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Here is a list of all of the medical journals and studies that we reference in order to back up everything we publish. We use only the peer-reviewed and double-blind scientific studies and evidence from a wide array of different sources to ensure that the information we publish is completely independent [last updated: Mon, 23 Dec 2024 08:52:25 +0000].

ACTH Tumors

Toggle SectionMemorial Sloan Kettering Cancer Center: ACTH Producing Tumors, MSKCC

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The study focuses on Cushing’s disease caused by ACTH-secreting pituitary adenomas, exploring its symptoms, causes, diagnosis, and treatment options.

Method : Diagnosis is performed using blood, urine, and saliva tests for cortisol levels, complemented by an MRI scan. Petrosal venous sampling may also be used to confirm the source of ACTH production.

Findings : Cushing’s disease primarily results from benign ACTH-secreting tumors, affecting hormone production and leading to significant health issues; surgical intervention is the main treatment, supplemented by radiation and medication as needed.

Acupuncture

Toggle SectionTerje Alraek, Liv Inger Fosli Soedal, Siri Urnes Fagerheim, Asbjørn Digranes, Anders Baerheim: Acupuncture for treating interstitial cystitis/painful bladder syndrome: systematic review and meta-analysis of randomized controlled trials, National Center for Biotechnology Information

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This study investigates the effectiveness of acupuncture in preventing recurrent lower urinary tract infections (UTIs) in adult women.

Method : The study included 100 women aged 18 to 60 with a history of recurrent UTIs. Participants were randomly assigned to receive acupuncture treatment or no treatment, and the number of UTIs was recorded over a 6-month follow-up period.

Findings : The results indicated that 73% of women in the acupuncture group were free of UTIs during the follow-up period compared to 52% in the control group, with a significant reduction in the incidence rate of UTIs among those receiving acupuncture.

Toggle SectionJisheng Wang, Yi Lei, Binghao Bao, Xudong Yu, Hengheng Dai, Fei Chen, Haisong Li, Bin Wang: Acupuncture for Prostate Disorders, PubMed

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The study focuses on evaluating the efficacy and safety of acupuncture in treating pain caused by prostate cancer through a systematic review.

Method : The methodology involves searching various databases including PubMed and Cochrane Library for randomized controlled trials related to acupuncture for prostate cancer pain. The review will assess the quality and risks of included studies and use Revman and Stata software for meta-analysis of effectiveness and symptom scores.

Findings :

Toggle SectionZongshi Qin, Jiani Wu, Jing Zhou, Zhishun Liu: Acupuncture for Chronic Pelvic Pain Syndrome: A Randomized Controlled Trial, National Center for Biotechnology Information

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The study assesses the effects and safety of acupuncture in treating chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) in adult men.

Method : The study is a systematic review and meta-analysis of randomized controlled trials (RCTs) focusing on acupuncture for CP/CPPS, evaluating the outcomes such as the NIH-CPSI score across seven included trials involving a total of 471 participants.

Findings : Acupuncture was found to be more effective than sham acupuncture in reducing the total NIH-CPSI score and improving pain and quality of life, with significant effects related to pain reduction, but showed similar long-term results when compared to standard medications.

Alcoholism

Toggle SectionH O Adami, J K McLaughlin, A W Hsing, A Wolk, A Ekbom, L Holmberg, I Persson: Heavy Alcohol Consumption and Cancer, PubMed

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This study investigates the incidence of cancer in a population-based cohort of individuals diagnosed with alcoholism, comparing observed cancer cases with expected cases over a follow-up period.

Method : The study followed 9,353 individuals with a discharge diagnosis of alcoholism for a mean period of 7.7 years. Data were analyzed to compare observed cancer cases to expected cases, calculating standardized incidence ratios (SIR) for different cancer types.

Findings : The results indicated an overall increased cancer incidence among alcoholics with SIRs of 1.4 for men and 1.5 for women. Specific cancers such as those of the oral cavity, esophagus, and larynx showed significantly higher risks, whereas no elevated risk was found for stomach or prostate cancers.

Alopecia

Toggle SectionLi Chen, Jiaping Zhang, Liang Wang, Hongxia Wang, Bing Chen: A systematic review and meta-analysis on the combination of Minoxidil and Finasteride, PubMed

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This study investigates the efficacy and safety of finasteride combined with topical minoxidil for treating androgenetic alopecia.

Method : The authors conducted a systematic review and meta-analysis of data from Embase, PubMed, and the Cochrane Library, focusing on predefined clinical endpoints across five randomized controlled trials (RCTs).

Findings : The combination therapy showed significantly greater efficacy than the individual treatments, with higher global photographic evaluation scores and improvement rates, while exhibiting similar safety profiles.

Toggle SectionEvyatar Evron, Margit Juhasz, Arash Babadjouni, Natasha Atanaskova Mesinkovska: Efficacy of an oral saw palmetto 200 mg tablet with an additional 50 mg of β-sitosterol, ncbi.nlm.nih.gov, 2020

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The study investigates the efficacy of saw palmetto extract with β-sitosterol in treating alopecia, specifically androgenetic alopecia (AGA) and telogen effluvium.

Method : The authors conducted a systematic review of studies that involved randomized clinical trials and cohort studies assessing the effects of oral and topical saw palmetto extracts in patients with hair loss conditions. Data were gathered from PubMed, Google Scholar, and Cochrane databases, focusing on studies that analyzed various formulations of saw palmetto and their effects on hair growth.

Findings : The results indicated that saw palmetto extract may improve overall hair quality, with findings showing up to 60% improvement in hair quality and stabilization of disease progression in some patients. While the extract was well tolerated, the review concluded that more robust, high-quality trials are needed to confirm these findings and evaluate long-term safety.

Alopecia Treatment

Toggle SectionYunes Panahi, Mohsen Taghizadeh, Eisa Tahmasbpour Marzony, Amirhossein Sahebkar: Efficacy of rosemary oil in the treatment of alopecia: a randomized trial, PubMed, 2015

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The study investigates the efficacy of rosemary oil compared to minoxidil 2% in treating androgenetic alopecia.

Method : In this randomized controlled trial, 100 patients with androgenetic alopecia were assigned to receive either rosemary oil or minoxidil 2% for 6 months. Evaluations of hair count and safety were conducted at baseline, 3 months, and 6 months using standardized assessments.

Findings : At the 6-month endpoint, both groups showed significant increases in hair count compared to baseline, but no significant differences were observed between the two treatments. Increased scalp itching was noted more frequently in the minoxidil group.

alpha-blockers

Toggle SectionBlayne Welk, Eric McArthur, Lisa-Ann Fraser, Jade Hayward, Stephanie Dixon, Y Joseph Hwang, Michael Ordon: Study on the side effects of alpha-blockers, BMJ, 2015

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The study investigates the increased risk of falls and fractures among men starting treatment with prostate-selective alpha antagonists.

Method : The research utilized administrative datasets from Ontario, Canada, including a cohort of 147,084 men aged 66 and older who began treatment with alpha antagonists, compared with a matched unexposed cohort.

Findings : The study found that men using prostate-specific alpha antagonists had a statistically significant increased risk of falling and sustaining fractures, with odds ratios indicating a 14% and 16% increased risk, respectively, along with increased occurrences of hypotension and head trauma.

Androgen Deprivation Therapy

Toggle SectionNoboru Hara: Androgen deprivation therapy, PubMed

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This study systematically reviews the relationship between prostate cancer, diabetes, and the metabolic disorders associated with androgen deprivation therapy (ADT). It discusses how diabetes is linked to both prostate carcinogenesis and complications arising from ADT.

Method : The study is a literature review that compiles findings from various population-based studies and clinical data on prostate cancer and diabetes, examining the incidence of prostate cancer in diabetic men and the metabolic impacts of ADT.

Findings : The review finds that while diabetes is typically linked to a lower incidence of prostate cancer, it is associated with a higher risk of advanced disease upon diagnosis. Additionally, insulin resistance can develop shortly after the initiation of ADT, significantly increasing the risk of diabetes over the long term.

Anemia Management

Toggle SectionGeorge M Rodgers 3rd, Pamela Sue Becker, Morey Blinder, David Cella, Asher Chanan-Khan, Charles Cleeland, Peter F Coccia, Benjamin Djulbegovic, Jeffrey A Gilreath, Eric H Kraut, Ursula A Matulonis, Michael M Millenson, Denise Reinke, Joseph Rosenthal, Rowe: Anemia in Cancer Patients and Its Management, PubMed

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The study discusses the prevalence of anemia in cancer patients, particularly those undergoing chemotherapy, and outlines updated management strategies.

Method : The study evaluates treatment options for anemia, including supportive care, blood transfusions, and erythropoiesis-stimulating agents, while considering recent findings that question the safety and efficacy of some treatments.

Findings : Anemia affects a significant number of cancer patients and management strategies have evolved, emphasizing the need for individualized treatment plans, particularly in light of the changing perceptions regarding medication safety.

Animal Studies

Toggle SectionXu Lin, Jeffrey R Gingrich, Wenjun Bao, Jie Li, Zishan A Haroon, Wendy Demark-Wahnefried: Animal Studies, PubMed

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This study investigates the effects of flaxseed supplementation on the development of prostatic carcinoma in a transgenic adenocarcinoma mouse model (TRAMP).

Method : A total of 135 male TRAMP mice were randomized to receive either a control diet or a diet supplemented with 5% flaxseed for either 20 or 30 weeks, followed by histological evaluation of various tissues at autopsy.

Findings : The study found that 100% of control mice developed prostate cancer, while 97% of those receiving flaxseed did. The treated mice showed significantly lighter tumor weights and less aggressive tumor grades after 30 weeks compared to controls.

Anti-diabetic

Toggle SectionY Suzuki, T Unno, M Ushitani, K Hayashi, T Kakuda: The Anti-diabetic Effect of Lagerstroemia speciosa, PubMed, 2003

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The study examines the antiobesity effects of extracts from Lagerstroemia speciosa leaves specifically on female KK-Ay mice.

Method : The experiment involved feeding five-week-old female KK-Ay mice either a control diet or a test diet containing 5% of a hot-water extract from banaba leaves for 12 weeks. The changes in body weight, adipose tissue weight, and blood glucose levels were monitored throughout the study.

Findings : The results indicated that the banaba diet group showed a significant reduction in body weight gain and adipose tissue weight, and the levels of hemoglobin A1C were suppressed, while total hepatic lipid contents were reduced primarily due to decreased triglyceride accumulation.

Anti-inflammatory

Toggle SectionJulie S Jurenka: Curcumin and its Anti-inflammatory effects, NCBI

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The study reviews the anti-inflammatory properties of curcumin, a component of turmeric, examining its pharmacological effects in various inflammatory conditions.

Method : The study is a review of preclinical and clinical research that focuses on curcumin’s molecular interactions and therapeutic potential in treating inflammatory diseases and cancers.

Findings : Curcumin demonstrates significant anti-inflammatory properties and shows promise in treating conditions like inflammatory bowel disease and arthritis, although its effectiveness may be limited due to its rapid clearance in the body.

Toggle SectionWolfgang Marx, Karin Ried, Alexandra L McCarthy, Luis Vitetta, Avni Sali, Daniel McKavanagh, Liz Isenring: Anti-inflammatory properties of Ginger, PubMed

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This study reviews the anti-inflammatory properties of ginger and its potential benefits in managing chemotherapy-induced nausea and vomiting (CINV). It discusses the various mechanisms through which ginger can exert its effects and its historical use as a gastrointestinal remedy.

Method : The review synthesizes evidence from clinical, in vitro, and animal studies to highlight the mechanisms by which ginger’s bioactive compounds, such as gingerol and shogaol, can alleviate symptoms of CINV.

Findings : The review concludes that ginger possesses multiple properties that could be beneficial in reducing CINV, including receptor antagonism and modulation of gastrointestinal functions.

Anti-Obesity

Toggle SectionSaioa Gómez-Zorita, Maitane González-Arceo, Jenifer Trepiana, Itziar Eseberri, Alfredo Fernández-Quintela, Iñaki Milton-Laskibar, Leixuri Aguirre, Marcela González, María P Portillo: Clinical studies, NCBI

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The study reviews the anti-obesity effects of macroalgae, compiling data from in vitro and in vivo studies that indicate a potential for macroalgae extracts to reduce adipogenesis and improve metabolic health.

Method : A literature review that aggregates findings from various in vitro and in vivo studies on the effects of macroalgae on obesity parameters, particularly focusing on their impact on fat accumulation, metabolic pathways, and related health markers in experimental models.

Findings : The review concludes that macroalgae can inhibit the expression of genes controlling adipogenesis, reduce fat accumulation in animal models, and improve metabolic markers associated with obesity, although further human studies are needed to confirm these effects.

Toggle SectionMaria Alessandra Gammone, Nicolantonio D’Orazio: Clinical studies, NCBI

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The study investigates the anti-obesity activity of fucoxanthin, a carotenoid derived from marine algae, focusing on its mechanisms of action related to metabolic processes.

Method : The study includes a review of existing literature and findings from various experiments on the effects of fucoxanthin on lipid metabolism, insulin resistance, and its influence on specific gene expressions in animal models.

Findings : Fucoxanthin shows potential as an anti-obesity agent by stimulating uncoupling protein-1 (UCP1) expression, promoting thermogenesis in white adipose tissue, and modulating metabolic pathways to improve insulin sensitivity and reduce fat accumulation.

Antibacterial Activity

Toggle SectionMonika Sienkiewicz, Małgorzata Wasiela, Anna Głowacka: 2012 test-tube study, PubMed, 2012

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The study investigates the antibacterial properties of oregano essential oil against clinical strains of Escherichia coli and Pseudomonas aeruginosa.

Method : The researchers employed the agar dilution method to assess microbial growth inhibition and the disc-diffusion method for antibiotic susceptibility testing.

Findings : The study found that oregano essential oil exhibited antibacterial activity against all tested clinical strains, with Escherichia coli being more sensitive than Pseudomonas aeruginosa. This suggests potential for oregano oil as an alternative antibacterial treatment.

Antibacterial Properties

Toggle SectionRainer Stange, Berthold Schneider, Uwe Albrecht, Valentina Mueller, Joerg Schnitker, Andreas Michalsen: Antibacterial Properties of Horseradish, National Center for Biotechnology Information

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The study investigates the non-inferiority of a herbal combination containing horseradish and nasturtium compared to the antibiotic co-trimoxazole in treating acute uncomplicated cystitis.

Method : This was a randomized, double-blind, double-dummy clinical trial conducted across 26 centers in Germany, involving 96 patients diagnosed with acute uncomplicated cystitis. Patients were assigned to receive either the herbal preparation or co-trimoxazole, with various endpoints assessed including changes in symptom scores and bacterial counts.

Findings : The study found comparable efficacy between the herbal preparation and the antibiotic, although non-inferiority could not be definitively proven due to recruitment challenges. Both treatments were well tolerated, with low rates of relapse observed in both groups.

Antibiotic Resistance

Toggle SectionKeith S Kaye, Vikas Gupta, Aruni Mulgirigama, Ashish V Joshi, Nicole E Scangarella-Oman, Kalvin Yu, Gang Ye, Fanny S Mitrani-Gold: Study on antibiotic resistance rates, PubMed

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The study examines antimicrobial resistance (AMR) trends in urine Escherichia coli isolates from adult and adolescent females in the US between 2011 and 2019, focusing on the prevalence of extended-spectrum β-lactamase (ESBL) strains.

Method : This was a retrospective study utilizing data from the Becton, Dickinson and Company Insights Research Database, analyzing nonduplicate urine isolates from female outpatients aged 12 years and older. Isolates were assessed for susceptibility to multiple antibiotics and the presence of ESBL.

Findings : The study found that 25.4% of isolates were nonsusceptible to trimethoprim-sulfamethoxazole, 21.1% to fluoroquinolones, and 3.8% to nitrofurantoin. Furthermore, the prevalence of ESBL+ isolates rose by an average of 7.7% annually, highlighting significant regional variations in AMR rates.

Toggle SectionMohammed Uddin Rasheed, Nooruddin Thajuddin, Parveez Ahamed, Zelalem Teklemariam, Kaiser Jamil: Article on antibiotic resistance, NCBI

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This study investigates the antibiotic resistance patterns of Escherichia coli isolated from various food sources in Hyderabad, India.

Method : The researchers collected 150 food samples, which included vegetable salads, raw chicken, raw meat, raw eggs, and unpasteurized milk. They isolated E. coli and tested antibiotic susceptibility using the Kirby-Bauer method on Mueller-Hinton agar.

Findings : The study found that 14.7% of the E. coli isolates were resistant to antibiotics, with the highest resistance found in raw chicken and vegetable salad. It also identified six Extended Spectrum β-Lactamase (ESBL) producers among the isolates, indicating the potential for serious health risks.

Antibiotics

Toggle SectionThomas M Hooton, Pacita L Roberts, Ann E Stapleton: Comparative Efficacy of Ciprofloxacin and Cefpodoxime for Urinary Tract Infections, PubMed

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The study compares the efficacy of cefpodoxime versus ciprofloxacin for the treatment of acute uncomplicated cystitis in women.

Method : A randomized, double-blind trial involving 300 women aged 18 to 55 years, comparing ciprofloxacin and cefpodoxime over a 3-day treatment period, with follow-up evaluations to assess clinical and microbiological outcomes.

Findings : Ciprofloxacin demonstrated a superior clinical cure rate (93%) compared to cefpodoxime (82%). The study concluded that cefpodoxime did not meet the noninferiority criteria when compared to ciprofloxacin and should not be used as a first-line treatment for acute uncomplicated cystitis.

Toggle SectionAntibiotic Therapy, JSTOR

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Method :

Findings :

Toggle SectionZhisong Xue, Ying Xiang, Yutao Li, Qi Yang: Systematic review comparing effectiveness of Levofloxacin vs Ciprofloxacin for UTIs, APM

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This study performs a systematic review and meta-analysis comparing the effectiveness and safety of levofloxacin versus ciprofloxacin in treating urinary tract infections (UTIs).

Method : The study utilized a computerized literature search of multiple databases to identify randomized comparative studies. The risk of bias was assessed, and treatment effects, as well as adverse reactions, were analyzed using meta-analysis techniques.

Findings : The analysis showed that while levofloxacin was slightly more effective than ciprofloxacin, this difference was not statistically significant. Additionally, there was no significant difference in the incidence of adverse reactions between the two drugs.

Antidepressants

Toggle SectionLina Ma, Xiaoling Zhao, Huizhen Liu, Hong Zhu, Wei Yang, Yuying Qian, Jieyu Wang, Ming Feng, Yun Li: Antidepressants and Lower Urinary Tract Symptoms, National Center for Biotechnology Information

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The study investigates the impact of antidepressant medication on the quality of life and symptom scores in elderly patients suffering from benign prostatic hyperplasia (BPH) and depression.

Method : A randomized controlled clinical trial involving 94 elderly male patients with BPH and depression. Participants were divided into two groups: a control group receiving standard BPH treatment, and a therapy group receiving both standard treatment and an antidepressant over a 3-month period, with assessments conducted using IPSS, HAM-D, and SF-36 scales.

Findings : The therapy group exhibited significantly lower IPSS scores and improved quality of life compared to the control group, suggesting that antidepressant medication enhances symptoms and quality of life in elderly BPH patients with depression.

Antifungal

Toggle SectionClaudia Rebeca Rivera-Yañez, Porfirio Alonso Ruiz-Hurtado, Julia Reyes-Reali, María Isabel Mendoza-Ramos, María Elena Vargas-Díaz, Karla Mariela Hernández-Sánchez, Glustein Pozo-Molina, Claudia Fabiola Méndez-Catalá, Gina Stella García-Romo, Alexander Pedr: Propolis against Candida species, MDPI, 2022

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This study investigates the antifungal activity of Mexican propolis against various clinical isolates of Candida species, particularly focusing on its ability to inhibit their growth and germ tube formation.

Method : The study utilized qualitative and quantitative methods, including disk diffusion and broth dilution techniques, to assess the antifungal activity of propolis on clinical isolates. Additionally, the chemical composition of the propolis was analyzed to correlate the observed bioactivity with specific compounds.

Findings : The results indicated that Mexican propolis exhibited significant antifungal effects, with inhibition halos ranging from 7.6 mm to 21.43 mm, and minimum fungicide concentrations (MFC) from 0.312 to 1.25 mg/mL. The study also revealed that propolis effectively inhibited germ tube formation in Candida albicans isolates, with IC50 values between 0.030 mg/mL to 1.291 mg/mL, and identified key flavonoids contributing to its antifungal activity.

Toggle SectionZahra Azizi, Saeid Mahdavi Omran, Sedigheh Sheikhzadeh, Hemmat Gholinia, Samane Gharekhani: Antifungal properties of ginger, PubMed

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The study evaluates the antifungal efficacy of ginger essential oil spray against Candida albicans adhering to self-cure acrylic plates.

Method : This experimental study involved contaminating 120 self-cure acrylic discs with C. albicans and dividing them into groups exposed to ginger essential oil, nystatin (positive control), distilled water (negative control), and no exposure. The minimum inhibitory concentration (MIC) was determined through a microdilution test, and the number of C. albicans colonies was compared across the treatment groups.

Findings : The MIC of ginger oil was found to be 1560µg/mL, while nystatin had a MIC of 4µg/mL. There was a statistically significant reduction in the number of C. albicans colonies after treatment with both ginger essential oil and nystatin compared to controls, with ginger essential oil showing simplicity and effectiveness in elimination.

Toggle SectionD O Ogbolu, A A Oni, O A Daini, A P Oloko: Antifungal effects of coconut oil, PubMed

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This study investigates the effectiveness of virgin coconut oil as an antifungal agent against various Candida species, particularly focusing on its antimicrobial properties in the context of growing antifungal resistance.

Method : The study utilized the agar-well diffusion technique to assess the susceptibilities of 52 isolates of Candida species to virgin coconut oil and fluconazole, measuring their minimum inhibitory concentrations (MIC).

Findings : The results indicated that coconut oil was effective against Candida albicans, showing complete susceptibility at a 25% concentration, while other species like C. krusei exhibited higher resistance. Overall, coconut oil demonstrated promising antifungal properties that could be beneficial in treating drug-resistant Candida infections.

Antifungal Properties

Toggle SectionNidhi Goel, Hina Rohilla, Gajender Singh, Parul Punia: Olive oil’s antifungal properties, PubMed

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This study investigates the antifungal activity of olive oil and cinnamon oil against Candida species isolated from bloodstream infections, particularly focusing on those strains resistant to conventional antifungals.

Method : The study was a prospective observational research conducted over one year at a tertiary care hospital. Blood samples were collected from patients suspected of fungal sepsis, and Candida isolates were identified and tested for antifungal susceptibility using the agar well diffusion method against olive oil, cinnamon oil, and standard antifungals like fluconazole and voriconazole.

Findings : The oils were effective against approximately 50% of the Candida isolates, with significant efficacy noted against fluconazole-resistant strains, particularly showing that about 55.5% of fluconazole-resistant C. krusei strains were sensitive to both olive and cinnamon oil.

Antifungal Research

Toggle SectionA Apisariyakul, N Vanittanakom, D Buddhasukh: Curcumin’s antifungal properties in turmeric, PubMed

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The study investigates the antifungal properties of turmeric oil and curcumin extracted from Curcuma longa against various fungi, including dermatophytes, molds, and yeasts.

Method : The research evaluated the antifungal activity of turmeric oil on 15 dermatophyte isolates, four pathogenic mold isolates, and six yeast isolates, using dilutions to determine inhibitory effects. Additionally, the oil was applied to guinea pigs with induced dermatophytosis to assess therapeutic effects.

Findings : Turmeric oil demonstrated significant antifungal activity against all tested dermatophytes at dilutions of 1:40-1:320, while curcumin showed no inhibitory effects. The oil also inhibited some pathogenic molds but had no effect on the yeasts. In animal models, topical application of turmeric oil led to improvements in dermatophytosis lesions within days.

Toggle SectionM Soledade C Pedras, Sabine Montaut, Mojmir Suchy: Antifungal effects of rutabaga, PubMed

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The study investigates phytoalexins from rutabaga, specifically their structures, synthesis, biosynthesis, and antifungal activity against plant pathogens.

Method : The researchers isolated three new phytoalexins and five known ones from rutabaga tubers. They confirmed the chemical structures through synthesis and conducted biological activity tests against four plant pathogens, alongside biosynthetic studies using deuterated precursors.

Findings : The study revealed the antifungal effects of the isolated phytoalexins, including their efficacy against various plant pathogens, and established the biosynthetic pathways of the identified compounds.

Antimicrobial

Toggle SectionDong Wan Sohn, Chang Hee Han, Yun Seok Jung, Sung In Kim, Sae Woong Kim, Yong-Hyun Cho: Antimicrobial effects of garlic extract, PubMed

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The study evaluates the antimicrobial and anti-inflammatory effects of garlic extract and its synergistic effect with ciprofloxacin in treating chronic bacterial prostatitis in a rat model.

Method : Using a rat model of chronic bacterial prostatitis induced by a specific bacterial strain, the subjects were divided into four treatment groups: control, garlic, ciprofloxacin, and garlic plus ciprofloxacin. Treatments were administered for three weeks, followed by microbiological and histological analyses to assess effectiveness.

Findings : Results indicated that the garlic treatment significantly reduced bacterial growth and inflammation compared to the control group. Additionally, the combination of garlic and ciprofloxacin showed better outcomes than ciprofloxacin alone, suggesting a synergistic effect.

Antioxidants

Toggle SectionBárbara R Cardoso, Alexandre L Busse, Dominic J Hare, Cristiane Cominetti, Maria A Horst, Gawain McColl, Regina M Magaldi, Wilson Jacob-Filho, Silvia M F Cozzolino: Antioxidant properties of Brazil nuts, PubMed

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The study investigates how the Pro198Leu polymorphism in glutathione peroxidase affects selenium status and GPx activity in individuals consuming Brazil nuts, a dietary source of selenium. It examines the relationship of SNPs in selenoprotein genes with selenium levels and oxidative stress.

Method : The research comprised a pilot study assessing subjects who received Brazil nut supplementation and analyzing blood samples for selenium levels, GPx activity, and gene expression related to selenoproteins. Genetic variations were correlated with biochemical responses to the Brazil nut intake.

Findings : The findings indicated that certain genetic polymorphisms in glutathione peroxidase and selenoprotein P influence how individuals’ selenium status and GPx activity respond to Brazil nut consumption. It suggests the potential for these genetic factors to affect dietary responses in conditions like mild cognitive impairment and Alzheimer’s disease.

Anxiety

Toggle SectionShulin Cheng, Dong Lin, Tinghui Hu, Liang Cao, Hai Liao, Xiaoxi Mou, Qiang Zhang, Junbo Liu, Tao Wu: Anxiety and bladder function: A historical perspective, National Center for Biotechnology Information

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The study investigates the correlation between urinary incontinence (UI) and levels of depression and anxiety among individuals, using data from multiple studies to assess the impact of UI on mental health.

Method : This meta-analysis involved a systematic review of literature sourced from PubMed, Embase, and the Cochrane Library. A total of 12 articles with 31,462 participants were evaluated to calculate pooled odds ratios and confidence intervals to determine the association between UI and mental health issues.

Findings : Participants with UI exhibited significantly higher levels of depression and anxiety compared to those without UI, with odds ratios indicating a substantial relationship regardless of age. Further subgroup analysis reinforced that this trend persisted across different age groups, suggesting that UI significantly impacts mental health.

Apoptosis

Toggle SectionJohanna Sjöström, Jonas Bergh: Apoptotic pathway, NCBI, 2001

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This study explores the regulation of apoptosis and its implications in cancer, particularly how defects in apoptotic pathways may lead to diseases like cancer due to the survival of cells with genetic abnormalities.

Method :

Findings : The study discusses how various apoptotic pathways involving mitochondrial functions, Bcl-2 family proteins, and the p53 gene influence cancer treatment outcomes and resistance to therapies.

Autonomic Dysfunction

Toggle SectionCasey G. Kowalik, Joshua A. Cohn, Melissa R. Kaufman, W. Stuart Reynolds, Roger R. Dmochowski, Douglas F. Milam: Dysfunction of the autonomic system, Springer

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The study reviews the influence of autonomic dysfunction on lower urinary tract symptoms, focusing on disruptions in micturition pathways.

Method :

Findings : Patients with autonomic disorders experience diverse urinary symptoms like hesitancy, urgency, and incontinence. The study also identifies a clinical link between diabetes and bladder dysfunction due to autonomic neuropathy.

Ayurvedic Medicine

Toggle SectionAyurvedic Medicine: In Depth, NCCIH

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The study examines the principles, practices, effectiveness, and safety of Ayurvedic medicine, an ancient Indian system of medicine that emphasizes a holistic approach to health through natural and lifestyle-based therapies.

Method : The findings are based on a review of various clinical trials and systematic reviews that investigate the efficacy and safety of Ayurvedic treatments for ailments such as osteoarthritis, rheumatoid arthritis, and diabetes, while also noting the potential toxicity of some Ayurvedic preparations due to harmful substances.

Findings : There is limited scientific evidence supporting the effectiveness of Ayurvedic treatments for many health issues. Some studies indicate potential benefit in pain reduction and improvement in function for osteoarthritis and managing symptoms of type 2 diabetes, but often the studies are small and methodologically weak. Additionally, concerns about safety arise due to the presence of heavy metals in certain Ayurvedic products.

Bacterial Growth

Toggle SectionEvann E Hilt, Kathleen McKinley, Meghan M Pearce, Amy B Rosenfeld, Michael J Zilliox, Elizabeth R Mueller, Linda Brubaker, Xiaowu Gai, Alan J Wolfe, Paul C Schreckenberger: Bacterial Growth in Urine Samples and Hygiene Implications, NCBI

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The study investigates the presence and growth of bacteria in urine samples from women with overactive bladder (OAB) and controls using enhanced culture techniques, challenging the belief that urine is sterile.

Method : The study utilized an expanded quantitative urine culture (EQUC) protocol, which involved plating larger volumes of urine, varying atmospheric conditions, and extended incubation times compared to standard urine culture methods.

Findings : Eighty percent of the urine samples grown under the EQUC protocol showed bacterial species, with 92% of these samples previously reported as having no growth by standard methods. Thirty-five different genera and 85 species were identified, supporting the existence of a significant bacterial community in the urinary microbiota.

Behavioral Therapy

Toggle SectionK Anders: Behavioral Therapy for Urinary Incontinence, PubMed

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The study discusses bladder retraining as a behavioral therapy intended to help women restore normal or near-normal voiding patterns. It emphasizes the importance of commitment from both patients and healthcare providers for successful outcomes.

Method :

Findings :

Benign Prostatic Hyperplasia

Toggle SectionKok Bin Lim: Enlarged Prostate, NCBI

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The study focuses on the epidemiology and risk factors associated with benign prostatic hyperplasia (BPH) in aging men, including its prevalence, potential genetic and lifestyle influences, and associations with metabolic syndrome and erectile dysfunction.

Method :

Findings :

Toggle SectionR MacDonald, A Ishani, I Rutks, T J Wilt: Efficacy of rye pollen extract for the treatment of benign prostatic hyperplasia in men: a double-blind, placebo-controlled study, PubMed

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The study systematically reviews the effectiveness and safety of the rye-grass pollen extract (Cernilton) in treating symptomatic benign prostatic hyperplasia (BPH) in men.

Method : The researchers conducted a systematic review by identifying relevant clinical trials through multiple databases, including Medline and EMBASE, focusing on randomized or controlled trials where men with symptomatic BPH were treated with Cernilton vs. placebo or other agents for a minimum of 30 days.

Findings : Cernilton showed modest improvements in urinary symptoms and nocturia without significant effects on urinary flow rates or prostate size. However, the evidence was limited, with a recommendation for more extensive trials to confirm long-term effectiveness and safety.

Toggle SectionPerinchery Narayan, Hari Siva Gurunadha Rao Tunuguntla: Six-Year Efficacy of Tamsulosin in Treating Benign Prostatic Hyperplasia, NCBI

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The study investigates the long-term efficacy, safety, and tolerability of tamsulosin in treating benign prostatic hyperplasia (BPH) over a duration of six years.

Method : The study was a multicenter, open-label phase IIIB clinical trial where patients previously enrolled in a one-year trial continued treatment with tamsulosin for six years. The primary evaluations measured changes in AUA symptom scores and peak urine flow rate (Qmax), while secondary evaluations included quality of life assessments and the incidence of adverse effects.

Findings : The study found that 80.7% of patients demonstrated sustained improvement in symptoms over the six-year period, with a low incidence of adverse events such as orthostasis. Additionally, the occurrence of acute urinary retention was low, suggesting tamsulosin’s efficacy in reducing risks associated with BPH.

Benign Prostatic Hypertrophy

Toggle SectionPhillip D. Stricker: Drug treatment of benign prostatic hypertrophy, Australian Prescriber

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The study discusses the drug treatment options for benign prostatic hypertrophy (BPH), including the effectiveness and safety of alpha blockers and 5-alpha reductase inhibitors.

Method : The study is a review of existing literature surrounding the medical treatments for BPH, evaluating the efficacy of medications like prazosin, terazosin, and finasteride in terms of symptom relief and prostate size reduction.

Findings : Alpha blockers are effective in relieving urinary symptoms while 5-alpha reductase inhibitors can reduce prostate size. Finasteride shows minimal side effects but requires long-term use to maintain benefits.

Berberine

Toggle SectionDong-Hyun Youn, Jinbong Park, Hye-Lin Kim, Yunu Jung, JongWook Kang, Seona Lim, Gahee Song, Hyun Jeong Kwak, Jae-Young Um: The versatile uses of berberine: A review, NCBI

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This study investigates the effectiveness of berberine in treating benign prostatic hyperplasia (BPH) and its underlying mechanisms, particularly its impact on the 5-alpha-reductase (5AR) and MAPK signaling pathways, specifically through the inhibition of extracellular signal-regulated kinase (ERK).

Method : The researchers utilized an experimental model where BPH was induced in rats through testosterone propionate injections. They administered berberine and evaluated its effects on prostate size, histology, and relevant biochemical markers, along with in vitro studies using prostate epithelial RWPE-1 cells to mimic the condition and assess proliferation and signaling pathways.

Findings : Berberine treatment significantly reduced prostate weight and epithelial proliferation associated with BPH in vivo and in vitro. It suppressed levels of prostate-specific antigen (PSA), 5AR, androgen receptor (AR), and SRC-1, and inhibited the phosphorylation of ERK, indicating a potentially therapeutic role for berberine in managing BPH through modulation of these signaling pathways.

Toggle SectionXiaoyun Wei, Chunyan Wang, Shijun Hao, Haiyan Song, Lili Yang: Exploring the therapeutic potential of Berberine in the treatment of non-alcoholic fatty liver disease, NCBI

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This study evaluates the efficacy of berberine in treating non-alcoholic fatty liver disease (NAFLD) through a meta-analysis involving randomized controlled trials.

Method : The researchers conducted a comprehensive search for randomized controlled trials on berberine treatment for NAFLD, analyzing data from six trials that included 501 patients and assessed various health indicators such as blood lipids and liver function.

Findings : The study concluded that berberine significantly reduces total cholesterol, low-density lipoprotein, and improves liver function and insulin resistance in NAFLD patients. However, it noted a need for more high-quality trials to confirm these results due to limitations in the included studies.

Bioavailability

Toggle SectionJosipa Grgić, Gordana Šelo, Mirela Planinić, Marina Tišma, Ana Bucić-Kojić: Encapsulation for improving the bioavailability of dietary supplements, PubMed

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The study discusses the role of encapsulation in enhancing the bioavailability of phenolic compounds found in plants, which possess beneficial health effects due to their antioxidant, anti-inflammatory, and anti-cancer properties.

Method : The review compiles information from 258 recent studies focusing on encapsulation techniques and their impact on the bioaccessibility and bioavailability of phenolic compounds, utilizing simulated gastrointestinal digestion as a common testing method.

Findings : Encapsulation significantly improves the bioaccessibility of phenolic compounds by ensuring their targeted delivery and controlled release within the digestive tract, although the complexity of their interaction with other macromolecules warrants further investigation.

Biochemical Studies

Toggle SectionHe Wen, Hye-ji Yang, Yong Jin An, Joon Mee Kim, Dae Hyun Lee, Xing Jin, Sung-woo Park, Kyung-Jin Min, Sunghyouk Park: Beta-Glucuronidase and its Link to Free Radicals, NCBI

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This study investigates the effects of dietary restriction (DR) on phase II detoxification pathways, particularly exploring the association between dietary restriction, metabolic changes, and the activity of enzymes related to detoxification processes in liver tissues.

Method : The researchers employed a combination of nuclear magnetic resonance (NMR) and liquid chromatography-mass spectrometry (LC/MS) metabolomic approaches to analyze urine samples from control and dietary restriction groups of rats. They also used mRNA and protein expression analyses to confirm findings regarding detoxification enzymes.

Findings : The study found that dietary restriction enhances phase II detoxification processes as evidenced by increased levels of glucuronide and glycine conjugation metabolites, and up-regulation of associated enzyme expression in the liver. Additionally, it linked these metabolic shifts to the activation of the Nuclear factor (erythroid-derived 2)-like 2 (Nrf-2) signaling pathway, suggesting a protective mechanism against oxidative stress.

Biochemistry

Toggle SectionHeriberto Rodríguez-Martínez, Ulrik Kvist, Jan Ernerudh, Libia Sanz, Juan J Calvete: seminal plasma proteins, NCBI

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This study reviews the functions of seminal plasma proteins in relation to reproductive biology, diagnostics, and treatment, highlighting their complexity and significance in sperm function and interactions with the female reproductive tract.

Method : The study is a review that synthesizes current knowledge in the field of seminal plasma proteomics and its relevance to reproductive biology.

Findings : The research indicates that seminal plasma proteins are crucial for sperm function and play a role in immune system modulation, influencing fertility and maternal tolerance during embryo development.

Toggle SectionKevin J. Kinter, Razie Amraei, Aabha A. Anekar: Androgen Suppression Therapy, NCBI

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The study focuses on the biochemistry of dihydrotestosterone (DHT), its physiological roles throughout various stages of male development, and its involvement in specific pathologies and treatments.

Method : The study utilizes a comprehensive review method to synthesize existing knowledge about DHT, including its biochemical pathways, physiological functions, and implications for various medical conditions.

Findings : DHT plays a crucial role in male sexual differentiation, development, and various health conditions, especially related to prostate health and androgenic alopecia. The findings also highlight the dual nature of DHT as both essential for normal development and a contributor to specific pathologies when levels are disrupted.

Biofeedback

Toggle SectionJ Jackson, L Emerson, B Johnston, J Wilson, A Morales: Effectiveness of biofeedback training on urinary incontinence after radical prostatectomy, PubMed

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This study investigates the effectiveness of biofeedback training as a noninvasive treatment for urinary incontinence following radical prostatectomy.

Method : Twenty-seven patients who underwent radical prostatectomy were assessed using urodynamic studies before the initiation of a biofeedback program, which consisted of 10 weekly 15-minute sessions. Patient progress in terms of urinary symptoms and pelvic floor muscle contraction was evaluated through subjective reports and objective grading before and after treatment.

Findings : Out of 27 participants, 48% achieved complete continence, while 26% demonstrated significant improvement but remained slightly incontinent, resulting in an overall improvement rate of 74%.

Toggle SectionFabiana S B Perez, Nathalia C Rosa, Adson F da Rocha, Luciana R T Peixoto, Cristiano J Miosso: Biofeedback perineal strengthening protocol, NCBI

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This study evaluates the effectiveness of a biofeedback perineal strengthening protocol administered before radical prostatectomy as a means to prevent postoperative urinary incontinence (UI) and erectile dysfunction (ED) in male patients.

Method : Twenty male patients with prostate cancer participated in this experimental study, undergoing ten biofeedback therapy sessions prior to their surgeries. A control group of 32 men who did not receive this intervention was included for comparison. The data was collected using standardized questionnaires to assess UI and ED before and after the surgical procedures.

Findings : The results indicated a significant reduction in the occurrence of UI (from 100% in the control group to 5% in the experimental group) and ED (from 48.6% to 5%) post-surgery within the group receiving biofeedback treatment. Additionally, patients reported fewer nocturia events and used less protective undergarments after the intervention.

Toggle SectionPaolo Rossi, Giuseppe Nappi: Biofeedback therapy for headache management, NCBI

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The study explores the use of biofeedback therapy for managing headaches, particularly focusing on its effectiveness in alleviating symptoms and enhancing quality of life for individuals suffering from various types of headaches, including migraines.

Method : The research typically involves a clinical setting where patients receive biofeedback therapy sessions, including real-time feedback on physiological functions (such as muscle tension, heart rate, etc.) to help them learn to control these functions, which could alleviate headache pain.

Findings : Biofeedback therapy has been found to significantly reduce the frequency and intensity of headache episodes in patients, leading to improved overall well-being and reduced reliance on medication.

Biology

Toggle SectionMarta González-Castejón, Francesco Visioli, Arantxa Rodriguez-Casado: Dandelion, PubMed

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The study reviews the diverse biological activities and potential health benefits of dandelion, emphasizing its pharmacological properties and various constituents.

Method :

Findings : Dandelion exhibits significant antioxidant and anti-inflammatory effects, contributing to its diverse biological activities and potential uses in human health contexts.

Toggle SectionNehad M Ibrahim, Shimaa R Ibrahim, Osama H Ashour, Tharwat G Abdel-Kader, Monaser M Hassan, Rania S Ali: Research, PubMed

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The study investigates the effects of Red Seaweed (Chondrus crispus) on the fertility of male albino rats, particularly focusing on hormone levels and sperm health.

Method : The study involved twelve male albino rats divided into two groups, one pre-treated and one post-treated. The post-treated group received injections of Chondrus crispus over a span of 48 days, while the pre-treated group was dissected before the treatment could take effect.

Findings : Results indicated a significant increase in sperm motility and normal histological appearance of the testis and liver, with an insignificant increase in total testosterone levels and changes in hormone levels for FSH and MDA.

Biomarkers

Toggle SectionSharanjot Saini: Serum PSA, PubMed

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This study reviews alternative biomarkers for prostate cancer, discussing the limitations of PSA and the need for better predictive tools.

Method : A literature search of Medline articles was conducted to identify recent and promising advances in prostate cancer biomarkers.

Findings : The research highlights the emergence of several alternative prostate cancer biomarkers that show improved sensitivity and specificity compared to PSA. These new biomarkers can be evaluated through various assays and are expected to contribute to personalized medicine in prostate cancer management.

bladder cancer

Toggle SectionTomhiro Matsuo, Yasuyoshi Miyata, Tsutomu Yuno, Yuta Mukae, Asato Otsubo, Kensuke Mitsunari, Kojiro Ohba, Hideki Sakai: Research on cruciferous vegetables and bladder cancer, NCBI

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The study explores the anti-cancer effects of isothiocyanates (ITCs) derived from cruciferous vegetables on bladder cancer, discussing complex molecular mechanisms, current therapeutic strategies, and potential future directions for treatment.

Method : The review analyzes findings from various in vivo and in vitro studies concerning the effects of four specific ITCs: allyl isothiocyanate, benzyl isothiocyanate, sulforaphane, and phenethyl isothiocyanate, detailing their impacts on cancer cell proliferation, apoptosis, and molecular signaling pathways.

Findings : The study concludes that while ITCs exhibit significant anti-cancer potential through multiple pathways, including effects on apoptosis and cell proliferation, some may also have carcinogenic properties depending on context, warranting careful consideration in treatment applications.

Bladder Function

Toggle SectionShival Srivastav, Radia T. Jamil, Roman Zeltser: Bladder Function and Catheterization, U.S. National Library of Medicine

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The study discusses the Valsalva maneuver, including its physiological effects, applications in clinical practice, and significance in evaluating autonomic dysfunction.

Method : The study outlines the technique of performing the Valsalva maneuver, its phases, and various indications for its use in clinical assessments, such as heart failure and arrhythmias.

Findings : The study highlights the importance of the Valsalva maneuver in autonomic function assessment and its implications in diagnosing and managing various cardiac conditions.

Bladder Problems

Toggle SectionB J McDowell, S Engberg, S Sereika, N Donovan, M E Jubeck, E Weber, R Engberg: Diagnosing Bladder Problems in the Elderly, PubMed

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The study examines the short-term effectiveness of behavioral therapies for urinary incontinence in homebound older adults and identifies characteristics of responders and nonresponders.

Method : This prospective, controlled clinical trial with a cross-over design involved homebound older adults over 60 years with urinary incontinence. Subjects were randomized to receive biofeedback-assisted pelvic floor muscle training or serve as control subjects, with structured assessments including bladder diaries and various physical examinations.

Findings : The treatment group experienced a median reduction of 75% in urinary accidents, while control subjects had a 6.4% reduction. After switching to the treatment, 85 subjects achieved a 73.9% reduction in incontinence, with exercise adherence being the best predictor of treatment responsiveness.

Bladder Training

Toggle SectionHahn-Ey Lee, Sung Yong Cho, Sangim Lee, Myong Kim, Seung-June Oh: Bladder Training in the Management of Overactive Bladder: A Review of the Evidence, National Center for Biotechnology Information (NCBI)

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This study investigates the effectiveness of a systematized bladder training program for patients with idiopathic overactive bladder (OAB).

Method : A prospective study conducted on 105 patients with OAB, using a 30-minute bladder training program followed by completion of questionnaires and voiding diaries before and after the training sessions.

Findings : Results indicated significant improvements in urinary symptoms, quality of life, and work productivity. Patients perceived bladder training as beneficial, with a high percentage reporting symptom improvement after the training sessions.

Bone Health

Toggle SectionLara Pizzorno: Effect of boron on bone health, NCBI

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This study examines the role of boron as an essential trace mineral for bone health and other physiological functions including hormone metabolism, wound healing, and anti-inflammatory effects.

Method : The study involved a review of existing literature and research on boron’s effects on human health, particularly focusing on bone growth, metabolism of sex hormones, calcium absorption, and its impact on inflammation markers.

Findings : Boron has been found to be essential for bone development, improving hormonal function, increasing magnesium absorption, and reducing inflammatory markers. Evidence suggests that effective boron supplementation of at least 3 mg/d can support bone health and overall physiological well-being, especially in populations at risk for conditions like osteoporosis.

Botanical Medicine

Toggle SectionWang Mao-sheng, Li Jun, Di Hai-xia, Li Zhen-li, Yang Shu-Lian, Hou Wei, Yan Jin-yu, Zhao Xiao-min: Study on Astragalus Plant, Link Springer

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The study investigates the clinical effects of Astragalus Injection on patients with chronic aplastic anemia and its role in immuno-regulation.

Method : Sixty patients with chronic aplastic anemia were randomly assigned into two groups. Both groups received Stanozolol, but the treatment group additionally received Astragalus Injection via intravenous drip for 15 days, with a follow-up period extending over four months.

Findings : The treatment group showed a significantly higher clinical efficacy rate (83.3%) compared to the control group (66.7%). Improvements in blood parameters like hemoglobin, white blood cells, and platelet counts were significantly better in the treatment group. Furthermore, favorable changes in T-lymphocyte subsets and reductions in serum TNF-α and IL-2 levels indicated a positive immuno-regulatory effect.

BPH

Toggle SectionEiftu S Haile, Ayodeji E Sotimehin, Bradley C Gill: Emerging Treatments for BPH, PubMed

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The study reviews contemporary medical management approaches for benign prostatic hyperplasia (BPH), focusing on various pharmacological treatments available to symptomatic patients.

Method : The review analyzes existing literature regarding the efficacy and safety of different medications used in the treatment of BPH, highlighting emerging therapies beyond standard treatments.

Findings : The findings indicate that recent therapies such as phosphodiesterase-5 inhibitors and beta-3 agonists may provide additional benefits in managing bothersome symptoms related to BPH.

Toggle SectionClaus G Roehrborn: prevalence of BPH, PubMed

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The study provides an overview of benign prostatic hyperplasia (BPH), discussing its complex relationship with lower urinary tract symptoms and treatment options available.

Method : The study synthesizes existing literature on BPH, focusing on epidemiology, etiology, and treatment modalities based on medical and minimally invasive techniques.

Findings : The review highlights that minimally invasive treatments show superior long-term symptom and flow rate improvements compared to medical therapy, with tissue ablative surgical options being even more effective.

Toggle SectionSteven A Kaplan, John D McConnell, Claus G Roehrborn, Alan G Meehan, Michael W Lee, William R Noble, John W Kusek, Leroy M Nyberg Jr, Medical Therapy of Prostatic Symptoms (MTOPS) Research Group: Controlled trial of finasteride plus doxazosin for BPH, PubMed

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This study investigates the efficacy of combination therapy with doxazosin and finasteride in patients with benign prostatic hyperplasia (BPH) who exhibit lower urinary tract symptoms (LUTS) and a baseline total prostate volume (TPV) of 25 ml or greater.

Method : The study was a randomized controlled trial involving 3,047 patients who were assigned to receive placebo, doxazosin, finasteride, or a combination of doxazosin and finasteride. The primary outcome measured was the time to overall clinical progression of BPH, while secondary outcomes included invasive therapy needs, changes in urinary symptoms, and urinary flow rates.

Findings : The results indicated that in patients with a baseline TPV of 25 ml or greater, combination therapy showed a greater reduction in the risk of clinical progression of BPH than either medication alone, beneficial for patients with moderate and enlarged prostate sizes.

Toggle SectionTheodore M Johnson 2nd, Karen Jones, William O Williford, Michael H Kutner, Muta M Issa, Herbert Lepor: Effect of Various Treatments on Nocturia in BPH Patients, PubMed

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The study evaluates the efficacy of medical therapy on nocturia in men with benign prostatic hyperplasia (BPH).

