{"title":"Effectivity of a joint didactic intervention by school for patients on inappropriate control prothrombin time anticoagulated patients","authors":"Ginel Mendoza L, Hidalgo Natera A","doi":"10.15761/icm.1000162","DOIUrl":"https://doi.org/10.15761/icm.1000162","url":null,"abstract":"","PeriodicalId":91880,"journal":{"name":"Integrative clinical medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67469624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Changing treatment landscape of Marginal zone lymphoma","authors":"P. Barde","doi":"10.15761/icm.1000159","DOIUrl":"https://doi.org/10.15761/icm.1000159","url":null,"abstract":"Received: July 02, 2019; Accepted: July 19, 2019; Published: July 25, 2019 Recent breakthrough therapy designation to copanlisib (a PI3K α/δ inhibitor) for marginal zone lymphoma (MZL) highlights the need to expedite the development of a drug candidate to treat this serious disease [1]. With an annual incidence of approximately 7,500 newly diagnosed patients in the USA, MZL is the third most common B-cell Non-Hodgkin Lymphoma (NHL) accounting for approximately 8% of all NHL cases [2]. Chemotherapy and/or immunotherapy available for the treatment of MZL are often successful, however, treatment options are limited for patients who fail initial chemo-immunotherapy. Therefore, new drugs are needed to fulfil this unmet medical need.","PeriodicalId":91880,"journal":{"name":"Integrative clinical medicine","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67469866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Treatment with mesenchymal stem cells for xerostomia: A new paradigm in cell therapy","authors":"Soler Rich Robert, C. Jordi, Rius Tarruella Joan, Zamora Bustamante Jeanneth, Orozco Delclós Lluís","doi":"10.15761/icm.1000152","DOIUrl":"https://doi.org/10.15761/icm.1000152","url":null,"abstract":"Xerostomia is the term used to define dry mouth due to a deficit of salivary secretion that is generally only perceived when the flow rate is reduced by 40-50% [1]. Actually, the three main causes of severe xerostomia are: adverse effects of drugs, including chemotherapy, Sjögren syndrome, and radiation therapy for head and neck cancer","PeriodicalId":91880,"journal":{"name":"Integrative clinical medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67469173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Renal colic pain and the TENS as an alternative analgesia","authors":"Umadevan Rajasagaram","doi":"10.15761/ICM.1000151","DOIUrl":"https://doi.org/10.15761/ICM.1000151","url":null,"abstract":"Received: June 03, 2019; Accepted: June 13, 2019; Published: June 18, 2019 Kidney stones are prevalent in the “stone belt” region which extends over America (Southeast), Africa (North), Middle East (Southeast) and Australia (Northeast) [1]. Globally, the lifetime prevalence of stone disease is 10 to 15% and it counts for millions of patient visits to the emergency department (ED), or the outpatient clinics [1,2]. The incidence of renal stones is globally increasing with an estimated prevalence ranging up to 15%. During lifetime, approximately 7% of women and 13% of men will develop a renal stone. The main aim of management in the Emergency Department is to provide fast, effective and safe analgesia to patients. Most studies published in relation to the acute management of pain in renal colic focuses on the use of prescribed analgesia as described above with little emphasis on the use of other modalities of pain control such as TENS.","PeriodicalId":91880,"journal":{"name":"Integrative clinical medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67469120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Immunological modulation of mesenchymal stem cells in repairing of acute kidney injury","authors":"Qin Tan, Yichuan Li","doi":"10.15761/icm.1000149","DOIUrl":"https://doi.org/10.15761/icm.1000149","url":null,"abstract":"Mesenchymal stem cells (MSCs), as a potential therapeutic, have been put into a great quantity of preclinical or clinical researches which are considered as one of the pivotal parts in the tissue repairation. A body of evidence have demonstrated that, acute kidney injury(AKI) which is described as a complex pathophysiology containing a series of innate and adaptive immune responses, has a satisfactory morphological and functional recovery owing to the MSCs potentially because the multiple functions like adhesion, proliferation or differentiation, restoration and immunosuppressive effect. The present review will focus on the exploration of MSCs in AKI detailed in immunologic system as far as