. The paper explores the development of physical therapy education in China and discusses possible options for the way forward so that as the demand for physical therapy to service 1.4 billion people grows, the profession is prepared and the standards expected of the entrylevel physical therapist will not be compromised.

关键词：医疗康复美国医疗卫生行业患者护理

Dietary enrichment of edible insects with omega 3 fatty acids

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Insect Science 2020年第3期27卷 500-509页

作者： Dennis G.A.B.Oonincx Sophie Laurent margot e.Veenenbos Joop J.A.van Loon Department of Animal Sciences Animal Nutrition GroupWageningen UniversityWageningenthe Netherlands Laboratory of entomology Department of Plant SciencesWageningen UniversityWageningenthe Netherlands Sophie Laurent ON IRISFood Process EngineeringUMR CNRS 6144 GEPEANantes Cedex 3France

edible insects are advocated as sustainable and healthy food and ***,commercially produced insects are often low in n‐3 fatty acids and have suboptimal n‐6/n‐3 ratios.A certain amount and proportion of these FAs is required to optimize human *** oil consists primarily(57%)out of alpha‐linolenic *** experiment was conducted to quantify the effect of flaxseed oil provision on fatty acid composition and to determine the quantity needed to attain a beneficial n‐6/n‐3 *** species were used in the experiment:house crickets(Acheta domesticus[L.]),lesser mealworms(Alphitobius diaperinus[Pfanzer])and black soldier flies(Hermetia illucens[L.]).These were provided with either a control diet or a diet enriched with 1%,2%,or 4%flaxseed oil during their larval/nymphal *** acid profiles of diets and insects were determined via GC‐*** three species had distinct fatty acid profiles on all four diets,but responded similarly to flaxseed oil *** each percent added to the diet,the alpha‐linolenic acid content of the insects increased by 2.3%–2.7%.Four percent addition increased the n‐3 fatty acid content 10–20 fold in the three species and thereby strongly decreased n‐6/n‐3 ratios from 18–36 to 0.8–2.4.A ratio below 5 is considered optimal for human health and was achieved by 2%flaxseed oil inclusion for house crickets and lesser mealworms,and at 1%inclusion for black soldier *** a source of n‐3 fatty acids to insect diets can thus improve the nutritional quality of insects.

关键词： Acheta domesticus Alphitobius diaperinus diet fatty acids Hermetia illucens

Pancreatic cancer stem cell markers and exosomes-the incentive push

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World Journal of Gastroenterology 2016年第26期22卷 5971-6007页

作者： Sarah Heiler Zhe Wang margot Zoller Tumor Cell Biology University Hospital of SurgeryD 69120 HeidelbergGermany

Pancreatic cancer(Pa Ca) has the highest death rate and incidence is increasing. Poor prognosis is due to late diagnosis and early metastatic spread, which is ascribed to a minor population of so called cancer stem cells(CSC) within the mass of the primary tumor. CSC are defined by biological features, which they share with adult stem cells like longevity, rare cell division, the capacity for self renewal, differentiation, drug resistance and the requirement for a niche. CSC can also be identified by sets of markers, which for pancreatic CSC(Pa-CSC) include CD44v6, c-Met, Tspan8, alpha6beta4, CXCR4, CD133, ep CAM and claudin7. The functional relevance of CSC markers is still disputed. We hypothesize that Pa-CSC markers play a decisive role in tumor progression. This is fostered by the location in glycolipid-enriched membrane domains, which function as signaling platform and support connectivity of the individual Pa-CSC markers. Outsidein signaling supports apoptosis resistance, stem cell gene expression and tumor suppressor gene repression as well as mi RNA transcription and silencing. Pa-CSC markers also contribute to motility and invasiveness. By ligand binding host cells are triggered towards creating a milieu supporting Pa-CSC maintenance. Furthermore, CSC markers contribute to the generation, loading and delivery of exosomes, whereby CSC gain the capacity for a cell-cell contact independent crosstalk with the host and neighboring non-CSC. This allows PaCSC exosomes(TeX) to reprogram neighboring nonCSC towards epithelial mesenchymal transition and to stimulate host cells towards preparing a niche for metastasizing tumor cells. Finally, TeX communicate with the matrix to support tumor cell motility, invasion and homing. We will discuss the possibility that CSC markers are the initial trigger for these processes and what is the special contribution of CSC-TeX.