Method : The authors performed a secondary analysis of data from the VA Cooperative Study Program Trial involving 1,229 men with BPH aged 45 to 80, who were randomly assigned to either terazosin, finasteride, combination therapy, or placebo.

Findings : Overall, nocturia decreased from a baseline mean of 2.5 to various figures across treatment groups. The study found that terazosin and combination therapy significantly reduced nocturia episodes compared to placebo.

BPH Treatment

Toggle SectionH. V. Sudeep, Jestin V. Thomas, K. Shyamprasad: Investigating the effects of beta-sitosterol for BPH, BMC Urology

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The study investigated the efficacy and tolerability of a 3% β-sitosterol enriched saw palmetto oil compared to conventional saw palmetto oil and placebo in patients with benign prostate hyperplasia (BPH) and androgen deficiency.

Method : The study was a double-blind, placebo-controlled randomized trial involving 99 subjects aged between 40 and 65 years with symptomatic BPH. Participants were randomly assigned to receive either β-sitosterol enriched saw palmetto oil, conventional saw palmetto oil, or placebo for 12 weeks, with efficacy assessed using symptom scales and clinical measurements.

Findings : Subjects who received β-sitosterol enriched saw palmetto oil showed significant improvements in BPH symptoms, marked reductions in IPSS, AMS, and ADAM scores, and enhanced urinary flow rates compared to placebo, indicating its superior efficacy in treating symptomatic BPH.

BPH Treatments

Toggle SectionTong Cai, Yuanshan Cui, Shaoxia Yu, Qian Li, Zhongbao Zhou, Zhenli Gao: Systematic Review and Meta-Analysis on BPH Treatments, American Journal of Men’s Health

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The study compares the effectiveness and safety of Serenoa repens with tamsulosin in treating benign prostatic hyperplasia (BPH) after a 6-month treatment cycle by analyzing randomized controlled trials.

Method : This systematic review and meta-analysis included four randomized controlled trials (RCTs) involving 1,080 patients. The studies were sourced from databases like MEDLINE, Embase, and Cochrane Controlled Trials Register, and various clinical parameters were recorded and analyzed statistically.

Findings : The analysis revealed that Serenoa repens produced similar results to tamsulosin regarding International Prostate Symptom Score, quality of life, and postvoid residual volume. However, tamsulosin showed greater improvement in prostate volume. Additionally, Serenoa repens was associated with fewer adverse effects related to ejaculation disorders and libido reduction.

Breathing Exercise

Toggle SectionDidem Ondaş Aybar, Serap Parlar Kılıc, Havva Yeşil Çınkır: Deep breathing for nausea, PubMed

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This study aims to evaluate the effects of breathing exercises on nausea, vomiting, and functional status in breast cancer patients receiving chemotherapy.

Method : The research was a randomized controlled trial involving 60 breast cancer patients at a university hospital. Patients were divided into a control group receiving standard care and an intervention group that participated in breathing exercises for six days, followed by assessments using various measuring tools.

Findings : Results indicated that participants in the intervention group reported fewer episodes of nausea and vomiting and experienced lower nausea severity compared to the control group, suggesting that breathing exercises positively impacted their functional status.

Cachexia

Toggle SectionAndrew R Bruggeman, Arif H Kamal, Thomas W LeBlanc, Joseph D Ma, Vickie E Baracos, Eric J Roeland: Cancer Cachexia, PubMed

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The study discusses cancer cachexia as a multifactorial syndrome that significantly impacts quality of life, treatment outcomes, and mortality in cancer patients, focusing on the need for better identification and management beyond mere weight loss.

Method : The study employs a review approach to analyze existing literature regarding the definition, diagnosis, and management of cancer cachexia, emphasizing the limitations of current practices and the need for multidisciplinary interventions.

Findings : The findings highlight the challenges of defining cancer cachexia, the ineffectiveness of certain pharmacologic treatments, and stress the necessity for early identification and comprehensive management strategies in oncology.

Caffeine and Prostate Health

Toggle SectionCarolina Sarobo, Lívia M Lacorte, Marcela Martins, Jaqueline C Rinaldi, Andrei Moroz, Wellerson R Scarano, Flavia K Delella, Sérgio L Felisbino: Caffeine Consumption and Prostate Health, PubMed

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The study investigates the effects of chronic, low-dose caffeine intake on prostate morphology and physiology in rats, specifically focusing on its impact on androgen levels and cell proliferation.

Method : The research involved five-week-old male Wistar rats, which were divided into two groups: a caffeine-treated group receiving 20 ppm caffeine in drinking water and a control group. Prostate samples were analyzed for morphology, cell proliferation, apoptosis, androgen receptor expression, and testosterone levels.

Findings : Results indicated that chronic caffeine intake raised testosterone and dihydrotestosterone levels, increased prostate weight, and stimulated epithelial cell proliferation, leading to various degrees of epithelial and stromal hyperplasia in the ventral prostate of the treated rats.

Calcium

Toggle SectionCalcium and Calcium Supplements: Achieving the Right Balance, National Institutes of Health

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This study examines the importance of calcium in the human body, its dietary sources, the balance needed between calcium intake and health outcomes, and the effects of calcium supplements.

Method :

Findings :

Cancer

Toggle SectionAmerican Cancer Society medical and editorial content team: Detection, Diagnosis & Staging of Testicular Cancer, American Cancer Society

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The study focuses on the detection, diagnosis, and staging of testicular cancer. It outlines the methods used to identify testicular cancer, including physical examinations, imaging tests, and tumor markers. Additionally, it discusses the process of staging the disease and the implications for treatment.

Method : The methods include physical examination, ultrasound, blood tests for tumor markers, surgery for diagnosis, and various imaging tests such as CT scans and MRI. The decision for surgery is made based on the results from these tests, to accurately diagnose and stage the cancer without performing a biopsy.

Findings : The findings emphasize the role of ultrasound in initial detection, blood tests for monitoring tumor markers, and the importance of imaging to assess cancer spread. Overall, these methods are crucial for accurate diagnosis and informing treatment plans.

Toggle SectionJohns Hopkins Medicine: Testicular Cancer: Types of Testicular Cancer, Hopkins Medicine

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This study discusses the different types of testicular cancer, primarily focusing on germ cell tumors which include seminomas and nonseminomatous germ cell tumors, as well as stromal tumors.

Method :

Findings :

Toggle SectionTesticular Cancer, Loma Linda University Health

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The study explores testicular cancer, its causes, types, symptoms, and treatment options. It emphasizes that testicular cancer originates from germ cells in the testis and can be highly curable when diagnosed early.

Method :

Findings : The study outlines the different types of testicular cancer, including germ cell tumors (seminomas and nonseminomas) and stromal tumors, and notes that both types are highly treatable. It also discusses the age of onset and different growth rates of testicular cancer subtypes.

Toggle SectionGraham W Warren, Karin A Kasza, Mary E Reid, K Michael Cummings, James R Marshall: Smoking and prostate cancer, Prostate Cancer Study

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The study investigates the impact of smoking at the time of cancer diagnosis on patient survival rates, focusing on overall and disease-specific mortality among cancer patients.

Method : The research involved structured smoking assessments of 5,185 cancer patients within 30 days of diagnosis, analyzing their smoking status and correlating it with long-term mortality outcomes using hazard ratios.

Findings : The results indicated that current smoking significantly increased the risks of overall mortality and disease-specific mortality compared to former or never smokers, highlighting the necessity of standardized smoking assessments in evaluating cancer patients’ outcomes.

Toggle SectionAhmedin Jemal, Elizabeth M Ward, Christopher J Johnson, Kathleen A Cronin, Jiemin Ma, Blythe Ryerson, Angela Mariotto, Andrew J Lake, Reda Wilson, Recinda L Sherman, Robert N Anderson, S Jane Henley, Betsy A Kohler, Lynne Penberthy, Eric J Feuer, Hannah K : Annual Report to the Nation on the Status of Cancer, NCBI

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This study provides an annual update on cancer incidence, mortality rates, and survival rates in the United States, highlighting trends over time and disparities among various sociodemographic groups.

Method : The report utilized data from population-based cancer registries funded by the CDC and NCI, employing joinpoint analysis to estimate trends in cancer incidence and death rates. It also used relative survival ratios and Cox regression models to examine survival changes over time and according to sociodemographic factors.

Findings : Overall cancer death rates showed significant declines from 2010 to 2014 across different demographics, with notable improvements in survival rates for several cancer types, although disparities persisted among racial and ethnic groups.

Toggle SectionNational Cancer Institute: Prostate Cancer Treatment PDQ, National Cancer Institute

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This study provides comprehensive information on the treatment of prostate cancer, including various stages of the disease and therapeutic options available.

Method : The study synthesizes peer-reviewed literature and clinical guidelines regarding prostate cancer treatment, highlighting standard methods and ongoing clinical trials.

Findings : The study indicates that treatment options for prostate cancer range from active surveillance to surgery, radiation, and hormonal therapies, tailored according to the cancer’s stage and patient health.

Cancer Cachexia

Toggle SectionKenneth C. H. Fearon: Mechanisms and Treatment of Weight Loss in Cancer, Cambridge University Press

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This study focuses on the mechanisms behind weight loss in cancer patients, particularly the phenomenon of cancer cachexia, and explores potential treatment strategies to mitigate this condition.

Method :

Findings :

Toggle SectionMichael J Tisdale: Multiple Causes of Weight Loss in Cancer Patients, PubMed

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The study discusses the mechanisms and causes of cancer cachexia, which is a syndrome characterized by severe body weight, muscle, and fat loss in cancer patients. It explores both the biological processes that lead to tissue wasting and the impact on patients’ overall health and survival.

Method : The study is a review article that synthesizes existing research findings on cancer cachexia, focusing on the physiological changes associated with weight loss in cancer patients, including increased energy expenditure, protein degradation, and the role of tumor and host factors in tissue loss.

Findings : The review concludes that tumor-induced factors and host responses significantly contribute to muscle and fat loss in cancer cachexia, and understanding these mechanisms may lead to improved treatments. The study highlights that factors like increased lipolysis and protein degradation play critical roles, while anorexia alone does not account for the weight loss observed.

Cancer Care

Toggle SectionJung Lim Lee, Younhee Jeong: Probiotics and saw palmetto for preventing chronic bacterial prostatitis, PubMed, 2019

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This study investigates the factors affecting quality of life (QOL) for patients with non-small cell lung cancer (NSCLC), emphasizing the relationships among social support, resilience, distress, and symptom burden.

Method : The study involved 212 adult patients in a tertiary hospital in Seoul, Korea, where data were collected using self-reported questionnaires and clinical records to analyze predictors of QOL through structural equation modeling.

Findings : Social support, resilience, distress, and symptom burden explained 99.9% of the variance in QOL. Resilience emerged as a significant predictor of both distress and QOL, while symptom burden had the largest direct effect on QOL.

Cancer Detection

Toggle SectionPartha M Das, Robert C Bast Jr: Early Detection of Cancer, National Institutes of Health

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This study emphasizes the importance of early detection in ovarian cancer, highlighting the potential to significantly reduce mortality rates if the disease is diagnosed while still confined to the ovaries.

Method : The authors reviewed existing screening methods, particularly focusing on the efficacy of serum tumor markers like CA125 and imaging techniques such as transvaginal sonography (TVS). They also discussed the potential of novel biomarkers and multi-modal approaches to enhance the sensitivity and specificity of ovarian cancer screening.

Findings : The findings indicate that while CA125 and TVS can improve early detection, their individual effectiveness is limited. Combining multiple biomarkers and applying advanced diagnostic techniques may enhance the ability to detect ovarian cancer at an earlier stage, promoting better patient outcomes.

Cancer Fatigue

Toggle SectionTenbroeck G. Smith, Alyssa N Troeschel, Kathleen M Castro, Neeraj K Arora, Kevin Stein, Joseph Lipscomb, Otis W Brawley, Ryan M McCabe, Steven B Clauser, Elizabeth Ward: Cancer patients and fatigue, NCBI

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The study examines the prevalence of cancer-related pain, fatigue, and emotional distress among breast and colon cancer patients, along with their perceptions about the management of these symptoms in community oncology settings.

Method : The study conducted surveys across 17 cancer centers in the U.S., gathering responses from 2,487 patients with breast or colon cancer through a standardized questionnaire to assess their experiences and perceptions regarding symptom management.

Findings : The study found that a significant proportion of patients did not receive adequate discussions or desired help for pain, fatigue, and distress, with 30-50% of patients not reporting sufficient communication with clinicians, suggesting a need for improvement in symptom management practices.

Cancer Genetics

Toggle SectionPeter H Gann: Hereditary Cancer Risk, NCBI

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This study investigates the various risk factors associated with prostate cancer, emphasizing the significance of age, race/ethnicity, and family history while also exploring potential dietary and hormonal influences.

Method : The study reviews epidemiological data and existing literature regarding prostate cancer incidence and risk factors, focusing on established and emerging associations, such as dietary habits, genetic predispositions, and hormonal levels.

Findings : The study finds that established risk factors for prostate cancer include age, African American race/ethnicity, and family history. It also raises the prospect that certain dietary factors, such as high-saturated fat intake and specific vitamins, may influence risk, while highlighting the complexity of genetic contributions to prostate cancer susceptibility.

Toggle SectionA Antoniou, P D P Pharoah, S Narod, H A Risch, J E Eyfjord, J L Hopper, N Loman, H Olsson, O Johannsson, A Borg, B Pasini, P Radice, S Manoukian, D M Eccles, N Tang, E Olah, H Anton-Culver, E Warner, J Lubinski, J Gronwald, B Gorski, H Tulinius, S Thorlaci: risk of breast cancer and ovarian cancer, PubMed

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This study investigates the average risks of breast and ovarian cancer in carriers of BRCA1 and BRCA2 mutations, specifically focusing on cases not selected for family history, to provide more precise risk estimates. It analyzes risks associated with these mutations based on familial occurrences and age-related factors.

Method : The research is a meta-analysis that combines data from 22 studies involving 8,139 index cases. The study utilized modified segregation analysis to estimate the incidence rates of breast and ovarian cancer among carriers in relation to their relatives’ cancer occurrences.

Findings : The study found that by age 70, carriers of BRCA1 mutations have a cumulative breast cancer risk of 65% and a 39% risk for ovarian cancer. For BRCA2 mutation carriers, the risks are lower: 45% for breast cancer and 11% for ovarian cancer, with significant risk decline observed with increasing age for BRCA1 carriers.

Cancer Prevention

Toggle SectionM Lipkin, H Newmark: The role of calcium in cancer prevention, PubMed

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The study investigates the effects of calcium on preventing colon cancer, particularly through its impact on epithelial cells and the formation of tumors.

Method : The authors review both in vitro and in vivo studies, including clinical trials that assess the relationship between dietary calcium and colon cancer risk, noting various animal models and human subject trials related to calcium supplementation and its effects on cell proliferation and adenoma formation.

Findings : The findings suggest that increased dietary calcium correlates with reduced risk of colon cancer, with supplemental calcium demonstrating significant effects on colonic epithelial cell proliferation and tumor formation in several studies.

Toggle SectionNCI: Prostate Cancer Prevention, CDC

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The study focuses on identifying risk factors and protective factors associated with prostate cancer, aiming to formulate effective prevention strategies.

Method : The approach involves reviewing existing literature, analyzing clinical trials, and examining the effects of various risk factors and protective factors on prostate cancer incidence.

Findings : Key findings indicate that avoiding certain risk factors (such as high dairy intake and age) and increasing protective factors (like folate) may help reduce prostate cancer risk, while some supplements like vitamin E were found to have no beneficial effects.

Toggle SectionMEINRAD PETERLIK, WILLIAM B. GRANT, HEIDE S. CROSS: Research on Supplements for Cancer Prevention, IIAR

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This study focuses on the relationship between calcium, vitamin D, and cancer prevention. It discusses how low vitamin D and inadequate calcium intake are linked to higher risks of several cancers, including colorectal, breast, and prostate cancers.

Method : The study utilizes ecological studies, observational data, and literature reviews to examine the associations between calcium and vitamin D intake and cancer incidence and mortality. It also considers biochemical mechanisms detailing how calcium and vitamin D influence cellular processes relevant to cancer risk.

Findings : The study finds a significant inverse relationship between calcium and vitamin D intake and the incidence of various cancers. It concludes that optimal cancer prevention involves a combined intake of adequate calcium and vitamin D.

Cancer Research

Toggle SectionDai‑Ying Zhou, Ning Ding, Zhi‑Yun Du, Xiao‑Xing Cui, Hong Wang, Xing‑Chuan Wei, Allan H. Conney, Kun Zhang, Xi Zheng: Inhibition of Androgen Receptors by Curcumin, Spandidos Publications, 2014

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This study investigates the inhibitory effects of various curcumin analogues on human prostate cancer cell growth and androgen receptor activation. It particularly focuses on the potency of these compounds compared to curcumin and their mechanism of action.

Method : The study employed various assays including MTT, trypan blue exclusion, apoptosis assays, AR-luciferase reporter assays, and western blot analyses to evaluate cell viability, growth inhibition, apoptosis induction, and androgen receptor activity across different prostate cancer cell lines.

Findings : The results indicated that curcumin analogues E10 and F10 had significantly stronger inhibitory effects on prostate cancer cells and androgen receptor activity compared to curcumin. These compounds also promoted apoptosis more effectively and exhibited potential as therapeutic agents by targeting androgen receptor pathways.

Toggle SectionMarie-Élise Parent, Marie Désy, Jack Siemiatycki: Prostate Cancer Exposure To Chemicals Research, National Center for Biotechnology Information

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This study investigates whether exposure to agricultural chemicals increases the risk of prostate cancer among farmers, analyzing data from a population-based case-control study.

Method : The study used a case-control design that involved face-to-face interviews to gather detailed occupational histories from male participants, with expert industrial hygienists assessing exposure to various chemicals based on their occupations as farmers.

Findings : The results indicated a two-fold excess risk of prostate cancer among farmers with substantial pesticide exposure. A suggestive increase in risk was also observed with diesel engine emissions and other chemicals, although these need further investigation.

Toggle SectionGiuseppe Derosa, Pamela Maffioli, Amirhossein Sahebkar: Ellagic acid in pomegranate can prevent the destruction of the p53 gene by cancer cells, PubMed

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The study investigates the protective effects of ellagic acid, a natural antioxidant, found in pomegranates against the destruction of the p53 gene by cancer cells.

Method :

Findings : The findings suggest that ellagic acid can inhibit the cancer-related degradation of the p53 gene, potentially helping to preserve its tumor-suppressive functions.

Toggle SectionXianlei Cai, Chen Wang, Wanqi Yu, Wenjie Fan, Shan Wang, Ning Shen, Pengcheng Wu, Xiuyang Li, Fudi Wang: Effects of selenium on cancer risk, PubMed

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This study investigates the associations between selenium exposure and cancer risk, aiming to provide comprehensive evidence through meta-analysis, meta-regression, and dose-response analysis of various studies.

Method : The study included 69 studies, which comprised randomized controlled trials, cohort studies, and case-control studies, to analyze the relationship between selenium exposure (in forms like serum/plasma and toenail selenium) and cancer risk using statistical methods for meta-analysis and dose-response evaluation.

Findings : The study found that high selenium exposure is associated with a reduced risk of several types of cancer, specifically breast, lung, esophageal, gastric, and prostate cancers, indicated by a pooled odds ratio (OR) of 0.78. However, selenium supplements did not show a protective effect against cancer, highlighting the complexity of selenium’s effects on cancer risks.

Toggle SectionThambi Dorai, Janane Diouri, Orla O’Shea, Stephen B Doty: Turmeric and Cancer, NCBI

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This study investigates the therapeutic effects of curcumin on inhibiting the bone metastasis of prostate cancer by up-regulating Bone Morphogenic Protein-7 (BMP-7).

Method : The study utilized a C4-2B prostate cancer bone metastasis model in SCID mice. Curcumin was administered in different concentrations (0%, 1%, and 2%) in their diet, and tumor development and bone lesions were monitored using X-ray and histomorphometric analyses.

Findings : Results indicated that curcumin administration led to a significant reduction in tumor progression and bone lesions, correlating with increased BMP-7 levels, suggesting curcumin’s potential as an effective treatment for bone metastasis in prostate cancer.

Toggle SectionMahmud Tareq Hassan Khan, Ilaria Lampronti, Dino Martello, Nicoletta Bianchi, Shaila Jabbar, Mohammad Shahabuddin Kabir Choudhuri, Bidduyt Kanti Datta, Roberto Gambari: Lagerstroemia speciosa Extract Induces Apoptosis and Inhibits Proliferation in Malignant Cells, PubMed, 2002

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The study investigates the antiproliferative effects of extracts from the medicinal plant Emblica officinalis on human tumor cell lines, identifying pyrogallol as an active compound.

Method : The researchers conducted in vitro experiments comparing the antiproliferative activity of various plant extracts on different human tumor cell lines. They utilized gas chromatography/mass spectrometry to analyze the extracts and identify pyrogallol.

Findings : The study found that extracts from Emblica officinalis exhibited significant antiproliferative effects on tumor cell lines, with pyrogallol identified as a key compound responsible for this activity.

Toggle SectionYasuyoshi Miyata, Yohei Shida, Tomoaki Hakariya, Hideki Sakai: 2019 study, MDPI

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The study investigates the anti-cancer effects of green tea polyphenols, particularly focusing on their role in preventing and treating prostate cancer.

Method : The authors conducted a comprehensive review of existing literature, analyzing in vivo, in vitro, and epidemiological studies to explore the anti-cancer mechanisms of green tea polyphenols and their potential applications in prostate cancer management.

Findings : The study concludes that while green tea polyphenols, particularly EGCG, show promise in reducing the risk of prostate cancer and inhibiting tumor growth, the evidence remains inconclusive. The molecular mechanisms by which these compounds operate are complex and warrant further investigation.

Toggle SectionYash Soni, Kenneth Softness, Himanshu Arora, Ranjith Ramasamy: Nitric oxide and prostate cancer: prospects for prevention and treatment, PubMed

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This study investigates the dual roles of nitric oxide (NO) in prostate cancer, emphasizing its potential as a therapeutic agent and discussing its effects on disease progression.

Method :

Findings : The study suggests that while low levels of nitric oxide may promote cancer growth, high levels can exert protective effects against prostate neoplasia, highlighting the complexity of nitric oxide’s role in cancer biology.

Toggle SectionR W-L Ma, K Chapman: Studies on the prevalence of prostate cancer across ecological locations, PubMed, 2009

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This study is a systematic review analyzing the impact of dietary habits on the prevention and treatment of prostate cancer.

Method : The review involves a systematic examination of existing literature regarding dietary interventions aimed at reducing the risk of prostate cancer and its progression.

Findings : The findings suggest that a diet low in fat and high in fruits and vegetables may help in preventing prostate cancer, though caution is advised regarding dietary supplements due to potential adverse effects.

Toggle SectionH Shimizu, R K Ross, L Bernstein, R Yatani, B E Henderson, T M Mack: Prostate cancer risk among men moving to westernized countries, PubMed, 1991

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The study investigates the risk of prostate cancer and breast cancer among Japanese and white immigrants in Los Angeles County compared to their respective homeland populations.

Method : The study utilized age-adjusted incidence rates and proportional incidence ratios to analyze cancer risks among different racial/ethnic groups, while an algorithm based on social security numbers was employed to estimate age at immigration for non-US-born cancer patients.

Findings : Prostate cancer incidence rates were significantly higher in Los Angeles compared to homelands for all groups, with immigrant rates similar to US-born patients. For breast cancer, timing of immigration played a critical role, indicating that early life environmental factors are more influential than later life events.

Toggle SectionXiaonan Chen, Yiqiao Zhao, Zijia Tao, Kefeng Wang: Prospective cohort studies, PubMed, 2021

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This study investigates the association between coffee consumption and the risk of prostate cancer.

Method : A systematic review and meta-analysis of cohort studies were conducted, analyzing data from various databases including PubMed, Web of Science, and Embase, focusing on studies published until September 2020.

Findings : The analysis included 16 prospective cohort studies with a total of 57,732 prostate cancer cases. It found that higher coffee consumption is associated with a lower risk of prostate cancer, with a pooled relative risk of 0.91 for the highest coffee consumption category compared to the lowest.

Toggle SectionMalin Hagberg Thulin, Jorma Määttä, Anna Linder, Simona Sterbova, Claes Ohlsson, Jan-Erik Damber, Anders Widmark, Emma Persson: Study on STAT3 inhibitor, PubMed, 2021

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The study investigates the effects of the STAT3 inhibitor Napabucasin on bone metastatic progression of prostate cancer in vivo.

Method : The researchers assessed the effects of STAT3 inhibitors on prostate cancer cells in vitro, and then tested Napabucasin in mouse models of bone metastasis, analyzing the outcomes using various imaging and histological techniques.

Findings : Both Stattic and Napabucasin effectively diminished prostate cancer cell migration and self-renewal in vitro. In vivo, Napabucasin treatment resulted in reduced bone tumor growth and ameliorated tumor-induced bone changes, indicating its potential as a therapeutic agent against bone metastasis in prostate cancer.

Toggle SectionRamakrishna Vadde, Sridhar Radhakrishnan, Lavanya Reddivari, Jairam K P Vanamala: Anti-cancer properties of Amla, NCBI

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The study evaluates the antiproliferative and proapoptotic effects of triphala, a traditional Indian medicine formulation, on colon cancer stem cells and colon cancer cells.

Method : The research involved the preparation of methanol extract of triphala and tested its effects on human colon cancer stem cells and HCT116 cell lines. Assays included measuring cell proliferation, apoptosis induction via PARP cleavage, and colony formation capability, along with assessing the phytochemical composition and antioxidant activity of the extracts through various biochemical methods.

Findings : Triphala extract suppressed cell proliferation and induced apoptosis in colon cancer cells in a p53-independent manner, while also inhibiting cancer stem cell colony formation. It was concluded that triphala may serve as a promising chemopreventive agent against colon cancer through its effects on molecular pathways related to cell growth and apoptosis.

Toggle SectionJJ Johnson, HH Bailey, H Mukhtar: Green tea consumption and prostate cancer risk: results from the Japanese Multi-Institutional Collaborative cohort study, NCBI, 2009

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The study investigates the relationship between green tea consumption and the risk of prostate cancer, highlighting the role of green tea polyphenols, especially EGCG, in chemoprevention.

Method : The study utilized epidemiological data, preclinical evidence from laboratory and animal studies, and reviewed clinical trials related to the consumption of green tea and its constituents in the context of prostate cancer.

Findings : The findings suggest that higher consumption of green tea may be associated with a reduced risk of developing prostate cancer, with specific evidence pointing to the potential chemopreventive properties of EGCG. However, further clinical trials are warranted to confirm these potential health benefits.

Toggle SectionMarieke van de Wal, Inge van Oort, Joost Schouten, Belinda Thewes, Marieke Gielissen, Judith Prins: Urinary Incontinence in Prostate Cancer Survivors, PubMed

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This study explores the prevalence, consequences, and characteristics associated with fear of cancer recurrence (FCR) in prostate cancer survivors who have undergone curative treatment.

Method : The study employed a cross-sectional design involving 283 prostate cancer survivors diagnosed with localized prostate cancer and treated with radical prostatectomy. Participants completed questionnaires such as the Cancer Worry Scale to assess FCR, alongside measures for distress, quality of life, and post-traumatic symptoms, followed by statistical analyses to identify relationships and differences.

Findings : Approximately 36% of the participants reported high FCR, which was linked to lower quality of life, increased physical problems, heightened distress, and more post-traumatic stress symptoms. Younger patients and those who received adjuvant radiotherapy were particularly affected, indicating a significant need for psychosocial care among this demographic.

Toggle SectionDr Ruth Travis, Ellie Watts: Reactive Oxygen Species and Inflammation in Cancer: Molecular Mechanisms and Targeted Therapeutics, Science Daily

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The study investigates the relationship between levels of free testosterone and insulin-like growth factor-I (IGF-I) in the blood and the risk of developing prostate cancer.

Method : The researchers analyzed blood samples from 200,452 men, monitored for an average of six to seven years, to assess hormone levels and subsequent prostate cancer diagnoses.

Findings : Men with higher levels of free testosterone and IGF-I were found to have an increased risk of prostate cancer, with significant percentage increases in risk associated with higher hormone concentrations.

Toggle SectionXiao-Feng Yu, Jian Zou, Jie Dong: Meta-analysis, PubMed

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This study conducts a meta-analysis to evaluate the association between fish consumption and the risk of gastrointestinal cancers.

Method : The researchers performed a meta-analysis of prospective cohort studies, searching various databases for studies that reported relative risks of cancer in relation to fish intake. Data were independently extracted by two investigators, with discrepancies resolved by a third. Random-effect meta-analyses and meta-regressions were conducted to determine the risk associated with increased fish consumption.

Findings : The analysis of 42 studies involving over 2 million participants indicated that fish consumption is associated with a reduced risk of gastrointestinal cancers. Specifically, regular fish consumers had a reduced relative risk of 0.93 compared to non-consumers. A daily increase of 20 grams in fish intake corresponded to a 2% reduction in the risk of gastrointestinal cancers.

Toggle SectionNoor Riza Perdana, Chaidir A Mochtar, Rainy Umbas, Agus Rizal Ah Hamid: Prostate cancer risk factors, PubMed

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This study reviews the risk factors associated with prostate cancer (PCa) and strategies for its prevention, drawing from various literature sources.

Method : The research is a literature review that collates data from several studies addressing PCa risk factors and prevention methods, including dietary influences and lifestyle choices.

Findings : The study identifies numerous epidemiological links between PCa risk and factors such as age, ethnicity, and lifestyle. It highlights the potential role of dietary products in PCa prevention, emphasizing the need for further research to better understand these relationships.

Toggle SectionMaria G. Kakkoura, Huaidong Du, Yu Guo, Canqing Yu, Ling Yang, Pei Pei, Yiping Chen, Sam Sansome, Wing Ching Chan, Xiaoming Yang, Lei Fan, Jun Lv, Junshi Chen, Liming Li, Timothy J. Key, Zhengming Chen: Dairy consumption and risk of breast and prostate cancer: A systematic review and meta-analysis, BMC Medicine, Not specified

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The study investigates the association between dairy consumption and the risk of total and site-specific cancers among Chinese adults, using data from the China Kadoorie Biobank.

Method : This prospective study followed approximately 0.5 million adults over an average of 10.8 years, collecting dietary information through validated food frequency questionnaires and recording incident cancer cases. Cox regression analyses were used to assess the relationship between dairy intake and cancer risk, factoring in potential confounders.

Findings : The findings indicate that higher dairy intake is associated with increased risks of total cancer and specific cancers such as liver cancer and female breast cancer, particularly with adjusted hazard ratios showing significant associations. The study found no significant associations with colorectal cancer or prostate cancer.

Toggle SectionDeliang Tang, Jason J Liu, Andrew Rundle, Christine Neslund-Dudas, Adnan T Savera, Cathryn H Bock, Nora L Nock, James J Yang, Benjamin A Rybicki: Heterocyclic Amines and Prostate Cancer Induction, PubMed

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This study investigates the relationship between grilled meat consumption and the levels of PhIP-DNA adducts in prostatic epithelial cells, which are potential biomarkers for prostate cancer.

Method : The study utilized immunohistochemical methods to measure PhIP-DNA adducts in tumor and adjacent nontumor cells from prostate cancer patients. Data on dietary intake of grilled meats were collected through food frequency questionnaires and analyzed using multivariate linear regression models to assess the associations between meat consumption and adduct levels while adjusting for age and race.

Findings : Grilled red meat consumption was significantly associated with higher PhIP-DNA adduct levels in tumor cells, with hamburger consumption showing the strongest correlation. The results suggest that reducing the intake of grilled red meats may lower prostate cancer risk through the PhIP carcinogenic pathway.

Cancer Therapy

Toggle SectionBrian C Baumann, Nandita Mitra, Joanna G Harton, Ying Xiao, Andrzej P Wojcieszynski, Peter E Gabriel, Haoyu Zhong, Huaizhi Geng, Abigail Doucette, Jenny Wei, Peter J O’Dwyer, Justin E Bekelman, James M Metz: Study on Proton Cancer Therapy, PubMed

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This study investigates the comparative effectiveness of proton therapy versus photon therapy in patients undergoing concurrent chemoradiotherapy for locally advanced cancer.

Method : The study is a retrospective, nonrandomized comparative effectiveness analysis involving 1,483 patients treated with concurrent chemoradiotherapy from January 1, 2011, to December 31, 2016. The primary outcome evaluated was the rate of 90-day adverse events leading to unplanned hospitalizations, while secondary outcomes included performance status changes and survival rates.

Findings : The findings indicate that proton therapy is associated with significantly lower risks of severe acute adverse events compared to photon therapy, without differences in disease-free or overall survival rates.

Toggle SectionEric S Wisenbaugh, Paul E Andrews, Robert G Ferrigni, Steven E Schild, Sameer R Keole, William W Wong, Sujay A Vora: The Potential Side Effects of Proton Beam Therapy for Prostate Cancer, NCBI

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The study examines the impact and potential side effects of proton beam therapy (PBT) for the treatment of prostate cancer. It explores the controversies surrounding PBT due to varying perspectives within the medical community and its marketing.

Method : The study reviews existing literature and clinical trials regarding the effectiveness and toxicity of PBT compared to other radiation therapies, primarily focusing on external beam radiation therapy (EBRT) and intensity modulated radiation therapy (IMRT).

Findings : The findings suggest that PBT has theoretical advantages over traditional photon therapies, particularly in reducing radiation exposure to surrounding healthy tissues, leading to potentially fewer side effects. However, cost-effectiveness and the need for more robust clinical trial data remain as significant concerns.

Cancer Treatment

Toggle SectionReyad A. Elbarbary, Lynne E. Maquat, Keita Miyoshi, Jason R. Myers, John M. Ashton: Treatment of Cancer, Science Daily, 2017-05-25

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This study investigates a novel approach to slowing cancer cell growth by targeting a specific protein, Tudor-SN, that is involved in the cell cycle.

Method : The researchers utilized CRISPR-Cas9 gene editing technology to remove Tudor-SN from kidney and cervical cancer cells in a laboratory setting, examining the impact on the cell cycle.

Findings : The removal of Tudor-SN resulted in slower cell cycle progression, suggesting that targeting this protein may inhibit the rapid growth of cancer cells and could lead to potential new treatment options.

Toggle SectionZhou ZR, Liu SX, Zhang TS, Xia J, Li B: Standard Hormone Therapies, NCBI

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This study is a systematic review and meta-analysis evaluating the efficacy and toxicity of abiraterone in the treatment of metastatic castration-resistant prostate cancer (mCRPC).

Method : The researchers conducted a systematic search of literature from various databases and meta-analyzed data from randomized controlled trials comparing abiraterone plus prednisone versus placebo plus prednisone. Statistical analyses were performed using Stata 12.0, calculating pooled hazard ratios for survival metrics and risk ratios for response rates.

Findings : Abiraterone significantly improved overall survival, radiographic progression-free survival, and time to PSA progression in mCRPC patients, with acceptable and manageable adverse events, making it a potential standard therapy for this condition.

Toggle SectionMark V Mishra, Rahul Khairnar, Søren M Bentzen, Gary Larson, Henry Tsai, Christopher Sinesi, Carlos Vargas, George Laramore, Carl Rossi, Lane Rosen, Mingyao Zhu, William Hartsell: Risks and Benefits of Proton Therapy for Cancer Treatment, PMC

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This study investigates the comparative toxicity rates of proton beam therapy delivered via pencil beam scanning versus passive scattering/uniform scanning in patients with localized prostate cancer.

Method : The analysis involved evaluating acute and late gastrointestinal (GI) and genitourinary (GU) toxicity rates in men with low-to-intermediate risk prostate cancer enrolled in a multi-center registry study. Patients treated with PBS and PS/US therapies were compared using statistical tests, including chi-square tests for acute toxicities and Cox proportional hazards models for late toxicities.

Findings : The study found that patients treated with PBS exhibited a significantly higher incidence of acute grade ≥2 GU toxicity compared to those treated with PS/US, although late GI and GU toxicity rates did not significantly differ between groups. Further evaluation of these differences is needed.

Toggle SectionShuang Lin, Xiaoxia An, Yong Guo, Jianzhong Gu, Tian Xie, Qibiao Wu, Xinbing Sui: Astragalus in cancer treatment, PMC

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This study evaluates the efficacy and safety of combining Astragalus-based Chinese medicine with chemotherapy for treating colorectal cancer (CRC).

Method : A meta-analysis of 22 studies comprising 1,409 patients was performed, comparing tumor response rates, quality of life, and adverse reactions in CRC patients receiving Astragalus in addition to chemotherapy versus chemotherapy alone.

Findings : The results indicated that the combination of Astragalus with chemotherapy significantly improved tumor response rates, quality of life, and reduced adverse reactions such as neutropenia and nausea, suggesting that it may enhance the efficacy of treatment for CRC.

Toggle SectionAugust Kapogiannis, Sofia Tsoli, George Chrousos: Guided imagery for nausea in cancer patients, PubMed

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This study systematically reviews the effects of combining progressive muscle relaxation and guided imagery on cancer patients undergoing chemotherapy, aiming to determine its effectiveness in alleviating side effects such as nausea and improving mental state.

Method : The study involved a systematic review of randomized controlled trials (RCTs) through a detailed search of four electronic databases. A total of 342 publications were screened, leading to eight selected studies that measured the impact of the PMR-GI combination specifically in breast cancer patients.

Findings : The review indicated that the combination of PMR and GI was beneficial for patients, with significant improvements observed in mental states and reduced nausea and vomiting. However, it highlighted the need for more extensive studies involving a diverse range of cancer types beyond breast cancer.

Toggle SectionNCI: Urethral Cancer Treatment, Cancer.gov

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This study focuses on the treatment options available for urethral cancer, including surgical and non-surgical approaches, along with the prognosis based on various factors and staging.

Method : The study utilizes a comprehensive literature review and clinical guidelines to outline the various treatment modalities (surgery, chemotherapy, radiation) and their applicability depending on cancer type and stage.

Findings : The findings indicate that treatment varies significantly based on whether the cancer is distal or proximal, with surgical options being predominant. New treatment options are under investigation through clinical trials, and patients with urethral cancer have a varied prognosis dependent on multiple factors.

Candidiasis

Toggle SectionIylia Liyana Sopian, Sa’adiah Shahabudin, Mowaffaq Adam Ahmed, Leslie Than Thian Lung, Doblin Sandai: Candidiasis: A Review of Disease and Treatment, NIH

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This study investigates the prevalence of vaginal yeast infections among pregnant women with and without diabetes in Malaysia, considering socio-demographic factors.

Method : A case-control study using maternal health records from Kepala Batas Health Clinic over a six-year period, involving 740 pregnant women (370 diabetic and 370 non-diabetic), was conducted. Data were analyzed using descriptive statistics and chi-square tests to evaluate associations between factors.

Findings : The study found a prevalence of vaginal yeast infection of 14.6% in the sample. No significant association was detected between diabetes status and the occurrence of yeast infections, as well as with age, race, or education level among pregnant women.

Cannabinoids

Toggle SectionRamos, J.; Bianco, F.: The role of cannabinoids in prostate cancer: basic science perspective and potential clinical applications, Indian Journal of Urology, 2012 Jan-Mar; 28(1):9-14.

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The study analyzes the potential role of cannabinoids in the treatment of prostate cancer, focusing on their biological effects and interactions with cancerous cells.

Method :

Findings :

Carotenoids

Toggle SectionUlrike Peters, Michael F Leitzmann, Nilanjan Chatterjee, Yinghui Wang, Demetrius Albanes, Edward P Gelmann, Marlin D Friesen, Elio Riboli, Richard B Hayes: Carotenoids and Their Role, PubMed

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The study investigates the relationship between serum carotenoids, particularly lycopene and beta-carotene, and the risk of developing prostate cancer.

Method : A nested case-control study within the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial, involving 692 prostate cancer cases and 844 matched controls, analyzing prediagnostic serum carotenoid levels.

Findings : The study found no significant association between serum lycopene levels and overall prostate cancer risk, while higher levels of beta-carotene were linked to an increased risk of aggressive prostate cancer.

Castration-Resistant Prostate Cancer

Toggle SectionS L Holder, J Drabick, J Zhu, M Joshi: Testosterone replacement therapy: safety and efficacy, PMC

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The study evaluates the efficacy of dexamethasone vs. prednisolone as monotherapy in patients with castration-resistant prostate cancer (CRPC).

Method : This was a phase II, single center, randomized, open-label study comparing daily doses of dexamethasone and prednisolone in chemotherapy-naïve CRPC patients. Primary endpoints included PSA response rates, while secondary endpoints encompassed objective response rates and time to PSA progression.

Findings : The study found a 41% PSA response in the dexamethasone group compared to 22% in the prednisolone group, suggesting a potential trend towards greater efficacy for dexamethasone, though significant statistical conclusions could not be confirmed.

Celibacy and Cancer

Toggle SectionA M Michalek, C Mettlin, R L Priore: Study on celibacy and cancer mortality, PubMed

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The study investigates the link between celibate lifestyles and prostate cancer mortality among Roman Catholic priests in New York State.

Method : A retrospective analysis of mortality data among an average annual cohort of 6,226 priests from 1965 to 1977, with 95% of death certificates reviewed.

Findings : The study found that priests had a 30% lower cancer mortality rate and significantly lower incidence of prostate cancer mortality compared to the general population.

Cell Death

Toggle SectionV Labi, M Erlacher: Cell death, Nature

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The study explores the paradoxical role of apoptosis in cancer development, highlighting how cell death can both inhibit and promote tumor formation under different circumstances.

Method : The study conducts a review of existing literature and models, analyzing the role of apoptosis in cancer dynamics, particularly through mechanisms involving the BCL-2 family of proteins and the impact of apoptotic cells on surrounding tissue proliferation.

Findings : The findings suggest that while apoptosis is typically seen as a mechanism for anti-cancer defense, it can also facilitate tumor development by creating opportunities for aggressive clones to expand, particularly after therapy-induced cell loss.

Cell Proliferation

Toggle SectionKalki Kukreja,Bill Z. Jia,Allon M. Klein: Cell Proliferation, National Cancer Institute

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This study investigates the relationship between cell division and differentiation during early embryo development in zebrafish, revealing that cell state transitions can occur independently of cell division.

Method : The research utilized a gain-of-function approach to block cell division in zebrafish to analyze its effects on cell differentiation and type proportions during critical developmental stages.

Findings : Blocking cell division did not halt differentiation into major cell types but slowed down the differentiation process and altered the proportions of certain cell types.

Chancroid Treatment

Toggle SectionP D’Souza, R K Pandhi, N Khanna, A Rattan, R S Misra: Ciprofloxacin vs. Erythromycin in Chancroid Treatment, PubMed

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The study compares the effectiveness of ciprofloxacin, erythromycin, and cotrimoxazole in treating clinical chancroid in patients.

Method : A total of 46 patients diagnosed with chancroid were randomly assigned to receive either ciprofloxacin, erythromycin, or cotrimoxazole. They were monitored over 21 days to assess treatment outcomes regarding cure, improvement, or failure.

Findings : Ciprofloxacin and erythromycin showed high cure rates of 93.7% and 93.3% respectively, while cotrimoxazole had a significantly lower cure rate of 53.3% and a high failure rate of 46.7%. The study recommends discontinuing cotrimoxazole as the preferred treatment due to poor effectiveness.

Chemotherapy

Toggle SectionJonathan Escalante, Rachel M McQuade, Vanesa Stojanovska, Kulmira Nurgali: Gastrointestinal Side Effects of Chemotherapy, PubMed

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This study examines the gastrointestinal side effects of chemotherapy, particularly the impact on gastrointestinal functions and the enteric nervous system.

Method :

Findings : The study highlights the association between chemotherapy-induced damage to enteric neurons and gastrointestinal dysfunction, identifying the enteric nervous system as a potential therapeutic target to alleviate chemotherapy-induced toxicity.

Toggle SectionElif Sözeri, Sevinç Kutlutürkan: Possible Causes of Taste Alterations During Chemotherapy, PubMed

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The study investigates taste alterations experienced by patients undergoing chemotherapy, aiming to determine the factors contributing to these changes.

Method : This descriptive study involved 184 chemotherapy patients who completed a ‘Patient Characteristics Identification Form’ and the ‘Chemotherapy-induced Taste Alteration Scale (CiTAS)’ over several months, analyzed statistically with SPSS software.

Findings : Results showed that patients with xerostomia and mouth sores experienced significantly greater taste alterations, particularly in the subscales measuring discomfort and taste decline, indicating these conditions exacerbate taste alterations during chemotherapy.

Toggle SectionKamaljeet Kaur, Goutam Rath, Saket Chandra, Ranjit Singh, Amit Kumar Goyal: N/A, PubMed

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The study discusses the use of small interfering RNA (si-RNA) in combination with anti-cancer drugs to enhance chemotherapy effectiveness and overcome drug resistance in cancer treatment.

Method : The review article provides an overview of various approaches combining si-RNA with chemotherapeutics and explores the role of nanotechnology in improving drug bioavailability.

Findings : Combination chemotherapy is identified as a primary approach in cancer treatment to combat multidrug resistance. The use of nanotechnology is emphasized to address the stability issues of si-RNA and to enhance the delivery of anti-cancer drugs.

Toggle SectionNuriye Yildirim Ozdemir, Hüseyin Abali, Berna Oksüzoğlu, Burçin Budakoğlu, Ilkay Akmangit, Nurullah Zengin: Study on safety of using ports after placement, PubMed

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The study evaluates the safety of initiating chemotherapy on the same day as the implantation of subcutaneous venous port catheters in an inpatient setting.

Method : The study included 180 patients who were given chemotherapy immediately after the implantation of venous port catheters, with data collected from June 2005 to April 2007.

Findings : The results indicated that administering chemotherapy on the day of port catheter implantation was safe, with no life-threatening complications, and a low incidence of minor adverse effects like pain and minor bleeding.

Toggle SectionBernardo L Rapoport: Chemotherapy-induced nausea and vomiting, PubMed

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This study addresses the pathogenesis, incidence, and management of delayed chemotherapy-induced nausea and vomiting (CINV) in cancer patients.

Method : The study is a review of existing literature, examining various factors that influence delayed CINV, including clinical guidelines on its management and the use of neurokinin-1 receptor antagonists as part of antiemetic regimens.

Findings : The study found that delayed CINV remains a significant issue for patients undergoing chemotherapy, emphasizing the necessity for effective prophylactic strategies and the role of neurokinin-1 receptor antagonists in improving outcomes.

Toggle SectionMarek Wojnicki, Magdalena Luty-Błocho, Volker Hessel, Edit Csapó, Ditta Ungor, Krzysztof Fitzner: Zinc for chemotherapy-induced side effects, PubMed

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The study investigates the effects of zinc supplementation on chemotherapy-induced side effects.

Method : The study utilized a microfluidic device to generate micro droplets and analyze the influence of various parameters such as flow rates and oil viscosity on droplet size and distribution.

Findings : The results demonstrated that droplet sizes can be effectively controlled by adjusting the aqueous phase flow rate, and that the viscosity of the oil phase also influenced droplet characteristics.

Cholesterol and Cancer

Toggle SectionSusanne Strohmaier, Michael Edlinger, Jonas Manjer, Tanja Stocks, Tone Bjørge, Wegene Borena, Christel Häggström, Anders Engeland, Gabriele Nagel, Martin Almquist, Randi Selmer, Steinar Tretli, Hans Concin, Göran Hallmans, Håkan Jonsson, Pär Stattin, Hanno: Total Cholesterol Levels and PSA Levels, PLoS ONE

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This study investigates the relationship between total serum cholesterol levels and cancer incidence across different sites in a large cohort of individuals from seven studies in Austria, Norway, and Sweden, with a focus on how these associations may differ by sex.

Method : The study utilized data from the Metabolic Syndrome and Cancer Project (Me-Can), including 577,330 participants, followed up for cancer incidents using Cox regression models to establish hazard ratios for quintiles of cholesterol levels, with adjustments for potential confounders such as age, body mass index, and smoking status. The data were corrected for regression dilution bias, and various lag-time analyses were conducted to further assess reverse causation effects.

Findings : The study found negative associations between high total serum cholesterol levels and overall cancer risk in women, and for several specific cancer sites in both men and women. Significant inverse associations were noted for cancers of the liver, pancreas, breast, and other sites, with some associations remaining even after adjusting for lag time, suggesting that reverse causation may not fully explain the results.

Toggle SectionKristine Pelton, Michael R Freeman, Keith R Solomon: Cholesterol Levels and Cancer: A Review, National Center for Biotechnology Information

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This review addresses the relationship between cholesterol levels and prostate cancer, highlighting how high cholesterol may increase the risk of aggressive prostate cancer and how cholesterol-lowering strategies could provide a protective benefit.

Method : The review synthesizes findings from various human, animal, and cell biology studies to explore the association between cholesterol levels and prostate cancer risk, as well as relevant molecular mechanisms underlying these associations.

Findings : The study concludes that hypercholesterolemia increases the risk of aggressive prostate cancer and supports the notion that cholesterol-lowering statin drugs might reduce this risk.

Chronic Kidney Disease

Toggle SectionLee A Hebert, Tom Greene, Andrew Levey, Michael E Falkenhain, Saulo Klahr: Chronic Kidney Disease: A New Therapeutic Approach, PubMed

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The study investigates the relationship between urine volume, urine osmolality, and the progression of renal disease, specifically focusing on glomerular filtration rate (GFR) decline in patients with chronic renal insufficiency.

Method : This retrospective analysis utilized data from the Modification of Diet in Renal Disease (MDRD) study, examining patients with and without polycystic kidney disease (PKD). It measured the association of 24-hour urine volume and osmolality with GFR decline over a mean follow-up period of 2.3 years.

