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"healing sciences"
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The magic feather effect : the science of alternative medicine and the surprising power of belief
Author and journalist Melanie Warner takes readers on a vivid, fascinating journey through the world of alternative medicine. Crossing continents and sides of the debate, visiting prestigious research clinics and ordinary people's homes, she investigates the scientific underpinning for the purportedly magical results of these practices and reveals not only the medical power of beliefs and placebo effects, but also the range, limits, and uses of the surprising system of self-healing that resides inside us.
Book
Healing elements
Tibetan medicine has come to represent multiple and sometimes conflicting agendas. On the one hand it must retain a sense of cultural authenticity and a connection to Tibetan Buddhism; on the other it must prove efficacious and safe according to biomedical standards. Recently, Tibetan medicine has found a place within the multibillion-dollar market for complementary, traditional, and herbal medicines as people around the world seek alternative paths to wellness. Healing Elements explores how Tibetan medicine circulates through diverse settings in Nepal, China, and beyond as commercial goods and gifts, and as target therapies and panacea for biophysical and psychosocial ills. Through an exploration of efficacy – what does it mean to say Tibetan medicine \"works\"? – this book illustrates a bio-politics of traditional medicine and the meaningful, if contested, translations of science and healing that occur across distinct social ecologies.
eBook
Self-Healing Concrete as a Prospective Construction Material: A Review
Concrete is a material that is widely used in the construction market due to its availability and cost, although it is prone to fracture formation. Therefore, there has been a surge in interest in self-healing materials, particularly self-healing capabilities in green and sustainable concrete materials, with a focus on different techniques offered by dozens of researchers worldwide in the last two decades. However, it is difficult to choose the most effective approach because each research institute employs its own test techniques to assess healing efficiency. Self-healing concrete (SHC) has the capacity to heal and lowers the requirement to locate and repair internal damage (e.g., cracks) without the need for external intervention. This limits reinforcement corrosion and concrete deterioration, as well as lowering costs and increasing durability. Given the merits of SHCs, this article presents a thorough review on the subject, considering the strategies, influential factors, mechanisms, and efficiency of self-healing. This literature review also provides critical synopses on the properties, performance, and evaluation of the self-healing efficiency of SHC composites. In addition, we review trends of development in research toward a broad understanding of the potential application of SHC as a superior concrete candidate and a turning point for developing sustainable and durable concrete composites for modern construction today. Further, it can be imagined that SHC will enable builders to construct buildings without fear of damage or extensive maintenance. Based on this comprehensive review, it is evident that SHC is a truly interdisciplinary hotspot research topic integrating chemistry, microbiology, civil engineering, material science, etc. Furthermore, limitations and future prospects of SHC, as well as the hotspot research topics for future investigations, are also successfully highlighted.
Journal Article
A self-powered implantable and bioresorbable electrostimulation device for biofeedback bone fracture healing
Electrostimulation has been recognized as a promising nonpharmacological treatment in orthopedics to promote bone fracture healing. However, clinical applications have been largely limited by the complexity of equipment operation and stimulation implementation. Here, we present a self-powered implantable and bioresorbable bone fracture electrostimulation device, which consists of a triboelectric nanogenerator for electricity generation and a pair of dressing electrodes for applying electrostimulations directly toward the fracture. The device can be attached to irregular tissue surfaces and provide biphasic electric pulses in response to nearby body movements. We demonstrated the operation of this device on rats and achieved effective bone fracture healing in as short as 6 wk versus the controls for more than 10 wk to reach the same healing result. The optimized electrical field could activate relevant growth factors to regulate bone microenvironment for promoting bone formation and bone remodeling to accelerate bone regeneration and maturation,with statistically significant 27%and 83%improvement over the control groups in mineral density and flexural strength, respectively. This work provided an effective implantable fracture therapy device that is self-responsive, battery free, and requires no surgical removal after fulfilling the biomedical intervention.