关键词： Pancreatic cancer Cancer stem cells Stem cell markers exosomes Crosstalk

Nutritional and vitamin status in patients with neuroendocrine neoplasms

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World Journal of Gastroenterology 2019年第10期25卷 1171-1184页

作者： Dominique SVM Clement margot eT Tesselaar Monique e van Leerdam Rajaventhan Srirajaskanthan John K Ramage Neuroendocrine Tumour Unit King’s College Hospital ENETS Centre of Excellence Department of Medical Oncology Netherlands Cancer Institute ENETS Centre of Excellence Department of Gastrointestinal Oncology Netherlands Cancer Institute Department of Gastroenterology King’s College Hospital

Symptoms of gastroenteropancreatic located neuroendocrine neoplasms(GePNeNs) are often related to food intake and manifest as abdominal pain or diarrhoea which can influence patients nutritional status. Malnutrition is common in cancer patients and influences quality of life, treatment options and survival but is also present in up to 40% of patients with GeP-NeNs. As part of malnutrition there are often deficiencies in fat-soluble vitamins, mainly vitamin D. Little knowledge exists on trace elements. Several factors influence the development of malnutrition such as size and localisation of the primary tumour as well as metastases, side effects from treatment but also hormone production of the tumour itself. One of the main influencing factors leading to malnutrition is diarrhoea which leads to dehydration and electrolyte disturbances. Treatment of diarrhoea should be guided by its cause. Screening for malnutrition should be part of routine care in every GeP-NeN patient. Multidisciplinary treatment including dietician support is necessary for all malnourished patients with GeP-NeNs.

关键词： Neuroendocrine neoplasm Nutrition Malnutrition Vitamin deficiency Diarrhoea Steatorrhoea

Active explorers show low learning performance in a social insect

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Current Zoology 2017年第5期63卷 555-560页

作者： eve UDINO margot PeReZ Claudio CAReRe Patrizia d'eTTORRe Laboratory of experimental and Comparative ethology University Paris 13 Sorbonne Paris Cit6 93430 Villetaneuse France

An intriguing question in behavioral biology is whether consistent individual differences （calledanimal personalities） relate to variation in cognitive performance because commonly measuredpersonality traits may be associated with risk-reward trade-offs. Social insects, whose learningabilities have been extensively characterized, show consistent behavioral variability, both at colonyand at individual level. We investigated the possible link between personality traits and learningperformance in the carpenter ant Camponotus aethiops. exploratory activity, sociability, and ag-gression were assessed twice in ant foragers. Behaviors differed among individuals, they werepartly repeatable across time and exploratory activity correlated positively with *** abilities were quantified by differential conditioning of the maxilla-labium extension re-sponse, a task that requires cue perception and information storage. We found that exploratory ac-tivity of individual ants significantly predicted learning performance：＂active-explorers＂ wereslower in learning the task than ＂inactive-explorers＂. The results suggest for the first time a link be-tween a personality trait and cognitive performance in eusocial insects, and that the underlying in-dividual variability could affect colony performance and success.

关键词： ants, associative learning, cognition, exploratory activity, personality.

Obesity： modern man＇s fertility nemesis

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Asian Journal of Andrology 2010年第4期12卷 480-489页

作者： Stephanie Cabler Ashok Agarwal margot Flint Stefan S. Du Plessis Center for Reproductive Medicine The Cleveland Clinic 9500 Euclid Avenue Cleveland OH 44195 USA Division of Medical Physiology Faculty of Health Sciences Stellenbosch University PO Box 19063 Tygerberg 7505 South Africa

The obesity pandemic has grown to concerning proportions in recent years, not only in the Western World, but in developing countries as well. The corresponding decrease in male fertility and fecundity may be explained in parallel to obesity, and obesity should be considered as an etiology of male fertility. Studies show that obesity contributes to infertility by reducing semen quality, changing sperm proteomes, contributing to erectile dysfunction, and inducing other physical problems related to obesity. Mechanisms for explaining the effect of obesity on male infertility include abnormal reproductive hormone levels, an increased release of adipose-derived hormones and adipokines associated with obesity, and other physical problems including sleep apnea and increased scrotal temperatures. Recently, genetic factors and markers for an obesity-related infertility have been discovered and may explain the difference between fertile obese and infertile obese men. Treatments are available for not only infertility related to obesity, but also as a treatment for the other comorbidities arising from obesity. Natural weight loss, as well as bariatric surgery are options for obese patients and have shown promising results in restoring fertility and normal hormonal profiles. Therapeutic interventions including aromatase inhibitors, exogenous testosterone replacement therapy and maintenance and regulation of adipose-derived hormones, particularly leptin, may also be able to restore fertility in obese males. Because of the relative unawareness and lack of research in this area, controlled studies should be undertaken and more focus should be given to obesity as an etiolgy of male infertility.