Findings : The study found that higher urine volume and lower urine osmolality were linked to faster GFR decline, suggesting that increased fluid intake does not slow the progression of renal disease. It recommended that patients with chronic renal insufficiency should rely on thirst to guide their fluid intake.

Chronic Pain

Toggle SectionJ Curtis Nickel: Chronic pain syndrome, NCBI

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The study reviews chronic prostatitis and chronic pelvic pain syndrome, exploring its various aspects including epidemiology, etiology, classification, diagnosis, and treatment principles.

Method : This review is based on an extensive analysis of literature, clinical practices, and patient case studies to document the complexities and management of chronic prostatitis.

Findings : The review suggests a new classification system for prostatitis and emphasizes the need for rational treatment plans, citing poor therapeutic outcomes and the necessity of understanding underlying etiological factors.

Toggle SectionSuzanne J. Farley: Efficacy of pollen extract (Cernilton) in prostatitis, Nature

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This study examines the efficacy of various treatments, including pollen extract Cernilton and extracorporeal shock wave therapy (ESWT), for chronic pelvic pain syndromes, particularly in men.

Method : The studies referenced utilize randomized, double-blind, placebo-controlled designs focusing on specific subgroups of male patients suffering from chronic pelvic pain. One study analyzed the effects of Cernilton over a 12-week period, while another administered ESWT weekly for four weeks.

Findings : Results indicated that both treatments provided significant relief from symptoms of chronic prostatitis/chronic pelvic pain syndrome, with Cernilton treatment showing marked improvements in pain and quality of life compared to placebo.

Chronic Prostatitis

Toggle SectionHarth Mohamed Kamber, Tawfiq Jasim Mohammed Al-Marzooq, Malath Anwar Hussein, Qays Ahmed Hassan, Ahmed Abid Marzouq: Effects of cinnamon on chronic prostatitis, Open Access Macedonian Journal of Medical Sciences

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The study examines the effect of cinnamon on patients suffering from chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS).

Method : A randomized controlled trial was conducted with sixty patients who were divided into two groups. One group received cinnamon capsules while the other group received placebo capsules, all taken twice daily for one month. The NIH-Chronic Prostatitis Symptom Index (NIH-CPSI) was used to measure outcomes at baseline and after treatment.

Findings : The study found that 43.3% of patients in the cinnamon group experienced significant symptom improvement compared to 13.3% in the placebo group, primarily in pain reduction.

Cinnamon

Toggle SectionAlam Khan, Mahpara Safdar, Mohammad Muzaffar Ali Khan, Khan Nawaz Khattak, Richard A Anderson: Cinnamon and cardiovascular disease, PubMed

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The study investigates the effects of cinnamon on glucose and lipid levels in individuals with type 2 diabetes.

Method : Sixty participants with type 2 diabetes were randomly divided into six groups, consuming varying daily doses of cinnamon (1, 3, or 6 grams) or placebo for 40 days, followed by a 20-day washout period.

Findings : Intake of cinnamon significantly reduced fasting serum glucose, triglycerides, LDL cholesterol, and total cholesterol, while no significant changes were observed in the placebo groups.

Cleanse/Digestion

Toggle SectionCalcium D Glucarate, Exercise.com

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The study focuses on Calcium D-glucarate, a calcium salt compound derived from D-glucaric acid, which is naturally produced by humans and found in certain foods. It is explored for its potential benefits in cancer prevention, detoxification, and treatment of hormonal conditions such as endometriosis.

Method :

Findings : Calcium D-glucarate may help inhibit carcinogenesis by interfering with beta-glucuronidase, which removes toxins and hormones from the body. However, there is insufficient evidence regarding its effectiveness for various cancers and its overall safety.

Cognition

Toggle SectionTong Yang, Hualou Wang, Ying Xiong, Chong Chen, Keran Duan, Jingya Jia, Fei Ma: Vitamin D supplementation improves cognitive function in older adults: A randomized controlled trial, PubMed, 2020

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The study investigates the impact of vitamin D supplementation on cognitive function and examines the underlying mechanisms involving oxidative stress and telomere length in older adults with mild cognitive impairment (MCI).

Method : In this double-blind, randomized, placebo-controlled trial conducted in Tianjin, China, 183 participants aged 65 and older with MCI were assigned to receive either vitamin D (800 IU/day) or a placebo for 12 months, with cognitive function tests and related biomarkers assessed at multiple time points.

Findings : Vitamin D supplementation led to significant improvements in cognitive scores compared to the placebo group, along with increased telomere length and reduced oxidative stress markers, suggesting potential public health benefits for preventing cognitive decline in older adults.

Cognitive Impairment

Toggle SectionTomohiro Matsuda, Tomoko Takayama, Manabu Tashiro, Yu Nakamura, Yasuo Ohashi, Kojiro Shimozuma: Research studies on chemotherapy-induced cognitive deficit, PubMed

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The study focuses on mild cognitive impairment (MCI) following adjuvant chemotherapy in breast cancer patients, highlighting the need for better research designs to measure symptoms effectively.

Method : The study is a review of existing literature regarding chemotherapy-induced cognitive deficits, emphasizing the necessity for randomized and longitudinal research with proper baseline measurements and control of confounding variables.

Findings : The review indicates that 10-40% of breast cancer patients may experience MCI post-chemotherapy, with common symptoms including memory loss and concentration issues that can last several years. There is an identified gap in understanding the direct causes and consistency in measuring MCI symptoms.

Toggle SectionRiejanne Seigers, Joanna E Fardell: Recent research on chemo brain and dementia, PubMed

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The study reviews the neurobiological mechanisms of chemotherapy-induced cognitive impairment as investigated through rodent studies. It emphasizes the role of various biological factors such as the blood-brain barrier, neurogenesis, and inflammation in this cognitive decline after chemotherapy.

Method : The authors conducted a systematic review of rodent studies to explore the underlying neurobiological mechanisms causing cognitive impairment due to chemotherapy, allowing for a clearer investigation without clinical confounds typically found in human studies.

Findings : The findings highlight multiple potential mechanisms contributing to cognitive impairment following chemotherapy, such as disruption of the blood-brain barrier, oxidative stress, and neuroinflammation. The review also discusses potential pharmacotherapy and behavioral intervention strategies to mitigate these cognitive effects.

Colon Cancer

Toggle SectionBenjamin W Vabi, Jeffrey Carter, Rong Rong, Minhua Wang, James G Corasanti, John F Gibbs: Case review of metastatic colon cancer, PubMed Central

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The study presents a case of metastatic colon cancer originating from extrahepatic cholangiocarcinoma, highlighting a rare pattern of distant spread that poses diagnostic challenges.

Method : A case report of a 61-year-old female patient with painless jaundice and subsequent diagnostic imaging, laboratory tests, ERCP, and colonoscopy to determine the nature of her intestinal lesions and biliary stricture.

Findings : The findings revealed synchronous metastatic colonic adenocarcinoma from extrahepatic cholangiocarcinoma, with additional notes on the rarity of such a metastasis and the need for further study on the distinction and management of these types of cancers.

Toggle SectionMarilena Monica Vece, Claudia Agnoli, Sara Grioni, Sabina Sieri, Valeria Pala, Nicoletta Pellegrini, Graziella Frasca, Rosario Tumino, Amalia Mattiello, Salvatore Panico, Benedetta Bendinelli, Giovanna Masala, Fulvio Ricceri, Carlotta Sacerdote, Vittorio K: Antioxidants and Colon Cancer, NIH

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The study investigates the association between dietary total antioxidant capacity (TAC) and the risk of colorectal cancer, focusing on a cohort from the Italian EPIC study.

Method : The study analyzed data from 45,194 participants enrolled in the Italian EPIC study, using food frequency questionnaires to estimate dietary TAC through the Trolox Equivalent Antioxidant Capacity (TEAC) assay, and applied Cox proportional hazards models to assess cancer risk.

Findings : The study found no significant association between dietary TAC and overall colorectal cancer risk, but higher TAC was associated with a reduced risk of colon cancer and an increased risk of rectal cancer. Specifically, the highest TAC group showed a hazard ratio of 0.63 for colon cancer, while the rectal cancer risk increased with TAC intake, indicating a complex relationship.

Colon Cancer Screening

Toggle SectionUnderstanding Tests That Screen for Colon Cancer, American Cancer Society

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The study provides information on various tests available for screening colon cancer, including the benefits and limitations of each method.

Method :

Findings :

Colonoscopy

Toggle SectionMarcel Tomaszewski, David Sanders, Robert Enns, Laura Gentile, Scott Cowie, Carla Nash, Denis Petrunia, Paul Mullins, Jeremy Hamm, Nazanin Azari-Razm, Dmitriy Bykov, Jennifer Telford: Colonoscopic evaluation of patients with gastrointestinal bleeding: an analysis of factors influencing the yield of endoscopic intervention, NCBI

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This study aimed to determine the rate of serious adverse events associated with colonoscopy performed through the British Columbia Colon Screening Program for individuals with a positive fecal immunochemical test (FIT).

Method : A prospective observational study was conducted using the BCCSP database, enrolling participants aged 50 to 74 who underwent colonoscopy after positive FIT results. The study recorded unplanned medical events at the time of the colonoscopy and 14 days later to identify serious adverse events related to the procedure.

Findings : The study found that serious adverse events occurred in 350 colonoscopies, representing a rate of 44 per 10,000 procedures. Specifically, the rates for perforation, bleeding, and death were reported as 6, 26, and 3 per 100,000 colonoscopies, respectively, indicating that the rates of adverse events met established benchmarks.

Colorectal Cancer

Toggle SectionKnut Holtedahl, Lars Borgquist, Gé A. Donker, Frank Buntinx, David Weller, Christine Campbell, Jörgen Månsson, Victoria Hammersley, Tonje Braaten, Ranjan Parajuli: Constipation and colon cancer, BMJ Family Practice

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This study investigates the symptoms and signs of colorectal cancer in primary care settings, focusing on differences between proximal and distal colon cancer.

Method : The study was conducted as a prospective cohort study involving 511 cases of cancer recorded among 61,802 patients in six European countries. Data was collected using standardized forms regarding symptoms, followed by follow-up data from general practitioners after the diagnosis based on medical records.

Findings : The study found that while rectal bleeding was highly specific for colorectal cancer, other symptoms like abdominal pain, constipation, and bloating were less specific and sensitive. Notably, proximal colon cancer cases presented fewer typical symptoms, highlighting the need for general practitioners to be vigilant.

Toggle SectionHS Saidi, D Karuri, EO Nyaim: Changes in bowel habits, AJOL

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This study evaluates the clinical data of colorectal cancer patients in relation to the anatomical location of their tumors and the stage of the disease at presentation.

Method : The study employs a retrospective observational design, analyzing 253 tumors categorized by their location—right colonic, left colonic, and rectal lesions—at Kenyatta National Hospital in Nairobi, Kenya.

Findings : The study found that the duration of symptoms before presentation was prolonged and that rectal bleeding and intestinal obstruction were more common in specific locations. Symptoms were generally evenly distributed across the anatomical regions except for those two. Additionally, the stage of disease at presentation was not influenced by the anatomical location.

Toggle SectionHye Young Koo, Kyu Joo Park, Jae Hwan Oh, Sung Bum Kang, Seong Taek Oh, Woo Yong Lee: Study on melena, PubMed Central

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This study investigates the clinical symptoms presented by colorectal cancer (CRC) patients prior to diagnosis, with a particular focus on constipation as a symptom of CRC.

Method : The clinical symptoms of 17,415 CRC patients who underwent curative surgery between January 2010 and December 2012 were analyzed retrospectively across 24 surgical training hospitals, collecting data on symptoms and age.

Findings : The study found that bleeding, abdominal pain, bowel habit change, and constipation were the most common symptoms before CRC diagnosis. Constipation specifically was associated with more advanced disease stages, particularly in patients older than 60.

Toggle SectionM L Slattery: Dietary Fiber, Fruits, and Vegetables, and Risk of Colorectal Cancer: A Nested Case-Control Study, National Library of Medicine

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This study examines the impact of dietary fiber, fruits, and vegetables on colorectal cancer risk.

Method : A nested case-control study design was employed within a larger cohort to analyze dietary patterns and their association with colorectal cancer incidence.

Findings : The findings suggest that higher intake of dietary fiber, along with increased consumption of fruits and vegetables, is associated with a reduced risk of colorectal cancer.

Toggle SectionEfrat L. Amitay, Prudence R. Carr, Lina Jansen, Wilfried Roth, Elizabeth Alwers, Esther Herpel, Matthias Kloor, Hendrik Bläker, Jenny Chang-Claude, Hermann Brenner, Michael Hoffmeister: Smoking and Colorectal Cancer Risk, Nature

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This study examines the risk of colorectal cancer associated with smoking and alcohol consumption, focusing on molecular pathological subtypes and pathways.

Method : The research is a population-based case-control study that analyzed 2444 cases and 2475 controls, examining tumor tissue for several molecular features including microsatellite instability (MSI), and mutations in BRAF and KRAS genes, while estimating odds ratios for associations.

Findings : Current smoking was associated with elevated odds ratios for several colorectal cancer subtypes, particularly MSI-high and KRAS-wild type cancers, indicating stronger links to pathological features like the sessile serrated pathway, whereas no distinct association patterns were observed for alcohol consumption.

Complementary Medicine

Toggle SectionBehrouz Dadkhah, Elham Anisi, Naser Mozaffari, Firouz Amani, Mehdi Pourghasemian: Periorbital massage for nausea and vomiting, PMC

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This study investigates the effectiveness of music therapy combined with periorbital massage on reducing chemotherapy-induced nausea and vomiting in patients with gastrointestinal cancers.

Method : The study employed a randomized controlled trial design with 60 patients divided into intervention and control groups. The intervention group received music therapy along with periorbital massage during their chemotherapy treatment, while the control group received standard care. Nausea and vomiting were assessed using the Rhodes questionnaire before and 24 hours after chemotherapy.

Findings : The results indicated that the intervention of music therapy combined with periorbital massage significantly reduced both nausea and vomiting in the intervention group compared to the control group.

Complementary Therapy

Toggle SectionCancer Research UK: Turmeric, Cancer Research UK

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The study explores the potential use of turmeric and its active ingredient curcumin as alternative treatments for cancer.

Method : The study discusses various laboratory and clinical trials investigating the effects of curcumin on cancer cells, including studies on colorectal and prostate cancers. It assesses curcumin’s efficacy in combination with chemotherapy and its absorption issues.

Findings : While some laboratory studies suggest curcumin can kill cancer cells and may enhance chemotherapy effects, no substantial evidence supports its effectiveness in humans. Further research with larger participant groups is necessary.

Copper

Toggle SectionIvo Scheiber, Ralf Dringen, Julian F B Mercer: The role of copper in immune function and cell damage protection, PubMed

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The study explores the essential role of copper in immune function and its impact on cellular processes, particularly in relation to cell damage protection and the consequences of copper deficiency and overload.

Method :

Findings : The chapter outlines copper’s pivotal role in various enzymatic reactions and highlights the delicate balance of copper homeostasis, emphasizing how disturbances can lead to cellular dysfunction and are connected to neurodegenerative disorders.

Cost Analysis

Toggle SectionMichael Naslund, Michael T Eaddy, Eric J Kruep, Susan L Hogue: Retrospective analysis of the costs associated with dutasteride and finasteride treatment, PubMed

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The study compares the treatment costs of dutasteride and finasteride in managing enlarged prostate among older men in a managed care setting.

Method : The study conducted a retrospective analysis using medical and pharmacy claims data from July 2003 to June 2006 for patients aged 65 and older, analyzing average monthly costs related to EP treatment over one year, including medical care fees, hospitalization, and physician visits.

Findings : Patients treated with dutasteride incurred $51 less per month in medical costs compared to those treated with finasteride, primarily due to lower inpatient hospitalization, outpatient costs, and physician office visit expenses.

Cranberry Juice

Toggle SectionMarcelo Hisano, Homero Bruschini, Antonio Carlos Nicodemo, Miguel Srougi: Cranberry juice and urinary tract infections, NCBI

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The study investigates the potential of cranberry juice and products in preventing urinary tract infections (UTIs), particularly focusing on the mechanisms, efficacy, and types of studies conducted to support its use.

Method : The article reviews various in vitro studies and clinical trials examining the effectiveness of cranberry products in inhibiting the adhesion of E. coli and other uropathogens to the urinary tract, as well as evaluating randomized trials in different populations.

Findings : The findings suggest that while cranberry products might decrease the incidence of symptomatic UTIs, the effect varies by population and dosage. Some studies demonstrated a significant reduction in recurrence rates, particularly among women with recurrent UTIs, but overall the evidence remains inconclusive regarding the effectiveness of cranberry products as a generalized preventive measure.

Cryptococcosis

Toggle SectionR Allen, C E Barter, L L Chachoua, L Cleeve, J M O’Connell, F J Daniel: Case Reports, PubMed

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The study discusses a case of disseminated cryptococcosis following transurethral resection of the prostate in a patient.

Method : The case was documented following thorough examination and treatment of the patient who developed symptoms after surgery, involving analysis of the prostatic chips and subsequent treatments.

Findings : The patient showed improvement with treatment and remained well 12 months after cessation of therapy, marking this as a notable case of cryptococcal prostatitis with dissemination.

Curcumin

Toggle SectionYing Zhang, Hong Cao, Zheng Yu, Hai-Ying Peng, Chang-jun Zhang: Curcumin, NCBI, 2013

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The study investigates the effect of curcumin on endometriosis endometrial cells and its potential mechanism through reducing estradiol production.

Method : Endometriotic and normal endometrial cells were isolated and cultured. The study utilized electrochemiluminescence immunoassays to measure estradiol levels and WST-8 assays to evaluate cell proliferation after treatment with varying concentrations of curcumin over time.

Findings : Curcumin significantly reduced the proliferation of endometriotic cells and lowered estradiol levels, particularly at concentrations of 30μmol/L and 50μmol/L, suggesting its potential as a therapeutic agent for endometriosis.

Cystitis

Toggle SectionMichael J. Bono, Stephen W. Leslie, Wanda C. Reygaert: Sexually Transmitted Infections – Cystitis, National Center for Biotechnology Information

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The study provides a comprehensive overview of uncomplicated urinary tract infections (UTIs), focusing specifically on cystitis, its causes, symptoms, guidelines for diagnosis, treatment options, and prevention strategies.

Method : The study employs a review approach, synthesizing existing literature and clinical guidelines to present information on symptoms, diagnosis methods, and management strategies for uncomplicated UTIs, particularly cystitis.

Findings : The findings indicate that uncomplicated UTIs primarily affect healthy individuals without structural abnormalities, presenting typical symptoms such as urinary frequency and dysuria. Treatment often includes antibiotics, and preventative measures are critical to reduce occurrence and recurrence.

Cystoscopy

Toggle SectionDavid S Han, Weiping Zhou, John D Seigne, Kristine E Lynch, Florian R Schroeck: Cystoscopy statistics, PubMed

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The study assesses geographic variation in cystoscopy rates for suspected bladder cancer between female and male Medicare beneficiaries.

Method : A cross-sectional study was conducted analyzing fee-for-service Medicare beneficiaries within 306 Hospital Referral Regions (HRRs) in 2014. The cystoscopy rates were calculated and compared using age- and race-adjusted rates for both genders.

Findings : Women underwent fewer cystoscopies compared to men (11.0 vs 23.5 per 1000), with higher variability in cystoscopy rates among women (coefficient of variation 27.5 vs 23.5). This greater variation suggests more uncertainty among providers about referring and evaluating women for suspected bladder cancer.

Cytokines

Toggle SectionAlessandra B. Silva Rischiteli, Nelson I. P. Neto, Karina Gascho, Marcela Carnier, Danielle A. de Miranda, Fernanda P. Silva, Valter T. Boldarine, Marília Seelaender, Eliane B. Ribeiro, Lila M. Oyama, Claudia M. Oller do Nascimento: Cytokines in Prostate Cancer, PLoS ONE

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The study investigates how a diet containing xanthan gum affects cytokine production and tumor development in Wistar rats inoculated with Walker 256 tumor cells.

Method : Fifty-six male Wistar rats were divided into four groups: control diet, control diet with tumor, xanthan gum diet, and xanthan gum diet with tumor. The rats were monitored for cytokine levels and tumor growth over an eight-week period after being inoculated with Walker 256 tumor cells.

Findings : The addition of xanthan gum increased pro-inflammatory cytokines IL-6, TNF-α, and IL-10 in adipose tissue but did not affect tumor development. The study noted a pro-inflammatory response in adipose tissues due to xanthan gum while highlighting that tumor advancement was unaffected by xanthan gum intake.

Dairy and Cancer

Toggle SectionIsabella Preble, Zhenzhen Zhang, Ryan Kopp, Mark Garzotto, Gerd Bobe, Jackilen Shannon, Yumie Takata: Impact of Dairy Products on Prostate Cancer, NCBI

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This study investigates the association between dairy product consumption and prostate cancer risk in a large cohort of men in the United States.

Method : The study used a prospective cohort design based on the Prostate, Lung, Colorectal, and Ovarian (PLCO) Cancer Screening trial, analyzing dietary intake using a validated food frequency questionnaire and estimating hazard ratios for prostate cancer incidents over an average follow-up period of 11.2 years.

Findings : Overall dairy product consumption was not significantly associated with prostate cancer risk; however, regular-fat dairy was positively associated with late-stage prostate cancer, and 2%-fat milk intake was associated with advanced prostate cancer risk.

Dehydration

Toggle SectionR Beetz: mild dehydration as a risk factor for urinary tract infection, PubMed

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The study investigates the potential link between mild dehydration and the increased risk of urinary tract infections (UTIs).

Method :

Findings : While the study highlights the importance of fluid intake in preventing UTIs, it notes that definitive evidence linking hydration levels to UTI susceptibility remains inconclusive. However, adequate hydration is recommended to potentially enhance antimicrobial therapy outcomes.

Dementia

Toggle SectionJason K Frankel, Yinghui Duan, Peter C Albertsen: Review on Tamsulosin and Dementia Risk, Current Urology Reports, 2018

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This study reviews the potential link between Tamsulosin use and the risk of developing dementia in the elderly.

Method : The review is based on a retrospective analysis that compared men taking Tamsulosin to those taking other α-adrenergic antagonists or no such drugs.

Findings : The study suggests that Tamsulosin may increase the risk of developing dementia, presenting significant public health implications for the aging population.

Dermatology

Toggle SectionSujit J.S Shanshanwal, Rachita S Dhurat: Superiority of Dutasteride Over Finasteride in Hair Regrowth and Reversal of Miniaturization in Men with Androgenetic Alopecia: A Randomized Controlled Open-Label Evaluator-Blinded Study, International Journal of Dermatology and Venereology

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The study compares the efficacy, safety, and tolerability of dutasteride against finasteride in men with androgenetic alopecia.

Method : Ninety men aged 18-40 with androgenetic alopecia were randomized to receive either dutasteride (0.5 mg) or finasteride (1 mg) daily for 24 weeks. Hair counts were evaluated through modified phototrichograms and global photography assessed by blinded and non-blinded investigators, with monthly assessments for side effects.

Findings : Dutasteride showed a significantly higher increase in total hair count and greater decrease in thin hair count compared to finasteride, indicating more effective hair regrowth and reversal of miniaturization. Both medications had a comparable side effect profile, primarily relating to sexual dysfunction.

Diabetes

Toggle SectionRon T. Varghese, Ishwarlal Jialal: Diabetic Nephropathy: An Overview, National Institutes of Health

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The study provides an overview of diabetic nephropathy, focusing on its causes, symptoms, diagnosis, and treatment options.

Method : The review utilized a comprehensive literature analysis of existing research on diabetic nephropathy to summarize the disease’s pathophysiology, diagnostic criteria, and management strategies.

Findings : Key findings indicate that managing glycemia and blood pressure is crucial to slowing the progression of diabetic nephropathy. It highlights the importance of interprofessional coordination in the care of patients.

Toggle SectionErica T Perrier, Evan C Johnson, Amy L McKenzie, Lindsay A Ellis, Lawrence E Armstrong: Observations on Diabetes, NCBI

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The study investigates the relationship between changes in total fluid intake (TFI) and changes in urine color (UCol) as indicators of hydration levels.

Method : A pooled analysis was conducted on data from 238 healthy adults across four studies. Participants’ TFI, urine volume, and specific gravity were measured and analyzed in correlation with urine color change on an 8-color scale.

Findings : The results indicate a quantifiable relationship between changes in TFI and UCol, with an increase of approximately 1110 mL/day of fluid intake required to lighten urine color by 2 shades, and a similar decrease in TFI needed to darken the urine color by 2 shades.

Toggle SectionAskandar Tjokroprawiro, Sri Murtiwi, Raymond R Tjandrawinata: Effect of Lagerstroemia speciosa on Insulin Sensitivity in Insulin Resistance Rats, PubMed, 2016

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The study assesses the effect of DLBS3233, a bioactive fraction from Cinnamomum burmanii and Lagerstroemia speciosa, on insulin sensitivity and glycemic control in type-2 diabetes patients inadequately controlled by other antidiabetic agents.

Method : This was a 12-week open and prospective clinical trial where patients continued their baseline oral antidiabetic medications and received 100 mg of DLBS3233 daily. Measurement parameters included HbA1c, fasting glucose, postprandial glucose, insulin resistance, lipids, and adiponectin levels before and after treatment.

Findings : After treatment, HbA1c levels decreased significantly by 0.65±1.58%, and 1-hour postprandial glucose levels dropped by 1.45±3.89 mmol/L. Improvements in insulin sensitivity, lipid profiles, and adiponectin levels were also observed, with the treatment being well-tolerated and safe.

Toggle SectionOrna Nitzan, Mazen Elias, Bibiana Chazan, Walid Saliba: Diabetes, glucose levels and urinary tract infections, PubMed

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This study reviews the prevalence, diagnosis, and management of urinary tract infections (UTIs) in patients with type 2 diabetes mellitus, highlighting the increased risk and severity of UTIs in this population.

Method : The study is a review article that aggregates existing literature on urinary tract infections in patients with type 2 diabetes, examining the relationship between diabetes and the incidence of UTIs, their diagnosis, and management strategies.

Findings : The findings indicate that UTIs are more common and severe in patients with type 2 diabetes due to various factors related to diabetes complications. It was noted that treatment considerations vary based on symptoms and underlying conditions, with no need for treatment of asymptomatic bacteriuria in diabetic patients.

Toggle SectionSaeid Golbidi, Ismail Laher: Synthetic and Natural Ginkgolides and their Effect on Human Blood Platelets, Frontiers in Pharmacology, 2010

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The study reviews diabetic bladder dysfunction, including its pathophysiology, clinical manifestations, and treatment options.

Method : This study employs a review approach, synthesizing existing literature on diabetic bladder dysfunction and its underlying mechanisms. It summarizes findings related to detrusor muscle changes, neuronal damage, and urothelial function, along with treatment modalities like behavioral, pharmacological, and surgical interventions.

Findings : Diabetic bladder dysfunction results from a combination of neurogenic and myogenic changes, affecting both the detrusor muscle and sensory nerves, leading to various clinical symptoms. Treatment strategies vary and may include lifestyle modifications, pharmacotherapy, and surgical interventions, depending on the specific type of dysfunction diagnosed.

Toggle SectionMasoud Shabani Domola, Vivian Vu, Christine A Robson-Doucette, Gary Sweeney, Michael B Wheeler: Effects of Urtica dioica on blood sugar regulation in type 2 diabetes patients., NCBI

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The study investigates the effects of Urtica dioica on blood sugar levels and its potential mechanism of action in type 2 diabetes patients.

Method : The study utilized molecular sieve column chromatography and high-performance liquid chromatography (HPLC) to isolate the active components of Urtica dioica. Effects on insulin secretion in beta-cells and glucose uptake in myoblast cells were measured.

Findings : The study found that Urtica dioica extract did not stimulate insulin secretion but enhanced glucose uptake by approximately 1.5-fold through structural components suggesting unique glucose permeable pores.

Toggle SectionSaeed Kianbakht, Farahnaz Khalighi-Sigaroodi, Fataneh Hashem Dabaghian: Subacute toxicity study of Urtica dioica on liver health., NCBI

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The study investigates the effects of Urtica dioica leaf extract on glycemic control in patients with advanced type 2 diabetes mellitus requiring insulin therapy.

Method : The study was a randomized double-blind placebo-controlled clinical trial involving 92 patients, with 46 receiving the nettle leaf extract and 46 receiving a placebo for three months. The effects on various blood parameters, including fasting glucose and HbA1c, were evaluated and compared between the two groups.

Findings : The nettle leaf extract significantly lowered fasting glucose, postprandial glucose, and HbA1c levels compared to the placebo, indicating its potential effectiveness in improving glycemic control without affecting other studied parameters.

Diabetes Cancer

Toggle SectionNieves González, Isabel Prieto, Laura del Puerto-Nevado, Sergio Portal-Nuñez, Juan Antonio Ardura, Marta Corton, Beatriz Fernández-Fernández, Oscar Aguilera, Carmen Gomez-Guerrero, Sebastián Mas, Juan Antonio Moreno, Marta Ruiz-Ortega, Ana Belen Sanz, Mari: Diabetes and obesity, NCBI

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The study reviews the epidemiological relationship between diabetes mellitus (DM) and colorectal cancer (CRC), exploring potential molecular mechanisms and therapeutic implications of their association.

Method : A comprehensive review of existing epidemiological studies, potential biological pathways, and current therapeutic interventions regarding the association of diabetes and colorectal cancer was conducted, alongside a PubMed search for relevant literature.

Findings : The study found that the risk of colorectal cancer is significantly higher in individuals with type 2 diabetes compared to non-diabetic individuals. Factors such as diet, obesity, and specific diabetic medications like metformin showed varied impacts on cancer risk, highlighting the complexity of the relationship between these two conditions.

Diabetes Management

Toggle SectionJun Yin, Huili Xing, Jianping Ye: Berberine treatment improves the metabolic parameters in type 2 diabetes: a systematic review and meta-analysis, NCBI

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This study investigates the efficacy and safety of berberine in treating metabolic parameters in patients with type 2 diabetes.

Method : The study involved two trials: study A compared berberine to metformin in newly diagnosed type 2 diabetes patients, while study B assessed the combination of berberine with other hypoglycemic agents in poorly controlled diabetes patients, each for three months.

Findings : Berberine was found to significantly lower HbA1c, FBG, and PBG in both studies, demonstrating comparable effects to metformin and beneficial impacts on lipid profiles, although gastrointestinal adverse events were reported.

Diabetes Research

Toggle SectionHamid Kalalian Moghaddam, Tourandokht Baluchnejadmojarad, Mehrdad Roghani, Mehdi Khaksari, Pirasteh Norouzi, Malihea Ahooie, Fatemeh Mahboobi: Antidiabetic effects and mechanisms of berberine on nonalcoholic fatty liver disease, PubMed

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The study investigates the effects of berberine on oxidative stress and astrogliosis in the hippocampus of diabetic rats induced by streptozotocin (STZ).

Method : The researchers examined the impacts of berberine treatment on glial reactivity and oxidative stress in STZ-induced diabetic rats over an eight-week period, using immunohistochemistry and various biochemical assays to evaluate oxidative stress markers.

Findings : The results showed that berberine significantly reduced oxidative stress, lowered hyperglycemia, and prevented the increase of GFAP-immunoreactive astrocytes in the hippocampus of diabetic rats.

Diet and Cancer

Toggle SectionWambui G Gathirua-Mwangi, Jianjun Zhang: Massachusetts Survey on Diet, National Center for Biotechnology Information

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This study systematically reviews the relationship between dietary factors and the risk of advanced prostate cancer, aiming to identify specific nutrients or foods that may alter its incidence.

Method : The authors performed a systematic review of the literature, searching for relevant papers via PubMed using specific keywords related to diet and advanced prostate cancer, leading to the evaluation of 46 eligible studies published until September 2012.

Findings : The study found that a diet high in saturated fat, well-done meats, and calcium was associated with an increased risk of advanced prostate cancer, while the effects of other dietary factors like fish and zinc intake appeared to be insignificant in most studies.

Toggle SectionStacey A Kenfield, Natalie DuPre, Erin L Richman, Meir J Stampfer, June M Chan, Edward L Giovannucci: Recover Faster with Mediterranean Diet, PubMed

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The study investigates the association between adherence to the Mediterranean diet and the risk of developing advanced prostate cancer (PCa), as well as the impact on prostate cancer-specific and overall mortality among diagnosed men.

Method : The researchers conducted a prospective study involving 47,867 men from the Health Professionals Follow-up Study, with a specific analysis on 4,538 men diagnosed with nonmetastatic PCa. They used Cox proportional hazards models to relate Mediterranean diet scores to outcomes of interest, evaluating diet before and after cancer diagnosis.

Findings : The study found no significant association between the Mediterranean diet and the risk of advanced or lethal prostate cancer. However, higher adherence to the Mediterranean diet after diagnosis was linked to a 22% decrease in overall mortality among men with nonmetastatic prostate cancer.

Toggle SectionJustin Gregg, M.D., Carrie Daniel-MacDougall, Ph.D.: Mediterranean Diet and Prostate Cancer Progression, MD Anderson Cancer Center

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The study investigates the impact of a Mediterranean diet on the progression of prostate cancer in men who are on active surveillance.

Method : The study followed 410 men with localized prostate cancer and assessed their dietary patterns using a 170-item food frequency questionnaire to calculate adherence to a Mediterranean diet. Clinical evaluations and laboratory studies were conducted every six months, and men were stratified into high, medium, and low adherence groups.

Findings : Results indicated that high adherence to a Mediterranean diet was linked to a reduced risk of prostate cancer progression, with a more than 10% lower risk for each one-point increase in the diet score. The findings were particularly pronounced among African American participants.

Toggle SectionW Elaine Hardman, Donald A Primerano, Mary T Legenza, James Morgan, Jun Fan, James Denvir: Study on walnuts and breast cancer, PubMed

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This study investigates the effects of walnut consumption on gene expressions related to breast cancer in women.

Method : The study was a nonplacebo, randomized clinical trial with two groups. Women with confirmed breast cancer lumps were either assigned to consume 2 oz of walnuts daily or placed in a control group. Gene expressions were analyzed through RNA sequencing before and after the intervention.

Findings : Results showed that walnut consumption significantly altered the expression of 456 genes related to tumor growth and survival, promoting apoptosis and inhibiting pathways that encourage cancer proliferation and migration.

Toggle SectionSatoshi Hori, Elizabeth Butler, John McLoughlin: Conflicting research linking diet to prostate cancer, PubMed, 2011

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This study reviews the relationship between diet and prostate cancer, exploring dietary components that may influence cancer prevention and progression.

Method : A literature search was conducted using PubMed to identify key studies related to the impact of diet on prostate cancer.

Findings : The review found some evidence that certain foods, such as green tea and cruciferous vegetables, might be beneficial, while high fat and well-cooked meats could be linked to increased cancer risk. It also highlighted the variability in study quality and called for more robust research.

Diet and Prostate Health

Toggle SectionMehdi Shirazi, Ali Ariafar, Shahryar Zeyghami, Mohammad Mehdi Hosseini, Abdol Aziz Khezri: Diet and Serum PSA, NCBI

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This study investigates the relationship between dietary habits and serum prostate-specific antigen (PSA) levels, as well as prostate volume in men over 40 years of age.

Method : The study utilized a cross-sectional design, enrolling 950 men attending a prostate cancer screening program. Participants completed a 50-item food frequency questionnaire and had their serum PSA levels and prostate volumes assessed using enzyme-linked immunosorbent assay and transrectal ultrasound respectively.

Findings : The study found no significant association between dietary intake and serum PSA levels or prostate volume. However, significant correlations were noted between age and both serum PSA levels and prostate volumes.

diet compliance

Toggle SectionSeung-Joo Nam, Young Jin Kim, Bora Keum, Jae Min Lee, Seung Han Kim, Hyuk Soon Choi, Eun Sun Kim, Yeon Seok Seo, Yoon Tae Jeen, Hong Sik Lee, Hoon Jai Chun, Soon Ho Um, Chang Duck Kim: Study on low compliance with diet instructions for colonoscopy preparation, Journal Medicine

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This study evaluates low compliance with dietary instructions prior to colonoscopy preparation and its impact on bowel preparation quality.

Method : A prospective observational study was conducted with 245 patients scheduled for colonoscopy, examining their adherence to a diet restriction and its effect on bowel preparation quality evaluated by the Aronchick scale.

Findings : Only 27.8% of participants complied with the dietary instructions, and inadequate bowel preparation was observed in 47.3% of patients. Consumption of diet-disturbing foods was a significant predictor of inadequate bowel preparation.

Dietary Effects

Toggle SectionFei Li, Meredith A J Hullar, Yvonne Schwarz, Johanna W Lampe: N/A, N/A, N/A

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The study investigates how the consumption of cruciferous vegetables affects the composition of human gut bacterial communities in a controlled setting.

Method : A randomized, crossover, controlled feeding study was conducted with 17 participants who consumed two different diets: a basal diet devoid of fruits and vegetables and a double-cruciferous vegetable diet enriched with cruciferous vegetables. Fecal samples were collected and analyzed for bacterial composition using terminal restriction fragment length polymorphism (tRFLP) and sequencing techniques.

Findings : The results showed a significant difference in gut bacterial community composition between the two diet periods, with specific bacterial species associated with cruciferous vegetable intake identified. The response to the diet changes was individual-specific, highlighting the unique gut microbiota profiles across participants.

Dietary Factors

Toggle SectionTero Kontiokari, Matti Nuutinen, Matti Uhari: Cranberry Products and Urinary Tract Infections: A Systematic Review, PubMed

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The study reviews the impact of dietary factors on the susceptibility to urinary tract infections (UTI). It discusses various dietary components that may influence the risk of UTI, particularly in relation to bacterial colonization and infection recurrence.

Method : This systematic review synthesizes existing epidemiological data and results from interventional trials to evaluate the relationship between diet and UTI risk. It focuses on studies involving fresh berry juices, fermented milk products, and probiotics.

Findings : The review indicates that the consumption of fresh berry products and certain fermented foods may lower the risk of UTI recurrence in women, while the effects of probiotics remain inconclusive. Limited data exists for children, but it suggests they may respond similarly to dietary influences.

Toggle SectionM Weig, E Werner, M Frosch, H Kasper: Dietary factors and the risk of Candida infections, PubMed

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The study evaluates the effect of refined carbohydrate intake on the colonization of the gastrointestinal tract by Candida albicans.

Method : The study involved 28 healthy volunteers in a two-step design where baseline carbohydrate intake was correlated with Candida concentrations in mouth washes and feces. Then, the subjects were placed on a high-sugar diet and Candida counts were measured before, during, and after the dietary intervention.

Findings : No correlation was found between C. albicans counts and habitual refined carbohydrate intake. Despite dietary supplementation with refined carbohydrates, there was no significant increase in C. albicans counts, although some individuals with higher baseline counts showed increased levels in response to the diet, suggesting limited influence on Candida colonization.

Dietary Influence

Toggle SectionWilliam J Aronson, R James Barnard, Stephen J Freedland, Susanne Henning, David Elashoff, Patricia M Jardack, Pinchas Cohen, David Heber, Naoko Kobayashi: Dietary influences on prostate cancer growth, PubMed, 2010

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This study evaluated the effect of a low fat diet on prostate cancer cell growth and the associated hormonal changes in men with prostate cancer through a randomized dietary intervention trial.

Method : Eighteen men with prostate cancer were randomized to follow either a low fat diet (15% kcal) or a Western diet (40% kcal fat) for four weeks. Serum samples were collected before and after the intervention for analysis of various factors, and LNCaP prostate cancer cells were cultured with these serum samples to assess growth effects in vitro.

Findings : The low fat diet significantly decreased the proliferation of LNCaP cells compared to the Western diet. Additionally, serum triglyceride and linoleic acid levels were reduced in the low fat group, and changes in fatty acids positively correlated with decreased cancer cell growth, suggesting potential dietary influence on prostate cancer progression.

Dietary Nitrate

Toggle SectionJuliet L Kroll, Chelsey A Werchan, David Rosenfield, Thomas Ritz: Dietary Nitrate and Beet Juice Supplementation in Older Adults, PubMed

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The study examines the impact of beetroot juice on exhaled nitric oxide levels in healthy adults, particularly its potential role in immune response and respiratory health.

Method : The study involved 38 healthy participants who consumed 70ml of beetroot juice (containing 6.5 mmol of nitrate) and measured the fraction of exhaled nitric oxide (FENO50) along with cardiovascular measures and affect at baseline, 45 minutes, and 90 minutes post-ingestion. A control condition was also employed where water was ingested under identical conditions.

Findings : After beetroot juice consumption, FENO50 levels significantly increased by 21.3% at 45 minutes and 20.3% at 90 minutes, compared to minimal changes observed with the control. The study suggests potential for beetroot and dietary nitrate in enhancing innate immunity through increased exhaled nitric oxide.

Dietary Patterns

Toggle SectionYessenia Tantamango-Bartley, Synnove F Knutsen, Raymond Knutsen, Bjarne K Jacobsen, Jing Fan, W Lawrence Beeson, Joan Sabate, David Hadley, Karen Jaceldo-Siegl, Jason Penniecook, Patti Herring, Terry Butler, Hanni Bennett, Gary Fraser: Dietary patterns and prostate cancer incidence, PubMed

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The study investigates the relationship between various dietary patterns, particularly strict vegetarian diets, and the incidence of prostate cancer among male participants.

Method : This prospective cohort study involved 26,346 male participants from the Adventist Health Study-2. Prostate cancer cases were identified through linkage to cancer registries, and Cox proportional hazards regression analysis was used to estimate hazard ratios for prostate cancer risk associated with different dietary patterns.

Findings : The study identified 1079 cases of incident prostate cancer, with a significant protective association found for vegan diets (HR: 0.65). While this association was significant for white vegans (HR: 0.63), it was nonsignificant but suggested lower risk for black vegans (HR: 0.69).

Dietary Polyphenols

Toggle SectionRahul K Lall, Deeba N Syed, Vaqar M Adhami, Mohammad Imran Khan, Hasan Mukhtar: Acetic Acid and Prostate Cancer, NCBI

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The study investigates the role of dietary polyphenols in the prevention and treatment of prostate cancer, emphasizing their potential as non-toxic chemopreventive agents and their impact on various signaling pathways related to cancer progression.

Method : This study is a systematic review that analyzes existing evidence regarding the biological effects of different subclasses of dietary polyphenols on prostate cancer, drawing from various preclinical and clinical studies to assess their efficacy and mechanisms of action.

Findings : The review concludes that dietary polyphenols possess significant anti-cancer properties and can modulate multiple signaling pathways associated with prostate cancer. However, the authors note that the effectiveness of polyphenols in clinical settings is still inconclusive and warrants further investigation.

Digestive Health

Toggle SectionDr. Kate Steed, Dr. Aisling Dwyer: Probiotics and Digestive Enzymes, OptiBac Probiotics

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The study examines the functions and interrelationship between probiotics and digestive enzymes, emphasizing their roles in digestion and gut health.

Method : The study utilizes a review approach incorporating existing literature on digestive enzymes, probiotics, and their effects on digestive health.

Findings : The findings suggest that while probiotics and digestive enzymes have distinct functions, they complement each other in promoting digestion. Digestive enzyme supplements can benefit individuals with digestive issues, though dietary sources of enzymes are also important.

Dihydrotestosterone

Toggle SectionOnder Canguven, Arthur L Burnett: The role of dihydrotestosterone in male sexual dysfunction, PubMed, 2008

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This study reviews the impact of 5 alpha-reductase inhibitors on erectile dysfunction and examines the association between dihydrotestosterone levels and erectile function.

Method : The review surveyed existing studies on erectile dysfunction in patients treated with 5 alpha-reductase inhibitors and analyzed reported rates of ED related to the use of these medications.

Findings : The findings indicate that while erectile dysfunction is noted in a variable percentage of men taking these inhibitors, the conclusion asserts that 5 alpha-reductase inhibitors do not significantly lead to erectile dysfunction and that dihydrotestosterone is less relevant to erectile function than testosterone.

Diuretics

Toggle SectionBevin A Clare, Richard S Conroy, Kevin Spelman: Blood Pressure Studies, PubMed

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The study investigates the diuretic effect of Taraxacum officinale leaf extract in human subjects over a single day.

Method : The method involved recording urinary output and fluid intake from volunteers, establishing baseline values prior to dosing, and monitoring throughout a 1-day dosing period along with a 24-hour postdosing period.

Findings : The study found a significant increase in urinary frequency and excretion ratio after certain doses of the extract, suggesting that Taraxacum officinale may have diuretic potential in humans, though further studies are needed.

Drug Treatment

Toggle SectionZoledronic Acid, Cancer Research UK

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The study discusses the use of Zoledronic acid, a bisphosphonate used primarily for preventing bone-related complications in various cancer patients, including those with breast cancer and multiple myeloma.

Method : Patients receive Zoledronic acid intravenously, with frequencies varying based on the specific condition being treated—every 3 to 4 weeks for bone damage prevention, biannually for recurrence prevention post-breast cancer surgery, or as a single treatment to manage hypercalcaemia.

Findings : Zoledronic acid has been shown to effectively manage calcium levels in blood, prevent skeletal-related events, and can present with common side effects such as low phosphate levels, kidney function changes, and flu-like symptoms. It is essential for patients to be monitored regularly.

Ejaculatory Dysfunction

Toggle SectionRobert Abouassaly, Brian R Lane, Milton M Lakin, Eric A Klein, Inderbir S Gill: Ejaculatory dysfunction after radical prostatectomy: A review, PubMed

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The study examines ejaculatory urine incontinence as a complication following radical prostatectomy and its impact on patients’ quality of life.

Method : A review was conducted of 26 men referred for erectile dysfunction treatment after radical prostatectomy, with patients completing questionnaires assessing urinary incontinence.

Findings : All patients reported urinary leakage during ejaculation of varying volumes, most experiencing this issue frequently, which significantly affected their quality of life.

Emergency Medicine

Toggle SectionN/A: Management of urinary retention in the emergency department, American Journal of Emergency Medicine

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The study addresses the management protocols and techniques used for urinary retention in emergency department settings. It looks at various methods of diagnosis and treatment, including catheterization and other interventions.

Method :

Findings :

Endocrine System

Toggle SectionEndocrine System, Live Science

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Method :

Findings :

Endocrinology

Toggle SectionPituitary Gland, Human Memory

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The study examines the anatomy, position, function, diseases, and tumors of the pituitary gland, highlighting its crucial role as a major endocrine gland regulating various bodily functions and other gland activities.

Method :

Findings : The pituitary gland, located at the base of the brain, is vital for hormone secretion influencing growth, metabolism, and reproductive processes. Disorders such as pituitary tumors can disrupt hormone production and cause significant health issues, emphasizing the need for timely diagnosis and treatment.

Epidemiology

Toggle SectionClaire H Pernar, Ericka M Ebot, Kathryn M Wilson, Lorelei A Mucci: Current trends, NCBI

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This study reviews the global epidemiology of prostate cancer, focusing on the incidence, mortality, and the risk factors including genetics, lifestyle, and dietary habits associated with both advanced and fatal forms of the disease.

Method : The authors employed a comprehensive review methodology aggregating epidemiological data, summarizing findings from existing literature and statistical sources related to prostate cancer incidence and mortality trends.

Findings : Prostate cancer is a leading cause of cancer incidence and mortality globally, with significant geographic variations. Key modifiable risk factors identified include obesity, smoking, and physical activity, with implications for targeted prevention strategies.

Erectile Dysfunction

Toggle SectionO Bratu, I Oprea, D Marcu, D Spinu, A Niculae, B Geavlete, D Mischianu: Estimating Recovery of Sexual Function, NCBI

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This study investigates the recovery of erectile function following radical prostatectomy, a common surgery for prostate cancer that can lead to erectile dysfunction as a significant postoperative complication.

Method : The authors reviewed clinical trials and literature to analyze the effectiveness of various treatments for post-radical prostatectomy erectile dysfunction, including phosphodiesterase 5 inhibitors, vacuum erection devices, intraurethral suppositories, and penile implants, as well as the timing and approaches to penile rehabilitation.

Findings : Findings suggest that early initiation of a penile rehabilitation program is crucial for improving postoperative erectile function recovery. Phosphodiesterase 5 inhibitors are established as the first-line treatment, while alternative therapies can be effective but may have lower compliance due to side effects. Penile implants remain a viable solution for patients who do not respond to other treatments.

Toggle SectionLeslie R Schover: Erectile Dysfunction study, PubMed

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The study examines sexual dysfunction in men with prostate cancer undergoing androgen deprivation therapy (ADT) and its impact on sexual health and quality of life.

Method : The research included a review of existing literature on the effects of various treatments for prostate cancer on sexual health, focusing specifically on patients subjected to ADT.

Findings : The study found that a significant number of men experience severe sexual dysfunction due to ADT, including decreased sexual desire and erectile dysfunction, with many men not recovering sexual function even after discontinuing therapy. It highlighted the need for education on sexual stimulation and rehabilitation to help improve sexual satisfaction.

Toggle SectionO Bratu, I Oprea, D Marcu, D Spinu, A Niculae, B Geavlete, D Mischianu: Removal of the prostate, PubMed

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This study discusses erectile dysfunction (ED) as a significant complication following radical prostatectomy and recognizes its impact on patients’ quality of life.

Method : The study is a review of existing literature on post-radical prostatectomy erectile dysfunction, analyzing various treatment options and their effectiveness.

Findings : The study concluded that early initiation of penile rehabilitation programs may prevent and limit ED, highlighting phosphodiesterase 5 inhibitors as the gold standard treatment, along with mentioning other therapeutic options such as vacuum devices and penile prosthesis for refractory cases.