Journal Article
Implant-derived magnesium induces local neuronal production of CGRP to improve bone-fracture healing in rats
A novel stainless-steel pin has been engineered with a pure magnesium core that promotes improved fracture healing in rats by inducing local production of a key neuropeptide for osteogenesis.
Orthopedic implants containing biodegradable magnesium have been used for fracture repair with considerable efficacy; however, the underlying mechanisms by which these implants improve fracture healing remain elusive. Here we show the formation of abundant new bone at peripheral cortical sites after intramedullary implantation of a pin containing ultrapure magnesium into the intact distal femur in rats. This response was accompanied by substantial increases of neuronal calcitonin gene-related polypeptide-α (CGRP) in both the peripheral cortex of the femur and the ipsilateral dorsal root ganglia (DRG). Surgical removal of the periosteum, capsaicin denervation of sensory nerves or knockdown
in vivo
of the CGRP-receptor-encoding genes
Calcrl
or
Ramp1
substantially reversed the magnesium-induced osteogenesis that we observed in this model. Overexpression of these genes, however, enhanced magnesium-induced osteogenesis. We further found that an elevation of extracellular magnesium induces magnesium transporter 1 (MAGT1)-dependent and transient receptor potential cation channel, subfamily M, member 7 (TRPM7)-dependent magnesium entry, as well as an increase in intracellular adenosine triphosphate (ATP) and the accumulation of terminal synaptic vesicles in isolated rat DRG neurons. In isolated rat periosteum-derived stem cells, CGRP induces CALCRL- and RAMP1-dependent activation of cAMP-responsive element binding protein 1 (CREB1) and SP7 (also known as osterix), and thus enhances osteogenic differentiation of these stem cells. Furthermore, we have developed an innovative, magnesium-containing intramedullary nail that facilitates femur fracture repair in rats with ovariectomy-induced osteoporosis. Taken together, these findings reveal a previously undefined role of magnesium in promoting CGRP-mediated osteogenic differentiation, which suggests the therapeutic potential of this ion in orthopedics.
Journal Article
Trial of Beremagene Geperpavec (B-VEC) for Dystrophic Epidermolysis Bullosa
This genetic blistering disease is the result of mutations in
COL7A1
, which encodes type VII collagen. Topical HSV-1 gene therapy delivering
COL7A1
resulted in greater wound healing at 6 months than placebo.
Journal Article
Damaged brain accelerates bone healing by releasing small extracellular vesicles that target osteoprogenitors
Clinical evidence has established that concomitant traumatic brain injury (TBI) accelerates bone healing, but the underlying mechanism is unclear. This study shows that after TBI, injured neurons, mainly those in the hippocampus, release osteogenic microRNA (miRNA)-enriched small extracellular vesicles (sEVs), which targeted osteoprogenitors in bone to stimulate bone formation. We show that miR-328a-3p and miR-150-5p, enriched in the sEVs after TBI, promote osteogenesis by directly targeting the 3′UTR of
FOXO4
or
CBL
, respectively, and hydrogel carrying miR-328a-3p-containing sEVs efficiently repaires bone defects in rats. Importantly, increased fibronectin expression on sEVs surface contributes to targeting of osteoprogenitors in bone by TBI sEVs, thereby implying that modification of the sEVs surface fibronectin could be used in bone-targeted drug delivery. Together, our work unveils a role of central regulation in bone formation and a clear link between injured neurons and osteogenitors, both in animals and clinical settings.
Concomitant traumatic brain injury accelerates bone healing, but the mechanism is unclear. Here, the authors show that injured neurons, mainly those in the hippocampus, release osteogenic miRNA-enriched small extracellular vesicles, which targete osteoprogenitors to stimulate bone formation.