possible.","PeriodicalId":91880,"journal":{"name":"Integrative clinical medicine","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67469519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"NC-6004, a novel cisplatin nanoparticle, in combination with pembrolizumab for head and neck cancer","authors":"A. Osada","doi":"10.15761/icm.1000147","DOIUrl":"https://doi.org/10.15761/icm.1000147","url":null,"abstract":"","PeriodicalId":91880,"journal":{"name":"Integrative clinical medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67469373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Melatonin supplementation to improve quality of life for elderly cancer patients","authors":"A. Ginzac, E. Thivat, X. Durando","doi":"10.15761/icm.1000148","DOIUrl":"https://doi.org/10.15761/icm.1000148","url":null,"abstract":"The incidence of elderly population living with cancer increases. Maintaining or improving the quality of life (QoL) has become an important goal in the treatment of cancer disease and is even an endpoint in clinical trials. The elderly are underrepresented within these clinical trials and often undertreated. The aged population with cancer is very heterogeneous and has certain characteristics (comorbidities, vulnerability) making the management and assessment of QoL more complex in this population. Melatonin, a hormone secreted by the pineal gland, regulates various physiological functions and is involved in the initiation of sleep. With age, the secretion of melatonin decreases and thus disrupts circadian rhythm. Circadin® (a prolonged-release form of melatonin) is used in France in the treatment of primary insomnia in person over 55 years old and contributes to improvement of QoL. Melatonin also presents a potential interest in addition to chemotherapy in the treatment of cancer by reducing or preventing certain symptoms (e.g., fatigue, depression) that constitute essential components of QoL. In this context, it seems appropriate to study the impact of supplementation with melatonin during chemotherapy on QoL of elderly patients with metastatic cancer. *Correspondence to: Angeline GINZAC, 58, rue Montalembert, 63011 Clermont-Ferrand, France, Tel: +33 473278005; Fax: +33 473278029; E-mail: Angeline.ginzac@clermont.unicancer.fr","PeriodicalId":91880,"journal":{"name":"Integrative clinical medicine","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67469459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation of fat grafting technique using autologous micro-fragmented adipose tissue (Lipogems®) in female patients suffering from stress urinary incontinence","authors":"J. Cortes, Daniel Vélez","doi":"10.15761/icm.1000158","DOIUrl":"https://doi.org/10.15761/icm.1000158","url":null,"abstract":"Stress urinary incontinence (SUI) is a common occurrence in women. Although causes may be multi-factorial, the ultimate consequence of urethral sphincter weakness is urinary leakage with increase in intra-abdominal pressure. The gold standard treatment for SUI is urethral sling, for which the patient may not be a candidate, versus injection of synthetic bulking agents, which requires repeat injections over the patient’s lifetime. Autologous mesenchymal stem cells are an area of great interest within regenerative medicine to offer longer lasting effects over synthetic bulking agents. Microfragmentation of the harvested fat, to isolate the mesenchymal stem cells, is a novel technique that has shown great promise in other fields. Here, we present our preliminary data for 11 women with primary stress urinary incontinence after mid-urethral injection of autologous mesenchymal stem cells. Eight women were at least one-year post-Lipogems® injection and had an average improvement in VAS score from 9 to 4.7, and a decrease in pad count from 5.3 to 4.2. Two women had complete resolution of their SUI (VAS 0, pad count 0) at 18 and 24 months post-Lipogems® injection. Only one patient had a harvest site hematoma, and three patients had post-op urinary retention which resolved. These preliminary results are supportive of the regenerative potential of autologous mesenchymal stem cells for the treatment of stress urinary incontinence. *Correspondence to: Janice Santos Cortes, Department of Surgery, Urology, The Warren Alpert School of Medicine of Brown University, 2 Dudley Street Suite 185, Providence, RI 02906, USA, E-mail: jasmd25@gmail.com","PeriodicalId":91880,"journal":{"name":"Integrative clinical medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67469765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Beneficial effects of Monascus purpureus NTU 568-fermented