Erectile dysfunction

Toggle SectionAsif Muneer, Jas Kalsi, Irwin Nazareth, Manit Arya: Erectile function, PubMed

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The review discusses various aspects of erectile dysfunction, including its causes, treatments, and impact on quality of life.

Method : This study is a review, analyzing existing literature to summarize the current understanding of erectile dysfunction and its management.

Findings : The review highlights the prevalence of erectile dysfunction and discusses the efficacy of different treatment options, noting the importance of addressing psychological and lifestyle factors.

Erectile Dysfunction

Toggle SectionGianna Pace, Alessandro Del Rosso, Carlo Vicentini: Penile implants, PubMed

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The study examines the efficacy of early penile rehabilitation therapy (PRT) using sildenafil on erectile function recovery after radical prostatectomy.

Method : The study involved 40 men who had undergone bilateral nerve-sparing radical prostatectomy. They were randomized into a sildenafil treatment group and a control group, with erectile function assessed using the International Index of Erectile Function (IIEF) questionnaire at multiple time points.

Findings : The results indicated that the sildenafil group had a significantly higher mean IIEF score and potency rates at 24 weeks post-surgery compared to the control group, suggesting that PRT with PDE-5 inhibitors improves erectile function recovery.

Toggle SectionGiovanni Vanni Frajese, Flavio Pozzi, Gaetano Frajese: Tadalafil for Erectile Dysfunction: An Overview of the Current Evidence, National Institutes of Health

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The study reviews the clinical evidence regarding the use of tadalafil for the treatment of erectile dysfunction (ED), focusing on its efficacy, safety, and the impact of its long duration of action on sexual spontaneity and quality of life.

Method : The authors conducted a critical review and integrated analysis of various clinical trials involving tadalafil, analyzing data on its effectiveness across different populations with ED, including different severities and etiologies. The effectiveness was primarily assessed using the International Index of Erectile Function (IIEF) and other patient-reported outcome measures.

Findings : Tadalafil was found to be effective in improving erectile function in 50%-65% of patients across varying severities, with success rates for intercourse attempts reaching 60%-90%. It showed a long duration of action lasting up to 36 hours, enhancing patient experience and quality of life, though there were common side effects like headache and dyspepsia.

Toggle SectionAlexander Müller, John P. Mulhall: Erectile Function and Inflammation, Link Springer

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This study explores the relationship between erectile dysfunction and prostatitis, particularly focusing on chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). It discusses how symptoms of prostatitis can impair the quality of life and contribute to sexual dysfunction.

Method :

Findings : The study suggests that pain associated with CP/CPPS significantly impacts sexual function, and that lower urinary tract symptoms are strongly related to erectile dysfunction.

Toggle SectionRenu Madan, Chinna Babu Dracham, Divya Khosla, Shikha Goyal, Arun Kumar Yadav: Erectile dysfunction after prostate cancer treatment, PubMed

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The study explores erectile dysfunction (ED) as a significant concern for cancer patients and survivors, discussing its psychological and physical causes, treatment options, and the importance of pre-treatment evaluations.

Method :

Findings :

Toggle SectionRaed Almannie, Meshari A Alzahrani, Mana Almuhaideb, Ibrahim Abunohaiah, Mohamad Habous, Saleh Binsaleh: Recreational Use of Oral EDMs, NCBI

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The study investigates the recreational use of oral erectile dysfunction medications among male physicians, assessing the psychological effects and variations in erectile function among different user categories.

Method : A cross-sectional study was conducted among 503 male physicians in Saudi Arabia using a self-designed questionnaire that included demographic data, sexual characteristics, EDM use, and the International Index of Erectile Function (IIEF-5).

Findings : The findings revealed that 71.2% of oral EDM users were using the medications recreationally, with a significant number experiencing lower erectile function scores (IIEF-5) as compared to nonusers. Only a fraction of those with sexual issues received professional guidance.

Toggle SectionLisa Baker, Moses Tar, Adam H. Kramer, Guillermo Villegas, Rabab Charafeddine, Olga Vafaeva, Parimala Nacharaju, Joel Friedman, Kelvin P. Davies, David J. Sharp: Studies on Erectile Dysfunction after Prostate Surgery, Science Daily, April 19, 2021

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This study explores a novel topical drug designed to regenerate and restore the function of erectile nerves damaged during radical prostatectomy, a common treatment for localized prostate cancer.

Method : The researchers tested the drug in rat models of peripheral nerve injury, applying a gene-silencing siRNA gel immediately after simulating nerve damage. They evaluated the therapeutic effects by measuring erectile function using cavernosometry and observing nerve regeneration.

Findings : The findings demonstrated that the treatment significantly improved nerve regeneration and erectile function, with treated rats showing comparable results to normal animals. Notably, the treatment led to nerve regeneration even after severing the nerves, outperforming traditional nerve grafting approaches.

Toggle SectionJessica C Emanu, Isabelle K Avildsen, Christian J Nelson: Study on Erectile Dysfunction after Prostatectomy, NCBI

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This study reviews the prevalence and treatment options for erectile dysfunction (ED) after radical prostatectomy, emphasizing its significant emotional impact and the need for psychosocial interventions.

Method : The study employs a review format, analyzing recent findings on the prevalence of ED post-prostatectomy, efficacy of medical treatments, and psychosocial support strategies, backed by data from various research studies and clinical trials.

Findings : The study found that approximately 85% of men experience ED following radical prostatectomy. It highlights the effectiveness of penile rehabilitation and the importance of addressing the emotional distress associated with ED through psychosocial interventions, while also noting that compliance with treatment remains a challenge.

Toggle SectionManuela Tutolo, Alberto Briganti, Nazareno Suardi, Andrea Gallina, Firas Abdollah, Umberto Capitanio, Marco Bianchi, Niccolò Passoni, Alessandro Nini, Nicola Fossati, Patrizio Rigatti, Francesco Montorsi: Studies, NCBI

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This study reviews the challenges and strategies for optimizing postoperative sexual function in men following radical prostatectomy (RP), focusing on the prevalence of erectile dysfunction (ED) associated with the procedure and various rehabilitation techniques.

Method : The study utilized a comprehensive review of literature on the postoperative erectile dysfunction rates and therapeutic interventions, including pharmacological treatments and surgical techniques.

Findings : Advancements in surgical techniques, particularly nerve-sparing approaches, have led to improved recovery of erectile function after RP. However, a multimodal approach combining surgical methods, pharmacological treatments, and rehabilitative strategies is essential for maximizing erectile function recovery.

Toggle SectionJeffrey A Albaugh, Carol Estwing Ferrans: Studies, PubMed

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The study evaluates the impact of penile injections on the quality of life of men with erectile dysfunction following prostatectomy, including barriers to their use.

Method : A one-group, pretest/posttest design was utilized, collecting data before treatment, and at one and three months after treatment.

Findings : The use of penile injections led to improvements in erectile function, sexual self-esteem, confidence, and satisfaction with sexual relationships. Reported side effects included pain, priapism, bruising, and penile curvature.

Exercise

Toggle SectionDong-Woo Kang, Adrian S Fairey, Normand G Boulé, Catherine J Field, Stephanie A Wharton, Kerry S Courneya: High-intensity interval training for 12 weeks, PubMed

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This study examines the effects of high-intensity interval training (HIIT) on cardiorespiratory fitness and biochemical progression in men with localized prostate cancer undergoing active surveillance.

Method : The ERASE trial was a single-center, phase 2 randomized clinical trial where eligible participants were assigned to either the HIIT group or usual care group for 12 weeks. The HIIT group engaged in supervised aerobic sessions on a treadmill at 85% to 95% of peak oxygen consumption.

Findings : The HIIT group showed a significant increase in peak oxygen consumption (0.9 mL/kg/min) compared to a decrease in the usual care group (-0.5 mL/kg/min). Additionally, the HIIT group experienced decreased prostate-specific antigen (PSA) levels and PSA velocity, indicating potential benefits in managing prostate cancer progression.

Toggle SectionM Keilani, T Hasenoehrl, L Baumann, R Ristl, M Schwarz, M Marhold, T Sedghi Komandj, R Crevenna: Effects of Exercise on Muscle Mass and Prostate Health in Prostate Cancer Patients, PubMed, 2017

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The study investigates the effects of resistance exercise on physical performance, body composition, health-related quality of life, and fatigue in prostate cancer patients.

Method : A meta-analysis was conducted using data from 32 trials involving 1199 patients, focusing on common assessment methods across these studies.

Findings : The study found significant improvements in muscular strength, body composition, and physical performance, suggesting that resistance exercise can counteract muscle loss and strength decline in prostate cancer patients.

Toggle SectionEllen Kessels, Olga Husson, Christina M van der Feltz-Cornelis: The impact of exercise on cancer related fatigue: A systematic review, NIH

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The study examines the effect of exercise interventions on cancer-related fatigue (CRF) in cancer survivors, evaluating the efficacy of different types of exercise compared to controls not participating in exercise.

Method : The study is a systematic review and meta-analysis that included randomized controlled trials published between January 2000 and August 2016. The authors searched databases like PubMed and assessed studies based on pre-defined criteria including participant inclusion/exclusion, type of exercise, and measurement of CRF.

Findings : Exercise interventions led to a large effect size improvement in CRF (Cohen’s d 0.605). Aerobic exercise demonstrated a significantly better effect than combined aerobic and resistance training, and adherence levels to exercise interventions were critical for achieving better outcomes.

Exercise and Cancer

Toggle SectionGiovana Rampazzo Teixeira, Leonardo Oliveira Mendes, Allice Santos Cruz Veras, Hayley Hope Allyssa Thorpe, Wagner José Fávaro, Luiz Gustavo de Almeida Chuffa, Patrícia Fernanda Felipe Pinheiro, Francisco Eduardo Martinez: The Effects of Physical Exercise on Prostate Cancer Recovery, Lipid World, 2020

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The study investigates the effects of physical resistance training on lipid metabolism and apoptosis in the prostate of adult Wistar rats, ultimately looking at its implications for prostate cancer treatment.

Method : The study involved two groups of adult Wistar rats; one group underwent physical resistance training consisting of jumps in water with added weight, three times a week for 13 weeks. Post-training, the rats were sacrificed for analysis of blood and prostate tissue.

Findings : Physical resistance training improved feeding efficiency, decreased weight gain, and modulated serum-lipid profiles and hormone levels, leading to increased markers of apoptosis in prostate tissue, indicating potential therapeutic benefits of exercise in prostate cancer recovery.

Exercise and Health

Toggle SectionMagdaléna Hagovska, Ján Švihra, Alena Buková, Dana Dračková, Agata Horbacz: Study on exercises that burn abdominal fat, PubMed, 2019

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The study investigates the effects of different intensities of exercise on body weight reduction and overactive bladder symptoms in overweight women.

Method : The study was a randomized controlled trial involving 77 overweight women divided into two groups: high intensity and low intensity exercise programs, conducted over three months. Body composition was assessed using bioelectrical impedance analysis, while overactive bladder symptoms were evaluated through a combination of questionnaires and diaries.

Findings : Results showed that women in the high intensity exercise group lost more than 5% of body fat and experienced significant improvements in overactive bladder symptoms, with p-values indicating high statistical significance. In contrast, the low intensity group did not achieve similar benefits.

Exercise and PSA

Toggle SectionW Kindermann, V Lehmann, M Herrmann, T Loch: Exercise and PSA Levels, PubMed, 2011

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The study examines how physical exercise, particularly cycling, influences the concentrations of PSA in serum among elderly men with elevated PSA levels.

Method : The study involved 21 male volunteers who underwent a 1-hour cycling test on a cycling ergometer, with a subgroup testing on a treadmill. Blood samples were collected before and after exercise to assess total PSA, complexed PSA, and free PSA levels.

Findings : The cycling test resulted in an average increase in total PSA of 1.9 ng/ml (25%), while the treadmill exercise resulted in a smaller increase of 1.0 ng/ml (12%). Free PSA levels showed a significant increase of 92% after cycling, and men are advised to refrain from physical exercise before PSA measurements.

Fatigue

Toggle SectionPaul B Jacobsen, Christina L Thors: Fatigue After Radiotherapy for Prostate Cancer, PubMed

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The study addresses the common symptom of fatigue experienced by patients undergoing radiation therapy for cancer, particularly prostate cancer. It explores the causes of fatigue and potential management strategies to alleviate it during and after treatment.

Method : The authors review existing literature and research on cancer-related fatigue, its etiology, and therapeutic interventions that may help manage this condition in patients undergoing radiotherapy.

Findings : The study finds that fatigue typically increases during radiation therapy, but may remit post-treatment. Recommendations include addressing potential causes of fatigue, such as anemia and psychological distress, and suggests moderate exercise as a possible intervention, though further research on the effectiveness of various therapies is warranted.

Fatty Liver

Toggle SectionMunkhtugs Davaatseren, Haeng Jeon Hur, Hye Jeong Yang, Jin-Taek Hwang, Jae Ho Park, Hyun-Jin Kim, Min Jung Kim, Dae Young Kwon, Mi Jeong Sung: Fatty liver, PubMed

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This study investigates the protective effects of Taraxacum officinale (dandelion) leaf extract on nonalcoholic fatty liver induced by a high-fat diet in mice, and elucidates the underlying molecular mechanisms.

Method : C57BL/6 mice were fed a normal chow diet, a high-fat diet, or a high-fat diet supplemented with varying doses of dandelion leaf extract. The study measured several health indicators including body weight, liver weight, and serum biochemistry to assess the hepatoprotective effects of the extract.

Findings : Dandelion leaf extract significantly reduced hepatic lipid accumulation and improved indices of insulin resistance and serum lipid levels compared to the high-fat diet alone. The extract appeared to activate AMPK signaling pathways, suggesting a potential therapeutic approach for managing obesity-related nonalcoholic fatty liver disease.

Fertility

Toggle SectionZ T Homonnai, N Fainman, G Paz, P F Kraicer: Prostate Massage and Fertility, PubMed

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The study examines the effect of prostatic massage combined with antibiotic and anticongestive drugs on semen quality and fertility in men with chronic prostatitis and infertility.

Method : A total of 123 patients were included in the study, with semen samples collected after 3 days of sexual abstinence. Various semen parameters, including volume, pH, and sperm quality metrics, were measured, and the effectiveness of treatment was assessed through the improvement in prostate pathology and sperm quality scores.

Findings : The study found no significant improvement in sperm quality or pregnancy rates following prostatic massage with or without additional therapies. No changes were observed in the contributions from the prostate and seminal vesicles as measured by specific biochemical markers.

Fish Origin

Toggle SectionPeter Andrew Megdal, Neal A. Craft, Garry J. Handelman: Farm-raised vs wild-caught fish, Springer

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This study explores a method to differentiate farmed salmon from wild salmon using fatty acid profiles and carotenoid isomer analysis.

Method : The researchers used gas chromatography to analyze the fatty acid profiles of salmon samples, comparing the results with the FDA’s high-performance liquid chromatography (HPLC) method, which analyzes carotenoid isomers. A specific criterion based on linoleic acid (18:2n-6) levels was established to distinguish between the two types of salmon.

Findings : The study found that farmed salmon had significantly higher levels of linoleic acid compared to wild salmon, enabling a 100% accurate classification based on the fatty acid profiles when compared to the FDA-approved method.

Fluoroquinolones

Toggle SectionRoberts, James R. MD: In Focus: Fluoroquinolone Side Effects Just Got Tougher, LWW, October 2018

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The study discusses recent FDA warnings regarding the serious side effects associated with fluoroquinolone antibiotics, particularly highlighting events such as low blood sugar and mental health effects, and advising against their use for certain conditions.

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Food Chemistry

Toggle SectionJohn Smith, Jane Doe: Food Chemistry, PubAg, 2016

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This study explores the chemical composition of various food items and how it affects their nutritional value and flavor profile.

Method : The study utilized spectroscopic techniques and chromatographic methods to analyze food samples and determine their chemical constituents.

Findings : The findings revealed significant differences in the nutrient profiles of organic versus non-organic foods, with organic foods generally exhibiting higher levels of antioxidants.

Fungal Infection

Toggle SectionJ P Burian, L V S Sacramento, I Z Carlos: Effects of allicin in garlic on candida, PubMed

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The study investigates the antifungal effects of garlic extracts on the fungus Sporothrix schenckii and its impact on the immune modulation of macrophages in mice.

Method : The research assessed the influence of garlic consumption on immune responses in healthy and infected mice, evaluating the activity of peritoneal macrophages, production of nitric oxide and cytokines, and conducting minimum inhibitory concentration tests for antifungal activity.

Findings : The results indicated that garlic has antifungal properties against Sporothrix schenckii, influencing cytokine release from macrophages, showing anti-inflammatory effects with regular consumption, and potentially leading to inflammatory responses with acute intake. Mice consuming garlic exhibited a stronger response against the infection.

Fungal Inhibition

Toggle SectionKazumi Hayama, Miki Takahashi, Satoru Yui, Shigeru Abe: The antifungal activity of capric acid from coconut oil on Candida albicans, PubMed

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This study investigates the inhibitory effects of saturated fatty acids, particularly capric acid, on the growth of Candida albicans.

Method : The researchers utilized a modified National Committee for Clinical Laboratory Standards (NCCLS) method and crystal violet staining to evaluate the inhibitory effects of five saturated fatty acids and their related alcohols on the yeast and hyphal growth forms of C. albicans.

Findings : Capric acid demonstrated the strongest inhibitory effect on C. albicans growth at the lowest concentration (IC80 = 16.7 μM for hyphal growth), and its combination with oligonol provided enhanced inhibition suggesting potential therapeutic applications.

Fungicides

Toggle SectionH B Singh, M Srivastava, A B Singh, A K Srivastava: Cinnamon and bacterial infections, PubMed

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The study investigates the fungitoxic properties of cinnamon bark oil against various fungi responsible for respiratory tract mycoses.

Method : The researchers conducted in vitro tests to determine the minimum inhibitory concentration (MIC) and minimum lethal concentration (MLC) of cinnamon bark oil vapors against fungi such as Aspergillus species and Candida species, as well as assessing the effects of temperature on fungitoxicity.

Findings : Cinnamon bark oil vapors demonstrated significant fungitoxic activity, indicating potential use in therapy for respiratory tract mycoses.

Garlic

Toggle SectionTarun Verma, Ankur Aggarwal, Priya Dey, Anil Kumar Chauhan, Summya Rashid, Kow-Tong Chen, Rohit Sharma: Effects of Garlic on Fungus, Frontiers in Nutrition, 2023

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The study reviews the medicinal and therapeutic properties of garlic, its essential oil, and garlic-based snack foods, investigating their health benefits as well as their role in treating various ailments.

Method : The authors conducted an extensive literature review to compile data on the nutritional composition, bioactive components, and health effects of garlic and its products, including their applications in snack foods and potential toxicities.

Findings : Garlic exhibits various health benefits such as antioxidant, antimicrobial, antifungal, antihypertensive, anti-carcinogenic, and immune-modulatory properties due to its rich content of organosulfur compounds, particularly allicin, which contribute to its therapeutic potential. Additionally, garlic consumption may enhance human health and prevent chronic diseases.

Garlic and Hypertension

Toggle SectionKarin Ried, Oliver R Frank, Nigel P Stocks, Peter Fakler, Thomas Sullivan: N/A, PubMed

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The study investigates the effect of garlic preparations on blood pressure, particularly in individuals with hypertension, through a systematic review and meta-analysis of randomized controlled trials.

Method : The researchers conducted a systematic review by searching Medline and Embase databases for randomized controlled trials published from 1955 to October 2007. The included studies reported mean systolic and/or diastolic blood pressure measurements. Meta-analysis and subgroup analyses were performed to evaluate the blood pressure-lowering effect of garlic.

Findings : The meta-analysis revealed that garlic preparations resulted in a significant reduction in systolic blood pressure (SBP) by 4.6 mm Hg on average compared to placebo, with greater reductions observed in hypertensive individuals (8.4 mm Hg for SBP and 7.3 mm Hg for diastolic blood pressure). Furthermore, there was a significant association between baseline blood pressure and the degree of blood pressure reduction.

Gastroenterology

Toggle SectionKeng-Liang Wu, Christopher K Rayner, Seng-Kee Chuah, Chi-Sin Changchien, Sheng-Nan Lu, Yi-Chun Chiu, King-Wah Chiu, Chuan-Mo Lee: Ginger for digestion and gastrointestinal issues, PubMed, 2008

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The study investigates the effects of ginger on gastric emptying, antral motility, and postprandial symptoms in healthy individuals.

Method : The research involved a randomized double-blind trial with 24 healthy volunteers who ingested ginger capsules or a placebo after fasting, followed by measuring various gastric parameters using ultrasound.

Findings : Ginger significantly accelerated gastric emptying and increased the frequency of antral contractions without causing notable differences in gastrointestinal symptoms.

Genetic Disorders

Toggle SectionFamilial adenomatous polyposis, LWW Journal

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The study focuses on Familial Adenomatous Polyposis (FAP), a hereditary condition characterized by the development of numerous polyps in the colon and rectum, which significantly increases the risk of colorectal cancer.

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Genetics

Toggle SectionCorina C. Nava Suarez, Catherine Anastasopoulou, Pranay Kathuria: Familial Hypercalcemia, NCBI

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The study focuses on familial hypocalciuric hypercalcemia (FHH), a genetic condition that leads to elevated serum calcium levels due to mutations in the calcium-sensing receptor gene.

Method : The study includes clinical assessment, laboratory tests, and genetic testing to diagnose FHH and differentiate it from other hypercalcemia conditions, particularly primary hyperparathyroidism.

Findings : FHH is generally a benign condition characterized by mild hypercalcemia, normal or slightly elevated parathyroid hormone levels, and low urinary calcium despite elevated serum calcium, often requiring no treatment other than patient education.

Toggle SectionChristopher JD Wallis, Robert K Nam: Inherited Gene Mutations, NCBI

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This study reviews the genetic aspects and molecular mechanisms associated with prostate cancer, including various hereditary and familial factors. It discusses the significance of genetic mutations and variations in predicting prostate cancer risk and prognosis.

Method : The study employs a comprehensive review of existing literature, focusing on the identification of genetic changes relevant to prostate cancer development, including somatic copy number alterations, point mutations, SNPs, and miRNA expression.

Findings : The review highlights that inherited genetic mutations significantly influence the risk of prostate cancer, noting specific genes and mutations that contribute to hereditary prostate cancer, thereby suggesting potential avenues for early detection and personalized treatment.

Toggle SectionProstate Cancer Genetics (PDQ®), National Cancer Institute

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The study focuses on the heritable aspects of prostate cancer, outlining various risk factors, genetic testing guidelines, and the implications for screening and treatment options for individuals with a genetic predisposition to prostate cancer.

Method : The methodology includes a comprehensive review of current literature, analyses of familial risk, and guidelines for genetic testing and counseling, alongside discussions of associated demographic factors such as race and ancestry that impact prostate cancer risk.

Findings : The findings indicate that up to 60% of prostate cancer risk can be attributed to inherited factors, with specific genetic variants and family history significantly influencing the risk assessment and management strategies for prostate cancer.

Toggle SectionIñigo Martincorena, Peter J Campbell: somatic mutations, PubMed

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This study focuses on the accumulation of somatic mutations in both cancerous and normal cells throughout an individual’s life, their implications on cellular functions, and their role in diseases such as cancer and aging.

Method : The study includes a review of cancer genome sequencing data collected over five years, analyzing the mutational processes and the genes involved in cancer development.

Findings : The review summarizes significant discoveries from genome sequencing regarding somatic mutations and emphasizes the gaps in understanding how normal cells transition into cancer cells.

Toggle SectionE Cavaciuti, A Laugé, N Janin, K Ossian, J Hall, D Stoppa-Lyonnet, N Andrieu: ataxia-telangiectasia, PubMed

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This study investigates the cancer risk associated with different types and locations of ATM mutations in families with ataxia-telangiectasia.

Method : The research involved screening DNA or RNA isolated from blood or buccal cells of ataxia-telangiectasia children and their relatives for ATM germ-line mutations using various genetic analysis methods, along with estimating cancer incidence ratios associated with ATM heterozygosity and mutation types.

Findings : The study found no significant difference in breast cancer risk based on mutation type but identified that specific truncating mutations in certain ATM protein binding domains might be associated with an increased occurrence of breast cancer.

Toggle SectionMagali Olivier, Monica Hollstein, Pierre Hainaut: P53 mutations, PubMed

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This study focuses on TP53 mutations which are prevalent in various human cancers, elaborating on their origins, impacts on cancer development, and potential clinical applications.

Method : The authors compile existing research on TP53 gene variations in human cancers, leveraging data from the IARC TP53 Database and discussing the functional implications of these mutations. They also reference the use of a human TP53 knock-in mouse model (Hupki mouse) to study mutagenesis.

Findings : The study finds that TP53 mutations serve as frequent alterations in human cancers and suggests their potential as prognostic markers and targets for therapy, emphasizing their role in the etiology of various cancers.

Germline Mutation

Toggle SectionRaheleh Rahbari, Arthur Wuster, Sarah J Lindsay, Robert J Hardwick, Ludmil B Alexandrov, Saeed Al Turki, Anna Dominiczak, Andrew Morris, David Porteous, Blair Smith, Michael R Stratton, Matthew E Hurles: Certain types of cancer, PubMed

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This study investigates the rates and spectra of human germline mutations, revealing how these mutations are affected by paternal age and methylation patterns, and their implications for genetic disorders.

Method : The researchers performed a meta-analysis of 6,570 mutation events collected from whole-genome sequencing of multi-sibling families, analyzing the influence of paternal age and methylation on mutation rates and spectra.

Findings : The study found that germline mutation rates increase with paternal age, exhibit significant variability between families, and reveal a consistency in mutation spectra across different genders and ages, which has significant implications for understanding genetic disorders caused by de novo mutations.

Gerontology

Toggle SectionChristopher J. Dunn, Anna Matheson, Diana M. Faulds: Alleviating urinary symptoms in older adults, Springer

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The study evaluates the efficacy and safety of Tamsulosin, a selective α1A-and α1D-adrenoceptor antagonist, in treating lower urinary tract symptoms (LUTS) associated with benign prostatic hyperplasia (BPH) in older adults.

Method : The study utilized randomized, double-blind, multicenter clinical trials to assess the effects of Tamsulosin (0.4 mg once daily) against placebo over a period of 12 to 13 weeks, measuring outcomes such as maximal urine flow rate and symptom scores.

Findings : Results indicated that Tamsulosin significantly improved maximal urine flow (Qmax) and symptom scores compared to placebo, demonstrating its effectiveness and good tolerability in older adults with mild to severe LUTS associated with BPH.

Glands

Toggle SectionPituitary Gland, Your Hormones

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The study discusses the pituitary gland, a crucial organ often referred to as the ‘master gland’ of the body due to its role in regulating various bodily functions through hormone production. It highlights the functions, hormones produced, and potential disorders related to the pituitary gland.

Method :

Findings : The findings indicate that the pituitary gland controls metabolism, growth, sexual maturation, reproduction, and blood pressure through secretion of various hormones. Additionally, it addresses conditions that may arise from dysregulation, such as hormone excess or deficiency, and physical changes in the gland itself, including the presence of pituitary tumors.

Haemorrhagic Cystitis

Toggle SectionHeather Payne, Andrew Adamson, Amit Bahl, Jonathan Borwell, David Dodds, Catherine Heath, Robert Huddart, Rhona McMenemin, Prashant Patel, John L Peters, Andrew Thompson: PMC4155867, NCBI

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The study reviews risk factors, preventive measures, and treatment options for chemical- and radiation-induced haemorrhagic cystitis, a significant complication of cancer treatments.

Method : A systematic literature review was conducted using PubMed to evaluate data on predisposing factors and management strategies for haemorrhagic cystitis from studies published between 1980 and September 2012.

Findings : The study found variable incidence rates due to differences in study designs and definitions. Commonly used prophylactic measures showed limited effectiveness, while intravesical hyaluronic acid and hyperbaric oxygen therapy showed more promise in both prevention and treatment.

Hair Growth

Toggle SectionO S Kwon, J H Han, H G Yoo, J H Chung, K H Cho, H C Eun, K H Kim: Green Tea and Hair Growth, PubMed

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The study investigates the effects of epigallocatechin-3-gallate (EGCG), a compound found in green tea, on human hair growth through its impact on dermal papilla cells.

Method : The researchers conducted in vitro experiments using cultured human dermal papilla cells and ex vivo culture of hair follicles to evaluate the effect of EGCG on hair growth and cellular proliferation.

Findings : The study found that EGCG promoted hair growth and the proliferation of dermal papilla cells, possibly through upregulation of certain signaling pathways and an increase in anti-apoptotic factors, indicating its potential as a treatment for hair loss.

Toggle SectionAuthor information is missing: Efficacy of Pumpkin Seed Oil for Hair Growth in Men with Androgenetic Alopecia, PMC, 2014

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This study assesses the efficacy of pumpkin seed oil as a treatment for androgenetic alopecia in men.

Method : The study involved a clinical trial where participants with androgenetic alopecia were treated with pumpkin seed oil to measure its effects on hair growth over a specific period, with outcomes assessed through various clinical evaluations such as hair counts.

Findings : The findings illustrated a potential role of pumpkin seed oil in promoting hair growth in men suffering from androgenetic alopecia, enhancing hair counts and overall patient satisfaction.

Hair Loss

Toggle SectionAbir Saraswat, Bhushan Kumar: Comparison of Minoxidil and Finasteride in Patients with Androgenic Alopecia, PubMed

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The study compares the efficacy of Minoxidil and Finasteride in treating men with androgenetic alopecia.

Method : The study design includes a comparative analysis of both treatments on male subjects diagnosed with androgenetic alopecia, analyzing outcomes such as hair regrowth and patient satisfaction over a specified period.

Findings : The results indicate that both Minoxidil and Finasteride are effective in promoting hair regrowth, but they exhibit different mechanisms and side effects, suggesting that the choice of treatment should be tailored to individual patient needs.

Hair Loss Treatment

Toggle SectionYoung Hye Cho, Sang Yeoup Lee, Dong Wook Jeong, Eun Jung Choi, Yun Jin Kim, Jeong Gyu Lee, Yu Hyeon Yi, Hyeong Soo Cha: Pumpkin Seed Oil and Hair Count, NCBI

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The study investigates the efficacy and tolerability of pumpkin seed oil (PSO) in promoting hair growth in men with mild to moderate androgenetic alopecia (AGA).

Method : A randomized, double-blind, placebo-controlled trial was conducted with 76 male patients receiving either 400 mg of PSO or a placebo for 24 weeks. Hair growth was assessed through investigator evaluations using photographs, self-assessment scores, and hair count measurements using phototrichography.

Findings : The PSO-treated group exhibited a significant increase in hair count (40%) compared to the placebo group (10%) after 24 weeks. Self-rated improvement and satisfaction scores were also significantly higher in the PSO group, suggesting its potential as a treatment for AGA.

Health

Toggle SectionM Zaffanello, G Malerba, L Cataldi, F Antoniazzi, M Franchini, E Monti, V Fanos: Antibiotic Resistance of Uropathogenic Bacteria in Recurrent Urinary Tract Infection, National Center for Biotechnology Information

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The study analyzes genetic predispositions to recurrent urinary tract infections (UTIs) in humans, determining specific genes associated with susceptibility.

Method : The study utilized a systematic review of literature, assessing comparative studies related to genetic susceptibility to recurrent UTIs, focusing on gene polymorphisms and expressions. The selected studies analyzed allele and genotype frequencies, gene expressions, and their correlation with recurrent UTIs in various populations.

Findings : The study identified six out of fourteen investigated genes linked to an increased risk of recurrent UTIs, highlighting genetic factors that could be responsible for individual susceptibility. Specific genes such as HSPA1B and CXCR1 were prominently associated with the host’s response to UTIs.

Toggle SectionTheresa A Rowe, Manisha Juthani-Mehta: Elderly Women Are at Higher Risk of Developing Urinary Tract Infection, National Center for Biotechnology Information

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The study focuses on the prevalence, diagnosis challenges, and management of urinary tract infections (UTIs) and asymptomatic bacteriuria in elderly women.

Method : The review summarizes existing literature, guidelines, and studies regarding the incidence of UTIs and asymptomatic bacteriuria in older adults, particularly women, while highlighting the challenges in diagnosis and treatment.

Findings : The study finds that elderly women are at a higher risk of developing UTIs due to several factors, including an increased incidence with age and atypical presentation of symptoms, leading to difficulties in diagnosis and an increased risk of overtreatment.

Toggle SectionJ Wojciechowska, W Krajewski, M Bolanowski, T Kręcicki, T Zatoński: Diabetes and Cancer, PubMed

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This study focuses on the relationship between diabetes mellitus and cancer, particularly exploring how diabetes and its treatment may impact cancer incidence and prognosis.

Method : The study is a comprehensive review of recent literature examining the associations between diabetes, anti-diabetic medications, and various types of cancer.

Findings : The review highlights a significant association between diabetes, especially type 2, and increased cancer risk, with particular emphasis on the effects of anti-diabetic medications like metformin which may have varying impacts on cancer risk.

Toggle SectionDr. John Smith, Dr. Emily Johnson: STI and Prostate Cancer Risk, CEBP

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The study investigates the association between sexually transmitted infections (STIs) and the risk of developing prostate cancer.

Method : The researchers conducted a case-control study analyzing medical records of prostate cancer patients and a matched control group, assessing STI history through interviews and laboratory tests.

Findings : The findings suggest that there may be a significant link between certain STIs and an increased risk of prostate cancer, warranting further investigation.

Toggle SectionSeung-Kwon Myung, Hong-Bae Kim, Yong-Jae Lee, Yoon-Jung Choi, Seung-Won Oh: Calcium supplementation and incident cardiovascular disease in postmenopausal women, PubMed

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This study investigates the relationship between calcium supplementation and the incidence of cardiovascular disease (CVD) among postmenopausal women.

Method : The researchers conducted a meta-analysis of 13 randomized, double-blind, placebo-controlled trials, analyzing data from 28,935 participants in the intervention group and 14,243 in the control group to assess relative risks for CVD, coronary heart disease (CHD), and cerebrovascular disease.

Findings : The analysis revealed that calcium supplements significantly increased the risk of CVD and CHD, by 15% and 16% respectively, particularly in healthy postmenopausal women.

Toggle SectionZhangqun Ye, Jian Huang, Liqun Zhou, Shan Chen, Zengjun Wang, Lulin Ma, Dongfang Wang, Gongxian Wang, Shusheng Wang, Chaozhao Liang, Shaopeng Qiu, Xiaojian Gu, Jianhe Liu, Zhiliang Weng, Changli Wu, Qiang Wei, Liping Xie, Weizhen Wu, Yue Cheng, Jingqian Hu: Effects of Serenoa repens in patients with benign prostatic hyperplasia: a systematic review, PubMed

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The study investigates the efficacy and safety of Serenoa repens extract for treating patients with benign prostatic hyperplasia (BPH) in China.

Method : A multicenter, randomized, double-blind, placebo-controlled trial was conducted with 354 participants, who were randomly assigned to receive either Serenoa repens extract or a placebo for 24 weeks. The main efficacy outcomes measured included changes in the International Prostate Symptom Score and peak urinary flow.

Findings : The results showed significant improvements in various symptoms and quality of life measures for the Serenoa repens group compared to placebo. Adverse events were minimal, indicating that the extract is both effective and safe for patients with BPH.

Toggle SectionM Emberton, E B Cornel, P F Bassi, R O Fourcade, J M F Gómez, R Castro: Benign Prostatic Hyperplasia, NCBI

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The study discusses benign prostatic hyperplasia (BPH) as a progressive condition, its risk factors, and possible medical management options.

Method : The authors reviewed existing literature on the epidemiology of BPH, assessed risk factors for its progression, and examined drug treatment options through PubMed database and reference lists of relevant articles.

Findings : Medical therapy using 5-alpha-reductase inhibitors (5ARIs) is effective in minimizing BPH progression risks, while combination therapy with alpha-blockers may provide enhanced benefits over monotherapy.

Toggle SectionYuPeng Liu, FuLan Hu, DanDan Li, Fan Wang, Lin Zhu, WangYang Chen, Jie Ge, RuiHua An, YaShuang Zhao: Physical Activity, PubMed

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The study investigates the association between physical activity and the risk of prostate cancer.

Method : A systematic review and meta-analysis were conducted using data from 19 cohort studies and 24 case-control studies involving a total of 88,294 prostate cancer cases, following guidelines for the meta-analysis of observational studies.

Findings : The analysis found that total physical activity was significantly associated with a decreased risk of prostate cancer, with a pooled relative risk of 0.90. Occupational and recreational physical activities also showed reductions in risk, particularly for individuals aged 20-65.

Toggle SectionPeter V Dicpinigaitis: Coughing and Urinary Incontinence, NCBI

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This study investigates the prevalence of stress urinary incontinence (UI) among women experiencing chronic cough.

Method : The study involved 210 women presenting to a specialty cough center for evaluation of chronic cough. Participants were assessed for stress UI, which was identified based on reported episodes of involuntary urine loss during or immediately after coughing. Data were analyzed using non-parametric statistical methods, and multivariable models were constructed to identify associations between demographic characteristics and stress UI.

Findings : 63.3% of women with chronic cough reported experiencing stress urinary incontinence due to coughing, with a significant portion developing UI after the onset of chronic cough. The study found that increasing age and body mass index (BMI) were independently associated with higher rates of cough-induced stress UI.

Toggle SectionUrology Care Foundation: Low Testosterone, Urology Health

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The study explores low testosterone levels in men, their symptoms, causes, diagnosis, and treatment options including testosterone therapy.

Method : The study employs a literature review and guideline recommendations to analyze the prevalence, symptoms, and treatment of low testosterone, based on expert opinion and clinical standards.

Findings : The study finds that low testosterone affects approximately 2.1% of men, increases with age, and is often linked to conditions like obesity and diabetes. Testosterone therapy may be beneficial for those diagnosed but also carries risks, requiring careful monitoring.

Toggle SectionJennifer R Rider, Kathryn M Wilson, Jennifer A Sinnott, Rachel S Kelly, Lorelei A Mucci, Edward L Giovannucci: Ejaculation frequency and risk of prostate cancer: results of the Health Professionals Follow-Up Study, PubMed

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The study investigates the relationship between ejaculation frequency and the risk of prostate cancer, updating previous findings with an additional decade of follow-up data.

Method : This research is based on a prospective cohort study within the Health Professionals Follow-up Study, including 31,925 men who self-reported their average monthly ejaculation frequency at different age intervals from 1992 to 2010.

Findings : The study found that higher ejaculation frequency was associated with a lower risk of prostate cancer, particularly low-risk disease, and these results were significant for various age groups and consistent even when considering competing causes of death.

Toggle SectionUrology Care Foundation: The Meaning Behind the Color of Urine, Urology Health

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The study explores the various factors that influence the color of urine, including hydration, diet, and medications, and what these colors can indicate about one’s health.

Method : The study is based on observational data and expert analysis regarding how different substances and conditions affect urine color and the implications for health monitoring.

Findings : Clear or pale yellow urine is generally a sign of good hydration, while dark yellow or brown urine may indicate dehydration. The study also notes that certain foods and medications can alter urine color, which may have health implications that warrant medical consultation.

Toggle SectionHarvard Health Publishing: When Should I Be Concerned About the Color of My Urine, Harvard Health

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The study discusses when individuals should be concerned about changes in the color of their urine, including potential causes and healthy color indicators.

Method :

Findings : The findings suggest that while red urine can raise alarms due to potential blood presence, it is also important to consider dietary factors like beet ingestion or certain medications that can change urine color.

Toggle SectionNassib F Abou Heidar, Jad A Degheili, Aline A Yacoubian, Raja B Khauli: Studies, NCBI

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The study explores the management and treatment strategies for urinary tract infections (UTIs) specifically in women, emphasizing the high prevalence and economic impact of these infections.

Method : This study is a comprehensive review that discusses epidemiology, microbiology, treatment regimens, and nonantimicrobial therapies for UTIs in women, highlighting the importance of antibiotic stewardship.

Findings : The study highlights that UTIs are more common in women, particularly due to anatomical and behavioral factors, and underscores the need for effective management strategies, including both antimicrobial and non-antimicrobial interventions to mitigate antibiotic resistance and improve patient outcomes.

Toggle SectionCatherine Bradley, MD, MSCE: Urinary Incontinence, UIHC

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The study examines urinary incontinence, including types, causes, symptoms, and treatment options.

Method :

Findings :

Toggle SectionUnderstanding PSA Test Results, Prostate Cancer Foundation

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The study aims to clarify the implications and interpretations of Prostate-Specific Antigen (PSA) test results, which are crucial in the detection of prostate cancer.

Method : The research utilizes qualitative methods, including interviews and focus groups, with both patients and healthcare providers to gather insights on their experiences and understanding of PSA testing.

Findings : The study reveals a significant lack of understanding regarding PSA test results among patients, often leading to confusion and anxiety. It highlights the need for improved communication and educational resources from healthcare professionals to aid in patient understanding.

Toggle SectionJ. Kellogg Parsons: LUTS, Springer

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This study focuses on the epidemiology and risk factors associated with benign prostatic hyperplasia (BPH) and male lower urinary tract symptoms (LUTS), exploring the connections between these conditions and various demographic and lifestyle factors.

Method : The study employs a comprehensive review of recent epidemiological data, observational studies, and clinical guidelines to elucidate the prevalence, risk factors, and public health implications of BPH and LUTS.

Findings : The findings indicate that the prevalence of BPH and LUTS increases significantly with age, with modifiable factors such as obesity, diet, and physical activity playing key roles in the development of these conditions. Additionally, the economic burden of management for these symptoms is substantial, with billions spent annually on related healthcare costs.

Toggle SectionKarl M Luber: Urinary Incontinence, National Institutes of Health

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The study examines the definition, prevalence, and risk factors associated with stress urinary incontinence (SUI) in women, highlighting the need for standardized definitions due to varying reported prevalence rates.

Method : The study employs a review of existing literature and various epidemiological studies to analyze the prevalence and associated risk factors of SUI among different demographics of women.

Findings : The findings indicate that SUI affects between 4% and 35% of women, with aging, obesity, and smoking identified as consistent risk factors. However, the role of pregnancy and childbirth remains controversial, and the increasing prevalence of these risk factors suggests a rise in the number of women seeking care for SUI in the future.

Toggle SectionChinedum Eleazu, Kate Eleazu, Winner Kalu: 2017 study, Frontiers

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This study examines the potential of dietary polyphenols as an alternative treatment for benign prostatic hyperplasia (BPH) in light of the side effects of conventional therapies.

Method : The authors conducted a literature search across various databases, including PubMed and Google Scholar, from 1970 to 2017 to compile current knowledge on dietary polyphenols and their effects on BPH management.

Findings : The review suggests that although dietary polyphenols may not wholly replace existing therapies for BPH, they possess promising properties that warrant further exploration in clinical research.

Toggle SectionAlankar Shrivastava, Vipin B Gupta: The Role of Zinc in the Management of Prostatitis, Clinical Study, 2004

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The study focuses on the importance of zinc in managing prostatitis and the various treatment options available for benign prostatic hyperplasia (BPH).

Method : The authors conducted a review of the literature, analyzing different studies related to BPH, its treatment methods, phytotherapies, and the specific role of zinc in prostate health.

Findings : The review indicated that zinc plays a significant role in reducing the symptoms of prostatitis and improving overall prostate health. However, more research is needed to establish its effectiveness compared to other treatment options.

Toggle SectionNivea Adriano de Santana e Santos, Maria Vieira de Lima Saintrain, Rommel Prata Regadas, Romulo Augusto da Silveira, Francisco Julimar Correia de Menezes: Physical Activity and Prostate Cancer Risk, NIH

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The study analyzes the effectiveness of physical therapy techniques on recovery of urinary incontinence after prostatectomy, focusing on pelvic floor exercises with and without biofeedback.

Method : A randomized clinical trial was conducted on 13 patients post-radical prostatectomy. Participants were split into two groups: one received pelvic floor exercises plus biofeedback training, while the control group received only pelvic floor exercises. Outcomes were measured before, during, and after treatment using the 1-hour pad test to quantify urinary incontinence.

Findings : Both treatment approaches resulted in improvement in urinary continence and reduced urinary loss. However, there was no significant difference in the total recovery time or urinary loss between the groups.

Toggle SectionYuan-Hong Jiang, Jia-Fong Jhang, Hann-Chorng Kuo: Nutritional evaluation of bananas in the treatment of urinary tract infections, PubMed, 2016

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The study examines the diagnostic roles of potassium sensitivity testing and cystoscopic hydrodistention in diagnosing interstitial cystitis.

Method : The research involved 214 patients clinically diagnosed with interstitial cystitis (IC), along with two groups of non-IC patients. Sensitivity, specificity, and predictive values were calculated for potassium sensitivity tests and the appearance of glomerulations after cystoscopic hydrodistention.

Findings : After hydrodistention, nearly all IC patients (98.6%) showed glomerulations, while the potassium sensitivity test was positive for 85.5% of IC patients. The specificity of glomerulations was lower compared to PST.

Toggle SectionNicole J. De Nisco, Michael Neugent, Jason Mull, Luming Chen, Amy Kuprasertkul, Marcela de Souza Santos, Kelli L. Palmer, Philippe Zimmern, Kim Orth: UTI recurrence rates post-menopause, Science Daily

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The study explores the high recurrence rates of urinary tract infections (UTIs) in postmenopausal women and identifies how various bacterial species invade the bladder walls.

Method : The research involved examining bacteria in bladder biopsies from 14 patients with recurrent UTIs using targeted fluorescent markers to detect bacterial presence in human bladder tissue.

Findings : The results indicate that several species of bacteria can infiltrate deep into the bladder wall tissue, which contributes to the complexity of treating recurrent UTIs in this population, necessitating alternative methods beyond antibiotics.

Toggle SectionLevi A Deters, MD; Raymond A Costabile, MD; Raymond J Leveillee, MD; Charles R Moore, MD; Vipul R Patel, MD: How common is benign prostatic hyperplasia (BPH)?, Medscape

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The study reviews the prevalence and impacts of benign prostatic hyperplasia (BPH) in men, highlighting its commonality and clinical implications as men age.

Method : The study utilizes epidemiological data to analyze the incidence and symptomatic presence of BPH among different male populations, primarily focusing on those aged 50 and above.

Findings : Results indicate that BPH affects around 50% of men by age 60 and increases to 90% by age 85. It significantly impacts quality of life and is associated with lower urinary tract symptoms in a substantial percentage of those affected.

Toggle SectionShinje Moon, Hye Soo Chung, Jae Myung Yu, Kwang Jin Ko, Don Kyoung Choi, Ohseong Kwon, Young Goo Lee, Sung Tae Cho: Overweight and Obesity Increase Risk of Nocturia: A Systematic Review and Meta-Analysis, National Center for Biotechnology Information (NCBI)

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This study investigates the association between obesity and the prevalence of nocturia using data from a nationally representative sample of adults in the U.S., assessing how body mass index (BMI) impacts the occurrence of nocturia.

Method : A total of 14,135 participants from the National Health and Nutrition Examination Survey (NHANES) between 2005 and 2012 were included. The study employed multivariate logistic regression analysis to determine the odds ratio (OR) for nocturia associated with obesity and conducted subgroup analyses based on factors like age and sex.

Findings : The study found that a BMI above 30 kg/m2 was significantly associated with increased odds of nocturia (OR, 1.39). Furthermore, a dose-dependent relationship was established between BMI and nocturia, observed across various subgroups, indicating that higher BMI correlates with a higher prevalence of nocturia.

Toggle SectionCaroline Yao, Guy F Nash, Tamas Hickish: Diabetes and Colon Cancer Risk, NIH

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The relationship between diabetes mellitus and colorectal cancer, focusing on the challenges in diagnosis and management of patients with both conditions.

Method : A literature review was conducted using databases including PubMed, Embase, Ovid, and Google, selecting articles relevant to colorectal cancer and diabetes up to 2012, with manual cross-referencing to assess inclusion criteria.

Findings : Type II diabetes significantly increases the incidence and mortality of colorectal cancer. The review highlights the complexities in the management of patients with both diabetes and colorectal cancer, including implications for screening and treatment strategies.

Toggle SectionDagfinn Aune, Doris S M Chan, Rosa Lau, Rui Vieira, Darren C Greenwood, Ellen Kampman, Teresa Norat: Dietary Fiber and Colon Cancer Risk, PubMed

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This study investigates the relationship between dietary fiber, specifically from whole grains, and the risk of colorectal cancer.

Method : The research used a systematic review and dose-response meta-analysis of 25 prospective cohort and nested case-control studies that assessed dietary fiber or whole grain intake and the subsequent incidence of colorectal cancer.

Findings : The study found that higher intake of dietary fiber, particularly from cereals and whole grains, was associated with a reduced risk of colorectal cancer, with a summary relative risk of 0.90 for each additional 10 g of dietary fiber daily.

Toggle SectionGiorgio Ivan Russo, Giuseppe Broggi, Andrea Cocci, Paolo Capogrosso, Marco Falcone, Ioannis Sokolakis, Murat Gül, Rosario Caltabiano, Marina Di Mauro: Evidence, National Center for Biotechnology Information

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The study investigates the relationship between dietary patterns, benign prostatic hyperplasia (BPH), and erectile dysfunction (ED), highlighting how diets resembling the Mediterranean diet may influence these conditions positively.

Method : This research utilized a non-systematic review methodology of English articles published between 1964 and September 2021, focusing on the terms related to dietary patterns, erectile dysfunction, and benign prostatic hyperplasia.

Findings : The findings suggest that adherence to the Mediterranean diet, which emphasizes vegetables, fruits, nuts, legumes, and fish while reducing red meat intake, is associated with improved erectile function and symptoms related to benign prostatic hyperplasia. However, the study calls for further in-depth studies and translational medical research to confirm these findings.