关键词： adipokines infertility leptin obesity spermatozoa

Contributions of neurotropic human herpesviruses herpes simplex virus 1 and human herpesvirus 6 to neurodegenerative disease pathology

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Neural Regeneration Research 2018年第2期13卷 211-221页

作者： Jessica M.Hogestyn David J.Mock margot Mayer-Proschel Department of Neuroscience University of Rochester Department of Biomedical Genetics University of Rochester

Human herpesviruses （HVs） have developed ingenious mechanisms that enable them to traverse the defenses of the central nervous system （CNS）. The ability of HVs to enter a state of latency, a defining char- acteristic of this viral family, allows them to persist in the human host indefinitely. As such, HVs represent the most frequently detected pathogens in the brain. Under constant immune pressure, these infections are largely asymptomatic in healthy hosts. However, many neurotropic HVs have been directly connected with CNS pathology in the context of other stressors and genetic risk factors. In this review, we discuss the potential mechanisms by which neurotropic HVs contribute to neurodegenerative disease （NDD） patholo- gy by highlighting two prominent members of the HV family, herpes simplex virus 1 （HSV-1） and human herpesvirus 6 （HHV-6）. We （i） introduce the infectious pathways and replicative cycles of HSV-1 and HHV-6 and then （ii） review the clinical evidence supporting associations between these viruses and the NDDs Alzheimer＇s disease （AD） and multiple sclerosis （MS）, respectively. We then （iii） highlight and dis- cuss potential mechanisms by which these viruses exert negative effects on neurons and glia. Finally, we （iv） discuss how these viruses could interact with other disease-modifying factors to contribute to the initiation and/or progression of NDDs.

关键词： herpes simplex virus 1 human herpesvirus 6 central nervous system neurodegeneration demyelination Alzheimer's disease multiple sclerosis viral latency viral reactivation

enhancing perianal disease management with integrated physical and psychological approaches

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World Journal of Clinical Cases 2025年第2期13卷 59-63页

作者： Uchenna e Okpete Haewon Byeon Department of Digital Anti-aging Healthcare(BK21) Inje UniversityGimhae 50834South Korea

This article provides a comprehensive analysis of the study by Hou et al,focusing on the complex interplay between psychological and physical factors in the postoperative recovery(POR)of patients with perianal *** study sheds light on how illness perception,anxiety,and depression significantly influence recovery *** et al developed a predictive model that demonstrated high accuracy in identifying patients at risk of poor *** article explores the critical role of pre-operative psychological assessment,highlighting the need for mental health support and personalized recovery plans in enhancing POR quality.A multidisciplinary approach,integrating mental health professionals with surgeons,anesthesiologists,and other specialists,is emphasized to ensure comprehensive care for *** study’s findings serve as a call to integrate psychological care into surgical practice to optimize outcomes for patients with perianal diseases.

关键词： Perianal disease Post-operative recovery Anxiety Depression Pain management emotional well-being Multidisciplinary approach

Brain-derived neurotrophic factor alterations and cognitive decline in schizophrenia:Implications for early intervention

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World Journal of Psychiatry 2025年第1期15卷 189-193页

作者： Uchenna e Okpete Haewon Byeon Department of Digital Anti-aging Healthcare(BK21) Inje UniversityGimhae 50834South Korea

This manuscript explores the recent study by Cui et al which assessed the interplay between inflammatory cytokines and brain-derived neurotrophic factor(BDNF)levels in first-episode schizophrenia *** study revealed that higher levels of interleukin-6 and tumor necrosis factor-αcorrelated with reduced BDNF levels and poorer cognitive *** is a severe psy-chiatric disorder impacting approximately 1%of the global population,charac-terized by positive symptoms(hallucinations and delusions),negative symptoms(diminished motivation and cognitive impairments)and disorganized thoughts and *** research highlights the role of BDNF as a potential biomarker for early diagnosis and therapeutic *** findings from Cui et al’s study suggest that targeting neuroinflammation and enhancing BDNF levels may improve cognitive *** treatment approaches involve a com-bination of pharmacological and non-pharmacological interventions tailored to individual patient ***,monitoring cognitive and neuroinflammatory markers is essential for improving patient outcomes and quality of ***-quently,this manuscript highlights the need for an integrated approach to schizo-phrenia management,considering both clinical symptoms and underlying neuro-biological changes.

关键词： Schizophrenia Cognitive impairment Neuroinflammatory markers Brain-derived neurotrophic factor Interleukin Personalized treatment