products on cholesterol in vivo and clinical trial: A review","authors":"Chien-Li Chen, T. Pan","doi":"10.15761/icm.1000161","DOIUrl":"https://doi.org/10.15761/icm.1000161","url":null,"abstract":"Red yeast rice (RYR) is prepared by fermenting rice with Monascus. RYR contains the compound monacolin K-the same active ingredient found in prescription cholesterol-lowering medications like lovastatin. Hypercholesterolemia is a dangerous form of cardiovascular disease, for which statins are generally prescribed as the main therapeutic drug. One of the most common complaints of people taking statins is muscle pain as a soreness, tiredness, weakness or induced rhabdomyolysis. The U.S. Food and Drug Administration has issued warnings that memory loss, mental confusion, neuropathy, high blood sugar, and type 2 diabetes are possible side effects. Monascus purpureus NTU 568-fermented product (Ankascin 568-R) contains monascin and ankaflavin as major active compounds, which was different from Monascus species fermented major compound monacolin K. Due to the high levels of Monascus metabolites and other ingredients, minimal amounts of Ankascin 568R can be completely assimilated into the digestive system. Clinical results have showed statistically significant decreases of 11.9% and 19.0% were observed in total cholesterol and low-density lipoprotein cholesterol levels, respectively. This systematic review describes the applications, side effects, and health benefits of monacolin K, monascin, and ankaflavin in Monascus-fermented products based on animal studies and clinical trial. Empirical studies suggest that a potentially useful agent for the regulation of blood lipids and the treatment of coronary artery diseases. *Correspondence to: Tzu-Ming Pan, Department of Biochemical Science and Technology, College of Life Science, National Taiwan University, No. 1, Sec. 4, Roosevelt Road, Taipei 10617, Taiwan, Tel: +886-2-33664519 (Extn. 10); Fax: +886-2-33663838; E-mail: tmpan@ntu.edu.tw","PeriodicalId":91880,"journal":{"name":"Integrative clinical medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67469899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The effects of blood flow restriction exercise on vascular function in the elderly: A systematic review","authors":"S. Amorim, Alexandra PGaspar, H. Degens, L. Matos","doi":"10.15761/ICM.1000140","DOIUrl":"https://doi.org/10.15761/ICM.1000140","url":null,"abstract":"Background: Blood flow restriction (BFR) exercise has been used to induce skeletal muscle and aerobic adaptations that are similar to those induced by high intensity training, but with less time and lower intensities. The lower time demand and exercise intensity appear advantageous, especially for older people but there may be risks associated with a potential impairment of vascular function after BFR trainings. Therefore, the purpose of this systematic review was to evaluate the effects of aerobic and resistance exercise with BFR on vascular function in the elderly. Methods: PubMed, Embase, Scopus, Lilacs, Web of science, Pedro, Google Scholar and the Cochrane library were searched for articles published until January 2019. This review included randomized and non-randomized controlled trials of BFR exercise for ≥ 4 weeks in older humans. Results: In the first step, 133 articles were identified, of which 22 articles met the inclusion criteria. Sixteen studies were excluded because of the short training period (< 4 weeks) or the average age of participants (< 60 years). Six articles were included in this review (n = 146 individuals, mean age = 69 years old, 71,46% women and 28,54% men). BFR combined with aerobic exercise (n = 2) enhanced arterial and venous compliance in healthy elders and resistance exercises (n = 4) demonstrated no significant effects on vascular function in healthy elders compared to exercise without BFR. Conclusion: These results suggest that the addition of BFR to exercise does even improve vascular function in healthy elderly people. This is a first indication that superimposing BFR is safe also in sedentary elders. However, future research, especially in sedentary elders, is necessary to assess the safety of this method. *Correspondence to: Luciana Diniz Nagem Janot de Matos, Hospital Israelita Albert Einstein, Avenida Albert Einstein 627/701, Jardim Leonor CEP: 05652-900 São Paulo, SP – Brazil, Tel. +55 11 2151-1444, E-mail: lucianajanot@einstein.br","PeriodicalId":91880,"journal":{"name":"Integrative clinical medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67469545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}