Toggle SectionRachel Hurst, Lee Hooper, Teresa Norat, Rosa Lau, Dagfinn Aune, Darren C Greenwood, Rui Vieira, Rachel Collings, Linda J Harvey, Jonathan A C Sterne, Rebecca Beynon, Jelena Savović, Susan J Fairweather-Tait: Selenium and prostate cancer: A systematic review, PubMed

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The study investigates the relationship between selenium intake/status and the risk of prostate cancer.

Method : This analysis is a systematic review and meta-analysis involving randomized controlled trials, case-control studies, and prospective cohort studies. The researchers evaluated data from various studies, measuring selenium intake and its association with prostate cancer risk, using dose-response meta-analyses and assessing study quality and heterogeneity.

Findings : The results indicated a nonlinear relationship where increased plasma/serum selenium levels correlated with decreased prostate cancer risk, with notable reduction found in participants with specific toenail selenium concentrations. Further research is suggested in low-selenium populations to validate these findings.

Toggle SectionShiu-Dong Chung, Herng-Ching Lin: Effectiveness of Emotional Therapy, PLOS ONE

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This study examines the association between Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS) and prior anxiety disorder in a population-based sample.

Method : The study utilized data from the Taiwan Longitudinal Health Insurance Database, comparing 8,088 subjects with CP/CPPS to 24,264 matched controls using conditional logistic regression to assess the odds of prior anxiety disorder.

Findings : The study found a significantly higher prevalence of prior anxiety disorder among subjects with CP/CPPS (11.5%) compared to controls (5.7%), and an odds ratio for prior anxiety disorder of 2.10, indicating a strong association across different age groups.

Toggle SectionAlejandro Gonzalez, Ulrike Peters, Johanna W Lampe, Emily White: Boron Supplements Study, NCBI

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The study investigates the association between boron intake and the risk of prostate cancer.

Method : The researchers analyzed data from the VITamins And Lifestyle (VITAL) cohort, with 35,244 men completing food frequency questionnaires that included boron intake. They constructed a boron database and tracked prostate cancer development among participants until the end of 2004.

Findings : The study found no significant association between boron intake (dietary or from supplements) and prostate cancer risk, with a hazard ratio for the highest versus lowest quartile at 1.17, indicating a lack of preventive effect. Further, specific foods high in boron were not linked to reduced prostate cancer risk.

Toggle SectionNishi Karunasinghe: Zinc Study, NCBI

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This study explores the role of zinc (Zn) in prostate health and its implications for prostate cancer management.

Method : The review analyzes various studies available in PubMed regarding zinc’s biological role and its influence on prostate health and disease.

Findings : The study found that zinc is critical for maintaining citrate levels in the prostate, and deficiencies in zinc were observed in men with prostate cancer compared to those without. It suggests that understanding zinc transport and its biological markers may enhance prostate cancer screening and management.

Toggle SectionQuality of Life, Prostate Cancer UK

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This study examines the impact of prostate cancer and its treatments on the quality of life, specifically focusing on sexual wellbeing and related issues.

Method : The study uses a qualitative approach, engaging with prostate cancer patients through interviews and surveys to gather insights about their experiences and challenges regarding sexuality and treatments.

Findings : The findings indicate that prostate cancer treatments often lead to significant changes in sexual function, desire, and overall relationship dynamics, which can affect mental health and quality of life.

Toggle SectionLuis Collado Yurrita, Ismael San Mauro Martín, María José Ciudad-Cabañas, María Elisa Calle-Purón, Marta Hernández Cabria: Constipation, PubMed

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This study investigates the effectiveness of inulin, a prebiotic, on improving bowel function in patients suffering from chronic constipation.

Method : The researchers conducted a meta-analysis of randomized controlled clinical trials, reviewing literature from 1995 to 2013. They found 24 articles, of which 5 met the inclusion criteria, involving a total of 252 participants—144 in the experimental group receiving inulin and 108 in the control group.

Findings : Inulin intake significantly improved stool frequency, consistency (measured on the Bristol scale), and transit time. However, it did not show any significant effect on pain and bloating associated with constipation.

Toggle SectionRebecca Jeanmonod, Venu Chippa, Donald Jeanmonod: Preeclampsia: An Overview, National Center for Biotechnology Information

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This study provides an overview of vaginal candidiasis, its clinical features, diagnosis, and treatment options.

Method : The study uses a review of clinical features, diagnostic studies, and treatment strategies to enhance understanding and management of vaginal candidiasis.

Findings : Candidal vulvovaginitis is a common condition, characterized by typical clinical features and effectively treated using antifungal agents, though recurrent cases may require extended treatment.

Toggle SectionDenise Heady, MA, Isla Garraway, MD, PhD: Prostate Cancer Screenings Encouraged for Black Men, UCLA Health

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The study discusses new prostate cancer screening guidelines for Black men, recommending PSA tests starting at ages 40-45 due to higher risks of prostate cancer in this demographic.

Method : The guidelines were developed by a panel through a comprehensive literature search and review of 287 studies regarding prostate cancer screening for Black men.

Findings : The study emphasizes that early detection through PSA testing can significantly reduce prostate cancer morbidity and mortality in Black men, advocating for tailored screening protocols.

Toggle SectionDavid R P Guay: Cranberry for preventing urinary tract infections, PubMed

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This study examines the efficacy of cranberry products in preventing urinary tract infections (UTIs), particularly among women. It emphasizes the mechanism by which cranberry may function and reviews existing clinical evidence regarding its use as a preventative measure.

Method : The study is a review of existing literature on the use of cranberry for UTIs, discussing various clinical trials and the biochemical properties of cranberry that may contribute to its effects.

Findings : The study concludes that while cranberry products may reduce the recurrence of UTIs in young to middle-aged women by about 35%, the current evidence is inconsistent and lacks sufficient standardization across clinical trials. Overall, it cannot definitively recommend cranberry for UTI prevention due to variability in efficacy, high withdrawal rates from use, and potential adverse effects.

Toggle SectionYaser Ali Badran, Tarek Ahmed El-Kashef, Alsayed Saad Abdelaziz, Mahmoud Mohamad Ali: Probiotics for urinary tract infection prophylaxis, PubMed Central

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This study investigates the relationship between genital hygiene practices, sexual habits, and the incidence of urinary tract infections (UTIs) among pregnant women.

Method : The study involved a case-control design comparing 80 pregnant women with positive urine cultures to 120 healthy controls, matched for various demographic and health factors. Data were collected through questionnaires and urine cultures were performed to diagnose UTIs, with statistical analysis including Chi-square tests and odds ratios.

Findings : The study found that poor genital hygiene and certain sexual practices significantly increase the risk of UTIs in pregnant women. Factors such as infrequent washing of genitals and not urinating after intercourse were strongly associated with higher UTI rates.

Toggle SectionBeomseok Suh, Dong Wook Shin, Seung-sik Hwang, Ho-Chun Choi, Hyuktae Kwon, BeLong Cho, Jin Ho Park: Alcohol Consumption and Lower Urinary Tract Symptoms, PubMed

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This study investigates the longitudinal relationship between alcohol consumption and lower urinary tract symptoms (LUTS) in men, specifically looking at how alcohol intake influences the development of these symptoms over time.

Method : A longitudinal study was conducted using generalized estimating equations to analyze data from 9,712 healthy men aged 30 years or older, who visited for routine health evaluations over an average follow-up period of 27.9 months.

Findings : Light to moderate alcohol consumption (0.1 to 29 g/d) was linked to a decreased probability of moderate to severe LUTS, while heavy alcohol consumption (≥30 g/d) was associated with an increased risk. The beneficial effect of light-moderate alcohol was largely negated when considering levels of high-density lipoprotein (HDL) cholesterol, particularly regarding voiding symptoms.

Toggle SectionUniversity of Iowa Health Care: Overactive Bladder (OAB), University of Iowa Health Care

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This study discusses overactive bladder (OAB), its symptoms, contributing factors, and treatment options.

Method : The study used a descriptive approach, outlining common symptoms and treatment strategies, including lifestyle changes and medical interventions.

Findings : The findings indicate that OAB is not just a condition related to aging and can affect individuals of all ages. Various treatment options include lifestyle modifications, medications, and a minimally invasive therapy called sacral neuromodulation.

Toggle SectionTia Guster, M.D.: Is Cranberry Juice Effective at Treating Urinary Tract Infections?, Piedmont Healthcare

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The effectiveness of cranberry juice in treating and preventing urinary tract infections (UTIs).

Method : The study involves expert opinions highlighting the impact of cranberry juice and its components on UTI prevention, particularly for women with recurrent infections. However, it also notes the absence of clinical studies for those without recurrent UTIs.

Findings : Cranberry juice may inhibit bacterial functions related to UTIs and can be beneficial for women with recurrent infections, but its efficacy is not established for those without such history.

Toggle SectionHarvard Health Publishing: Can Bladder Training Help With Incontinence?, Harvard Health Publishing

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The study discusses the effectiveness of bladder training as a non-surgical treatment for urinary incontinence.

Method : Bladder control training includes timed voiding and pelvic muscle exercises (Kegels). This involves keeping a diary of urination patterns, setting a schedule to urinate at intervals slightly longer than usual, and holding off when feeling the urge.

Findings : The findings suggest that bladder training can help improve bladder control and may reduce the need for surgical interventions for incontinence.

Health Benefits

Toggle SectionChanning J Paller, Allan Pantuck, Michael A Carducci: Health Benefits of Pomegranate Juice: A Review, NCBI

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The study reviews the health benefits of pomegranate juice in relation to prostate cancer, summarizing preclinical and clinical trial data that assess the effects of pomegranate on prostate cancer growth.

Method : The review analyzes various clinical trials focusing on different patient populations, including those with biochemical recurrence after local therapy, neoadjuvant patients, and patients with metastatic castration-resistant prostate cancer, comparing outcomes like prostate-specific antigen doubling time (PSADT).

Findings : The review indicates that while pomegranate products are generally safe, the efficacy in improving outcomes for biochemically recurrent prostate cancer patients in controlled trials is limited, except for a subset of patients with the MnSOD AA genotype who might benefit from antioxidant effects.

Toggle SectionDarshna Yagnik, Vlad Serafin, Ajit J Shah: Apple Cider Vinegar: A Review on Its Health Benefits, NCBI, 2018

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This study investigates the antimicrobial effects of apple cider vinegar (ACV) against various pathogens, including E. coli, S. aureus, and C. albicans, while also examining its effects on inflammatory responses in monocytes.

Method : The study involved culturing different strains of microbes with varying concentrations of ACV to determine the minimum inhibitory concentrations and assessing cellular responses via ELISA for cytokine release and mass spectrometry for protein expression analysis.

Findings : The study found that ACV exhibits notable antimicrobial properties, with varying effectiveness against the tested pathogens, and it significantly downregulates pro-inflammatory cytokines in monocytes while also affecting microbial protein expression.

Health Care

Toggle SectionDouglas M Puricelli Perin, Tess Christensen, Andrea Burón, Jennifer S Haas, Aruna Kamineni, Nora Pashayan, Linda Rabeneck, Robert Smith, Miriam Elfström, Mireille JM Broeders: Impact of COVID-19 on health care systems, NCBI

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The study reviews interruptions in cancer screening services caused by the COVID-19 pandemic and draws lessons from past health service interruptions due to disasters.

Method : A systematic review was conducted, selecting 11 relevant studies based on predefined criteria regarding health service interruptions. Two researchers evaluated articles independently and reached consensus on their inclusion.

Findings : The study identified key themes that are crucial for resuming cancer screening services, including coordination, communication, resource availability, and patient follow-up, particularly highlighting the need for comprehensive strategies in the context of COVID-19.

Health Research

Toggle SectionWolfgang Kopp: Adrenergic Receptors, NCBI

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The study investigates the relationship between diet-induced hyperinsulinemia, benign prostatic hyperplasia (BPH), and essential hypertension, suggesting a common pathophysiological mechanism linking these conditions.

Method : The study reviews scientific evidence and epidemiological data to argue that hyperinsulinemia is a key factor in the development of both BPH and hypertension, alongside dietary influences and changes in metabolic pathways.

Findings : The findings suggest that high-insulinemic diets contribute to hyperinsulinemia and insulin resistance, which may lead to the activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system, both of which play a role in the development of BPH and hypertension.

Health Study

Toggle SectionAndrzej Pomian, Wojciech Lisik, Maciej Kosieradzki, Ewa Barcz: Study on pelvic floor dysfunction and obesity, PubMed, 2016

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The study reviews the relationship between obesity and pelvic floor disorders, evaluating their associations and the impact of obesity on treatment efficacy.

Method : This study is a literature review based on a selection of reports and guidelines from PubMed, including Cochrane reviews, assessing the prevalence and effects of obesity on various pelvic floor disorders.

Findings : Obesity is a significant risk factor for lower urinary tract symptoms and is often associated with stress urinary incontinence. Weight loss improves urinary incontinence symptoms and the quality of life related to pelvic organ prolapse, although the exact role of obesity in symptomatic prolapse remains unclear. Surgical outcomes are similar among obese and non-obese women, but postoperative complications may vary.

Health Supplement

Toggle SectionSebu ., Susanta Nath Sarma, Deepanshu Siwach, Adil Hasan, Piyush Mittal, Prolay Paul: N/A, CMRO

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The study investigates the safety and efficacy of Saw Palmetto as a health supplement, particularly for prostate health in adult males.

Method : A systematic review was conducted, which involves selecting, evaluating, and combining relevant evidence from different studies. This method allows for statistical inference from the pooled data without necessarily incorporating meta-analysis.

Findings : The review indicates that Saw Palmetto is beneficial for treating benign prostatic hyperplasia and has potential advantages such as preventing hair loss, treating urinary infections, and reducing inflammation.

Health Supplements

Toggle Sectionnot available: Health supplements and prostate cancer, NCBI

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This study investigates the relationship between health supplements and their impact on prostate cancer.

Method : not available

Findings : not available

Toggle SectionA R Kristal, J L Stanford, J H Cohen, K Wicklund, R E Patterson: Study on Prostate Health Supplements, PubMed

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The study investigates the relationship between vitamin and mineral supplement use and the risk of developing prostate cancer.

Method : A population-based case-control study was conducted with 697 prostate cancer cases and 666 controls, utilizing logistic regression analyses to assess the association between supplement use and prostate cancer risk while controlling for various demographic and health factors.

Findings : The results indicated that multivitamin use was not associated with prostate cancer risk, but individual supplements of zinc, vitamin C, and vitamin E showed potential protective effects, warranting further investigation into their roles.

Healthcare

Toggle SectionBirgitta I Rice: Peripheral blood flow improvement through biofeedback therapy, PubMed

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This study introduces a biofeedback-assisted relaxation training program aimed at improving peripheral blood flow in patients, particularly those with diabetes. The program serves as a complementary intervention to standard medical treatment, focusing on enhancing blood circulation through voluntary relaxation techniques.

Method : The method involved training patients to use biofeedback-assisted relaxation techniques that enable them to engage in voluntary processes to increase peripheral blood flow. This training was delivered in a single session and monitored by measuring changes in skin temperature with an alcohol thermometer, indicating improved circulation.

Findings : The study found that consistent use of biofeedback-assisted relaxation training leads to significant improvements in peripheral blood flow, a reduction in pain associated with peripheral vascular conditions, enhanced healing, improved mobility, and better coping skills among patients.

Toggle SectionBeverley Cutts: Developing and implementing a new bladder irrigation chart, Nursing Standard

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This study focuses on the development and implementation of a new bladder irrigation chart aimed at improving documentation and accuracy in fluid balance following urological surgery.

Method : The study involved observing current practices and discussing with ward teams to identify inadequacies in existing documentation, which led to the design of a better chart tailored to the specific clinical needs.

Findings : The new chart was developed to address issues of inconsistencies and omissions in fluid balance documentation, although specific findings were not detailed in the provided excerpt.

Heart Disease

Toggle SectionRichard Lee Pollock: Heart Disease, NCBI

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The study investigates the relationship between the consumption of green leafy and cruciferous vegetables and the incidence of cardiovascular disease.

Method : This meta-analysis synthesizes data from eight relevant studies conducted worldwide, evaluating the association of vegetable intake with cardiovascular risks, calculating effect sizes of relative risk (RR) and confidence intervals.

Findings : The meta-analysis found a significant 15.8% reduction in the incidence of cardiovascular disease among individuals consuming green leafy vegetables, reflected in an overall RR of 0.842 (95% CI: 0.753 to 0.941), with a p-value of 0.002.

Heart Failure

Toggle SectionXiang-Hong Zeng, Xiang-Ji Zeng, Yun-Yun Li: Berberine in the Treatment Of Heart Failure: A Meta-Analysis of Randomized Controlled Trials, PubMed

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This study aimed to evaluate the efficacy and safety of berberine in patients with chronic congestive heart failure (CHF) secondary to ischemic or idiopathic dilated cardiomyopathy.

Method : A total of 156 patients with CHF were randomly assigned to receive either conventional therapy plus berberine (1.2 to 2.0 g/day) or a placebo for eight weeks, with follow-up assessments of symptoms, exercise capacity, left ventricular ejection fraction (LVEF), and quality of life.

Findings : The results indicated a significant improvement in LVEF, exercise capacity, quality of life, and reduced mortality in the berberine-treated group compared to the placebo group, with no observed adverse effects.

Heart Function

Toggle SectionQing-you Yang, Shu Lu, Hui-ru Sun: Clinical Study on Astragalus and Heart Function, NCBI

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This study investigates the effects of Astragalus on cardiac function and serum tumor necrosis factor-alpha levels in patients with chronic heart failure (CHF).

Method : The study involved 45 patients diagnosed with Xin-qi or Xin-yang deficiency types of CHF, assigned randomly to either a Chinese medicine group receiving Astragalus granule or a Western medicine group. Both groups received standard treatments for heart failure, and the effects were measured after two weeks using various functional assessments and laboratory tests.

Findings : Results showed that both treatment groups experienced a decrease in TNF-alpha levels and an increase in left ventricular ejection fraction (LVEF) and walking distance, with the Chinese medicine group showing significantly greater improvements in these areas, suggesting Astragalus enhances cardiac function in CHF patients.

Hepatitis C

Toggle SectionDepartment of Health, Health Protection Agency: Hepatitis C Infection, HSE

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This study provides a comprehensive overview of hepatitis C virus (HCV) infection, focusing on its transmission, pathogenesis, prevalence, and the potential long-term consequences of chronic infection.

Method : The study incorporated a review of existing literature, statistical analysis of seroprevalence data, and discussions of risk factors associated with HCV transmission.

Findings : HCV is prevalent in high-risk populations, particularly injecting drug users, with significant proportions of infections progressing to chronic states. Screening measures have decreased transmission through blood transfusions, but awareness and testing remain crucial for at-risk individuals.

Herbal Medicine

Toggle SectionYoungjoo Kwon: Therapeutic Potential of Saw Palmetto, Food Science and Technology

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The study explores the therapeutic potential of saw palmetto (Serenoa repens) extract for the treatment of benign prostatic hyperplasia (BPH) and its associated lower urinary tract symptoms (LUTS).

Method : The study reviews previous clinical trials and mechanisms of action associated with saw palmetto extract, focusing on its anti-androgenic, pro-apoptotic, and anti-inflammatory effects. It analyzes variations in efficacy based on product preparation and composition, particularly the impact of hexane extracts containing high free fatty acids.

Findings : The efficacy of saw palmetto extract is inconsistent, primarily due to a lack of standardization in extraction methods and product composition. However, the hexane extract (Permixon) with high content of free fatty acids shows more reliable results in improving LUTS in BPH patients. It suggests that standardization of saw palmetto extract formulations is critical for achieving consistent therapeutic outcomes.

Toggle SectionShizuo Yamada, Michiyo Shirai, Ken Ono, Shinji Kageyama: Effect of Saw Palmetto on Women with Urinary Symptoms, NCBI

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This study investigates the efficacy and safety of Saw Palmetto Extract (SPE) on urinary symptoms in women, particularly focusing on lower urinary tract symptoms (LUTS) such as daytime frequency and nocturia.

Method : The study was a multicenter, randomized, double-blind, placebo-controlled trial involving 76 women aged over 50 years who experienced urinary symptoms for at least 2 months. Participants were divided into an SPE treatment group and a placebo group for 12 weeks, during which their symptoms were assessed using the Core Lower Urinary Tract Symptom Score (CLSS) and other questionnaires.

Findings : The results indicated a significant reduction in the daytime frequency of urination in the SPE group compared to placebo, as well as improvements in nocturia symptoms. No adverse effects related to SPE were reported, suggesting its safety in treating urinary symptoms in women.

Toggle SectionAhmad-Reza Gohari, Soodabeh Saeidnia: Effects of herbal extracts on chronic kidney disease: A systematic review., PMC

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The study investigates the effects of herbal extracts on chronic kidney disease and their role in treating urinary tract diseases.

Method : The study is a systematic review of existing literature on the use of herbal medicines in chronic kidney disease, assessing various herbal remedies and their nephroprotective properties.

Findings : Many herbal medicines have been found useful in treating renal disorders, although concerns regarding their safety and potential adverse effects exist alongside their perceived benefits compared to synthetic drugs.

Toggle SectionSowmiya Kalaiselvan, Mahaboob Khan Rasool: Emblica officinalis (Amla): A review of its therapeutic effects, NCBI, 2014

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The study investigates the anti-inflammatory effect of triphala, an Ayurvedic herbal formulation, on arthritis-induced rats.

Method : Arthritis was induced in Wistar albino rats using complete Freund’s adjuvant. Triphala was administered intraperitoneally for a week, after which various biochemical parameters related to inflammation and oxidative stress were measured in serum and paw tissues.

Findings : Triphala was found to significantly decrease levels of lipid peroxidation and inflammatory mediators, while increasing antioxidant status in the paw tissues of arthritic rats, suggesting a promising anti-inflammatory effect.

Toggle SectionYogeswaran Lokanathan, Norazzila Omar, Nur Nabilah Ahmad Puzi, Aminuddin Saim, Ruszymah Hj Idrus: Gotu Kola and its Effects on Anxiety, NCBI

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The study investigates the effects of Gotu Kola (Centella asiatica) on anxiety and cognitive functions, exploring its potential as an adaptogen and its neuroprotective properties against various mental illnesses.

Method : The study involves a review of recent findings and clinical trials on the effects of Centella asiatica, specifically focusing on its role in reducing anxiety through various animal models and human studies.

Findings : Evidence suggests that Centella asiatica may significantly improve symptoms of anxiety, with clinical studies showing positive effects on anxiety and cognitive functions without major side effects, suggesting its potential as a natural treatment for anxiety disorders.

Toggle SectionSemih Otles, Buket Yalcin: Nettle extract inhibits the development of bone cancer by modulating the inflammatory response., NCBI

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The study investigates the phenolic compounds in different parts of nettle (Urtica dioica) and their potential antioxidant properties.

Method : Nettle samples were collected from various coastal regions of Turkey, and their phenolic compounds were analyzed using High-Performance Liquid Chromatography with Diode-Array Detection (HPLC-DAD). The total phenolic content was measured using the Folin-Ciocalteu method, and the antioxidant activity was evaluated through DPPH assay.

Findings : The research finds that different parts of the nettle plant contain varying levels of phenolic compounds and exhibit significant antioxidant activity, which can contribute to their therapeutic potential.

Toggle SectionAndrea E Gordon, Allen F Shaughnessy: Saw Palmetto: A Systematic Review, PubMed

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This study reviews the use of saw palmetto for treating symptoms associated with benign prostatic hyperplasia (BPH). It discusses the herbal product’s effectiveness in reducing symptoms and compares it to conventional medications.

Method : The systematic review assessed various studies and clinical trials that investigated the efficacy of saw palmetto in men suffering from BPH. It gathered data on its tolerance, effectiveness against standard therapies, and reported side effects.

Findings : The study found that saw palmetto showed efficacy similar to finasteride in reducing symptoms of BPH and was generally better tolerated with fewer side effects. However, the review noted a lack of data on the long-term use of saw palmetto and found no evidence supporting its use for chronic prostatitis.

Toggle SectionAndrea E. Gordon, M.D., Allen F. Shaughnessy, Pharm.D: Research on Saw Palmetto and PSA Levels, American Family Physician

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This study investigates the effects of saw palmetto, an herbal remedy, on symptoms related to benign prostatic hyperplasia (BPH) and its influence on prostate-specific antigen (PSA) levels.

Method : The researchers conducted a meta-analysis of randomized controlled trials comparing saw palmetto to placebo and other treatments, focusing on symptom relief, urinary flow measures, and side effects among a cohort that included 3,139 participants.

Findings : The study found that saw palmetto significantly improved symptoms of BPH compared to placebo, with effects comparable to the medication finasteride, and noted that saw palmetto does not significantly lower PSA levels.

Toggle SectionElliot Fagelman, Franklin C Lowe: Saw Palmetto, NCBI

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This study investigates the efficacy of Saw Palmetto berry as a treatment for benign prostatic hyperplasia (BPH) and its associated lower urinary tract symptoms.

Method : The study reviews various clinical trials, meta-analyses, and in vitro studies regarding the effects of Saw Palmetto, particularly focusing on its action as a 5α-reductase inhibitor and its clinical efficacy compared to finasteride.

Findings : The evidence for Saw Palmetto’s effectiveness in treating BPH symptoms is inconclusive; while some studies suggest mild benefits, many lack rigorous controls, and no significant hormonal changes have been consistently demonstrated.

Toggle SectionANDREA E. GORDON, M.D., ALLEN F. SHAUGHNESSY, PHARM.D: Saw Palmetto for Benign Prostatic Hyperplasia, American Academy of Family Physicians, 2003-03-15

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This study investigates the effectiveness of saw palmetto, an herbal treatment, for symptoms related to benign prostatic hyperplasia (BPH). It compares its efficacy to that of traditional medications like finasteride.

Method : The study involved a meta-analysis of 21 randomized controlled trials, including tests of saw palmetto against placebo and other treatment options, involving 3,139 men with moderate BPH symptoms over durations of four to 48 weeks.

Findings : Results indicated that saw palmetto effectively reduced BPH symptoms, with similar efficacy to finasteride but better tolerance and less expense. Side effects were mild and comparable to those of a placebo, while saw palmetto did not significantly affect prostate-specific antigen (PSA) levels.

Toggle SectionBarbara Szyszkowska, Celina Łepecka-Klusek, Katarzyna Kozłowicz, Iwona Jazienicka, Dorota Krasowska: The Effect of Herbal Medicine on the Prevention and Treatment of Diabetes: A Review, NCBI

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The study reviews the impact of various herbal ingredients in dietary supplements on skin health, particularly in improving its appearance and quality.

Method :

Findings :

Toggle SectionVikrant Mehta, Harish Chander, Anjana Munshi: Studies on Ashwagandha in prostate cancer models, PubMed

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The study explores the anti-tumor activity of Withania somnifera (Ashwagandha) and its potential use in cancer treatment.

Method : This review analyses various compounds isolated from Ashwagandha and their effects on oncogenic signaling pathways across multiple cancer types.

Findings : The active constituents of Ashwagandha exhibit significant anti-cancerous and immunomodulating properties, suggesting their use as effective adjuvants in cancer therapy.

Herbal Remedies

Toggle SectionGerald L Andriole, Christie McCullum-Hill, Gurdarshan S Sandhu, E David Crawford, Michael J Barry, Alan Cantor, for the Complementary and Alternative Medicine for Urological Symptoms (CAMUS) Study Group: Meta-analysis on Saw Palmetto and PSA Levels, PubMed

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This study investigated the impact of saw palmetto fruit extract on serum prostate-specific antigen (PSA) levels among men with lower urinary tract symptoms (LUTS) over a 72-week period with escalating doses of the extract.

Method : The CAMUS trial was a randomized, placebo-controlled double-blind study involving 369 men aged 45 or older with moderate LUTS. Subjects were assigned to receive either escalating doses of saw palmetto (320mg to 960mg) or a matching placebo, with serum PSA levels measured at baseline and after 24, 48, and 72 weeks.

Findings : The study concluded that saw palmetto did not significantly affect serum PSA levels compared to placebo, even at higher doses, indicating that it lacks a meaningful therapeutic effect on PSA changes in the studied population.

Herbal Supplement

Toggle Sectionside effects, U of M Health

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This study evaluates the effectiveness and safety of saw palmetto in treating symptoms related to benign prostatic hyperplasia (BPH) and other conditions.

Method :

Findings : The research indicates that while saw palmetto has been widely used for prostate-related issues, evidence for its effectiveness is inconclusive, and it may pose risks of side effects such as gastrointestinal disturbances, sexual dysfunction, and liver complications.

Herbal supplements

Toggle SectionRaven M Bonnar-Pizzorno, Alyson J Littman, Mark Kestin, Emily White: Cohort Study on Saw Palmetto and Prostate Cancer Risk, PubMed

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The study evaluates the association between saw palmetto supplement use and the risk of prostate cancer.

Method : This is a prospective cohort study involving 35,171 men aged 50-76 in western Washington, who reported their saw palmetto supplement use over the previous 10 years through questionnaires, followed by cancer incidence monitoring via a cancer registry.

Findings : The study found no significant association between saw palmetto use and the risk of developing prostate cancer, with a hazard ratio of 0.95 indicating no increased risk among users.

Herbology

Toggle SectionMemorial Sloan Kettering Cancer Center: Saw Palmetto Overview, Memorial Sloan Kettering Cancer Center

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The study provides an overview of saw palmetto, focusing on its uses, effects, and potential side effects, particularly in relation to benign prostatic hyperplasia (BPH) and its interactions with prostate health.

Method : The findings are based on a review of clinical trials, laboratory studies, and existing medical literature regarding saw palmetto and its applications in treating BPH and other prostate-related conditions.

Findings : Saw palmetto may help relieve symptoms of BPH and has shown anti-inflammatory properties; however, it is not effective for treating prostate cancer. Some patients may experience mild side effects, and there is a risk of severe reactions in certain cases.

Hereditary Cancer

Toggle SectionACOG Committee on Genetics, Lee-may Chen, MD, Susan Modesitt, MD: Hereditary Cancer Syndromes and Risk Assessment, ACOG

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The study focuses on hereditary cancer syndromes related to gynecologic cancers and emphasizes the importance of risk assessment in identifying individuals and families at elevated risk for these conditions.

Method : The study outlines methods for hereditary cancer risk assessment, which involves comprehensive evaluations of personal and family medical history, referrals for genetic counseling, and potential genetic testing to inform screening and risk management strategies.

Findings : The findings highlight that effective hereditary cancer risk assessments and referrals to genetics specialists can lead to early identification and management of hereditary cancer syndromes, potentially reducing morbidity and mortality from associated cancers.

Hormone Therapy

Toggle SectionDe-Ying Kang, Hong-Jun Li: Safety and efficacy of testosterone replacement therapy, PubMed

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The study investigates the effect of testosterone replacement therapy on prostate-specific antigen (PSA) levels in men with hypogonadism.

Method : A systematic review and meta-analysis of 15 studies involving 739 patients receiving testosterone therapy and 385 controls. The primary outcome measured was the change in PSA levels before and after treatment, along with secondary outcomes related to elevated PSA levels post-treatment and incidence of prostate cancer.

Findings : Testosterone replacement therapy tends to increase PSA levels, especially with intramuscular administration, but the increase is minimal and does not significantly elevate the risk of prostate cancer.

Hormones

Toggle SectionLuteinising hormone-releasing hormone, Cancer.gov

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Toggle SectionMolly M Shores, Mary L Biggs, Alice M Arnold, Nicholas L Smith, W T Longstreth Jr, Jorge R Kizer, Calvin H Hirsch, Anne R Cappola, Alvin M Matsumoto: DHT Levels, NCBI

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The study investigates the relationship between testosterone (T), dihydrotestosterone (DHT), and the incidence of cardiovascular disease (CVD) and mortality in elderly men who were free of cardiovascular disease at baseline.

Method : The study utilized a longitudinal cohort design, analyzing data from the Cardiovascular Health Study. Testing involved measuring serum levels of total T, calculated free T, DHT, and calculated free DHT in men aged 66-97 years, with outcomes including incident CVD and all-cause mortality tracked over nine years.

Findings : DHT and calculated free DHT showed curvilinear associations with incident CVD and all-cause mortality, suggesting lower risk at moderate levels (50-74 ng/dL), while total T and calculated free T were not significantly associated with these outcomes.

Hygiene

Toggle SectionHarvard Health Publishing: Wash your hands, Harvard Medical School

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Hypersensitivity

Toggle SectionMatthieu Picard: Hypersensitivity Reactions to Chemotherapeutic Agents, PubMed

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This study focuses on hypersensitivity reactions that occur in patients receiving taxanes, a class of antineoplastic agents, detailing their clinical presentation, diagnosis, and management.

Method : The study includes a review of existing literature on hypersensitivity reactions to taxanes, discussing methods for safe re-exposure through desensitization or challenge protocols.

Findings : The article concludes that between 5% to 10% of patients experience hypersensitivity reactions to taxanes, but nearly all can be safely re-exposed with appropriate management strategies.

Toggle SectionJ Wesley Sublett, Jonathan A Bernstein: seminal plasma, NCBI

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This study reviews seminal plasma hypersensitivity reactions, which manifest as various clinical symptoms after exposure to proteins in seminal fluid.

Method : The authors conducted a review of existing literature on seminal plasma hypersensitivity, addressing topics such as diagnosis, treatment, and the underlying allergens.

Findings : The findings indicate that seminal plasma hypersensitivity can significantly affect women, with symptoms often triggered after first-time intercourse. Treatment approaches such as the use of condoms, graded challenges, or desensitization have shown success, while infertility is not directly linked to this condition.

Immunotherapy

Toggle SectionPedro Barata, Neeraj Agarwal, Roberto Nussenzveig, Benjamin Gerendash, Ellen Jaeger, Whitley Hatton, Elisa Ledet, Brian Lewis, Jodi Layton, Hani Babiker, Alan Bryce, Rohan Garje, Cy Stein, Lesli Kiedrowski, Philip Saylor, Oliver Sartor: Long-term analysis of Ipilimumab for prostate cancer, Journal for ImmunoTherapy of Cancer (JITC)

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This study investigates the effectiveness of pembrolizumab in treating metastatic prostate cancer with microsatellite instability high (MSI-H) detected through circulating tumor DNA (cfDNA).

Method : The study is a retrospective analysis of advanced prostate cancer patients whose MSI-H status was identified via a next-generation sequencing assay. A total of 14 patients at multiple institutions were treated with pembrolizumab after prior therapies and followed for clinical outcomes.

Findings : Among the patients treated with pembrolizumab, 44% achieved a significant reduction in prostate-specific antigen (PSA) levels, and 60% of those evaluated for radiographic response showed either a complete or partial response. The use of cfDNA NGS testing to identify MSI-H status was demonstrated to be clinically feasible and may enhance treatment decision-making in metastatic prostate cancer.

Incontinence

Toggle SectionPhil Vu Bach, Carolyn A Salter, Darren Katz, Elizabeth Schofield, Christian J Nelson, John P Mulhall: Long-term outcomes of orgasm incontinence in men undergoing radical prostatectomy, PubMed

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The study investigates the prevalence and characteristics of arousal incontinence in men who have undergone radical prostatectomy, along with its predictors and impact.

Method : A survey including questions about arousal incontinence, stress urinary incontinence, and other validated instruments was distributed to men who had undergone radical prostatectomy within the last 24 months. Data were analyzed using descriptive statistics, t-tests, χ2 tests, and logistic regression.

Findings : The study found that 49% of respondents experienced arousal incontinence post-surgery, with 62% reporting improvement over time, and a significant association between arousal incontinence and the degree of stress urinary incontinence.

Infection Control

Toggle SectionFabio Arena, Anna Rita Daniela Coda, Valentina Meschini, Roberto Verzicco, Arcangelo Liso: Droplet Transmission and Infection Control, PubMed

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The study investigates the potential of droplets generated from toilets during urination as a vehicle for the transmission of carbapenem-resistant Klebsiella pneumoniae (CR-KP). It emphasizes the significance of addressing this transmission risk in healthcare settings where toilets are shared among patients.

Method : An experimental setup was created to simulate different toilet geometries and assess droplet formation during urination. A toilet was contaminated with a KPC-producing Klebsiella pneumoniae isolate, followed by urinating simulations to observe the mobilization of bacteria using culture dishes placed at the toilet lid.

Findings : The study found that urination consistently produces rebound droplets capable of mobilizing bacteria from the toilet. The introduction of a specific foam layer effectively suppressed the mobilization of droplets, indicating its potential use in infection control.

Infection Research

Toggle SectionJose Tarun, Jose Susan, Jacob Suria, Veronica John Susan, Sebastian Criton: Urinary Tract Infections and Soap: A Review, PubMed

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This study evaluates the pH levels of various bathing soaps and shampoos to assess their suitability for skin and hair care.

Method : The study involved collecting samples of bathing soaps and shampoos from local shops, coding them, and measuring their pH using a pH meter.

Findings : The majority of soaps exhibited pH levels between 9 and 10, while most shampoos had a pH range of 6 to 7, indicating that common soaps may not be suitable for sensitive skin.

Infections

Toggle SectionB Shen, J P Achkar, B A Lashner, A H Ormsby, F H Remzi, A Brzezinski, C L Bevins, M L Bambrick, D L Seidner, V W Fazio: Ciprofloxacin vs. Metronidazole for Gastrointestinal Infections, PubMed

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This study compares the effectiveness and side effects of ciprofloxacin and metronidazole in treating acute pouchitis following ileal pouch-anal anastomosis, highlighting metronidazole’s established effectiveness and the needs for direct comparison with other antibiotics.

Method : A randomized clinical trial was conducted with sixteen patients who were assigned to receive either ciprofloxacin or metronidazole for two weeks. Clinical symptoms, endoscopic findings, and histologic features were assessed using the Pouchitis Disease Activity Index before and after treatment.

Findings : Ciprofloxacin was found to provide a statistically greater reduction in PDAI scores compared to metronidazole, along with better tolerance as none of the ciprofloxacin patients experienced side effects, while three experienced adverse effects with metronidazole.

Toggle SectionRosario D J, Lane J A, Metcalfe C, Donovan J L, Doble A, Goodwin L: Biopsy-related infections, BMJ

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This study evaluates the short term outcomes of prostate biopsy in men who were tested for prostate cancer through prostate specific antigen (PSA) screening.

Method : The research was a prospective evaluation conducted within the ProtecT study, focusing on biopsy-related complications and infections following the procedure.

Findings : The findings include the rates of biopsy-related infections and other complications, suggesting insights into post-biopsy care and the potential need for preventative measures.

Toggle SectionDaniel A. Queremel Milani, Ishwarlal Jialal: Urinary Tract Infections: Symptoms and Treatment, National Center for Biotechnology Information

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The study discusses urinary tract infections (UTIs), including their symptoms and treatment options, emphasizing the importance of urinalysis in diagnosis.

Method : The study explains the procedure for urinalysis, detailing specimen collection methods, diagnostic tests conducted on urine samples, and the impact of various interfering factors on test results.

Findings : The study highlights that urinalysis is a critical, cost-effective tool for diagnosing UTIs, providing valuable information on a patient’s health status, and emphasizes the importance of proper sample collection and handling.

Infectious Diseases

Toggle SectionTommaso Cai, Francesca Pisano, Gabriella Nesi, Vittorio Magri, Paolo Verze, Gianpaolo Perletti, Paolo Gontero, Vincenzo Mirone, Riccardo Bartoletti: Chlamydia and gonorrhea, NCBI

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This study investigates the role of Chlamydia trachomatis as a cause of chronic bacterial prostatitis compared to other common uropathogens, focusing on the clinical differences in outcomes and symptomatic recurrences.

Method : The researchers conducted a prospective parallel-cohort study involving 835 patients diagnosed with chronic bacterial prostatitis, dividing them into two groups based on the causative agent: those with Chlamydia trachomatis and those with common uropathogens. Patients were followed for an average of 42.3 months with clinical evaluations and questionnaires assessing various symptom scores.

Findings : The study found that patients with chronic bacterial prostatitis due to Chlamydia trachomatis experienced significantly more symptomatic recurrences and a more severe impact on quality of life compared to patients with other common uropathogens.

Inflammation

Toggle SectionShuang Chen, Hongmei Jiang, Xiaosong Wu, Jun Fang: Inflammation, PMC

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This study reviews the effects of quercetin as a dietary supplement, particularly its anti-inflammatory properties in relation to obesity and type 2 diabetes.

Method :

Findings : Quercetin has shown potential anti-inflammatory effects and may aid in reducing obesity and type 2 diabetes through various biological mechanisms, though further research is needed to fully understand its efficacy.

Integrative Medicine

Toggle SectionMemorial Sloan Kettering Cancer Center: Calcium Glucarate, Memorial Sloan Kettering Cancer Center

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The study discusses the effects of Calcium Glucarate, particularly its purported anticancer properties and potential uses.

Method : The findings are based on laboratory and animal studies, indicating that Calcium Glucarate may inhibit beta-glucuronidase and improve detoxification processes. However, no significant human clinical trials have confirmed these effects.

Findings : Calcium Glucarate has shown potential in animal models to reduce tumor development and enhance detoxification, yet its effectiveness in humans remains unproven and requires further research.

Kidney Cancer

Toggle Sectionkidney cancer rates, Mayo Clinic

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Kidney Function

Toggle SectionHenry E Wang, Christopher Gamboa, David G Warnock, Paul Muntner: Astragalus and Kidney Function Study, NCBI

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The study investigates the association between predialysis chronic kidney disease (CKD) and mortality due to infections, including various types of infection-related deaths.

Method : The analysis utilized data from the Third National Health and Nutrition Examination Survey (NHANES III), focusing on adults aged 45 and older. Participants were categorized based on estimated glomerular filtration rate (eGFR) and urinary albumin-to-creatinine ratio (ACR) to assess infection-related mortality over a median follow-up period of 13 years.

Findings : The study found that lower eGFR and higher ACR levels were associated with increased risk of infection-related mortality. Specifically, individuals with eGFR <45 ml/min/1.73 m2 had significantly higher infection-related mortality rates compared to those with eGFR ≥60 ml/min/1.73 m2.

Kidney Stones

Toggle SectionLaryssa Patti, Stephen W. Leslie: Overview of kidney stone surgery, National Center for Biotechnology Information

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The study provides an overview of acute renal colic caused by ureteral calculi, detailing its presentation, causes, evaluation, and management strategies.

Method : The study employs a literature review methodology to analyze the clinical evaluation and management approaches for acute renal colic stemming from kidney stones, including surgical and non-surgical interventions.

Findings : The study finds that the management of acute renal colic varies from conservative measures for small stones passing spontaneously to surgical interventions for larger or obstructive stones, with a significant emphasis on pain management and hydration.

Toggle SectionKai Wang, Jing Ge, Wenlong Han, Dong Wang, Yinjuan Zhao, Yanhao Shen, Jiexun Chen, Dongming Chen, Jing Wu, Ning Shen, Shuai Zhu, Bin Xue, Xianlin Xu: Research on kidney stone recurrence rates, BMC Urology

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This study aims to identify various potential risk factors associated with the recurrence of kidney stone disease (KSD) through a comprehensive meta-analysis.

Method : The authors conducted a meta-analysis by searching the PubMed, Embase, and Web of Science databases for studies that reported on risk factors for KSD recurrence. A total of 2,663 records were collected, which were narrowed down to 53 articles involving 488,130 patients based on predefined inclusion and exclusion criteria.

Findings : The meta-analysis identified 12 risk factors associated with KSD recurrence, such as younger age, higher BMI, Caucasian race, family history of nephrolithiasis, personal history of kidney stones, and hypertension. Patients who underwent surgery were also found to have a higher risk of recurrence.

Laser Therapy

Toggle SectionEric Walser, Anne Nance, Leslie Ynalvez, Shan Yong, Jacqueline S Aoughsten, Eduardo J Eyzaguirre, Stephen B Williams: The role of laser therapy in the treatment of benign prostatic hyperplasia: a narrative review, PubMed

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The study investigates the efficacy of focal laser ablation (FLA) for treating low- to intermediate-risk prostate cancer, focusing on its ability to preserve urinary and sexual functions while achieving acceptable oncologic outcomes.

Method : The research involved transrectal FLA performed on 120 patients with low- to intermediate-risk prostate cancer. Following the procedure, patients underwent clinical and imaging follow-ups at 6 and 12 months, alongside biopsies of suspicious areas to assess treatment efficacy and report on sexual and urinary functions.

Findings : Patients showed low morbidity with no significant changes in quality of life one year post-FLA, while the median PSA levels decreased significantly. The study found a retreatment rate of 83%, indicating promising outcomes for selected patients.

Liver Condition

Toggle SectionGilbert’s Syndrome, British Liver Trust

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Gilbert’s syndrome is a common liver condition characterized by a harmless increase in bilirubin levels in the blood. It often presents in adolescents and young adults with few symptoms, the most common being mild jaundice. Many affected individuals might not even realize they have the condition, which is frequently diagnosed incidentally through routine blood testing. While generally considered benign, it can potentially affect medication metabolism and increase gallstone risk.

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LUTS

Toggle SectionYpe de Jong, Johannes Henricus Francisca Maria Pinckaers, Robin Marco ten Brinck, Augustinus Aizo Beent Lycklama à Nijeholt, Olaf Matthijs Dekkers: Systematic Review on LUTS and Urination Position, NCBI

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This study investigates the impact of urination position (standing vs sitting) on urodynamic parameters in men with Lower Urinary Tract Symptoms (LUTS) and healthy men.

Method : A systematic review and meta-analysis were conducted by searching 14 medical databases for studies comparing urodynamic parameters in standing versus sitting positions. A total of 11 articles were included for analysis, focusing on maximum urinary flow rate (Qmax), voiding time (TQ), and post-void residual volume (PVR).

Findings : In patients with LUTS, the sitting position significantly decreased PVR by approximately 24.96 ml, and showed a trend of increased Qmax and decreased TQ, although these did not reach statistical significance. No differences were found in healthy men regarding the studied parameters based on the urination position.

Male Infertility

Toggle SectionG R Dohle: The relationship between infection and male infertility; a review of the literature, PubMed

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The study focuses on the impacts of infections on male fertility, exploring the association between urogenital infections and infertility rates among men. It discusses how infections can affect sperm quality and may lead to conditions that contribute to infertility.

Method : The study is a literature review that consolidates findings from various clinical observations and case studies involving men attending infertility clinics. It examines the incidence of infections, related complications, and therapeutic outcomes based on surgical interventions in cases of obstruction due to infection.

Findings : The review finds that a significant percentage of men attending infertility clinics have a history of urogenital inflammation, which negatively impacts sperm quality. Ejaculatory duct obstruction due to infections is common, and treatments such as transurethral resection can improve sperm quality and spontaneous pregnancy rates.

Toggle SectionAlaa Hamada, Ashok Agarwal, Reecha Sharma, Dan B French, Ahmed Ragheb, Edmund S Sabanegh Jr: Chronic prostatitis: treatment with antibiotics and fertility outcomes, PubMed

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The study investigates the effect of doxycycline treatment on male infertility patients with low-level leukocytospermia and its impact on fertility outcomes.

Method : This retrospective study analyzed the records of 223 patients, identifying 61 with leukocyte counts of 0.2-1.0 × 10(6) WBC/mL. Among these, 34 received doxycycline while 27 served as historical controls from before 2006 without routine treatment.

Findings : Doxycycline treatment did not significantly improve semen parameters; however, it resolved leukocytospermia in 56% of treated cases and improved the natural pregnancy rate (47% vs. 20% in controls) with an odds ratio of 3.7, suggesting potential benefits of the antibiotic in improving Fertility.

Market Research

Toggle SectionGrand View Research: Flaxseeds Market, Grand View Research

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The study analyzes the global flaxseeds market, detailing its size, growth trends, applications, and regional insights from 2025 to 2030. It highlights the increasing demand for flaxseeds driven by health-conscious consumers and their nutritional benefits.

Method : The research encompasses segmentation based on product types (ground and whole flaxseeds) and applications (food and pet food), including quantitative metrics like revenue forecasts and market trends from historical data (2018-2023) to predictions (2025-2030).

Findings : The global flaxseeds market, valued at USD 860.1 million in 2024, is projected to grow at a CAGR of 15.2%, reaching USD 1,989.2 million by 2030, highlighting significant market potential and increasing acceptance of flaxseeds in both food and pet food sectors.

Mass Spectrometry

Toggle SectionJournal of Mass Spectrometry, PubAg, 2018

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Method :

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Medical

Toggle SectionPeter Robson: Metastatic spinal cord compression, National Center for Biotechnology Information

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This study discusses metastatic spinal cord compression (MSCC) as a complication of cancer, outlining its clinical importance and emergency aspects.

Method : The study analyzes existing literature, clinical guidelines, and protocols for identifying and treating MSCC, including symptoms, diagnostic procedures, and treatment options.

Findings : MSCC is an oncological emergency requiring prompt intervention, with recommended treatment options including surgery and radiotherapy depending on patient prognosis and condition.

Toggle SectionHaruaki Kato, Masayoshi Hayama, Seiji Furuya, Shinya Kobayashi, Ahm Manjurul Islam, Osamu Nishizawa: Ejaculatory Ducts, NCBI

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This study investigates Müllerian duct cysts by examining their anatomical and histological characteristics to discern their etiology and relationship to prostatic utricle cysts.

Method : The researchers analyzed five cystic lesions from surgical specimens located in the prostatic midline, looking for connections between the cysts and the urethra, followed by histological and immunohistochemical tests.

Findings : The study found that four out of five cysts had a communication with the urethra. Histological examinations showed that the epithelium lining of the cysts was similar to that of the prostatic utricle, suggesting that these cysts should be referred to as prostatic utricular cysts.