Journal Article
Self-Healing of Polymers and Polymer Composites
This review is devoted to the description of methods for the self-healing of polymers, polymer composites, and coatings. The self-healing of damages that occur during the operation of the corresponding structures makes it possible to extend the service life of the latter, and in this case, the problem of saving non-renewable resources is simultaneously solved. Two strategies are considered: (a) creating reversible crosslinks in the thermoplastic and (b) introducing a healing agent into cracks. Bond exchange reactions in network polymers (a) proceed as a dissociative process, in which crosslinks are split into their constituent reactive fragments with subsequent regeneration, or as an associative process, the limiting stage of which is the interaction of the reactive end group and the crosslink. The latter process is implemented in vitrimers. Strategy (b) is associated with the use of containers (hollow glass fibers, capsules, microvessels) that burst under the action of a crack. Particular attention is paid to self-healing processes in metallopolymer systems.
Journal Article
Local administration of regulatory T cells promotes tissue healing
Regulatory T cells (Tregs) are crucial immune cells for tissue repair and regeneration. However, their potential as a cell-based regenerative therapy is not yet fully understood. Here, we show that local delivery of exogenous Tregs into injured mouse bone, muscle, and skin greatly enhances tissue healing. Mechanistically, exogenous Tregs rapidly adopt an injury-specific phenotype in response to the damaged tissue microenvironment, upregulating genes involved in immunomodulation and tissue healing. We demonstrate that exogenous Tregs exert their regenerative effect by directly and indirectly modulating monocytes/macrophages (Mo/MΦ) in injured tissues, promoting their switch to an anti-inflammatory and pro-healing state via factors such as interleukin (IL)-10. Validating the key role of IL-10 in exogenous Treg-mediated repair and regeneration, the pro-healing capacity of these cells is lost when
Il10
is knocked out. Additionally, exogenous Tregs reduce neutrophil and cytotoxic T cell accumulation and IFN-γ production in damaged tissues, further dampening the pro-inflammatory Mo/MΦ phenotype. Highlighting the potential of this approach, we demonstrate that allogeneic and human Tregs also promote tissue healing. Together, this study establishes exogenous Tregs as a possible universal cell-based therapy for regenerative medicine and provides key mechanistic insights that could be harnessed to develop immune cell-based therapies to enhance tissue healing.
Regulatory T cells (Tregs) are known for suppressing inflammatory processes, but their full capacity for tissue regeneration is yet to be harnessed. Here, the authors demonstrate the efficiency of Tregs in facilitating tissue healing in mouse models of bone, muscle, and skin injury, with monocytes/macrophages and interleukin-10 playing a key mechanistic role in the process.
Journal Article
Fracture Healing in the Setting of Endocrine Diseases, Aging, and Cellular Senescence
Abstract
More than 2.1 million age-related fractures occur in the United States annually, resulting in an immense socioeconomic burden. Importantly, the age-related deterioration of bone structure is associated with impaired bone healing. Fracture healing is a dynamic process which can be divided into four stages. While the initial hematoma generates an inflammatory environment in which mesenchymal stem cells and macrophages orchestrate the framework for repair, angiogenesis and cartilage formation mark the second healing period. In the central region, endochondral ossification favors soft callus development while next to the fractured bony ends, intramembranous ossification directly forms woven bone. The third stage is characterized by removal and calcification of the endochondral cartilage. Finally, the chronic remodeling phase concludes the healing process.
Impaired fracture healing due to aging is related to detrimental changes at the cellular level. Macrophages, osteocytes, and chondrocytes express markers of senescence, leading to reduced self-renewal and proliferative capacity. A prolonged phase of “inflammaging” results in an extended remodeling phase, characterized by a senescent microenvironment and deteriorating healing capacity. Although there is evidence that in the setting of injury, at least in some tissues, senescent cells may play a beneficial role in facilitating tissue repair, recent data demonstrate that clearing senescent cells enhances fracture repair. In this review, we summarize the physiological as well as pathological processes during fracture healing in endocrine disease and aging in order to establish a broad understanding of the biomechanical as well as molecular mechanisms involved in bone repair.
Graphical Abstract
Graphical Abstract
Journal Article