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Navigating Hypoxemic Respiratory Failure in Critically Ill Cardiac Patients - PubMed

Navigating Hypoxemic Respiratory Failure in Critically Ill Cardiac Patients - PubMed

Source : https://pubmed.ncbi.nlm.nih.gov/41043940/

Acute respiratory failure is a common reason for admission to cardiac intensive care units and the prevalence of respiratory failure in this cohort is increasing over time. Hypoxemia can occur...

This review examines hypoxemic respiratory failure mechanisms in cardiac ICU patients, detailing cardiogenic and noncardiogenic causes, ventilation strategies, sedation optimization, and management of refractory hypoxemia in critically ill cardiac populations.

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Personalized diets may rebalance hormones and reduce obesity-related health risks

Obesity disrupts endocrine health through insulin resistance, chronic inflammation, and altered adipokine signaling. This narrative review explores how different dietary patterns influence hormonal balance in men and women.

Highlights:

  • In men, obesity is linked to decreased testosterone, reduced thyroid function, possibly reflecting thyroid hormone resistance, and elevated cortisol
  • In women, it increases risks for PCOS, infertility, and androgen excess
  • Calorie restriction, low-carbohydrate diets, Mediterranean, and plant-based patterns show hormonal benefits
  • Hormonal effects of dietary changes are often sex-specific

What sets this study apart:

Unlike conventional reviews that focus on single nutrients, this synthesis examines whole dietary patterns and their interaction with sex-specific hormonal physiology. It emphasizes the importance of individualized nutrition plans based on reproductive and metabolic profiles, underscoring that one-size-fits-all approaches are inadequate for endocrine health.

Limitations:

As a narrative review, conclusions are drawn from existing literature rather than new clinical data. Long-term outcomes and sustainability of restrictive diets, such as ketogenic or very low-carbohydrate regimens, remain underexplored.

What role does gender play in how dietary choices influence endocrine health?

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Lipid Nanovesicles in Cancer Treatment: Improving Targeting and Stability of Antisense Oligonucleotides - PubMed

Lipid Nanovesicles in Cancer Treatment: Improving Targeting and Stability of Antisense Oligonucleotides - PubMed

Source : https://pubmed.ncbi.nlm.nih.gov/39967902/

Cancer remains a leading cause of mortality worldwide, accounting for approximately 10 million deaths annually. Standard treatments, including surgery, radiotherapy, and chemotherapy, often result in damage to healthy cells and...

Lipid nanovesicles improve ASO cancer therapy by enhancing targeting, stability, and half-life, reducing toxicity, and boosting efficacy, though delivery challenges remain.

 

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pt after mi ldl below 55 can be obtain with statin and pck 9 inhibitor comfotably if insurance covers pck inhibitor

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goal after cardivascular surgery is to get ldl below 55 without side effects on statins,if it cannot be achieve on statin alone,add zetia,or pck 9 inhibitors or nexlizet

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