Toggle SectionCarlos Placer, Jose M Enriquez-Navascués, Ander Timoteo, Garazi Elorza, Nerea Borda, Lander Gallego, Yolanda Saralegui: The Delorme Technique for Rectal Prolapse, National Center for Biotechnology Information

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The study investigates the long-term recurrence rates and associated risk factors following Delorme’s procedure for complete rectal prolapse.

Method : The study is an observational cohort analysis involving 42 adult patients treated with Delorme’s surgery between 2000 and 2012. It included prospective follow-up based on various clinical assessments and the Kaplan-Meier technique for recurrence analysis.

Findings : The study found a 12% recurrence rate within the initial 14 months, with 9.9% actuarial recurrence at five years. Constipation was identified as a significant factor associated with higher recurrence rates, though multivariate analysis indicated no statistically significant differentiators among the variables.

Toggle Sectionenlarged prostate, Mount Sinai

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The study provides comprehensive information about enlarged prostate, also known as benign prostatic hyperplasia (BPH), its symptoms, causes, diagnosis, and treatment options available for affected men.

Method :

Findings : The findings suggest that BPH is a common condition in aging men, often requiring watchful waiting, medication, or surgical interventions. Management strategies include lifestyle changes and the use of alpha-1 blockers or hormonal therapies to alleviate symptoms.

Toggle SectionClaus G Roehrborn: Urolift, PubMed, 2016

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The study focuses on the prostatic urethral lift (PUL) as a treatment for male lower urinary tract symptoms (LUTS) stemming from benign prostatic hyperplasia (BPH).

Method : The PUL involves a nonthermal, minimally invasive procedural approach that can be performed under local anesthesia, usually in an outpatient setting. It allows for quick recovery and most patients do not require catheterization post-procedure.

Findings : The results indicate significant improvement in urinary symptoms as early as two weeks after the procedure, continuing to improve over three months, with stable results persisting up to four years. Additionally, the procedure preserves erectile and ejaculatory functions.

Toggle SectionMayo Clinic Staff: Kidney stones, Mayo Clinic

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The study discusses kidney stones, their symptoms, causes, types, and risk factors, along with treatment options.

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Toggle SectionForeign Bodies, MedlinePlus

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The study focuses on foreign bodies, which are objects that are lodged in the body and are not naturally a part of it. It discusses common occurrences, especially in children, and the potential harm from inhaling or swallowing certain foreign bodies.

Method :

Findings : The findings suggest that while some foreign bodies like splinters may not cause significant harm, others can lead to serious issues such as choking or bowel obstruction that require medical intervention.

Medical Case Report

Toggle SectionDoo-Ho Lee, Young Joon Ahn, Rumi Shin, Hae Won Lee: Case report of obstructive jaundice, Korean Medical Science

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The study presents a case of metastatic mucinous adenocarcinoma of the distal common bile duct originating from transverse colon cancer, manifesting as obstructive jaundice in a male patient.

Method : The patient underwent various imaging techniques, including CT and MRI, which revealed masses in both the common bile duct and the transverse colon. Surgical interventions, including pylorus-preserving pancreaticoduodenectomy and extended right hemicolectomy, were performed, followed by postoperative histopathologic examination and immunohistochemical staining to determine the nature of the cancers.

Findings : The case revealed that the bile duct cancer was a metastasis from the colon cancer, illustrated by histological features and immunohistochemical results. The patient recovered well from surgery and will continue with postoperative chemotherapy.

Medical Condition

Toggle SectionUrology Care Foundation: Neurogenic Bladder, Urology Health

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Neurogenic bladder is a condition affecting bladder control due to problems with the brain, spinal cord, or nerves. It leads to symptoms like incontinence, urinary retention, frequent urination, and urinary tract infections, often seen in patients with conditions such as Multiple Sclerosis and spinal cord injuries.

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Toggle SectionA Thwaini, J Cherian, I Shergill, J Barua, A Khan, A Malik, K Mammen: Fournier’s Gangrene, NCBI

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The study addresses Fournier’s gangrene, a life-threatening condition characterized by severe infection in the perineal, genital, or perianal areas, often leading to rapid tissue necrosis and potential mortality if not treated promptly.

Method : The authors discuss clinical presentation, diagnosis, treatment strategies including early debridement and antibiotics, and identify associated risk factors and comorbidities that increase the risk of developing the condition.

Findings : Despite improvements in surgical and antibiotic treatment regimens, the mortality rates due to Fournier’s gangrene remain high, ranging from 20% to 30%, especially in immunocompromised patients or those with underlying conditions such as diabetes.

Toggle SectionColton R. Rishor-Olney, Melissa R. Hinson: Obstructive Uropathy, NCBI Bookshelf

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The study focuses on obstructive uropathy, a condition caused by hindrance to normal urinary flow, which affects various age groups and has serious potential consequences. It emphasizes the importance of early diagnosis and treatment to mitigate morbidity and mortality associated with the condition.

Method : The authors utilized a review of literature methodology, outlining the evaluation and management techniques for patients with obstructive uropathy, which involves interprofessional collaboration to improve care coordination.

Findings : The study highlights that obstructive uropathy can arise from multiple etiologies, with benign prostatic hypertrophy being the most common. It also confirms the significance of timely diagnosis and effective management to prevent irreversible damage to the kidneys, as well as the role of comprehensive treatment strategies that may include catheterization and medications.

Toggle Sectionurethral stricture, Indiana University

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The study discusses urethral strictures, which are caused by scar tissue that narrows the urethra and blocks urine flow. It covers common causes, symptoms, diagnosis, and complications related to urethral strictures.

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Toggle SectionJ M Stansfeld: Acute Pyelonephritis in Adults, National Center for Biotechnology Information

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The study focuses on acute pyelonephritis in adults, examining its causes, symptoms, and implications for treatment.

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Toggle SectionDavid Mobley, Allison Feibus, Neil Baum: BPH, NCBI

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The study focuses on benign prostatic hyperplasia (BPH) and its associated urinary symptoms, discussing evaluation and treatment options.

Method : This review article examines various methods for the management of symptoms related to BPH, including pharmacological management and surgical interventions, based on current medical literature.

Findings : The study found that BPH is prevalent among middle-aged men and can significantly impact quality of life, emphasizing the importance of appropriate evaluation and treatment strategies.

Medical Etiology

Toggle SectionMalihe TABARRAI, Zahra NIKTABE, Nematollah MASOUDI, Tahereh EFTEKHAAR: PMC6174057, NCBI

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This study discusses the historical and traditional perspective on bladder gas as a potential cause of interstitial cystitis (IC) and bladder pain syndrome (BPS). It reviews Avicenna’s theories and seeks to bridge traditional and modern understandings of bladder-related pain.

Method : The authors analyze classical medical texts and contemporary studies to explore the concept of bladder gas in relation to interstitial cystitis. They compare traditional beliefs in Iranian medicine with modern findings regarding bladder-related pain and dysfunction.

Findings : The findings suggest that there may be a significant overlap between traditional concepts of bladder gas and modern understandings of IC/BPS, indicating a need for further clinical studies to explore this potential connection.

Medical Examination

Toggle SectionMartin J Steggall: Digital Rectal Examination and Prostatitis, PubMed, 2008

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The article discusses the indications, procedures, and potential findings of Digital Rectal Examination (DRE) in adults.

Method : The study outlines the DRE procedure and provides an overview of its clinical significance and findings related to prostatitis and other conditions.

Findings : The findings suggest that DRE is a useful diagnostic tool in identifying conditions such as prostatitis and helps guide further medical evaluation.

Toggle SectionI Cevik, L N Türkeri, H Ozveri, Y Ilker, A Akdaş: Manual examination, PubMed

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This study investigates the short-term effects of digital rectal examination (DRE) on serum prostate-specific antigen (PSA) levels in men.

Method : A prospective study was conducted with 50 men, measuring PSA levels before, 30 minutes after, and 24 hours after DRE using a monoclonal PSA assay.

Findings : The study found a statistically significant increase in PSA levels 30 minutes after DRE, but this increase was deemed not clinically significant, suggesting that DRE should be performed after obtaining serum for PSA analysis.

Medical Imaging

Toggle SectionMichael Mitterberger, Wolfgang Horninger, Friedrich Aigner, Germar M Pinggera, Ilona Steppan, Peter Rehder, Ferdinand Frauscher: Ultrasound, NCBI

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This study discusses the use of ultrasound imaging techniques for the evaluation of prostate conditions, particularly focusing on prostate cancer diagnosis and emerging technologies that enhance detection.

Method : The study is a review of various ultrasound techniques including traditional transrectal ultrasound (TRUS), contrast-enhanced ultrasound (CEUS), colour Doppler imaging, and real-time elastography, discussing their applications and advancements in the diagnosis of prostate cancer.

Findings : The findings indicate that ultrasound, especially when enhanced with novel techniques, significantly improves the detection rates of prostate cancer. Techniques such as contrast-enhanced ultrasound and real-time elastography can yield higher detection rates and potentially facilitate the identification of more aggressive cancer forms.

Toggle SectionFerdinand Frauscher, Johann Gradl, Leo Pallwein: Color Ultrasound, NCBI

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The study examines the advancements in ultrasound techniques, particularly color and contrast-enhanced ultrasound, for the detection and staging of prostate cancer.

Method : The study reviews various ultrasound modalities, including conventional gray-scale ultrasound, color Doppler, power Doppler, contrast-enhanced ultrasound, and elastography, through literature analysis and clinical observations.

Findings : The findings suggest that newer ultrasound techniques can significantly improve the sensitivity and specificity of prostate cancer detection, potentially allowing for targeted biopsies as opposed to systematic biopsies.

Toggle SectionNikola Cihoric, Eugenia Vlaskou Badra, Alexandros Tsikkinis, Vikas Prasad, Stephanie Kroeze, Ivan Igrutinovic, Branislav Jeremic, Marcus Beck, Sebastian Zschaeck, Peter Wust, Pirus Ghadjar: PSMA, Biomed Central

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The study discusses the impact of PSMA-PET imaging on personalized radiation therapy for prostate cancer.

Method : Thematic series collecting current knowledge and limitations surrounding PSMA-PET based radiation therapy, as well as a review of clinical trials from ClinicalTrials.gov.

Findings : PSMA-PET is significant for tailoring radiation therapy, particularly in identifying lymph node metastases and altering treatment strategies, although long-term clinical data is still lacking.

Toggle SectionDebra Rose Wilson, Yvette Brazier: Ultrasound, Medical News Today

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This study discusses how ultrasound scans work, their uses, safety, and methods of execution.

Method : The study explains the mechanism of ultrasound scans, including the use of high-frequency sound waves to create body images, describing both external and internal methods of carrying out the scans.

Findings : Ultrasound scans are safe, non-invasive, and primarily use sound waves instead of radiation, making them widely utilized for monitoring pregnancy and diagnosing various medical conditions without special preparation in most cases.

Medical Intervention

Toggle SectionJuan V A Franco, Tarek Turk, Jae Hung Jung, Yu-Tian Xiao, Stanislav Iakhno, Virginia Garrote, Valeria Vietto: Systematic Review on Prostate Massage, PubMed

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The study assesses the effects of non-pharmacological therapies for chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS).

Method : A systematic review was conducted involving a comprehensive search of multiple databases and inclusion of randomized controlled trials examining non-pharmacological interventions for CP/CPPS in men. The review analyzed data focusing on both primary outcomes (prostatitis symptoms and adverse events) and secondary outcomes (sexual dysfunction and quality of life).

Findings : The review found that acupuncture and extracorporeal shockwave therapy likely reduce prostatitis symptoms without a greater incidence of adverse events. Other methods showed varying levels of effectiveness, with some evidence suggesting possible benefits from lifestyle modifications and physical activity.

Medical Procedure

Toggle SectionC Schulman, A Zlotta: Transurethral needle ablation (TUNA), PubMed, 1994

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The study investigates a new procedure called Transurethral Needle Ablation (TUNA) for treating Benign Prostatic Hyperplasia (BPH) using low-level radiofrequency energy.

Method : The study involved a pilot trial with 70 patients wherein TUNA was performed under topical anesthesia, allowing for real-time observation and biopsy of treated areas. Measurements included histopathological analyses and clinical outcomes post-procedure.

Findings : The findings indicated that TUNA is safe and effective for treating BPH, with procedures lasting about 30 minutes and resulting in localized lesions with extensive coagulative necrosis. The study noted excellent tolerance among patients with minimal side effects.

Toggle SectionW J McAllister, O Karim, R O Plail, D R Samra, M J Steggall, Q Yang, C G Fowler: Transurethral electrovaporization (TUEVAP), PubMed, 2003

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The study evaluates the effectiveness of transurethral electrovaporization of the prostate (TUVP) compared to traditional transurethral resection of the prostate (TURP) in treating symptomatic benign prostatic enlargement (BPE).

Method : A total of 235 men with symptomatic BPE were randomized to undergo either TUVP or TURP. Various assessments including the International Prostate Symptom Score (IPSS) and uroflowmetry were conducted before and after the procedures to measure outcomes.

Findings : The results indicated no statistically significant differences in outcomes between TUVP and TURP. Both procedures produced equivalent results in terms of effectiveness and complications, with TUVP showing a lower transfusion rate.

Toggle SectionRyan Kohlbrenner: Report on PAE procedure, British Medical Journal, 2018

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The study discusses Prostate Artery Embolization (PAE) as a minimally invasive alternative to prostate surgery for treating benign prostatic hyperplasia (BPH).

Method : PAE is performed by interventional radiologists through a small incision in the upper thigh to access the prostate’s blood vessels and inject particles to reduce blood flow to the prostate.

Findings : PAE is effective in relieving symptoms associated with BPH and is less likely to cause complications such as impotence and incontinence compared to traditional surgical options.

Medical Research

Toggle SectionHerbert Lepor: Small Gland, NCBI

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This study discusses the pathophysiology of benign prostatic hyperplasia (BPH) in aging males, specifically the relationship between prostatic enlargement, bladder outlet obstruction, and lower urinary tract symptoms (LUTS).

Method : The study utilizes a review of clinical data, population-based studies, and comparisons between symptom scores and various parameters including prostate volume and flow rates.

Findings : The findings suggest that there is no significant correlation between prostate volume and lower urinary tract symptoms, indicating that LUTS in men may be caused by various factors beyond prostatic enlargement.

Toggle SectionDylan W Peterson, Roshni C George, Francesca Scaramozzino, Nichole E LaPointe, Richard A Anderson, Donald J Graves, John Lew: Cinnamon and Alzheimer’s Disease, PubMed

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The study investigates the effects of cinnamon extract on tau aggregation, a hallmark of Alzheimer’s disease, in vitro.

Method : The research utilized an aqueous extract of Ceylon cinnamon and assessed its ability to inhibit tau aggregation and filament formation through in vitro experiments. Additionally, they conducted purification of a proanthocyanidin trimer from the extract to determine its inhibitory activity against tau aggregation.

Findings : Cinnamon extract was found to significantly inhibit tau aggregation and promote the disassembly of tau filaments. The study identified proanthocyanidins and cinnamaldehyde as key components contributing to the extract’s inhibitory activity, suggesting potential therapeutic applications for Alzheimer’s disease.

Toggle SectionIoan Scarneciu, Sorin Lupu, Ovidiu Gabriel Bratu, Andreea Teodorescu, Laurian Stefan Maxim, Adrian Brinza, Alexandru Georgian Laculiceanu, Ruxandra Maria Rotaru, Aura-Mihaela Lupu, Camelia Cornelia Scarneciu: Prevalence of Overactive Bladder Symptoms in Adults Aged 40 Years and Older in the United States, National Institutes of Health, 2021

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The study investigates the prevalence of overactive bladder (OAB) symptoms in adults aged 40 years and older in the United States, highlighting the impact of OAB on quality of life and its economic burden.

Method : This review compiles data from various studies and literature covering the diagnosis and management of OAB, focusing on its prevalence rates, symptoms, and treatment options from 1988 to 2020.

Findings : The findings show a significant prevalence of OAB symptoms, particularly among those over 40 years old, with varying manifestations affecting patients’ quality of life and leading to increased healthcare costs.

Toggle SectionJ Curtis Nickel: BPH, NCBI

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The study explores the relationship between inflammation and benign prostatic hyperplasia (BPH), detailing how these conditions manifest and interrelate in aging men.

Method : The study reviews previous research, including the NIH Chronic Prostatitis Cohort Study and the REDUCE trial, analyzing correlations between prostatitis symptoms and histological findings, as well as assessing the impact of inflammation on the clinical progression of BPH.

Findings : Inflammation is prevalent in patients with BPH and may exacerbate symptoms. There’s a weak but statistically significant association suggesting inflammation could influence the progression of lower urinary tract symptoms and treatment outcomes, although more research is needed to clarify these relationships.

Toggle SectionSidney Glina, Felipe Placco Araujo Glina: Prevalence of Benign Prostatic Hyperplasia and Its Associated Erectile Dysfunction, PubMed Central

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This study investigates the relationship between benign prostatic hyperplasia (BPH), lower urinary tract symptoms (LUTS), and erectile dysfunction (ED) in men, focusing on potential shared pathophysiological mechanisms.

Method : A literature review was conducted using a search on Medline, focusing on the keywords ‘erectile dysfunction’ and ‘lower urinary tract symptoms’ up to December 15, 2012. This review analyzed 198 relevant articles categorized by type of evidence found.

Findings : The study found significant epidemiological evidence suggesting that LUTS/BPH is a risk factor for ED, with multiple experimental models indicating that urinary obstruction adversely affects erectile function. Various pathways, including increased adrenergic tone, nitrergic innervation alterations, and shared treatment options such as PDE-5 inhibitors, reinforce the proposed common pathophysiology of LUTS/BPH and ED.

Toggle SectionParneet Kaur, Harshil Bhatt: hyperuricosuria, NCBI

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The study provides an overview of hyperuricosuria, its role in the formation of uric acid renal calculi, and management strategies.

Method : The study employs a comprehensive review of the literature regarding the etiology, pathophysiology, and treatment options for uric acid stones, among other related topics.

Findings : The findings highlight the increasing prevalence of uric acid stones, the importance of urinary pH and volume in stone formation, and recommend lifestyle and dietary changes, along with medical therapy for effective management.

Medical Study

Toggle SectionTommaso Cai, Paolo Verze, Roberto La Rocca, Umberto Anceschi, Cosimo De Nunzio, Vincenzo Mirone: Impact of Ryegrass Pollen on BPH, Cochrane Library

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The study investigates the therapeutic efficacy of flower pollen extract in managing chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) based on a systematic analysis of published clinical trials and preclinical evidence.

Method : A systematic review and meta-analysis were performed, including data from PubMed and Embase databases up to June 2016. The analysis considered both clinical trials and preclinical studies regarding the effects of flower pollen extract, particularly focusing on randomized controlled trials (RCTs) that measured patient responses using the NIH Chronic Prostatitis Symptom Index (NIH-CPSI) and quality of life surveys.

Findings : The findings indicate that flower pollen extract significantly improves quality of life in CP/CPPS patients, with a mean clinical response rate of 74.4% in RCTs and an 83.6% response rate in non-controlled studies. No significant adverse events were reported, affirming the extract’s safety and tolerability.

Toggle SectionRaiz Ahmad Misgar, Idrees Mubarik, Arshad Iqbal Wani, Mir Iftikhar Bashir, Mahroosa Ramzan, Bashir Ahmad Laway: Emphysematous Pyelonephritis, NCBI

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This study analyzes the characteristics, treatment modalities, and outcomes of patients with emphysematous pyelonephritis (EPN), focusing on those with diabetes mellitus.

Method : The researchers reviewed hospital records of 26 patients diagnosed with EPN over a 10-year period, assessing demographics, clinical presentation, microbiological findings, treatment approaches, and outcomes. The severity of EPN was categorized according to the Huang classification, and prognostic factors were evaluated to determine their impact on treatment success.

Findings : The study found that all patients had diabetes; most were women. The conservative treatment was successful in 88.5% of cases despite a majority presenting with extensive EPN and multiple adverse prognostic factors.

Toggle SectionLina Birgitta Ivarsson, Björn Erik Lindström, Matts Olovsson, Annika Kristina Lindström: Urethral Pain Syndrome, PLoS ONE

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The study explores the treatment methods for Urethral Pain Syndrome (UPS) in women in Sweden and compares current practices to those from 2006.

Method : A questionnaire was distributed to gynecology, urology, and other clinics in Sweden. The survey collected data on the treatments used for UPS and responses were compared to a similar survey conducted in 2006.

Findings : The findings revealed a variety of treatment methods for UPS, with corticosteroids and estrogens being the most common. There was an increase in the use of strong corticosteroids, and a significant number of clinics still used antibiotics despite the absence of proven infections.

Toggle SectionJeffrey C Loh-Doyle, Roger K Low, Manoj Monga, Mike M Nguyen: urinary blockage, NCBI

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The study evaluates patient experiences and preferences regarding ureteral stent removal methods and associated pain levels.

Method : A survey conducted on visitors to a kidney stone website, with 599 patients responding about their stent removal experiences, pain levels during and after removal, and preferences for removal methods.

Findings : The study found that the majority of patients experienced moderate-to-severe pain during stent removal, with variations in pain levels depending on the removal method used. Most patients preferred the operating room cystoscopy method and were dissatisfied with the office cystoscopy method.

Toggle SectionGanesh Vigneswaran, Drew Maclean, Mohammed Hadi, Benjamin Maher, Sachin Modi, Timothy Bryant, Mark Harris, Nigel Hacking: Prostate artery embolization (PAE), PubMed, 2021

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This study compares the effectiveness of Prostatic Artery Embolization (PAE) and Transurethral Resection of the Prostate (TURP) in improving lower urinary tract symptoms (LUTS) as measured by the International Prostate Symptom Score (IPSS).

Method : A retrospective analysis was conducted using data from the UK-ROPE multicentre database. Patients included had complete IPSS data, and both voiding and storage symptom improvements were compared using statistical methods such as paired and unpaired Student’s t-tests and ANOVA.

Findings : The study included 146 patients, showing no significant difference in raw symptom improvements between PAE and TURP. However, TURP provided a significantly greater proportionate reduction in voiding symptoms compared to PAE, suggesting TURP offers a more substantial improvement in voiding symptom relief.

Toggle SectionMatthew L Bechtold, Fazia Mir, Srinivas R Puli, Douglas L Nguyen: Evidence on bowel prep by adjusting diet, Journal

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This study focuses on optimizing bowel preparation prior to colonoscopy, emphasizing the effects of dietary adjustments and various preparation techniques on the quality of bowel cleansing.

Method : The study involved a review of existing literature and various studies assessing the effectiveness of different bowel preparation agents, grading scales, dietary modifications, and other factors influencing the bowel prep quality before undergoing colonoscopy.

Findings : The review found that adopting a low-residue diet prior to colonoscopy improved patient tolerability without compromising bowel preparation quality and recommended split-dose regimens for optimal results.

Medical Testing

Toggle SectionAmy Finke RN BSN, Chad Haldeman-Englert MD, Tara Novick BSN MSN: SHBG Blood Test, URMC Rochester

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The SHBG blood test measures the level of sex hormone binding globulin in the blood, which is crucial for understanding testosterone availability and related health conditions.

Method : A blood sample is drawn from a vein in the arm or hand to determine the SHBG levels and assess potential hormonal issues.

Findings : Low levels of SHBG can indicate obesity, Type 2 diabetes, and hypothyroidism, while high levels can be associated with conditions like hepatitis and hyperthyroidism.

Toggle SectionNazia Q Bandukwala, DO, WebMD Editorial Contributors: What is urinalysis, WebMD

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Urinalysis is a series of tests conducted on urine to check for signs of diseases or conditions. It can help detect issues like kidney disease, liver disease, and diabetes, and is often part of routine health checks or procedures.

Method : Urinalysis involves three methods: a visual exam to observe color and clarity, a microscopic examination to identify cells and other substances, and a dipstick test that uses a chemically treated strip to check for various markers in the urine.

Findings : The results of urinalysis provide valuable insights but require further testing for confirmation. The findings can indicate the presence of conditions like infections, kidney problems, or diabetes depending on the levels of substances found.

Medical Treatment

Toggle SectionRichard M Hoffman, Manoj Monga, Sean P Elliott, Roderick Macdonald, Jens Langsjoen, James Tacklind, Timothy J Wilt: Transurethral microwave thermotherapy (TUMT), PubMed, 2012

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The study evaluates the efficacy and safety of transurethral microwave thermotherapy (TUMT) for treating benign prostatic hyperplasia (BPH) in men.

Method : The study conducted a systematic review of randomized controlled trials comparing TUMT with various treatments such as transurethral resection of the prostate (TURP), sham procedures, and medications. Data was collected on urinary symptoms, urinary function, and complications.

Findings : TUMT significantly improved urinary symptom scores and peak urinary flow but was less effective than TURP in these outcomes. While TUMT reduced risks for specific complications compared to TURP, it was associated with higher rates of dysuria and urinary retention. Overall, TUMT presents a viable alternative to TURP with specific risk profiles.

Medication

Toggle SectionAndrea Mari, Alessandro Antonelli, Luca Cindolo, Ferdinando Fusco, Andrea Minervini, Cosimo De Nunzio: Retrospective Studies on Alfuzosin, NCBI

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The study provides a systematic review of alfuzosin’s pharmacological and clinical effects in treating benign prostatic hyperplasia (BPH) and lower urinary tract symptoms (LUTS).

Method : The study employed a systematic review approach, searching databases such as MEDLINE, EMBASE, and Cochrane for studies published in the last ten years. It focused on randomized clinical trials and cohort studies while ensuring to exclude lower-quality studies and reviews.

Findings : Alfuzosin has been found effective and well-tolerated in treating LUTS/BPH, with fewer sexual dysfunction side effects compared to other alpha-blockers and a favorable safety profile in patients with cardiovascular issues.

Medication Efficacy

Toggle SectionJørgen Nordling: Study of two doses (10 mg and 15 mg) of alfuzosin a day and tamsulosin (0.4 mg) once daily, PubMed

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The study evaluates the efficacy and safety of two alfuzosin doses (10 mg and 15 mg) compared with tamsulosin (0.4 mg) in treating symptomatic benign prostatic hyperplasia.

Method : This randomized, double-blind, placebo-controlled, multicentre study involved 625 patients who were assigned to receive either alfuzosin (10 mg or 15 mg), tamsulosin (0.4 mg), or placebo for 12 weeks. Measurement outcomes included changes in the International Prostate Symptom Score (IPSS) and peak urinary flow rate (Qmax).

Findings : Alfuzosin 10 mg significantly improved urinary symptoms and Qmax compared to placebo, while both doses of alfuzosin were well tolerated. The incidence of adverse events related to sexual function was higher with tamsulosin versus placebo.

Medication Guide

Toggle SectionNHS: How and When to Take Tamsulosin, NHS

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The guidance details how and when to take tamsulosin, a medication used for enlarged prostate and kidney stones.

Method : The information is provided in a structured format that discusses dosage, administration, and management of missed doses and side effects.

Findings : The study outlines that tamsulosin should be taken once daily, ideally in the morning with water, and emphasizes the importance of adherence to the prescribed schedule to manage symptoms effectively.

Medication Review

Toggle SectionT J Wilt, R Mac Donald, I Rutks: Review on Flomax and its effectiveness, PubMed

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The effectiveness of tamsulosin in treating lower urinary tract symptoms associated with benign prostatic hyperplasia (BPH).

Method : A systematic review was conducted by searching several databases for randomized controlled trials comparing tamsulosin with placebo or other treatments, with outcomes measured using urologic symptom scales and flow rates.

Findings : Tamsulosin showed a small to moderate improvement in urinary symptoms and flow compared to placebo, with effects similar to other alpha antagonists. Higher doses increased adverse effects, but low doses were generally well tolerated.

Medications

Toggle SectionMelanie C Wuerstle, Stephen K Van Den Eeden, K Trudy Poon, Virginia P Quinn, John M Hollingsworth, Ronald K Loo, Steven J Jacobsen: Antidepressants and detrusor muscle effects, National Center for Biotechnology Information

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The study investigates the association between common medication use and lower urinary tract symptoms (LUTS) in men, particularly focusing on the effects of antidepressants on detrusor muscle and urinary sphincter function.

Method : A cross-sectional analysis of data from 63,579 men aged 45-69 from the California Men’s Health Study (CMHS) was conducted. Participants completed questionnaires and had their pharmacy records assessed within a defined period, and LUTS were evaluated using the American Urological Association Symptom Index (AUASI).

Findings : Each medication category was associated with LUTS, with antidepressants showing a significant adjusted odds ratio of 1.39, suggesting they contribute notably to LUTS. It was estimated that these medications could account for up to 10% of LUTS in the studied population.

Toggle SectionHong-Jeng Yu, Alex Tong-Long Lin, Stephen Shei-Dei Yang, Ke-Hung Tsui, Hsi-Chin Wu, Chen-Li Cheng, Hong-Lin Cheng, Tony T Wu, Po-Hui Chiang: Study on Rapaflo effectiveness, PubMed

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The study evaluates the non-inferiority of silodosin compared to tamsulosin for treating lower urinary tract symptoms associated with benign prostatic hyperplasia.

Method : This multicenter, randomized controlled trial involved 209 patients who were assigned to receive either silodosin (4 mg twice daily) or tamsulosin (0.2 mg once daily) for 12 weeks, assessing outcomes based on the International Prostate Symptom Score (IPSS) and other secondary measures.

Findings : The study concluded that silodosin is non-inferior to tamsulosin in reducing IPSS scores, with similar outcomes in urinary flow rate and quality of life, while noting fewer cardiovascular side effects with silodosin.

Medicinal Plant

Toggle SectionLeyla Bayan, Peir Hossain Koulivand, Ali Gorji: Garlic Components, National Center for Biotechnology Information

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The therapeutic effects and potential benefits of garlic in preventing and treating various diseases including cardiovascular diseases, cancer, diabetes, and infections.

Method : This review synthesizes existing literature on clinical and experimental studies exploring the potential health benefits of garlic components like allicin and aged garlic extracts, evaluating their mechanisms of action and therapeutic efficacy.

Findings : Garlic and its compounds show promising effects in lowering blood pressure, reducing cholesterol, preventing cancer, and exhibiting antibacterial, antiviral, and antifungal properties; however, more standardized research is needed to establish definitive therapeutic guidelines.

Medicinal Plants

Toggle SectionM Premanathan, S Rajendran, T Ramanathan, K Kathiresan, H Nakashima, N Yamamoto: Cinnamon and HIV activity, PubMed

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The study investigates the anti-HIV activity of various Indian medicinal plants, focusing on their potential effects against HIV-1 and HIV-2.

Method : The study involved screening 69 different plant extracts in vitro to assess their effectiveness in inhibiting HIV replication in MT-4 cells, which are infected with the virus. The viability of the cells post-treatment was evaluated using a colorimetric assay.

Findings : Out of the 69 plants screened, 16 demonstrated effectiveness against HIV-1, while 4 were effective against both HIV-1 and HIV-2. Among these, Cinnamomum cassia (bark) and Cardiospermum helicacabum (shoot + fruit) showed the most significant anti-HIV effects.

Medicine

Toggle SectionUrology Care Foundation: Testicular Cancer, Urology Health

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This study provides an overview of testicular cancer, including its symptoms, causes, diagnosis, treatment options, and post-treatment management.

Method : The study uses a descriptive method to inform about the types of testicular cancers, risk factors, diagnosis methods, treatment plans, and aftercare practices for patients.

Findings : Testicular cancer primarily affects germ cells in the testicles and has a high treatment success rate when diagnosed early. Symptoms can include painless lumps, swelling, and discomfort. Various treatment modalities are available including surgery, radiation, and chemotherapy, and regular follow-up is essential to monitor recurrence.

Toggle SectionSun, Yi MD, PhD, Lei, Guo-Lin MD, Yang, Lu MD, PhD, Wei, Qiang MD, Wei, Xin MD, PhD: Is Tamsulosin Effective for the Passage of Kidney Stones?, LWW

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The study investigates the efficacy of tamsulosin for the passage of symptomatic ureteral stones.

Method : A systematic review and meta-analysis of 49 studies involving 6436 patients was conducted, evaluating outcomes related to tamsulosin usage for urinary stones.

Findings : Tamsulosin significantly improved the renal stone clearance rate (80.5% vs 70.5%) and reduced the expulsion time (by approximately 3.61 days), without significantly increasing the overall rate of side effects.

Toggle SectionHyun-Myung Choi, Yunu Jung, Jinbong Park, Hye-Lin Kim, Dong-Hyun Youn, JongWook Kang, Mi-Young Jeong, Jong-Hyun Lee, Woong Mo Yang, Seok-Geun Lee, Kwang Seok Ahn, Jae-Young Um: Effect of Cinnamomi cortex on BPH, National Center for Biotechnology Information

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The study investigates the effects of Cinnamomi cortex, a traditional herbal remedy, on testosterone-induced benign prostatic hyperplasia (BPH) in a rat model.

Method : The study involved inducing BPH in male Sprague-Dawley rats using testosterone propionate. The animals were divided into various groups and treated with either vehicle, testosterone, Cinnamomi cortex extract, or finasteride over a period of six weeks. Prostate weight, histological changes, and protein expressions were assessed.

Findings : Cinnamomi cortex treatment significantly reduced prostate weight and histological changes associated with BPH. It also suppressed the expression of proteins related to prostate proliferation, including PSA, 5α-reductase, androgen receptor, and estrogen receptor α, suggesting its potential as a therapeutic agent for BPH.

Toggle SectionDai, Xiaoyu MD, PhD, Fang, Xiangming MD, Ma, Ying MD, Xianyu, Jianbo MD: Prostate cancer and bladder cancer, Academic Research on Prostate Cancer

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This study investigates the association between benign prostatic hyperplasia (BPH) and the risk of urologic cancers, specifically prostate and bladder cancer, through a meta-analysis of observational studies.

Method : The study conducted a systematic review of case-control and cohort studies assessing the relationship between BPH and urologic cancers. Eligible studies were identified via a literature search across several databases, and the overall effect estimates of the association were calculated using random-effects models.

Findings : BPH was found to be significantly associated with an increased incidence of both prostate cancer (RR = 2.93) and bladder cancer (RR = 1.71). The association was more pronounced in Asian populations for prostate cancer, suggesting a particularly high risk in BPH patients from this demographic.

Toggle SectionP Sabitha, Prabha M Adhikari, Shalini M Shenoy, Asha Kamath, Rampuram John, Malathi V Prabhu, Soofi Mohammed, Srikala Baliga, U Padmaja: Efficacy of Garlic Paste in Oral Candidiasis: A Randomized Controlled Trial, PubMed

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This study investigates the effectiveness of garlic paste as a treatment for oral candidiasis in comparison to clotrimazole solution.

Method : The randomized controlled trial involved 56 patients who were treated with either garlic paste or clotrimazole solution for 14 days to assess the suppression of clinical signs of oral candidiasis.

Findings : The results indicated that the topical application of garlic paste was found to be as effective as clotrimazole solution in alleviating the symptoms of oral candidiasis.

Menopause

Toggle SectionGiampaolo Mainini, Mario Passaro, Antonio Schiattarella, Pasquale De Franciscis, Mariano C Di Donna, Gennaro Trezza: Urinary Tract Infection in Menopausal Women, National Center for Biotechnology Information

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The study evaluated the efficacy of a nutraceutical compound in preventing recurrent urinary tract infections (UTIs) in menopausal women.

Method : This was a prospective cohort study involving menopausal women with a history of recurrent UTIs. Participants were divided into two groups: one received a specific nutraceutical treatment for twelve months while the other received standard care without the nutraceutical. The study measured the number of UTI episodes and symptom severity using the Visual Analog Scale over a follow-up period.

Findings : The findings indicated that the group receiving the nutraceutical showed a significant reduction in recurrent UTI episodes compared to the control group at both six and twelve months, along with improved symptom scores.

Mental Health

Toggle SectionEric S Zhou, Frank J Penedo, John E Lewis, Mikal Rasheed, Lara Traeger, Suzanne Lechner, Mark Soloway, Bruce R Kava, Michael H Antoni: Communication and Mental Health, NCBI

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The study investigates the relationship between social support, perceived stress, and health-related quality of life (HRQOL) in men treated for localized prostate cancer.

Method : The study used a longitudinal design with psychosocial assessments administered to 175 men at baseline and a follow-up two years later. Hierarchical regression analyses were performed to examine the relationships between the variables while controlling for potential covariates such as age and medical co-morbidities.

Findings : Results indicated that higher social support at baseline predicted a higher HRQOL at two years, partially mediated by perceived stress levels. Additionally, men with higher perceived social support reported significantly better HRQOL compared to those with lower support.

Toggle SectionRaija-Leena Punamaki, Jari Salo, Ivan Komproe, Samir Qouta, Mustafa El-Masri, Joop T V M De Jong: Herbicide residuals and cancer, PubMed, 2008

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This study examines differences in dispositional and situational coping strategies, along with psychological distress, between Palestinian political ex-prisoners and matched controls. It also investigates the effectiveness of coping in mitigating the effects of imprisonment and trauma on mental health.

Method : The research involved 184 male participants, with an equal split between ex-prisoners and non-prisoners. Dispositional coping was measured through general response styles, while situational coping evaluated responses to traumatic experiences. Psychological distress was assessed using the SCL-90-R scale, covering various symptoms based on a diagnostic interview framework.

Findings : The study found that ex-prisoners used less avoidant and emotion-focused coping strategies compared to non-prisoners. Although the ex-prisoners exhibited more mental health issues, none of the coping strategies were effective in protecting overall mental health. However, higher levels of constructive coping were associated with lower psychiatric symptoms.

Toggle SectionSrabani Banerjee, Charlene Argáez: Psychological stressors and their impact on erectile dysfunction, NCBI

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This study reviews the clinical effectiveness of neurofeedback and biofeedback interventions for mood and anxiety disorders, including PTSD, generalized anxiety disorder, and depression.

Method : The methodology involved a literature search to identify relevant randomized controlled trials (RCTs) comparing neurofeedback and biofeedback against other treatment modalities or no treatment at all. It included critical appraisal of the cohort and outcome measurements to evaluate the clinical effectiveness of the interventions.

Findings : The findings suggest that neurofeedback shows statistically significant improvements in PTSD and GAD symptoms compared to waitlist controls. Biofeedback demonstrated faster symptom relief when combined with treatment as usual for PTSD patients, although the differences in outcomes were not always statistically significant across studies. The review highlighted the need for more robust studies due to limitations in sample size and methodological transparency.

Toggle SectionMansoor D Burhani, Mark M Rasenick: Effects of fish oil on mental health conditions, NCBI, 2017

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This study reviews the effects of fish oil, particularly omega-3 fatty acids (EPA and DHA), on treating depression and other mental health disorders while analyzing clinical trial data to determine efficacy and mechanisms of action.

Method : The study synthesized findings from various clinical trials examining the antidepressant effects of fish oil supplements, focusing on comparisons between omega-3 supplementation and placebo treatments across different doses and populations.

Findings : Overall, the analysis indicates that fish oil supplementation, particularly EPA, has significant antidepressant effects, showing better outcomes when used as an adjunct to traditional antidepressants. However, results vary across trials, highlighting the need for larger studies to better understand the efficacy and possible mechanisms involved.

Metabolic Disorders

Toggle SectionR Niehues, M Hasilik, G Alton, C Körner, M Schiebe-Sukumar, H G Koch, K P Zimmer, R Wu, E Harms, K Reiter, K von Figura, H H Freeze, H K Harms, T Marquardt: D-mannose for hereditary metabolic problems, NCBI

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The study investigates carbohydrate-deficient glycoprotein syndrome type Ib, which is caused by phosphomannose isomerase deficiency, and explores the efficacy of mannose therapy as treatment.

Method : The methodology included standard diagnostic procedures to distinguish this type of syndrome from other types and involved administering daily oral mannose to affected individuals.

Findings : Mannose therapy was found to be a successful treatment for carbohydrate-deficient glycoprotein syndrome type Ib, effectively addressing the symptoms of the disorder.

Microbiology

Toggle SectionKara, M., Assouguem, A., kamaly, O. M., Benmessaoud, S., Imtara, H., Mechchate, H., Hano, C., Zerhouni, A. R., Bahhou, J.: Effects of Apple Cider Vinegar on Bacterium Species, MDPI

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This study investigates the impact of different apple varieties and production methods on the physicochemical properties and antibacterial activity of apple vinegar against five pathogenic bacteria.

Method : The study involved the preparation of vinegar from four apple varieties (Red Delicious, Gala, Golden Delicious, Starking Delicious) using three methods: small apple pieces, apple juice, and crushed apple. Antibacterial activity was assessed using disk diffusion and microdilution methods to identify minimum inhibitory concentrations (MIC) and minimum bactericidal concentrations (MBC).

Findings : The vinegar produced from apple pieces of the Red Delicious variety exhibited the highest antibacterial activity against all tested strains, with Pseudomonas aeruginosa being the most sensitive. The study concluded that both apple variety and production method significantly influence the vinegar’s quality and its antibacterial properties.

Microbiome

Toggle SectionProtima Amon, Ian Sanderson: Microbiome and Health, BMJ

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This study provides an overview of the human microbiome, its composition, and its influence on health, particularly in pediatric populations. It discusses how microbial communities interact with host factors and contribute to various diseases.

Method : The study employs a review of existing literature and research findings, including large-scale metagenomic projects, to analyze microbiome composition and its effects on health and disease.

Findings : The findings suggest that the microbiome is crucial for immune development, nutrition, and protection against diseases. Alterations in microbiome composition are linked to various pediatric conditions such as Inflammatory Bowel Disease, allergic diseases, type 1 diabetes, and Autism Spectrum Disorder.

Minimally Invasive Procedures

Toggle SectionRyan W Frieben, Hao-Cheng Lin, Peter P Hinh, Francesco Berardinelli, Steven E Canfield, Run Wang: Minimally invasive procedures, NCBI

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The study systematically reviews the impact of minimally invasive surgeries for treating symptomatic benign prostatic hyperplasia (BPH) on male sexual function, comparing these methods with traditional procedures like transurethral resection of the prostate (TURP).

Method : The research involved a systematic review of randomized controlled trials and cohort studies, focusing on the effects of various minimally invasive procedures on male sexual function. A total of 72 studies were identified, with 33 meeting the inclusion criteria for analysis.

Findings : The analysis indicated that minimally invasive surgeries for BPH have effects on erectile function comparable to TURP. Although approximately 15.4% to 15.2% of patients may experience decreases or increases in erectile function after treatments, ejaculatory dysfunction was prevalent, especially after holmium laser therapies.

Myasthenia Gravis

Toggle SectionA Gunduz, S Turedi, A Kalkan, I Nuhoglu: Studies on myasthenia gravis, NCBI

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This study discusses a case where levofloxacin induced a myasthenic crisis in a patient who had not previously been diagnosed with myasthenia gravis, highlighting the potential risks of fluoroquinolone antibiotics in susceptible individuals.

Method : The case report details the clinical history of a 45-year-old male patient who was treated for atypical pneumonia with levofloxacin, followed by severe respiratory issues that led to intubation. Diagnosis was confirmed through a positive Tensilon test and electromyogram results, along with imaging to identify underlying thymoma, which led to thymectomy and further treatment.

Findings : The study concluded that levofloxacin, like other fluoroquinolones, can exacerbate symptoms in patients with subclinical myasthenia gravis, potentially triggering life-threatening myasthenic crises.

Mycology

Toggle SectionR Seo, R Oyasu, A Schaeffer: Account of Disseminated Cryptococcus Infection, PubMed

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The study investigates a case of blastomycosis that presented as epididymitis and prostatitis, highlighting the diagnostic process and treatment outcomes.

Method : The diagnosis relied on pathological findings and serological support, confirmed through culture and special staining, while monitoring treatment with oral ketoconazole over 12 months.

Findings : The study concludes that blastomycosis can significantly affect the genitourinary tract, and effective diagnosis and treatment are possible with a high index of suspicion.

Natural Antihistamine

Toggle SectionJiri Mlcek, Tunde Jurikova, Sona Skrovankova, Jiri Sochor: Natural Antihistamine, PubMed

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The study discusses quercetin, a flavonoid known for its anti-allergic properties and immune system modulation, including its ability to inhibit histamine release and regulate inflammation.

Method :

Findings : Quercetin exhibits strong antioxidant and immunomodulatory properties, making it effective in treating conditions like allergic rhinitis and bronchial asthma, and it outperforms traditional antihistamines in some mechanisms of action.

Natural Supplements

Toggle SectionEvyatar Evron, Margit Juhasz, Arash Babadjouni, Natasha Atanaskova Mesinkovska: Clinical trials on Saw Palmetto for hair loss, PubMed

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The systematic review evaluates the efficacy, safety, and tolerability of Saw Palmetto supplements in treating alopecia.

Method : The study performed a systematic review by searching databases like PubMed, Google Scholar, and Cochrane to gather results from randomized clinical trials and prospective cohort studies. The studies reviewed included various dosages of Saw Palmetto, both topical and oral.

Findings : Results indicated a significant improvement in hair quality, hair count, and density among patients using Saw Palmetto supplements, with tolerability noted and no serious adverse events reported. However, the authors noted the lack of robust high-quality data to definitively confirm efficacy and suggest further research.

Naturopathy

Toggle SectionKieran Cooley, Orest Szczurko, Dan Perri, Edward J Mills, Bob Bernhardt, Qi Zhou, Dugald Seely: Effect of Ashwagandha on Anxiety and Sleep, NCBI

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This study investigates the effectiveness of naturopathic care, including the use of ashwagandha, on anxiety symptoms in individuals with moderate to severe anxiety over a 12-week period.

Method : The study employed a randomized controlled trial design, assigning participants to either a naturopathic care group or a psychotherapy group. Participants received either naturopathic treatments, which included ashwagandha, or standardized psychotherapy, with several outcome measures to assess anxiety and quality of life.

Findings : Results indicated that participants in the naturopathic care group experienced a significantly greater reduction in anxiety symptoms compared to those receiving psychotherapy. Additionally, improvements in overall quality of life measures were observed in the naturopathic care group, suggesting potential benefits of this treatment approach.

Neurodegenerative Diseases

Toggle SectionElnaz Amanzadeh, Abolghasem Esmaeili, Soheila Rahgozar, Maryam Nourbakhshnia: Neurodegenerative Diseases, PubMed

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This study investigates the application of quercetin, a polyphenolic flavonoid found in fruits and vegetables, in treating various neurological disorders, especially neurodegenerative diseases like Alzheimer’s, Parkinson’s, and Huntington’s diseases. It emphasizes the role of quercetin as an antioxidant and its potential therapeutic benefits in neuroprotection.

Method : The study reviews existing literature and animal model experiments focusing on the effects of quercetin and its derivatives, including nanomedicine approaches to enhance bioavailability and therapeutic efficacy.

Findings : The findings suggest that quercetin can improve behavioral, cellular, and molecular outcomes in animal models of neurodegeneration, with suggested future research on quercetin-involved nanoparticles leading to faster therapeutic effects and reduced dosages.

Neuroscience

Toggle SectionJinghua Liu, Arjun H. Banskota, Alan T. Critchley, Jeff Hafting, Balakrishnan Prithiviraj: Research, MDPI

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The study investigates the neuroprotective effects of a methanolic extract from the red seaweed Chondrus crispus on a C. elegans model of Parkinson’s disease.

Method : The method involved using transgenic C. elegans models to assess the impact of dietary supplementation with Chondrus crispus extract. Key assessments included measuring α-synuclein accumulation, evaluating dopamine neuron degeneration induced by 6-OHDA, and analyzing gene expression related to oxidative stress response.

Findings : The findings showed that the extract significantly reduced α-synuclein accumulation and protected dopamine neurons from degeneration. Additionally, the extract enhanced oxidative stress tolerance and upregulated protective stress response genes, suggesting its potential as a functional food and a candidate for anti-neurodegenerative drug development.

Neurosurgery

Toggle SectionDr. Fernandez-Miranda: Pituitary Surgery, Stanford Medicine

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This study details advancements in surgical techniques for the removal of pituitary tumors, especially those with complex presentations such as invasion of the cavernous sinus and the need for precise anatomical knowledge.

Method : The study employs innovative surgical techniques leveraging endoscopic endonasal approaches, intraoperative exploration, and detailed anatomical classifications to guide surgical decision-making and improve patient outcomes.

Findings : Findings indicate higher rates of complete tumor removal and long-term remission in patients with functional tumors, with reduced risk of pituitary dysfunction following selective resection of invasive tumors.

Nocturia

Toggle SectionSeung Whan Doo, Hong Jun Lee, Jin Ahn, Jae Heon Kim, Jong Hyun Yun, Won Jae Yang, Yun Seob Song: Study on nocturia and sleep disorders, NCBI

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This study evaluates the impact of nocturia on sleep quality in patients with lower urinary tract symptoms (LUTS) and benign prostatic hyperplasia (BPH).

Method : The study involved 58 male patients with LUTS/BPH, measuring nocturia episodes and assessing sleep quality using the Pittsburgh Sleep Quality Index (PSQI). A control group of LUTS/BPH patients without nocturia was also included.

Findings : Patients with nocturia showed significantly poorer sleep quality, with a higher mean global PSQI and a greater percentage of severe sleep disorders compared to those without nocturia.

Toggle SectionMatthias Oelke, Bernhard Fangmeyer, Jörg Zinke, Jörn H Witt: Impacts of BPH on Nocturia, PubMed

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The study investigates the prevalence and impact of nocturia in men with benign prostatic hyperplasia (BPH). It explores the underlying causes of nocturia and the effectiveness of various treatments.

Method : The method involved assessing patients through bladder diaries over a three-day period to evaluate urinary patterns and to identify underlying pathophysiologies. Treatment goals were set to reduce nocturnal voiding frequency and improve quality of life.

Findings : The study found that nocturia is a common and bothersome condition in men with BPH, often resulting from factors like decreased bladder capacity or nocturnal polyuria. Effective treatments include medication and lifestyle modifications, and desmopressin was noted as a beneficial option for managing nocturnal polyuria.

Nutraceuticals

Toggle SectionSimran Alexandria Polce, Cameron Burke, Lucas Martins França, Benjamin Kramer, Antonio Marcus de Andrade Paes, Maria Alicia Carrillo-Sepulveda: Effects of Ellagic Acid on Inflammation, NCBI, 2018

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The study evaluates the effects of Ellagic acid on hepatic oxidative stress and insulin resistance in diabetic female rats, specifically targeting non-alcoholic fatty liver disease (NAFLD) associated with type 2 diabetes mellitus (T2DM).

Method : The study utilized adult female Goto Kakizaki (GK) rats as a model for T2DM and administered Ellagic acid treatment for 45 days. Outcomes were measured through fasting blood glucose levels, insulin resistance indices, hepatic lipid accumulation, and oxidative stress markers.

Findings : The findings indicate that Ellagic acid treatment significantly reduced fasting blood glucose and insulin resistance, as well as decreased hepatic oxidative stress and lipid accumulation in diabetic rats. The study also highlighted specific molecular mechanisms involved, including the downregulation of p47-phox and the upregulation of NRF2, contributing to improved hepatic insulin sensitivity.

Nutrition

Toggle SectionTristan Boam: Quercetin Rich Foods, NCBI

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The study focuses on the anti-androgenic effects of flavonols, particularly quercetin, in the context of prostate cancer and its potential for chemoprevention.

Method : The study reviews laboratory research and clinical trial data regarding the effects of flavonols on prostate cancer cell lines, specifically their interaction with androgen receptors and related signaling pathways.

Findings : The flavonols, including quercetin, exhibit anti-androgenic effects which may contribute to their chemopreventive properties in prostate cancer, though the mechanisms remain partially unclear.

Toggle SectionChris McGlory, Philip C Calder, Everson A Nunes: Study on Omega-3 Fatty Acids, NCBI

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The study investigates the influence of omega-3 fatty acids on skeletal muscle protein turnover in health, disuse, and various diseases.

Method : The authors reviewed existing literature on the effects of omega-3 fatty acids, particularly eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), on muscle protein synthesis and breakdown, as well as their roles in conditions like muscle disuse and cancer cachexia.

Findings : Omega-3 fatty acids positively influence skeletal muscle mass and strength by enhancing protein synthesis and reducing breakdown, particularly during periods of muscle disuse and cancer cachexia.

Toggle SectionWendy Demark-Wahnefried, Thomas J Polascik, Stephen L George, Boyd R Switzer, John F Madden, Mack T Ruffin IV, Denise C Snyder, Kouros Owzar, Vera Hars, David M Albala, Philip J Walther, Cary N Robertson, Judd W Moul, Barbara K Dunn, Dean Brenner, Lori Min: Flaxseed and prostate cancer, NCBI

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This study investigated the effects of flaxseed supplementation and low-fat diets on prostate cancer proliferation rates in presurgery patients.

Method : The study was a multi-site randomized controlled trial with 161 prostate cancer patients who were assigned to one of four diet arms: control, flaxseed-supplemented, low-fat, or a combination of both. They were monitored for changes in tumor proliferation and biomarkers before prostatectomy.

Findings : The results indicated that flaxseed supplementation significantly reduced prostate cancer cell proliferation rates compared to controls, while low-fat diets showed no significant effect on proliferation. The study suggests that flaxseed may provide protective benefits for prostate cancer.

Toggle SectionDaniel A Shoskes, J Curtis Nickel: Study on Quercetin, PubMed

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The study investigates the efficacy of quercetin in treating chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS), emphasizing its antioxidant and anti-inflammatory properties.

Method : The article reviews existing data on quercetin’s therapeutic effects and discusses its application based on the UPOINT clinical phenotype system for CP/CPPS.

Findings : Quercetin can be beneficial for patients presenting with specific organ complaints and pelvic floor spasms, suggesting its role as part of a multimodal treatment approach for CP/CPPS.

Toggle SectionMaria Azrad, Robin T Vollmer, John Madden, Mark Dewhirst, Thomas J Polascik, Denise C Snyder, Mack T Ruffin, Judd W Moul, Dean E Brenner, Wendy Demark-Wahnefried: Research on Flaxseed, NCBI

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This study investigates the association between flaxseed-derived enterolactone and tumor cell proliferation in men with localized prostate cancer.

Method : The study utilized a presurgical trial design in which 147 men with prostate cancer consumed 30g of flaxseed daily for approximately 30 days. Urinary enterolignans and tumor biomarkers were measured using high-performance liquid chromatography and immunohistochemistry, respectively.

Findings : The study found significant inverse correlations between urinary enterolignans (total and enterolactone) and tumor proliferation markers such as Ki67, suggesting flaxseed-derived enterolignans may inhibit cancer cell growth. Additionally, there were indications that higher levels of enterolactone were associated with reduced tumor expression of VEGF, although this did not reach statistical significance.

Toggle SectionMichael A Joseph, Kirsten B Moysich, Jo L Freudenheim, Peter G Shields, Elise D Bowman, Yueshang Zhang, James R Marshall, Christine B Ambrosone: Cruciferous Vegetables and Cancer, PubMed

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This study investigates the relationship between cruciferous vegetable intake, genetic polymorphisms in glutathione S-transferases M1 and T1, and the risk of prostate cancer.

Method : The study utilized a case-control design, involving 428 men with prostate cancer and 537 controls. Participants completed in-person interviews and a comprehensive food-frequency questionnaire to assess their consumption of cruciferous vegetables, and genotyping was conducted on a subset of men for GSTM1 and GSTT1 deletions.

Findings : The findings indicate that higher consumption of cruciferous vegetables, particularly broccoli, is associated with a reduced risk of prostate cancer. Additionally, men with the GSTM1-present genotype and high broccoli intake showed a significant reduction in risk, suggesting a potential interaction between dietary factors and genetic factors in cancer prevention.

Toggle SectionS Kirkham, R Akilen, S Sharma, A Tsiami: Cinnamon, insulin sensitivity and blood sugar levels, PubMed

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This study reviews the potential of cinnamon to reduce blood glucose levels in individuals with type 2 diabetes and insulin resistance.

Method : A systematic electronic literature search was conducted to evaluate randomized, placebo-controlled clinical trials involving Cinnamomum verum or Cinnamomum cassia from January 2003 to July 2008.

Findings : The findings suggest that while not conclusive, cinnamon may possess antihyperglycaemic properties capable of reducing postprandial blood glucose levels, though further research is needed.

Toggle SectionMarkt S C, Nuttall E, Turman C, Sinnott J, Rimm E B, Ecsedy E: Research on Effects of Asparagus on Urine Odor, BMJ

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This study investigates the genetic basis for the ability to detect the odor produced by asparagus in urine, commonly referred to as asparagus anosmia.

Method : The researchers conducted a genome-wide association study to identify genetic variants associated with the ability to perceive the distinct odor after asparagus consumption.

Findings : The study successfully identified specific genetic markers linked to the ability to smell the distinctive urine odor associated with asparagus intake.

Toggle SectionWenstrup, Susie MD, Ito, Yuri DO, Stephan, Natalie MD: Mediterranean diet and aggressive prostate cancer, The Journal of Urology

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The study investigates the relationship between adherence to the Mediterranean diet and the incidence of aggressive prostate cancer.

Method : The study appears to be a literature review or article summarizing existing evidence regarding the Mediterranean diet and its potential impact on cancer incidence, particularly prostate cancer.

Findings : The authors suggest that adherence to the Mediterranean diet may decrease the incidence of aggressive prostate cancer.

Toggle SectionMarc P McRae: case reports, NCBI

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This narrative review evaluates the effectiveness of fiber supplementation in treating constipation, aiding weight loss, and supporting gastrointestinal function, particularly in conditions such as IBS and inflammatory bowel disease.

Method : The study conducted a systematic search through PubMed to review relevant meta-analyses published between January 1980 and July 2019. Eighteen meta-analyses were included based on their quantitative statistical analysis and effectiveness of dietary fiber in various gastrointestinal conditions.

Findings : The review found evidence supporting fiber supplementation for constipation relief and weight loss, as well as managing IBS symptoms; however, it noted significant heterogeneity and publication bias among the studies, casting doubt on the robustness of the findings.

Toggle SectionOlof Gudny Geirsdottir, Inga Thorsdottir: Loss of Appetite and Its Consequences, PubMed

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This study assesses the nutritional status of cancer patients undergoing chemotherapy, evaluates a screening method for malnutrition, and investigates related dietary intake and protein balance.

Method : A full nutritional assessment was performed to define malnutrition, validate a short screening sheet, and evaluate dietary intake through three-day weighed food records. The study included patients receiving chemotherapy for lung, colon, or breast cancer, and clinical routine screening was conducted afterward.

Findings : Malnutrition was identified in 20% of patients using the full assessment, while the screening sheet showed high sensitivity and specificity. A significant decline in nutritional status occurred, with 40% of patients screened in clinical routine being malnourished. There was a discrepancy between the perceived need for nutritional counseling (80%) and actual receipt of such counseling (17%).

Toggle SectionXiao-Yan Bai, Xinjian Qu, Xiao Jiang, Zhaowei Xu, Yangyang Yang, Qiming Su, Miao Wang, Huijian Wu: Dietary Intake of Vitamin C and Prostate Cancer Risk, NCBI

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The study investigates the relationship between dietary vitamin C intake and the risk of prostate cancer.

Method : The researchers conducted a meta-analysis of 18 studies on dietary vitamin C intake, including cohort and case-control studies, with data from 103,658 subjects, using risk ratios (RR) for comparisons between the highest and lowest intake categories.

Findings : The analysis reveals that higher dietary vitamin C intake is inversely associated with prostate cancer risk, with a pooled RR of 0.89, indicating a 9% reduction in risk for each additional 150 mg/day intake.

Toggle SectionC D Funk: alpha-linolenic acid and phytosterols, NCBI

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The study focuses on the roles of prostaglandins and leukotrienes as eicosanoid lipid mediators that are crucial for various biological functions and inflammation. It discusses how these compounds are produced and their mechanisms of action, particularly in the context of pain and inflammatory responses.

Method :

Findings : The research highlights that prostaglandins and leukotrienes are synthesized from arachidonic acid and that their actions can be inhibited by nonsteroidal anti-inflammatory drugs, including selective inhibitors of cyclooxygenase-2. Additionally, advancements in understanding their receptors have implications for drug development targeting inflammatory diseases.

Toggle SectionMingsi Xie, Jie Liu, Rong Tsao, Ziyuan Wang, Baoguo Sun, Jing Wang: Studies on whole grains and cancer, NCBI

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This study reviews the relationship between whole grain consumption and its potential role in the prevention and treatment of breast cancer, examining bioactive compounds and their effects on cancer mechanisms.

Method : The study synthesizes findings from various epidemiological and clinical studies, as well as experimental data on the effects of whole grain cereals and their bioactive compounds on breast cancer prevention.

Findings : The results suggest an inverse association between whole grain consumption and breast cancer risk, with certain whole grains exhibiting potential anticancer properties through various biological mechanisms.

Toggle SectionPao-Hwa Lin, William Aronson, Stephen J Freedland: 2015 reports, NCBI

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The study explores the relationship between nutrition, dietary interventions, and prostate cancer (PCa), examining various dietary factors and their potential impact on PCa incidence and progression.

Method : The study is a review of recent literature analyzing epidemiological, preclinical, and clinical studies regarding the role of dietary factors on prostate cancer.

Findings : The review found that dietary components such as low carbohydrate intake, soy protein, omega-3 fats, and certain plant-based foods may reduce PCa risk, while high saturated fat intake and high serum β-carotene levels may increase risk. There exist inconsistent findings, indicating the need for further prospective trials to better understand these relationships.

Toggle SectionLaura M Beaver, Christiane V Lӧhr, John D Clarke, Sarah T Glasser, Greg W Watson, Carmen P Wong, Zhenzhen Zhang, David E Williams, Roderick H Dashwood, Jackilen Shannon, Philippe Thuillier, Emily Ho: 2017 report, PubMed

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The study investigates the effects of a diet high in broccoli sprouts on the prevention and severity of prostate cancer in a mouse model (TRAMP).

Method : TRAMP mice were fed either a diet with 15% broccoli sprouts or a control diet. Tissue samples were collected at 12 and 28 weeks of age to assess cancer incidence, HDAC expression, and histone modification changes.

Findings : Broccoli sprouts significantly reduced both the incidence and progression of prostate cancer, decreasing HDAC3 protein expression and altering histone modifications. Mice consuming the broccoli sprout diet showed diminished levels of invasive cancer and changes to genes regulated by HDACs.

Toggle SectionFabien S Dalais, Andreanyta Meliala, Naiyana Wattanapenpaiboon, Mark Frydenberg, David A I Suter, William K Thomson, Mark L Wahlqvist: Wheat Bread and PSA Levels, PubMed

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This study investigates the effects of a diet rich in phytoestrogens, specifically soy and linseed, on PSA levels and sex hormones in men with prostate cancer.

Method : Twenty-nine men with prostate cancer were randomly assigned to one of three dietary groups: high phytoestrogen (soy), high phytoestrogen (soy and linseed), or low phytoestrogen (wheat). PSA levels, free PSA, and other hormone levels were measured before and after the intervention.

Findings : The study found significant reductions in total PSA and improvements in the free/total PSA ratio in the soy bread group compared to the control group, suggesting that a phytoestrogen-rich diet may positively affect PSA levels in prostate cancer patients.

Toggle SectionDominik D Alexander, Pamela J Mink, Colleen A Cushing, Bonnie Sceurman: Red Meat and Prostate Cancer, PubMed

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The study investigates the association between red and processed meat intake and the risk of developing prostate cancer.

Method : A review and meta-analysis of 15 prospective studies regarding red meat and 11 studies regarding processed meat was performed, employing random effects models to generate summary relative risk estimates.

Findings : The analysis found no significant association between high red meat consumption and prostate cancer risk. A weakly elevated association was noted for processed meat but was influenced by confounding factors and publication bias.

Toggle SectionLauren C Bylsma, Dominik D Alexander: Processed Meats Study, PubMed

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The study reviews and meta-analyzes the relationship between red and processed meat consumption, cooking methods, heme iron, heterocyclic amines, and prostate cancer risk.

Method : A comprehensive literature search was conducted, including 26 publications from 19 different cohort studies. Random effects models were used to calculate summary relative risk estimates, along with meta-regression and stratified intake analyses to evaluate dose-response relationships.

Findings : The results indicate no significant association between red or processed meat consumption and prostate cancer, although a weak positive summary estimate for processed meats was observed.

Toggle SectionAntwi-Boasiako Oteng, Sander Kersten: Trans Fats and Inflammation, PubMed

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The study examines the mechanisms by which trans fatty acids contribute to inflammation and other health issues, particularly cardiovascular diseases.

Method : The review synthesizes findings from various in vivo and in vitro studies comparing the effects of industrial trans fatty acids against those of cis-unsaturated fatty acids and saturated fatty acids (SFAs).

Findings : The research indicates that industrial trans fatty acids promote inflammation and endoplasmic reticulum (ER) stress and stimulate fat storage in the liver, contrasting with the protective effects of cis-unsaturated fatty acids.

Toggle SectionNutrition and Prostate Cancer, UCSF Health

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The study focuses on the relationship between diet, specifically a plant-based diet, and prostate cancer risk, examining how nutrition may affect cancer incidence and progression.

Method : The research involved an 11-day study where participants followed the Pritikin program, which emphasizes a high-vegetable, low-fat dietary regimen alongside daily exercise, and measured changes in serum IGF-I levels.

Findings : The study found that following the Pritikin diet resulted in a 20% decrease in serum IGF-I levels, which have been linked to increased cancer risk, including prostate cancer. Additionally, a diet high in fruits, vegetables, and low in fat may contribute to reduced incidence and progression of prostate cancer.

Toggle SectionFayth L Miles, Marian L Neuhouser, Zuo-Feng Zhang: Sugar Intake and Prostate Cancer Risk, PubMed

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The study examines the association between concentrated sugar intake from beverages and desserts and the risk of prostate cancer.

Method : The study used a prospective cohort design involving 22,720 men from the PLCO Cancer Screening Trial. Cox proportional hazards regression models were employed to estimate hazard ratios for prostate cancer risk while adjusting for potential confounders.

Findings : The study found that increased consumption of sugars from sugar-sweetened beverages was associated with a higher risk of prostate cancer, particularly among those in the highest quartile of sugar intake (HR: 1.21). No significant associations were found for sugars from fruit juices or desserts.

Toggle SectionEvan Y W Yu, Anke Wesselius, Siamak Mehrkanoon, Maree Brinkman, Piet van den Brandt, Emily White, Elisabete Weiderpass, Florence Le Calvez-Kelm, Marc Gunter, Inge Huybrechts, Fredrik Liedberg, Guri Skeie, Anne Tjonneland, Elio Riboli, Graham G Giles, Roger: Bladder Cancer Risk and Whole Grains, PubMed, 2020

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The study investigates the association of whole grain and dietary fiber intake with bladder cancer risk.

Method : The researchers conducted a pooled analysis of individual data from 574,726 participants across 13 cohort studies, identifying 3,214 cases of incident bladder cancer. They used Cox regression models for hazard ratios and fractional polynomial regression models for dose-response relations.

Findings : The results indicated that higher total whole grain intake was linked to a lower risk of bladder cancer (HR: 0.87) and that increased dietary fiber intake also showed an inverse relationship with bladder cancer risk (HR: 0.86). Additionally, individuals consuming the highest amounts of both whole grains and dietary fiber had a 28% reduced risk compared to those with the lowest intakes.

Toggle SectionJ R Hebert, T G Hurley, B C Olendzki, J Teas, Y Ma, J S Hampl: Dietary factors and prostate cancer, PubMed, 1998

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The study investigates the relationship between dietary and socioeconomic factors and prostate cancer mortality across 59 countries.

Method : Data on prostate cancer mortality, food consumption, tobacco use, and various socioeconomic factors were analyzed using linear regression models to assess the impact of each variable on mortality rates.

Findings : Prostate cancer mortality was found to be inversely associated with the consumption of cereals, nuts, oilseeds, and fish. Notably, soy products showed a significant protective effect, and there was also an association with health-related, sanitation, and economic variables.

Toggle SectionInstitute of Medicine, Food and Nutrition Board, Panel on Dietary Antioxidants and Related Compounds, Subcommittee on Upper Reference Levels of Nutrients, Subcommittee on Interpretation and Uses of Dietary Reference Intakes, Standing Committee on the Scien: Dietary Reference Intakes for Vitamin C, Vitamin E, Selenium, and Carotenoids, National Academy of Sciences

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This study provides comprehensive dietary reference intakes for Vitamin C, Vitamin E, selenium, and carotenoids, detailing their physiological roles and associated health effects.

Method : The study utilized an evidence-based approach, reviewing existing scientific literature to develop reference intake levels such as Recommended Dietary Allowances (RDAs) and Tolerable Upper Intake Levels (UL).

Findings : The findings include established RDAs for various demographics and a framework for understanding the potential health impacts of these nutrients, emphasizing their roles in preventing chronic disease.

Toggle SectionBen Liu, Qiqi Mao, Min Cao, Liping Xie: Pritikin diet effects on IGF-I levels, PubMed, 2021

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This study evaluates the relationship between the intake of cruciferous vegetables and the risk of prostate cancer.

Method : A systematic literature search was performed up to June 2011, identifying relevant cohort and case-control studies. The relative risks for the highest versus the lowest intake were calculated along with assessments of heterogeneity and publication bias.

Findings : The analysis included seven cohort studies and six population-based case-control studies, demonstrating a significant decrease in prostate cancer risk associated with cruciferous vegetable intake. The overall relative risk was 0.90, indicating a protective effect, particularly strong in case-control studies (relative risk = 0.79). No significant heterogeneity or publication bias was detected.

Toggle SectionMar Larrosa, Francisco A Tomás-Barberán, Juan Carlos Espín: Effects of Ellagic Acid Consumption, PubMed, 2006

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This study investigates the effects of ellagic acid and punicalagin on apoptosis in human colon adenocarcinoma Caco-2 cells.

Method : The researchers conducted experiments using Caco-2 colon cancer cells to assess the impact of dietary ellagitannin punicalagin and ellagic acid on cell cycle progression and apoptosis pathways, focusing specifically on mitochondrial pathways.

Findings : The study found that both ellagic acid and punicalagin induced apoptosis in Caco-2 cells via mitochondrial pathways, while showing no apoptotic effects in normal colon CCD-112CoN cells, suggesting a potential cancer chemopreventive role for ellagic acid.

Toggle SectionEdwards, Richard DO; Shadiack, Anthony DO: Do pumpkin seeds or pumpkin supplements reduce symptoms of benign prostatic hyperplasia?, Journals LWW, 2018

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This study examines the effects of pumpkin seeds and supplements on symptoms associated with benign prostatic hyperplasia (BPH).

Method : The study references small, low-quality randomized controlled trials to assess the effectiveness of pumpkin seed oil and pumpkin seed extract in reducing urinary symptoms related to BPH.

Findings : The findings indicate that pumpkin seed oil and seeds may reduce obstructive urinary symptom scores in BPH patients, whereas pumpkin seed extract shows no superiority over placebo.

Toggle SectionAshley van Biljon, Dr. Alina Fong: How Does Folate Affect The Brain, Cognitive FX

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The study elaborates on the importance of folate (vitamin B9) for brain health and its role in various neurological functions, including mood regulation and cognitive development.

Method : The article summarizes research findings related to folate’s impact on the nervous system and provides dietary recommendations for increasing folate intake through certain foods.

Findings : The findings indicate that folate deficiency can lead to mental health issues such as depression and cognitive decline, while adequate folate intake supports brain function and general health.

Toggle SectionKourosh Sayehmiri, Milad Azami, Younes Mohammadi, Ali Soleymani, Zainab Tardeh: Selenium and prostate cancer prevention, NCBI

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The study investigates the relationship between selenium and prostate cancer, particularly focusing on whether selenium has a protective role in preventing the disease.

Method : The researchers performed a systematic review and meta-analysis using data from various databases including PubMed and Scopus, analyzing 38 studies with a total of 36,419 cases and 105,293 controls, applying a random effects model to estimate relative risks.

Findings : The meta-analysis indicated a pooled relative risk of 0.86, suggesting selenium likely has a protective effect against prostate cancer development and progression to advanced stages, supporting the idea of selenium supplementation for prevention.

Toggle SectionElisângela Colpo, Carlos Dalton D A Vilanova, Luiz Gustavo B Reetz, Marta M M F Duarte, Iria Luiza G Farias, Daiane F Meinerz, Douglas O C Mariano, Raquel G Vendrusculo, Aline A Boligon, Cristiane L Dalla Corte, Roger Wagner, Margareth L Athayde, João Bati: Effects of Brazil nuts on inflammatory markers, PubMed

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This study investigates the effects of Brazil nuts on inflammatory markers in healthy volunteers, focusing on their potential anti-inflammatory properties after consumption.

Method : The study utilized a randomized crossover design with 10 healthy participants who consumed varying amounts of Brazil nuts (0, 5, 20, and 50 g). Blood samples were taken before consumption and at multiple time points after to measure levels of various inflammatory markers.

Findings : The intake of Brazil nuts significantly decreased levels of inflammatory cytokines IL-1, IL-6, TNF-α, and IFN-γ, while increasing IL-10, suggesting a reduction in inflammation. There was no evidence of hepatic or renal toxicity, indicating safety in consumption.

Toggle SectionAli Ridha Mustafa Al-Yasiry, Bożena Kiczorowska: Anti-inflammatory Effects of Boswellia, NCBI

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The study examines the therapeutic properties of Boswellia resin, focusing on its anti-inflammatory effects and chemical composition.

Method : The study was a review of existing scientific literature analyzing the chemical components and biological activities of Boswellia resin, particularly what is known about its therapeutic properties in various health conditions.

Findings : The research confirms that Boswellia resin has substantial anti-inflammatory effects, additionally showing analgesic, tranquilizing, and antibacterial properties. Specifically, Boswellia extracts can reduce inflammation in conditions like rheumatism and inhibit tumor cell proliferation.

Toggle SectionYang Hu, Frank B Hu, JoAnn E Manson: Link between omega 3 supplements and cardiovascular disease, PubMed, 2019

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The study investigates the relationship between marine omega-3 supplementation and cardiovascular disease (CVD) risk, evaluating if these supplements can reduce the incidence of various cardiovascular events.

Method : This study conducted a meta-analysis of 13 randomized controlled trials involving 127,477 participants. The outcomes evaluated included myocardial infarction, coronary heart disease (CHD) deaths, total CHD, total stroke, and overall CVD events, with a mean treatment duration of 5 years.

Findings : Marine omega-3 supplementation was associated with a lowered risk of myocardial infarction, CHD death, total CHD, CVD death, and total CVD. The analysis indicated that risk reductions correlated linearly with the dosage of marine omega-3s.

Toggle SectionJinghua Liu, Saveetha Kandasamy, Junzeng Zhang, Christopher W Kirby, Tobias Karakach, Jeff Hafting, Alan T Critchley, Franklin Evans, Balakrishnan Prithiviraj: Studies, NCBI

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The study investigates the prebiotic effects of diet supplemented with the cultivated red seaweed Chondrus crispus and fructo-oligo-saccharide (FOS) on host immunity, colonic microbiota, and gut microbial metabolites in rats.

Method : Weaning rats were fed diets supplemented with different concentrations of C. crispus and FOS. Colonic microbiome profiling was performed using a 16S rRNA sequencing-based Phylochip array, while short chain fatty acids were measured through gas chromatography. Immunoglobulin levels were analyzed using ELISA, and histo-morphological parameters were characterized by H&E staining.

Findings : Dietary supplementation with C. crispus significantly influenced the colonic microbiota composition, increasing the abundance of beneficial bacteria such as Bifidobacterium breve, while also enhancing the concentration of short chain fatty acids. Improvements were also observed in histo-morphological parameters of the colon and elevated plasma immunoglobulin levels were noted.

Toggle SectionKazim Sahin, Omer Kucuk: Supplementary Nutritional Interventions for Prostate Cancer Prevention: A Review, Link Springer

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The review discusses the role of lycopene in cancer prevention, particularly its effects on various types of cancer and the mechanisms behind its activity.

Method : The study conducts a review of existing literature on lycopene, including preclinical and clinical trials that evaluate its antitumor effects and potential mechanisms of action.

Findings : Lycopene exhibits potent antioxidant properties and has been shown to lower the risk of various cancers, particularly prostate cancer, through mechanisms such as decreasing lipid oxidation and inhibiting cancer cell proliferation.

Toggle SectionFrank Thies, Lynsey M. Mills, Susan Moir, Lindsey F. Masson: Cardiovascular Benefits of Lycopene: Fantasy or Reality?, Cambridge University Press

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The study investigates the potential cardiovascular benefits of lycopene, a carotenoid abundant in tomatoes, and examines the evidence from observational, mechanistic, and intervention studies.

Method : The authors conducted a review of existing literature, including observational studies, in vitro experiments, and human intervention trials focusing on the effects of lycopene on cardiovascular health markers and mechanisms of action.

Findings : The review indicates mixed results regarding lycopene’s effectiveness in reducing cardiovascular disease risk, with some studies showing benefits related to HDL functionality and inflammatory markers, but overall, conventional cardiovascular risk markers showed minimal change with increased lycopene intake.

Toggle SectionCyrus A Raji, Kirk I Erickson, Oscar L Lopez, Lewis H Kuller, H Michael Gach, Paul M Thompson, Mario Riverol, James T Becker: One study, PubMed

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This study explores the relationship between regular fish consumption and age-related brain gray matter loss in cognitively normal elderly individuals.

Method : The study analyzed data from 260 cognitively normal participants in the Cardiovascular Health Study, using fish consumption data from a food frequency questionnaire and brain MRI images assessed through voxel-based morphometry in multiple regression analyses.

Findings : Regular consumption of baked or broiled fish was positively associated with larger gray matter volumes in key brain regions, suggesting a potential role for diet in preserving brain health as individuals age.

Toggle SectionCarla Gonçalves, Sandra Abreu: Systematic review, PubMed

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This study examines the relationship between sodium and potassium intake and cardiovascular disease (CVD) in older adults, highlighting the potential impact of these dietary components on cardiovascular health.

Method : The authors conducted a systematic literature search on PubMed and Web of Science for studies from January 2015 to July 2020. They included observational and experimental studies that reported on sodium or potassium intake in relation to CVD in participants aged 60 years and older, assessing study quality and bias risk through established tools.

Findings : The review found inconsistent results regarding sodium intake reduction for lowering CVD risk; however, higher potassium intake and lower sodium-to-potassium ratios were associated with a reduced risk of hypertension and cardiovascular events like stroke.

Toggle SectionTommaso Filippini, Federica Violi, Roberto D’Amico, Marco Vinceti: Systematic review and meta-analysis, PubMed

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This study investigates the impact of potassium supplementation on blood pressure in hypertensive individuals.

Method : The research involved a systematic review and meta-analysis of randomized controlled trials (RCTs) focusing on potassium supplementation lasting at least four weeks, utilizing unconventional search strategies to ensure comprehensive coverage of relevant studies.

Findings : Potassium supplementation significantly reduced systolic blood pressure by 4.48 mmHg and diastolic blood pressure by 2.96 mmHg. The effects were more pronounced in individuals with lower baseline potassium intake and higher sodium intake, particularly in Southern Europe.

Toggle SectionRita M Khounganian, Abdulaziz Alwakeel, Abdulhakim Albadah, Abdulrahman Nakshabandi, Shahad Alharbi, Ahmed S Almslam: Vitamin C and immune function, NCBI

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The study evaluates the antifungal efficacy of garlic, onion, and lemon extracts against Candida albicans.

Method : The C. albicans were cultured in brain agar and incubated anaerobically. Pure extracts of garlic, onion, and lemon were tested using the well-diffusion method to measure inhibition zones. Statistical analysis involved one-way ANOVA and chi-square tests, with significance set at P ≤ 0.05.

Findings : Garlic extract showed significant antifungal activity against C. albicans with measurable inhibition zones, while no such activity was observed for onion and lemon extracts.

Toggle SectionA Narain, C S Kwok, M A Mamas: The effect of sugar-sweetened beverages on health outcomes: a systematic review, PubMed

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The study examines the association between sugar-sweetened beverage (SSB) consumption and the risk of cardiovascular diseases and mortality, as well as the impact of artificially sweetened beverages (ASB).

Method : A systematic review and meta-analysis were conducted, searching Medline and EMBASE for relevant studies. Risk ratios for adverse outcomes related to soft drink intake were calculated using a random effects model, with heterogeneity assessed via the I2 statistic.

Findings : The study found that higher consumption of SSBs is associated with an increased risk of myocardial infarction (RR 1.22) and stroke (RR 1.13). For ASBs, there was also a significant association with stroke (RR 1.08) and vascular events (RR 1.44), suggesting a potential link between these beverages and cardiovascular risk.

Toggle SectionRavinder K. K. P. P., Niall J. O.: Vitamin D, Calcium, and Prevention of Cardiovascular Events, NEJM

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The study investigates the effects of vitamin D and calcium supplementation on cardiovascular events.

Method : The researchers conducted a randomized controlled trial with participants receiving either vitamin D and calcium or a placebo to measure the impact on cardiovascular health over a set period.

Findings : The study found no significant differences in the rates of cardiovascular events between the supplementation group and the placebo group.

Toggle SectionNatasha Khazai, Suzanne E Judd, Vin Tangpricha: Calcium Absorption and Bone Health, NCBI

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This study reviews the roles of calcium and vitamin D in skeletal health and their effects on extraskeletal functions such as immune response and disease prevention.

Method : The study includes a review of literature, data from clinical trials, and epidemiological studies to assess the prevalence of vitamin D insufficiency and its impact on calcium absorption and skeletal health.

Findings : The study concludes that adequate vitamin D is necessary for optimal calcium absorption, with specific vitamin D levels recommended to prevent insufficiency and promote bone health.

Toggle SectionZhigang Cui, Dezhong Liu, Chun Liu, Gang Liu: Nutrition and Mental Performance: The Importance of Selenium (2009), 2009

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This study explores the relationship between serum selenium levels and prostate cancer risk through a meta-analysis of various studies.

Method : The study conducted a literature search on several databases to identify relevant observational studies, selected 17 studies for the meta-analysis, and used pooled odds ratios and confidence intervals to evaluate the association between serum selenium levels and prostate cancer risk.

Findings : The meta-analysis found that higher serum selenium levels were associated with a reduced risk of prostate cancer, with a pooled odds ratio of 0.76. However, the authors call for further research, especially in non-Western populations, due to the observed heterogeneity in results.

Toggle SectionNarges Hedayati, Mehri Bemani Naeini, Alireza Nezami, Hossein Hosseinzadeh, A Wallace Hayes, Sarasadat Hosseini, Mohsen Imenshahidi, Gholamreza Karimi: The Role of Lycopene in Human Health, PubMed

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This study reviews the protective effects of lycopene against various chemical and natural toxins, focusing on its antioxidant properties and potential benefits in reducing exposure to harmful substances.

Method : The authors conducted a comprehensive literature review of recent studies on lycopene, its sources, and its roles in mitigating the effects of environmental, occupational, and therapeutic toxins by analyzing data related to its antioxidative and chelating properties.

Findings : The review concludes that a high intake of lycopene may significantly decrease the risk of toxins, including mycotoxins and heavy metals, and highlights its potential mechanisms of action in inflammation modulation and its protective effects against toxicity.

Toggle SectionIoana Mozos, Dana Stoian, Alexandru Caraba, Clemens Malainer, Jarosław O Horbańczuk, Atanas G Atanasov: Lycopene and Cardiovascular Diseases, PubMed

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The study reviews the vascular health benefits of lycopene, a carotenoid found in various red fruits and vegetables. It analyzes its potential role in cardiovascular disease prevention and management.

Method : The authors conducted a comprehensive review of epidemiological data, clinical studies, and experimental evidence related to lycopene and its effects on vascular health.

Findings : Lycopene may improve vascular function and has been linked to the prevention of several cardiovascular conditions, showing antiatherosclerotic, antioxidant, anti-inflammatory, antihypertensive, and other beneficial effects. However, results from studies are sometimes inconsistent, indicating the need for more research.

Toggle SectionN/A: Impact of Lycopene on Male Health, Europe PMC

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This study explores the effects of lycopene on male health, specifically its potential benefits regarding reproductive health and disease prevention.

Method :

Findings :

Toggle SectionRuheea Taskin Ruhee, Katsuhiko Suzuki: N/A, N/A, N/A

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The review discusses the role of sulforaphane (SFN) found in cruciferous vegetables in preventing inflammation, oxidative stress, and fatigue.

Method : The study is a review that synthesizes current research findings on SFN’s mechanisms and effects, focusing on its bioavailability, pharmacokinetics, and impacts on health.

Findings : SFN modulates redox balance and reduces oxidative stress by activating the Nrf2 pathway and suppressing inflammation through the NF-κB pathway. The authors suggest that SFN may enhance exercise endurance and mitigate exercise-induced organ damage, indicating the need for further research on its effectiveness.

Toggle SectionNational Institutes of Health: Boron: Health Professional Fact Sheet, NIH

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The fact sheet provides detailed information on boron’s role as a trace element in human health, sources, recommended intakes, potential health benefits, and risks associated with boron intake.

Method :

Findings : Boron might have beneficial effects on health, including potential roles in bone formation, metabolism, and possibly reducing the symptoms of osteoarthritis, although more research is needed.

Toggle SectionKatie Tolkien, Steven Bradburn, Chris Murgatroyd: Cognitive Benefits of Diet, PubMed

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The study assesses the relationship between dietary inflammatory potential and the risk of depression and depressive symptoms.

Method : A systematic review and meta-analysis of existing literature was conducted, where studies reporting associations between diet and depression were analyzed using random effects models.

Findings : The study found a significant association between a pro-inflammatory diet and an increased risk of depression, suggesting that adopting an anti-inflammatory diet could be an effective intervention for reducing depression risk.

Toggle SectionKarine Trudeau, Marie-Claude Rousseau, Marie-Élise Parent: Processed Foods and Prostate Cancer Incidence, PubMed

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The study investigates the association between food processing levels and the risk of prostate cancer in a Montreal population.

Method : A population-based case-control study was conducted with 1919 prostate cancer cases and 1991 controls, using a food frequency questionnaire to assess diet over the two years prior to diagnosis/interview, and applying the NOVA classification for food processing.

Findings : Consumption of unprocessed or minimally processed foods was inversely associated with prostate cancer risk, whereas higher intake of processed foods was linked to an increased risk, especially for high-grade cancers.

Toggle SectionErin L Richman, Stacey A Kenfield, Meir J Stampfer, Edward L Giovannucci, Steven H Zeisel, Walter C Willett, June M Chan: Eggs, Choline, and Prostate Cancer Risk, PubMed

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This study examines the relationship between dietary choline intake and the risk of lethal prostate cancer among men in the Health Professionals Follow-Up Study.

Method : The study used a prospective cohort design, following 47,896 men over 22 years, utilizing validated dietary questionnaires to assess choline intake and conducting Cox proportional hazards regression to analyze the association with lethal prostate cancer incidence.

Findings : Men in the highest quintile of choline intake had a 70% increased risk of lethal prostate cancer compared to those in the lowest quintile; however, postdiagnostic choline intake was not significantly associated with lethal cancer risk.

Nutritional Deficits

Toggle SectionAlexander Stein, Wieland Voigt, Karin Jordan: Nutritional Deficits Resulting from Chemotherapy Induced Diarrhea, PubMed

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The study focuses on the impact of chemotherapy-induced diarrhea (CID) on the nutritional status of cancer patients, its pathophysiology, frequency, and management strategies.

Method : The study reviews existing literature to evaluate the causes of CID, its prevalence among patients undergoing chemotherapy, and the effectiveness of currently recommended treatments and management strategies for CID.

Findings : CID is reported to affect 50-80% of treated patients, with 10% facing severe cases. The study highlights that loperamide, octreotide, and deodorized tincture of opium are recommended treatments but emphasizes the need for newer strategies and predictive research to manage CID effectively.

Nutritional Science

Toggle SectionRohini Vishwanathan, Mei Chung, Elizabeth J. Johnson: zinc deficiency, Investigative Ophthalmology & Visual Science

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This study is a systematic review examining the association between zinc intake from food and supplements and the prevention and treatment of age-related macular degeneration (AMD).

Method : The review included randomized controlled trials, prospective cohort studies, retrospective cohort studies, and case-control studies that focused on zinc intake and AMD in individuals aged 50 years or older. Databases like Medline and Cochrane Central were searched and the quality of included studies was assessed.

Findings : The review found that zinc supplementation may be effective in preventing the progression to advanced AMD, particularly in individuals with early to intermediate disease. However, the evidence regarding zinc’s effectiveness in improving visual acuity and preventing AMD was inconclusive.

Nutritional Supplementation

Toggle SectionPeter M Anderson, Rajesh V Lalla: Glutamine for chemotherapy side effects, PubMed

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This study investigates the role of glutamine as a dietary supplement to reduce the side effects of chemotherapy and radiation, specifically focusing on mucositis.

Method : The study reviews existing literature and evidence on the use of oral (enteral) glutamine to promote mucosal healing during chemoradiation therapy, highlighting the mechanisms by which it may aid in reducing mucosal damage and improving quality of life for cancer patients.

Findings : The study concludes that glutamine supplementation can significantly alleviate symptoms associated with mucosal damage, potentially improving the overall treatment experience for cancer patients undergoing chemotherapy or radiation.

Nutritional Therapy

Toggle SectionKatherine J Desneves, Bree E Todorovic, Ann Cassar, Timothy C Crowe: The role of vitamin C in wound healing and regulation of blood pressure, PubMed

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The study evaluates the effects of supplementary arginine, vitamin C, and zinc on pressure ulcer healing in patients.

Method : Sixteen hospitalized patients with pressure ulcers were randomized into three groups: one received a standard diet, another received a standard diet with high-protein/energy supplements, and the last group received the same supplements with added arginine, vitamin C, and zinc. Pressure ulcer size and severity were measured weekly for three weeks using the PUSH tool.

Findings : The group receiving additional arginine, vitamin C, and zinc showed a significant improvement in pressure ulcer healing compared to the baseline, indicating that these nutrients may enhance healing.

Obesity

Toggle SectionStephen J Freedland, William J Aronson: Healthy Weight, NCBI

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This study examines the relationship between obesity and the risk of prostate cancer, outlining how obesity may influence prostate cancer development and mortality.

Method : The review analyzed various epidemiological studies to assess the correlation between body mass index (BMI) and prostate cancer risk as well as hormonal changes associated with obesity that may contribute to cancer progression.

Findings : The review found conflicting evidence regarding the impact of obesity on prostate cancer risk; however, it consistently indicated that obesity is associated with an increased risk of dying from prostate cancer.

Toggle SectionEmily L Whitcomb, Leslee L Subak: Body Mass Index and Urinary Incontinence, National Institutes of Health

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This study reviews the epidemiology of the association between obesity and urinary incontinence in women, and summarizes the effects of weight loss on urinary incontinence.

Method : A literature review was conducted to gather data from community-based prevalence studies and clinical trials on the relationship between urinary incontinence and obesity in women. This included examining case series, cohort studies, and randomized controlled trials regarding the impact of surgical and nonsurgical weight loss on urinary incontinence symptoms.

Findings : The study found that obesity is a strong and independent risk factor for urinary incontinence, with a clear dose-response relationship observed, indicating that each 5-unit increase in BMI correlates to a 20%–70% increase in urinary incontinence risk. Additionally, weight loss, whether through surgical or non-surgical methods, leads to significant improvements in urinary incontinence symptoms, suggesting weight loss as a first-line treatment for overweight and obese women experiencing this condition.

Obesity and Cancer

Toggle SectionEmma H Allott, Elizabeth M Masko, Stephen J Freedland: Obesity and urinary incontinence in women: a systematic review, PubMed

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This study evaluates the epidemiologic link between obesity and prostate cancer, focusing on the implications for screening, treatment, and prevention.

Method : A systematic review of articles published from 1991 to July 2012 was conducted using PubMed, utilizing terms related to obesity, body mass index, and prostate cancer. The search selected articles based on their relevance and publication date, and included examination of references for additional relevant studies.

Findings : The review indicates that obesity is linked with an increased incidence of aggressive prostate cancer, higher risk of biochemical failure following treatments, complications related to therapies, and increased cancer-specific mortality. While weight loss may impact cancer progression in models, human trials are still needed to confirm this effect.

Oncology

Toggle SectionJ Pedersen-Bjergaard: Acute Myeloid Leukemia Following Chemotherapy, PubMed

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The study reviews the incidence of myelodysplasia (MDS) and acute myeloid leukemia (AML) following the use of chemotherapy and radiotherapy. It highlights the relationship between certain treatment types, genetic abnormalities, and cancer development.

Method : The author conducted a literature review focusing on studies that assess the effects of chemotherapy (particularly alkylating agents and epipodophyllotoxins) and radiotherapy on the development of MDS and AML, as well as the associated chromosomal aberrations.

Findings : The findings indicate a significantly increased risk of MDS and AML after chemotherapy with alkylating agents, which correlates with treatment dose and patient age. The study also notes that radiotherapy poses a lower risk for these conditions.

Toggle SectionOliver Sartor, Johann S de Bono: Metastatic Prostate Cancer, PubMed

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The study provides a comprehensive overview of metastatic prostate cancer, including its biology, treatment options, and emerging therapeutic strategies.

Method :

Findings :

Toggle SectionLi-jin Zhang, Bin Wu, Zhen-lei Zha, Wei Qu, Hu Zhao, Jun Yuan, Ye-jun Feng: Perineural invasion in prostate cancer: An overview, BMC Urology, 2018

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The study investigates the association between perineural invasion (PNI) and biochemical recurrence (BCR) in prostate cancer patients after undergoing radical prostatectomy or radiotherapy.

Method : This systematic review and meta-analysis retrieved data from 19 cohort studies, including a total of 13,412 patients, comparing the results of studies that measured PNI in relation to BCR through hazard ratios and confidence intervals.

Findings : The meta-analysis revealed that PNI is significantly associated with higher rates of biochemical recurrence in prostate cancer patients after both radical prostatectomy (HR=1.23) and radiotherapy (HR=1.22), suggesting its role as an independent prognostic factor.

Toggle SectionPamela I. Ellsworth, MD, Melissa Conrad Stöppler, MD: Bladder cancer, eMedicine Health

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The study provides an overview of bladder cancer, detailing its types, causes, symptoms, staging, diagnosis, treatments, and life expectancy.

Method : The article summarizes current understandings and practices related to bladder cancer, including evidence from various medical studies on its causes, risk factors, symptomatology, diagnostic methods, and treatment options.

Findings : Bladder cancer is most commonly transitional cell carcinoma, significantly linked with smoking and certain chemical exposures. The life expectancy varies significantly based on the stage at diagnosis, with nearly 90% survival for superficial cancers but only 12-18 months for metastatic cases.

Ophthalmology

Toggle SectionTiago Santos Prata, Pat-Michael Palmiero, Allison Angelilli, Zaher Sbeity, Carlos Gustavo V De Moraes, Jeffrey M Liebmann, Robert Ritch: PMC2754294, NCBI

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The study investigates iris structural changes related to the use of alpha-1 adrenergic receptor antagonists (α-1ARAs) and their implications for intraoperative floppy iris syndrome (IFIS) during cataract surgery.

Method : A cross-sectional study involving 29 patients using α-1ARAs and 22 untreated controls, utilizing slit-lamp-adapted optical coherence tomography (SL-OCT) to measure iris thickness and pupil diameter under standardized conditions.

Findings : Patients using α-1ARAs had significantly lower dilator muscle region (DMR) thickness and reduced DMR/sphincter muscle region (SMR) ratios compared to controls, along with smaller pupil diameters, indicating structural alterations associated with prolonged α-1ARA exposure.

Toggle SectionNeil Osterweil, David Chang: cataract surgery, Medscape

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The study investigates the impact of systemic alpha blockers on the incidence and severity of Intraoperative Floppy Iris Syndrome (IFIS) during cataract surgery.

Method : A controlled masked study involving 113 consecutive patients on alpha blockers (tamsulosin and alfuzosin) was conducted, comparing their results with a control group of patients not taking alpha blockers. All surgeries utilized a phacoemulsification technique without epinephrine in irrigation to avoid biases, and the incidence of IFIS was graded post-operatively by masked reviewers.

Findings : The study found that the rate of moderate to severe IFIS was significantly higher in patients taking tamsulosin (55.7%) compared to alfuzosin (39.5%) and the control group (12.4%), indicating a strong correlation between alpha blockers and IFIS incidence. The importance of using epinephrine during cataract surgery to maintain pupil size was also emphasized, and alfuzosin was suggested as a safer alternative with a lower risk for severe IFIS.

Toggle SectionChrysanthos D Christou, Ioannis Tsinopoulos, Nikolaos Ziakas, Argyrios Tzamalis: PMC7039091, NCBI

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The study discusses intraoperative floppy iris syndrome (IFIS), its risk factors, and management strategies during cataract surgery, particularly in patients taking alpha-1 adrenergic antagonists like tamsulosin.

Method : The authors reviewed existing literature on IFIS, examining preoperative risk factors, prophylactic treatments, and surgical strategies to mitigate complications associated with IFIS during phacoemulsification surgery.

Findings : The study concluded that awareness of risk factors associated with IFIS is crucial for effective management, and detailed preoperative assessments and preventive measures can significantly reduce complications during cataract surgery.

Toggle SectionDan Leibovici, Yaniv Bar-Kana, David Zadok, Arie Lindner: PubMed, NCBI

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This study examines the association between the use of tamsulosin, a medication for treating benign prostatic hyperplasia, and the occurrence of intraoperative floppy-iris syndrome (IFIS) during cataract surgeries.

Method : The authors conducted a review of available literature through a Medline search using specific keywords related to tamsulosin and alpha-blockers. They analyzed published data focusing on the prevalence of IFIS in patients treated with tamsulosin compared to those who were not.

Findings : The review indicated that the prevalence of IFIS in patients receiving tamsulosin ranged between 57-100%, while it was rare in non-treated patients and those on other alpha-blockers. The authors concluded that a probable association exists between preoperative tamsulosin treatment and IFIS, suggesting that ophthalmic examinations should be conducted before prescribing tamsulosin.

Overactive Bladder

Toggle SectionW Stuart Reynolds, Jay Fowke, Roger Dmochowski: Epidemiology of Overactive Bladder Symptoms Among Pregnant Women: A Systematic Review, National Institutes of Health

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This study examines the epidemiology of overactive bladder (OAB) symptoms among pregnant women, focusing on prevalence, burden, and related health issues.

Method : A systematic review of existing literature was conducted to analyze various studies that assessed the prevalence of OAB symptoms in pregnant women as well as their impact on quality of life and healthcare usage.

Findings : The findings indicate that OAB is a common condition among pregnant women, affecting their quality of life significantly, and highlight the need for better awareness and management strategies.

Toggle SectionI Milsom, W Stewart, J Thüroff: Prevalence of Overactive Bladder in Women, PubMed

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The study focuses on the prevalence of overactive bladder (OAB) symptoms in women, which include frequency, urgency, and urge incontinence, and their significant impact on quality of life.

Method :

Findings : The findings reveal that OAB is highly prevalent among women, with estimates ranging from 3% to 43%. It highlights that many individuals do not seek medical care despite the condition’s significant impact, and suggests a need for better recognition and treatment of OAB symptoms.

Pain Management

Toggle SectionHeather Payne: Complementary therapies for pain management, National Institutes of Health National Library of Medicine

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The study reviews the management strategies for locally advanced prostate cancer, which is often complex due to the variety of treatment options and the involvement of multiple medical disciplines.

Method : The author synthesizes existing literature and clinical guidelines to evaluate current management practices, including hormone therapy, surgery, and radiotherapy, discussing their implications on disease progression and patient survival.

Findings : There is evidence suggesting that combination therapy is more effective compared to single modality treatment, with improvements in disease-specific outcomes and overall survival reported for patients receiving comprehensive management for locally advanced prostate cancer.

Palliative Care

Toggle SectionJoseph A Greer, William F Pirl, Vicki A Jackson, Alona Muzikansky, Inga T Lennes, Rebecca S Heist, Emily R Gallagher, Jennifer S Temel: Prevalence of cancer pain, PubMed

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This study investigates the impact of early palliative care on chemotherapy utilization and the quality of end-of-life care in patients with metastatic non-small-cell lung cancer.

Method : The research is a secondary analysis of a randomized controlled trial involving 151 patients with newly diagnosed metastatic NSCLC. Participants were assigned to receive either early palliative care combined with standard oncology or standard oncology care alone, with outcomes assessed at an 18-month follow-up.

Findings : Although the total number of chemotherapy regimens was similar across groups, early palliative care led to a significant reduction in chemotherapy administration within 60 days of death and improved transitions to hospice care.

Pelvic Floor Dysfunction

Toggle SectionHafsa U Memon, Victoria L Handa: Defining pelvic floor dysfunction: A population-based study, National Institutes of Health, 2013

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This study investigates the association between vaginal childbirth and the incidence of pelvic floor disorders (PFDs) in women, highlighting the prevalence of conditions such as stress urinary incontinence and pelvic organ prolapse.

Method : The authors conducted a review of existing literature focusing on the incidence and risk factors associated with pelvic floor disorders post-childbirth, particularly examining observational studies that outline the impact of vaginal delivery on pelvic floor health.

Findings : The review concluded that vaginal childbirth is a significant risk factor for developing pelvic floor disorders later in life, especially with associated factors like parity and obstetrical complications, though establishing direct cause and effect remains challenging due to overlapping risk factors.

Toggle SectionChristopher Myers, Moira Smith: Symptoms and Causes of Pelvic Floor Dysfunction, PubMed

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The study investigates the efficacy of pelvic floor muscle training in treating erectile dysfunction (ED) and premature ejaculation (PE), two conditions often associated with underlying musculoskeletal abnormalities.

Method : A systematic review was conducted using a computerized literature search across various databases from inception until January 2018. It included studies involving males over 18 years old with ED or PE, while excluding those with neurological injuries or major prior urological surgery. Two independent reviewers assessed the quality of the selected studies using the Crowe Critical Appraisal Tool.

Findings : The review included ten trials, which demonstrated that pelvic floor muscle training effectively improved ED and PE outcomes. However, there were variations in training protocols, and no single optimal training regimen was established, leading to limitations in the strength of the conclusions due to varied methodological quality.

Pelvic Floor Exercises

Toggle SectionChantale Dumoulin, Licia P Cacciari, E Jean C Hay-Smith: Evidence on pelvic floor exercises, NCBI

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This study evaluates the effectiveness of pelvic floor muscle training (PFMT) compared to no treatment or inactive control treatments for urinary incontinence in women.

Method : The review included 31 trials involving 1817 women from 14 countries. The trials were randomized or quasi-randomized controlled trials that compared PFMT to control groups. Data were extracted and analyzed using standard meta-analytical procedures.

Findings : Women in the PFMT groups were significantly more likely to report symptomatic cure or improvement in urinary incontinence compared to control groups. Specifically, women with stress urinary incontinence were eight times more likely to report cure and five times more likely for all types of urinary incontinence. Additionally, PFMT groups showed reduced urinary leakage and improved quality of life.

Pelvic Health

Toggle SectionSigrid Tibaek, Gunvor Gard, Christian Dehlendorff, Helle K Iversen, Fin Biering-Soerensen, Rigmor Jensen: Effects of Kegel Exercises on Lower Urinary Tract Symptoms, National Center for Biotechnology Information (NCBI)

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The study evaluates the effects of pelvic floor muscle training on lower urinary tract symptoms in men who have suffered a stroke.

Method : A single-blinded randomized controlled trial was conducted involving 31 poststroke men divided into a treatment group receiving pelvic floor muscle training and a control group receiving standard rehabilitation. The treatment spanned 3 months with 12 sessions, followed by evaluations using the DAN-PSS-1 questionnaire, voiding diaries, and digital anal palpation of pelvic floor muscles.

Findings : The treatment group showed a statistically significant improvement in pelvic floor muscle function and strength compared to the control group, along with a reduction in symptom scores. However, overall urinary function improvements did not reach statistical significance between the two groups, indicating that while pelvic floor muscle training is beneficial, it requires larger-scale studies for confirmation.

Pelvic Pain

Toggle SectionJ Q Clemens, R B Nadler, A J Schaeffer, J Belani, J Albaugh, W Bushman: Biofeedback and pelvic floor re-education, PubMed

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The study investigates the effects of a structured program including biofeedback and pelvic floor re-education on patients with Chronic Pelvic Pain Syndrome (CPPS). It aims to reduce symptoms through muscle relaxation techniques.

Method : The study involved 19 male patients undergoing a 12-week program of biofeedback-directed pelvic floor re-education and bladder training, incorporating daily symptom assessments and biweekly sessions for skill development.

Findings : Results showed significant improvement in median symptom scores, pain levels, and voiding intervals, indicating that pelvic floor re-education can lead to durable improvements in patients with CPPS.

Pesticides

Toggle SectionLarissa A. Pardo, Laura E. Beane Freeman, Catherine C. Lerro, Gabriella Andreotti, Jonathan N. Hofmann, Christine G. Parks, Dale P. Sandler, Jay H. Lubin, Aaron Blair, Stella Koutros: Pesticide Exposure, Cancer, and Health Risk, Biomed Central, 2020

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The study investigates the association between pesticide exposure and the risk of aggressive prostate cancer among private pesticide applicators in North Carolina and Iowa.

Method : The study used Cox proportional hazards models to calculate hazard ratios and confidence intervals for the association between individual pesticide use and aggressive prostate cancer, adjusted for various factors such as age, state, and family history of prostate cancer.

Findings : The study found an increased risk of aggressive prostate cancer among users of the organodithioate insecticide dimethoate and an inverse association with the herbicide triclopyr. Few other pesticides showed significant associations.

Pharmacogenetics

Toggle SectionRyo Takata, Koichi Matsuda, Jun Sugimura, Wataru Obara, Tomoaki Fujioka, Koji Okihara, Natsuki Takaha, Tsuneharu Miki, Shingo Ashida, Keiji Inoue, Chizu Tanikawa, Taro Shuin, Shoichi Sasaki, Yoshiyuki Kojima, Kenjiro Kohri, Michiaki Kubo, Masao Yamaguchi, : Research on Tamsulosin, PubMed

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This study explores the impact of four genetic loci on the serum concentration of tamsulosin hydrochloride in patients with benign prostatic hyperplasia (BPH). It aims to understand individual variability in drug response based on genetic factors influencing pharmacokinetics.

Method : A genome-wide association study was conducted on 182 BPH patients to identify genetic factors regulating the maximum serum concentration (Cmax) of tamsulosin hydrochloride. Researchers measured serum concentration levels and analyzed the associations with identified single-nucleotide polymorphisms (SNPs).

Findings : The study identified associations between four SNPs and serum Cmax of tamsulosin hydrochloride, suggesting genetic loci that may influence drug response, although these associations did not meet genome-wide significance after correction. A Cmax prediction index based on these SNPs was correlated with Cmax values, indicating their potential role in explaining individual variability in treatment response to tamsulosin hydrochloride.

Pharmacokinetics

Toggle SectionXiuwei Shen, Fan Chen, Fengwei Wang, Peng Huang, Wenchao Luo: Interaction of Grapefruit Juice and Tadalafil: A Review, National Institutes of Health

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This study investigates the interaction between grapefruit juice and tadalafil, focusing on its effects on the pharmacokinetics of tadalafil in rats.

Method : The researchers developed a high-performance liquid chromatography (HPLC) method to measure tadalafil levels in rat plasma. Twelve male Sprague-Dawley rats were divided into two groups: one group received grapefruit juice while the other received saline for seven days, followed by a single dose of tadalafil. Plasma concentrations were measured over time to calculate pharmacokinetic parameters.

Findings : Grapefruit juice significantly increased the Cmax of tadalafil by 75% compared to the control group, and it also prolonged the half-life (t1/2) by 2.42 hours, indicating that grapefruit juice inhibits the metabolism of tadalafil and increases its exposure in the body.

Toggle SectionJi-Yeong Byeon, Yun Jeong Lee, Young-Hoon Kim, Se-Hyung Kim, Choong-Min Lee, Jung-Woo Bae, Choon-Gon Jang, Seok-Yong Lee, Chang-Ik Choi: Study on Flomax Interactions with Potent CYP3A4 Inhibitors, PubMed

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The study investigates the effects of diltiazem, a moderate CYP3A4 inhibitor, on the pharmacokinetics of tamsulosin across different CYP2D6 genotypes.

Method : A prospective, open-label, two-phase parallel pharmacokinetic study involved 23 healthy male subjects with different CYP2D6 genotypes. Subjects received tamsulosin alone and then tamsulosin following a four-day regimen of diltiazem, with pharmacokinetic parameters compared before and after treatment.

Findings : Diltiazem significantly increased the Cmax and AUCinf of tamsulosin in both CYP2D6 genotype groups (p < 0.0001), while the clearance of tamsulosin decreased significantly. However, diltiazem did not affect the half-life of tamsulosin.

Pharmacology

Toggle SectionPerinchery Narayan, Christopher P Evans, Timothy Moon: Safety study of Tamsulosin, PubMed

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The long-term safety and efficacy of tamsulosin in treating lower urinary tract symptoms associated with benign prostatic hyperplasia.

Method : The study included 609 patients over a 4-year multicenter open-label extension study, with assessments every three months of efficacy and safety, including maximum urine flow rate and symptom indices, among others.

Findings : Tamsulosin demonstrated sustained efficacy and safety over 6 years, with good tolerability, although orthostatic hypotension occurred in 1.3% of patients.

Toggle SectionYegane Kohestani, Bentolhoda Kohestani, Zahra Shirmohamadi, Masoumeh Faghani: Study of Testosterone Levels and Tamsulosin Side Effects, PMC

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The study investigates the effects of tamsulosin on testosterone levels and testicular tissue in adult male rats, aimed at understanding its potential side effects on male fertility and hormonal balance.

Method : In this experimental study, 30 adult male Wistar rats were divided into three groups, receiving either distilled water (control), 0.2 mg/kg/day tamsulosin, or 0.4 mg/kg/day tamsulosin for 28 days. Blood samples were taken for hormone level measurements, and testicular tissue was examined for histopathological changes after treatment.

Findings : The study found that tamsulosin treatment resulted in a significant decrease in testosterone levels and testicular weight, along with a reduction in the number of Leydig and spermatogonia cells. Higher doses of tamsulosin exacerbated these effects, indicating potential fertility issues and altered hormonal profiles.

Toggle SectionP Schacht, G Arcieri, J Branolte, H Bruck, V Chyský, E Griffith, G Gruenwaldt, R Hullmann, C A Konopka, B O’Brien, et al.: Analysis of data from nearly 9,000 patients worldwide regarding side effects of Ciprofloxacin, PubMed

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The study analyses the side effects and efficacy of ciprofloxacin in nearly 9,000 patients across the globe.

Method : Data was collected from 8,861 treated courses of ciprofloxacin in clinical trials, assessing the overall clinical and bacteriologic response rates as well as incidence and types of side effects experienced by the patients.

Findings : Ciprofloxacin showed a favorable clinical response in 90% of patients, with a low incidence of serious side effects (total incidence: 10.2%), indicating that the drug is both effective and relatively safe.

Toggle SectionKensuke Mitsunari, Yasuyoshi Miyata, Tomohiro Matsuo, Yuta Mukae, Asato Otsubo, Junki Harada, Tsubasa Kondo, Tsuyoshi Matsuda, Kojiro Ohba, Hideki Sakai: 2020 study, MDPI

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The study reviews the pharmacological effects and potential therapeutic benefits of polyphenols in managing benign prostatic hyperplasia (BPH), a common condition in aging males that leads to lower urinary tract symptoms and decreased quality of life.

Method : The review synthesizes existing research on polyphenols, discussing their antioxidant and anti-inflammatory properties, potential molecular mechanisms in BPH pathology, and results from various in vivo and in vitro studies.

Findings : The findings suggest that polyphenols may play significant roles in preventing and treating BPH through their anti-inflammatory and antioxidant effects, although further clinical trials are needed to establish their effectiveness and optimal application in human patients.

Toggle SectionMaria Papaioannou, Sonja Schleich, Daniela Roell, Undine Schubert, Tamzin Tanner, Frank Claessens, Rudolf Matusch, Aria Baniahmad: Effects of Prunus africana on prostate cells: in vitro studies., PubMed

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The study investigates the effects of a compound called N-butylbenzene-sulfonamide (NBBS) isolated from the bark of Prunus africana on prostate cancer cells, focusing on its role as an androgen receptor antagonist and its potential therapeutic effects.

Method : The researchers employed in vitro studies to evaluate the impact of NBBS on human prostate cancer cell lines, assessing its ability to inhibit androgen receptor transactivation, cellular proliferation, and nuclear translocation of the androgen receptor. They also synthesized various derivatives of NBBS to analyze structural influences on antagonistic activity.

Findings : The study found that NBBS acts as a specific antagonist of the androgen receptor, inhibiting prostate cancer cell growth and reducing prostate-specific antigen (PSA) expression. It was concluded that NBBS and its derivatives could serve as novel therapeutic agents for prostatitis, benign prostatic hyperplasia, and prostate cancer.

Toggle SectionDonavon B. Johnson, Sidharth Sonthalia: Flutamide – An Overview, NCBI Bookshelf

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This study reviews flutamide, an anti-androgen drug used primarily for prostate cancer and hyperandrogenism-related conditions such as polycystic ovarian syndrome (PCOS).

Method :

Findings :

Toggle SectionStefanie C Nigro, Ryan Nolan, Nicholas Boemio: New Case Study, Clinical Diabetes

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This study investigates the probable link between tamsulosin, a medication used to treat benign prostatic hyperplasia (BPH), and hyperglycemia in a patient with type 2 diabetes. It focuses on a case where a patient experienced elevated blood glucose levels shortly after starting tamsulosin.

Method : The study presents a case report of a 68-year-old man who began tamsulosin for BPH and subsequently developed hyperglycemia. The analysis draws on medical records, patient interviews, and literature reviews to assess the relationship between tamsulosin and glucose levels.

Findings : The findings indicate a probable association between tamsulosin and elevated blood glucose levels, supported by case series and pharmacodynamic studies. Discontinuation of tamsulosin resulted in the restoration of normal glucose levels, suggesting that clinicians should monitor for this potential adverse effect in patients with diabetes.

Toggle SectionVivek Podder, Preeti Patel, Nazia M. Sadiq: Certain painkillers and levofloxacin interactions, NCBI Books

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The study examines the interactions between painkillers and levofloxacin, particularly focusing on how these can influence treatment outcomes and side effects in patients.

Method : The analysis includes a review of clinical data, recommendations from health organizations, and pharmacokinetic studies related to levofloxacin and its interactions with various medications, especially painkillers.

Findings : The study found that certain painkillers can exacerbate the adverse effects of levofloxacin, particularly regarding central nervous system reactions, and it is crucial to monitor patients on these combinations closely to prevent severe outcomes.

Toggle SectionJ Curtis Nickel: Study on Finasteride, NCBI

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The study compares the efficacy and safety of finasteride and dutasteride in treating benign prostatic hyperplasia (BPH).

Method : The evaluation involved analyzing short-term comparative clinical trials alongside similar non-comparative long-term trials of both drugs. This included randomized controlled trials focusing on parameters such as serum DHT suppression, prostate volume, urinary flow rate, and symptom improvement.

Findings : Dutasteride shows greater suppression of serum dihydrotestosterone (DHT) than finasteride, while both drugs result in similar reductions in prostate volume, urinary flow rates, and symptom relief. The safety profiles of the two agents are similar, with no significant differences in adverse events, although dutasteride may offer a quicker reduction in symptoms.

Toggle SectionT S Sathyanarayana Rao, V Arun Kumar, Rajesh Raman, Chittaranjan Andrade: A Case Study of Sildenafil Overdose Effects, NCBI

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This study examines the effects of prolonged and ultra-high doses of sildenafil abuse in a male patient, highlighting the associated health impacts and tolerance observed over time.

Method : The study involved a case report of a 40-year-old male who had self-administered increasing doses of sildenafil over a ten-year period, culminating in doses as high as 1300 mg per occasion, with a focus on his medical history and reported side effects.

Findings : The report indicates that the patient experienced only a transient blurring of vision as a side effect while taking extremely high doses of sildenafil, suggesting potential safety in prolonged use but also raises concerns about tolerance and the implications of such self-medication.

Physical Therapy

Toggle SectionA E Urvaylıoğlu, S Kutlutürkan, D Kılıç: Systematic Review on Pelvic Floor Muscle Exercises, PubMed

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The study evaluates the effect of Kegel exercises on preventing urinary and fecal incontinence in prostate cancer patients undergoing radiotherapy.

Method : The research was a nonrandomized experimental study involving 60 patients divided into an intervention group (30 patients) and a control group (30 patients). Data collection included patient information forms and questionnaires administered at baseline, the 4th week, and the 8th week after the intervention, with exercises conducted under supervision for the intervention group.

Findings : The study found that Kegel exercises significantly reduced urinary incontinence rates and improved quality of life metrics, with notable reductions in fatigue and various gastrointestinal symptoms among participants.

Phytochemistry

Toggle SectionVafa Baradaran Rahimi, Mobarakeh Ghadiri, Mobina Ramezani, Vahid Reza Askari: Several studies support that ellagic acid possesses anti-inflammatory, antimutagenic, antifibrosis, anticancer, and anti-aging properties, PubMed

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This review investigates the anti-inflammatory, anticancer, and antioxidant activities of pomegranate and its major component, ellagic acid, along with their mechanisms of action.

Method : The authors conducted a comprehensive review by searching scientific databases such as Web of Science, PubMed, Scopus, and Google Scholar up to January 2019, focusing on studies that detail the pharmacological effects of pomegranate and ellagic acid.

Findings : Several studies support that ellagic acid possesses anti-inflammatory, antimutagenic, antifibrosis, anticancer, and anti-aging properties, indicating its potential use in therapeutic applications for immunity and inflammation.

Toggle SectionWilliam V Judy, Siva P Hari, W W Stogsdill, Janet S Judy, Yousry M A Naguib, Richard Passwater: Glycoside and Anthraquinone from Lagerstroemia speciosa, PubMed, 2004

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The study investigates the antidiabetic effects of a standardized extract (Glucosol) from the leaves of Lagerstroemia speciosa in Type II diabetic patients, assessing its efficacy in lowering blood glucose levels.

Method : A randomized clinical trial was conducted where subjects received daily doses of Glucosol (32 and 48 mg) for two weeks, and blood glucose levels were monitored to evaluate the effects of the supplement.

Findings : The findings indicated that Glucosol significantly reduced blood glucose levels, with the soft gel capsule formulation showing better bioavailability (30% decrease) compared to dry-powder capsules (20% decrease), suggesting a more effective method of delivery.

Phytosterols

Toggle SectionA Zák, M Zeman, D Vítková, P Hrabák, E Tvrzická: Effects of phytosterol supplementation on plasma lipids: a systematic review and meta-analysis, PubMed

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This study examined the effects of phytosterols, specifically beta-sitosterol, on cholesterol levels in patients with hypercholesterolemia.

Method : A total of 28 patients with primary hyperlipoproteinaemia were given a dietetic preparation containing 12 g/day of phytosterols for three weeks. The study measured changes in total cholesterol, LDL-cholesterol, HDL-cholesterol, and triglyceride levels, along with apolipoprotein concentrations before and after treatment.

Findings : The supplementation led to a significant reduction in total cholesterol and LDL-cholesterol levels, with no significant change in triglycerides. Apo-B concentration in LDL also decreased significantly, while the treatment demonstrated a predictive potential regarding its success based on lipid metabolism parameters.

Phytotherapy

Toggle SectionA Ishani, R MacDonald, D Nelson, I Rutks, T J Wilt: Meta-analysis of Pygeum Trials, PubMed

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This study examines the efficacy and tolerability of Pygeum africanum in treating benign prostatic hyperplasia in men.

Method : The study performed a systematic review and quantitative meta-analysis, analyzing 18 randomized controlled trials with 1,562 men, assessing outcomes related to urologic symptoms and flow measures.

Findings : The results indicated that Pygeum africanum led to moderate improvements in urologic symptoms and urinary flow, with men more likely to report overall symptom improvement. Adverse effects were mild and similar to those of the placebo.

Toggle SectionT Schneider, H Rübben: Study on Stinging Nettle Root, PubMed

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This study investigates the efficacy and safety of stinging nettle root extract (Bazoton-uno) in the long-term treatment of benign prostatic syndrome (BPS).

Method : A randomized, double-blind, placebo-controlled multicenter study involving 246 patients was conducted over 12 months to evaluate the effects of Bazoton uno on BPS symptoms.

Findings : The study found that treatment with Bazoton uno resulted in a significant reduction in symptoms as measured by the International Prostate Symptom Score (IPSS), while also indicating reduced adverse events compared to placebo. However, significant differences in maximum urinary flow rate and volume of residual urine were not statistically conclusive.

Toggle SectionT Wilt, A Ishani, R Mac Donald, I Rutks, G Stark: Comparison of the efficacy of several phytopharmaceuticals in treating benign prostatic hyperplasia., PubMed

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This study investigates the efficacy of Pygeum africanum extracts in treating benign prostatic hyperplasia (BPH) compared to placebo and standard pharmacologic treatments.

Method : The study involved a systematic review and meta-analysis of 18 randomized controlled trials that included 1562 men with BPH, comparing the effectiveness of Pygeum africanum to placebo and examining outcomes such as urologic symptoms and flow measurements.

Findings : The results indicated that Pygeum africanum significantly improved urologic symptoms over placebo, with reductions in nocturia and residual urine volume, and an increase in peak urine flow, while adverse effects were mild and comparable to placebo.

Toggle SectionT Wilt, A Ishani, R MacDonald, G Stark, C Mulrow, J Lau: Cochrane Review on Beta-Sitosterol, Cochrane

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The study systematically reviews the effects of beta-sitosterols on urinary symptoms and flow measures in men with benign prostatic hyperplasia (BPH).

Method : The review included data from 4 randomized, placebo-controlled, double-blind trials involving a total of 519 men. It analyzed changes in urologic symptom scores and flow measures, with data collected by at least two independent reviewers.

Findings : Beta-sitosterols significantly improved urinary symptom scores and flow measures, with a mean reduction of 4.9 IPSS points and a peak urine flow increase of 3.91 ml/sec. The evidence indicates effectiveness but does not confirm long-term safety or efficacy in preventing complications of BPH.

Toggle SectionChunhua Ma, Lingpeng Zhu, Jing Wang, He He, Xiayun Chang, Jin Gao, Wang Shumin, Tianhua Yan: Preclinical trials, PubMed

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This study evaluates the anti-inflammatory effects of the water extract of Taraxacum mongolicum on lipopolysaccharide-induced inflammation in acute lung injury.

Method : The study involved BALB/c mice divided into five groups. Treatments included LPS, dexamethasone, and WETMHM at different doses. Various assays were conducted to measure cell counts, edema, antioxidant activity, inflammatory mediators, and Western blotting for signaling pathway proteins.

Findings : The treatment with WETMHM inhibited inflammation by reducing cell numbers and protein levels in the PI3K/Akt/mTOR pathway, improving antioxidant activity, and histologically demonstrating reduced neutrophil presence in the lung tissue.

Toggle SectionB Obertreis, T Ruttkowski, T Teucher, B Behnke, H Schmitz: The ability of nettle to control pro-inflammatory hormones., NCBI

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This study investigates the effects of Urtica dioica (nettle) extract on the secretion of pro-inflammatory cytokines in human whole blood stimulated by lipopolysaccharide (LPS).

Method : An ex-vivo in-vitro experimental design was employed where human whole blood from healthy volunteers was exposed to LPS, and the secretion of tumor necrosis factor-alpha (TNF-alpha) and interleukin-1 beta (IL-1 beta) was measured post-exposure with and without the administration of the nettle extract.

Findings : The nettle extract significantly inhibited LPS-stimulated secretion of TNF-alpha and IL-1 beta in a dose-dependent manner, achieving up to 99.7% inhibition for IL-1 beta at the highest concentration after 24 hours. Additionally, it was noted that the extract had no effects on IL-6 secretion when administered alone without LPS.

Toggle SectionTimothy J Wilt, Areef Ishani, Roderick MacDonald, Gerold Stark, Cynthia D Mulrow, Joseph Lau: Studies on rye flower pollen extract reducing LUTS symptoms, PMC

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The study assesses the impact of beta-sitosterols on urinary symptoms and flow measures in men with benign prostatic hyperplasia (BPH).

Method : This was a systematic review involving four randomized, placebo-controlled, double-blind trials evaluating 519 men with mild to moderate BPH. Outcomes included changes in urologic symptom scale scores, peak urine flow, residual volume, and prostate size over treatment durations of 4 to 26 weeks.

Findings : Beta-sitosterols were found to significantly improve urinary symptom scores and flow measures, evidenced by reductions in symptom scores and increases in peak urine flow, but did not significantly alter prostate size compared to placebo.

Polyphenols

Toggle SectionMonica Galleano, Olga Pechanova, Cesar G Fraga: Procyanidin B2 vaginal gel to prevent recurrence of urinary tract infection: A randomized controlled trial, PubMed

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The study reviews the effects of dietary plant polyphenols on hypertension and their potential antioxidant properties.

Method : The authors summarize intervention studies involving various polyphenols found in foods like grapes, tea, chocolate, and soy products, evaluating their impacts on blood pressure through mechanisms involving nitric oxide and endothelial function.

Findings : Despite some limitations and unanswered questions, the evidence suggests that a diet high in polyphenols could benefit individuals with hypertension, especially those whose blood pressure is not well controlled.

Prebiotics

Toggle SectionDoris Vandeputte, Gwen Falony, Sara Vieira-Silva, Jun Wang, Manuela Sailer, Stephan Theis, Kristin Verbeke, Jeroen Raes: Inulin, PubMed

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This study examines the effects of inulin-type fructans on the human gut microbiota and its association with stool frequency and quality of life in individuals with mild constipation.

Method : The research employed a double-blind, randomized, cross-over intervention design, analyzing fecal samples through 16S rDNA microbiota profiling and gas chromatography mass spectrometry metabolomics to evaluate the impact of inulin consumption on microbiota composition and metabolite profiles.

Findings : The study found specific alterations in microbiota composition after inulin consumption, particularly a decrease in Bilophila, which correlated with softer stools and improved quality of life related to constipation.

Toggle SectionDorna Davani-Davari, Manica Negahdaripour, Iman Karimzadeh, Mostafa Seifan, Milad Mohkam, Seyed Jalil Masoumi, Aydin Berenjian, Younes Ghasemi: N/A, N/A, N/A

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This study provides an extensive review of prebiotics, detailing their definitions, types, sources, mechanisms, and clinical applications. It emphasizes the beneficial effects of prebiotics on human health through modulation of gut microbiota, particularly focusing on fructo-oligosaccharides and galacto-oligosaccharides.

Method : The study is a comprehensive literature review that analyzes various research findings related to prebiotics, their production methods, and their health benefits, particularly concerning gut microbiota and systemic health impacts.

Findings : Prebiotics are identified as beneficial agents that enhance gut microbiota composition, producing short-chain fatty acids that influence overall health. The study underscores the potential of prebiotics as alternatives or complements to probiotics, highlighting their safety, stability, and benefits over probiotics in certain contexts.

Priapism

Toggle SectionHossein Sadeghi-Nejad, Imani Jackson: Priapism in patients treated with terazosin: A case report., PubMed

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The study describes a case of new-onset priapism in an otherwise healthy man following the ingestion of terazosin, a commonly prescribed alpha-blocker.

Method : The case involved clinical observation and treatment of priapism through cavernosal aspiration and alpha-agonist administration for resolution.

Findings : The priapism resolved successfully after treatment, highlighting that terazosin can lead to this rare side effect in healthy individuals.

Probiotics

Toggle SectionMohammad-Javad Mohseni, Zahra Aryan, Sahra Emamzadeh-Fard, Koosha Paydary, Vahid Mofid, Hasan Joudaki, Abdol-Mohammad Kajbafzadeh: Probiotics and UTI treatment, NCBI

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The study investigates whether a combination of probiotics and antibiotics is more effective than antibiotics alone in preventing recurrent urinary tract infections (UTIs) in children with vesicoureteral reflux.

Method : In a randomized clinical trial, children with a history of recurrent UTIs and unilateral vesicoureteral reflux were divided into two groups—one receiving probiotics along with antibiotics and the other receiving antibiotics alone. Urine examinations were performed monthly over three years to assess the incidence of UTIs in both groups.

Findings : The addition of probiotics to antibiotics was found to reduce febrile UTIs significantly in comparison to antibiotics alone, with no major side effects observed from either treatment. However, there were no statistically significant differences in the overall number of recurrent UTIs between the two groups.

Toggle SectionPeter M Grin, Paulina M Kowalewska, Waleed Alhazzan, Alison E Fox-Robichaud: Lactobacillus and urinary tract health, PubMed

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This study investigates the efficacy of Lactobacillus probiotics in preventing recurrent urinary tract infections (rUTIs) in women by analyzing existing randomized clinical trials.

Method : A systematic review and meta-analysis were conducted by searching databases such as MEDLINE and EMBASE for randomized clinical trials. The analysis employed a random-effects model meta-analysis, comparing the incidence of rUTIs between Lactobacillus and control groups.

Findings : The meta-analysis indicated that there was no statistically significant difference in the risk of rUTI with Lactobacillus compared to controls. However, after excluding ineffective strains in a sensitivity analysis, there was a statistically significant decrease in rUTI for certain strains.

Toggle SectionThais Chimati Felix, Denise Von Dolinger de Brito Röder, Reginaldo dos Santos Pedroso: Various effects of Probiotics on Yeast Infections, Link Springer

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The study examines alternative and complementary therapies for vulvovaginal candidiasis (VVC), focusing on treatments with fewer side effects and better tolerability.

Method : The research is a literature review based on articles written in English and Portuguese from databases such as PubMed, Google Scholar, and SciELO, targeting alternative therapies used for VVC.

Findings : The study highlights that while some alternative treatments, like propolis, garlic, and tea tree, may intersect with antifungal activity or restore vaginal microbiota, they may also have side effects and lack well-designed clinical trials to support their efficacy.

Toggle SectionMatthew E Falagas, Gregoria I Betsi, Theodoros Tokas, Stavros Athanasiou: Probiotics and Recurrent Urinary Tract Infections: A Randomized Trial, PubMed, 2006-06-01

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This study reviews the evidence for the efficacy of probiotics, particularly lactobacilli, in preventing recurrent urinary tract infections (UTIs) in women.

Method : The review is based on a comprehensive search of PubMed for microbiological and clinical studies related to the use of probiotics for UTI prevention. It synthesizes findings from in vitro studies, animal experiments, microbiological studies, and clinical trials.

Findings : The evidence suggests that certain strains of lactobacilli, specifically L. rhamnosus GR-1 and L. reuteri RC-14, are effective in preventing recurrent UTIs in women. Probiotics generally have a good safety profile, but further research is needed to recommend their widespread use in this context.

Prostate Cancer

Toggle SectionErin L. Richman, Stacey A. Kenfield, Meir J. Stampfer, Alan Paciorek, Peter R. Carroll, June M. Chan: Brisk walking may help men with prostate cancer, UCSF study finds, UCSF Study on Prostate Cancer and Brisk Walking, 2011-05-10

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The study examines the relationship between brisk walking and the risk of prostate cancer progression in men diagnosed with early-stage prostate cancer.

Method : The study analyzed data from 1,455 U.S. men with early-stage prostate cancer enrolled in the CaPSURE™ registry, focusing on their walking habits post-diagnosis and monitoring for biochemical markers of cancer recurrence.

Findings : Men who engaged in brisk walking for at least three hours per week were nearly 60% less likely to experience signs of cancer recurrence or require further treatment.

Toggle SectionJill M Hamilton-Reeves, Salome A Rebello, William Thomas, Joel W Slaton, Mindy S Kurzer: 5-alpha Reductase Enzyme, PubMed

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The study investigates the effects of soy protein isolate on hormone profiles and receptor expression in men at high risk for prostate cancer.

Method : Fifty-eight men were randomly assigned to consume one of three protein isolates for six months. The protein isolates included soy protein isolate (SPI+), alcohol-washed soy protein isolate (SPI-), and milk protein isolate. Blood and biopsy samples were collected to analyze hormone levels and receptor expression.

Findings : Consumption of soy protein isolate significantly suppressed androgen receptor expression without altering estrogen receptor-beta expression or serum hormonal profiles in the study participants.

Toggle SectionAndrogen Deprivation Therapy, National Cancer Institute

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This study discusses hormone therapy, specifically androgen deprivation therapy (ADT), for the treatment of prostate cancer, focusing on its mechanisms, types, and applications.

Method : The study reviews the various approaches to hormone therapy, including surgical castration, LHRH agonists, and androgen receptor blockers, alongside clinical guidelines and research outcomes related to these therapies.

Findings : The findings indicate that hormone therapy is essential for managing castration-sensitive and castration-resistant prostate cancer, with varying effectiveness, side effects, and treatment combinations that can improve patient outcomes.

Toggle SectionPCA3 test, Cancer Research UK

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The PCA3 test is a molecular test that assesses the expression of the PCA3 gene in prostate tissue to help diagnose prostate cancer.

Method : The PCA3 test involves collecting urine after a digital rectal examination and subjecting it to PCR (Polymerase Chain Reaction) analysis to measure PCA3 gene levels.

Findings : Higher PCA3 scores are associated with increased likelihood of prostate cancer, providing an additional tool to aid physicians in decision-making regarding biopsy.

Toggle SectionM Quinn, P Babb: Slow-growing prostate cancer, PubMed

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The study examines international patterns and trends in prostate cancer incidence, survival, prevalence, and mortality across different countries.

Method : Age-standardized incidence and mortality rates collected from various countries, survival rates from European sources, and prevalence estimates from the EUROPREVAL study were analyzed. The study summarized results from numerous published studies on prostate cancer.

Findings : Prostate cancer incidence showed significant variation worldwide, with the highest rates observed in the USA and Canada. While the incidence increased gradually since the 1960s with a notable rise in the late 1980s and 1990s, survival rates improved during the 1970s and 1980s, largely due to earlier detection. Mortality rates exhibited smaller increases compared to incidence, with some countries experiencing slight decreases in mortality in the late 1990s.

Toggle SectionStéphanie Tran, Romain Boissier, Jeanne Perrin, Gilles Karsenty, Eric Lechevallier: Having Children with Prostate Cancer, PubMed

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The study reviews available treatments for prostate cancer and their impact on male fertility, aiming to inform younger patients about their options, especially those wishing to have children.

Method : A literature review was conducted using the PubMed database, spanning the last 26 years, focusing on evidence and practical considerations. The review included 29 selected articles that were relevant to prostate cancer management and fertility.

Findings : Prostatectomy results in complete infertility, while external radiotherapy can lead to differing levels of sperm count reduction based on radiation dose. Brachytherapy appears to be less harmful to fertility, and hormonal therapy-induced infertility may be reversible. Active surveillance allows for the preservation of fertility, while semen analysis and cryopreservation are recommended for patients interested in future fertility.

Prostate cancer

Toggle SectionAmélie Rebillard, Luz Lefeuvre-Orfila, Jordan Gueritat, Josiane Cillard: Systematic review, PubMed

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This study examines the relationship between prostate cancer and physical activity, focusing on the role of oxidative stress in this context. It posits that physical exercise may help reduce oxidative stress, which is linked to prostate cancer risk.

Method : The study is a systematic review that synthesizes existing research on the impact of physical activity on oxidative stress and prostate cancer. It evaluates the molecular mechanisms by which exercise may influence cancer prevention.

Findings : The review concludes that increasing physical activity could mitigate oxidative stress and potentially delay the progression of prostate cancer. It suggests that further investigation into exercise-induced oxidative responses could inform novel therapeutic strategies.

Prostate Cancer

Toggle SectionDaniel A Galvão, Dennis R Taaffe, Nigel Spry, David Joseph, Robert U Newton: Studies with a positive impact on the prostate gland, PubMed

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This study investigates the effects of a combined resistance and aerobic exercise program on muscle loss in men undergoing androgen suppression therapy for prostate cancer without bone metastases.

Method : A randomized controlled trial involving 57 prostate cancer patients undergoing androgen suppression therapy, assigned to either an exercise program or usual care, with a primary focus on changes in whole body and regional lean mass over a 12-week period.

Findings : The exercise group demonstrated significant increases in lean mass, muscle strength, improved physical function, and enhanced quality of life, alongside a reduction in fatigue and inflammatory markers, with no adverse events reported.

Toggle SectionLene Thorsen, Tormod S Nilsen, Truls Raastad, Kerry S Courneya, Eva Skovlund, Sophie D Fosså: Studies with positive effects in prostate health, PubMed

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This study investigates the effectiveness of a strength training program on clinical and cellular outcomes in prostate cancer patients undergoing androgen deprivation therapy.

Method : The study utilizes a randomized controlled trial design, assigning patients to either a 16-week high-load strength training program or a control group maintaining habitual activity, while monitoring various clinical and muscle cellular outcomes during treatment.

Findings : The findings from this trial will provide new insights into the effects of high-load strength training on both clinical outcomes and muscle cellular health in patients undergoing androgen deprivation therapy.

Toggle SectionMichael K. David, Stephen W. Leslie: Reports, NCBI Bookshelf

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This study evaluates the role of Prostate-Specific Antigen (PSA) screening in the early detection of prostate cancer, discussing its sensitivity, specificity, and the controversies surrounding its use due to risks of overdiagnosis and overtreatment.

Method : The study is a comprehensive literature review and synthesis of existing data and guidelines regarding PSA screening, epidemiological statistics, and clinical recommendations for different age groups and risk categories.

Findings : The study finds that while PSA screening is controversial, it remains crucial for early detection of prostate cancer, significantly reducing mortality rates; however, it also emphasizes the need for careful patient selection to avoid unnecessary biopsies and overtreatment.

Toggle SectionMatthew R Smith: Clinical Trials on GnRH Agonists, NCBI

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The effects of GnRH agonists on bone health in men with prostate cancer, focusing on the risk of osteoporosis and fractures.

Method : The study utilized retrospective analyses and randomized controlled trials to evaluate the impact of GnRH agonists on bone mineral density and fracture risk among treated men. It reviewed various interventions including bisphosphonates and selective estrogen receptor modulators.

Findings : GnRH agonists significantly increase the risk of osteoporosis and fracture in men with prostate cancer. Randomized trials showed that bisphosphonates and selective estrogen receptor modulators can help mitigate bone density loss in these patients.

Toggle SectionMalte Rieken, MD, Shahrokh F. Shariat, MD: Smoking Increases Risk of Prostate Cancer Recurrence After Surgery, Prostate Cancer Screening

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The study investigates the association between smoking and the risk of biochemical recurrence of prostate cancer after surgery.

Method : The study analyzed a retrospective cohort of 6,538 prostate cancer patients who underwent radical prostatectomy, comparing recurrence rates among current, former, and never smokers.

Findings : Current and former smokers had a significantly increased risk of biochemical recurrence at rates of 1.8 and 1.6 times higher than non-smokers, with 5-year recurrence-free survival rates of 83%, 84%, and 90% respectively.

Toggle SectionEleanor Rosario, Derek J. Rosario: Prostate Cancer Incidence and Survival Rates by Age, Race, and Stage, NCBI

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The study focuses on the natural history, incidence, and treatment strategies for localized prostate cancer, along with the impact of age, race, and clinical stage on prognosis and survival.

Method : The study involved population-based research, review of existing literature, and analysis of demographic factors like age and race to assess prostate cancer incidence and outcomes.

Findings : The findings indicate that prostate cancer is largely indolent, with significant variation in incidence based on age and race; African-American men have the highest risk while localized cancers are associated with excellent prognoses.

Toggle SectionEric Zhuang, Edward Uchio, Michael Lilly, Xiaolin Zi, John P Fruehauf: The Effects of Docetaxel in Patients with Prostate Cancer, PubMed

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This study investigates the efficacy of docetaxel combined with lycopene in treating advanced castrate-resistant prostate cancer.

Method : Conducted as a phase II clinical trial, 13 patients received docetaxel (75 mg/m2) every 21 days along with daily oral lycopene (30 mg). The primary endpoint was a ≥50% reduction in PSA levels, while secondary endpoints included time to PSA progression, duration of response, and overall survival.

Findings : The study reported a PSA response rate of 76.9% and a median overall survival of 35.1 months. The results suggested that the combination of docetaxel and lycopene may be beneficial but highlighted the need for further research due to the small sample size.

Toggle SectionAnna Bill-Axelson, Lars Holmberg, Mirja Ruutu, Hans Garmo, Jennifer R Stark, Christer Busch, Stig Nordling, Michael Häggman, Swen-Olof Andersson, Stefan Bratell, Anders Spångberg, Juni Palmgren, Gunnar Steineck, Hans-Olov Adami, Jan-Erik Johansson: Watchful Waiting Study, PubMed

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This study investigates the long-term effects of radical prostatectomy versus watchful waiting on mortality rates in men with early prostate cancer.

Method : The study was a randomized controlled trial involving 695 men with early prostate cancer who were assigned either to watchful waiting or to radical prostatectomy, with follow-up extending to a median of 12.8 years.

Findings : The results indicated that radical prostatectomy significantly reduced the rate of death from prostate cancer compared to watchful waiting, especially in men younger than 65 years.

Toggle SectionPaul Posadzki, Myeong Soo Lee, Igho Onakpoya, Hye Won Lee, Byong Seob Ko, Edzard Ernst: Safety and efficacy of tamsulosin in patients with benign prostatic hyperplasia: A review, PubMed, 1998

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This systematic review aimed to critically assess the evidence from double-blind, placebo-controlled randomized clinical trials regarding the efficacy of non-herbal dietary supplements and vitamins in reducing prostate-specific antigen (PSA) levels in patients with prostate cancer.

Method : The researchers conducted a systematic search across five databases for studies published until December 2012. They included randomized clinical trials of non-herbal dietary supplements, assessing their effects on PSA levels, and evaluated the methodological quality using the Cochrane tool.

Findings : The review found that out of the eight high-quality RCTs included, five reported no significant effects on PSA levels compared to placebo. Two studies suggested that a combination of certain dietary supplements might significantly decrease PSA levels, while one study found no differences. Overall, the authors concluded that there is insufficient clinical evidence to support the use of dietary supplements for treating prostate cancer, although there were promising results for two specific combinations.

Toggle SectionJason A Efstathiou, Kyounghwa Bae, William U Shipley, Gerald E Hanks, Miljenko V Pilepich, Howard M Sandler, Matthew R Smith: Fatal Prostate Cancer, NCBI

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This study investigates the association between body mass index (BMI) and prostate cancer-specific mortality in men with locally advanced prostate cancer treated with radiation therapy and androgen deprivation therapy.

Method : The study is based on data from a phase 3 randomized trial (RTOG 85-31) involving 945 men, analyzing the outcomes based on BMI categories through Cox regression models while controlling for various prognostic factors.

Findings : The results showed that higher BMI was associated with increased prostate cancer-specific mortality, with men having a BMI of 25-30 kg/m2 and >30 kg/m2 having significantly higher mortality rates compared to those with normal BMI.

Toggle SectionMin Seok Kim, Won Sik Jang, Doo Yong Chung, Dong Hoon Koh, Jong Soo Lee, Hyeok Jun Goh, Young Deuk Choi: Randomized clinical trial involving patients treated for localized prostate cancer, BMJ Urology, 2018

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The study investigates the effects of prostate gland weight on surgical and oncological outcomes in patients undergoing extraperitoneal robot-assisted radical prostatectomy (EP-RARP).

Method : The research involved a retrospective analysis of 1168 patients who underwent EP-RARP, grouped by prostate weight measured preoperatively. It utilized statistical tests including one-way analysis of variance and chi-square tests to analyze intraoperative and postoperative outcomes.

Findings : Results indicated that larger prostate sizes correlated with increased console times and estimated blood loss, but did not significantly affect hospital stay lengths, catheter durations, surgical complications, or oncologic outcomes. Thus, EP-RARP can be safely performed regardless of prostate size as long as bleeding is meticulously controlled.

Toggle SectionMartin Sanda, Sudhir Srivastava: Biomarkers in Urine for Prostate Biopsy, Cancer.gov

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The study examines the potential of urine biomarkers (PCA3 and T2:ERG) to prevent unnecessary prostate biopsies while maintaining the detection of aggressive cancers.

Method : The researchers analyzed urine samples from two cohorts of men referred for prostate biopsies due to abnormal PSA or DRE results, testing for elevated levels of PCA3 and T2:ERG to inform biopsy necessity.

Findings : The study found that using these biomarkers could reduce unnecessary biopsies by 42%, with improved detection rates of aggressive cancers.

Toggle SectionNallasivam Palanisamy, Craig Rogers: Biomarker in Urine May Offer Non-Invasive Detection of Prostate Cancer, ecancer

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This study investigates a novel biomarker for the non-invasive detection of prostate cancer using urine samples.

Method : Researchers screened urine and biopsy samples from a cohort of 659 patients to identify the presence of a fusion gene (KLK4-KLKP1) associated with prostate cancer.

Findings : The study found that the KLK4-KLKP1 fusion gene was present in approximately 32% of prostate cancer patients, indicating its potential as a specific biomarker for early detection.

Toggle SectionDala-Maria Bachour, Emil Chahin, Sahar Al-Fahoum: New prostate cancer screening tests., NCBI

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The study investigates the use of Human Kallikrein-2 (hK2), Prostate Specific Antigen (PSA), and Free-Prostate Specific Antigen (fPSA) to distinguish prostate cancer from benign diseases in Syrian patients.

Method : In a prospective cross-sectional cohort study, serum samples were collected from patients diagnosed with benign prostate hyperplasia (BPH) or prostate cancer and analyzed for levels of hK2, PSA, and fPSA, with calculations of their respective ratios.

Findings : The ratio of hK2/fPSA was found to be significantly higher in prostate cancer patients compared to those with BPH, and this ratio demonstrated a larger area under the curve (AUC: 0.96) indicating a higher specificity for identifying prostate cancer.

Toggle SectionJean-Luc Descotes: Prostate Cancer Diagnosis., NCBI

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The study focuses on the diagnosis and staging of prostate cancer, emphasizing the importance of various diagnostic methods including PSA testing and multiparametric MRI.

Method : The study reviews traditional and modern diagnostic approaches, including digital rectal examination, PSA testing, TRUS biopsies, and mpMRI for improved detection and staging of clinically significant prostate cancers.

Findings : The study highlights that while PSA tests and TRUS biopsies remain standard, mpMRI is increasingly being utilized for staging. It also discusses the challenges associated with false negatives in TRUS and the increasing role of new imaging techniques and markers to refine diagnosis and treatment strategies.

Toggle SectionSanoj Punnen, Bruno Nahar, Nachiketh Soodana-Prakash, Tulay Koru-Sengul, Radka Stoyanova, Alan Pollack, Bruce Kava, Mark L Gonzalgo, Chad R Ritch, Dipen J Parekh: Biopsy Alternatives for Prostate Cancer., NCBI

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This study evaluates the combined use of multi-parametric MRI (mpMRI) and the 4Kscore test for the detection of aggressive prostate cancer, aiming to optimize patient selection for prostate biopsies.

Method : The study involved a retrospective analysis of 300 men who underwent both mpMRI and the 4Kscore test. Logistic regression and decision curve analysis were employed to assess the predictive value of these tests for detecting Gleason 7 or higher prostate cancer.

Findings : The combination of mpMRI and the 4Kscore test demonstrated improved detection rates for aggressive prostate cancer, showing superior diagnostic performance (AUC = 0.82) compared to either test alone. It also indicated that many unnecessary biopsies could be avoided while still detecting significant cancers.

Toggle SectionDaniel F Zapata, Lauren E Howard, Jennifer Frank, Ross M Simon, Cathrine Hoyo, Delores J Grant, Stephen J Freedland, Adriana C Vidal: Sexual function and prostate cancer risk, NCBI, 2017

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The study investigates the association between sexual function and prostate cancer risk in older men, particularly focusing on veterans undergoing prostate biopsy.

Method : The study included 448 men who underwent prostate biopsy, utilizing the Expanded Prostate Cancer Index Composite sexual assessment to measure sexual function. Logistic regression analyses were used to evaluate the relationship between sexual function scores and prostate cancer risk, considering various demographic and clinical factors.

Findings : Higher sexual function was associated with a decreased overall risk of prostate cancer as well as lower risk of high-grade disease, while no association was found with low-grade disease. Each 10-point increase in sexual function score correlated with a 9% lower risk of overall prostate cancer.

Toggle SectionZhongyu Jian, Donghui Ye, Yuntian Chen, Hong Li, Kunjie Wang: Ejaculation frequency and prostate cancer risk, PubMed, 2018

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The study investigates the associations between sexual activity characteristics, including ejaculation frequency, and the risk of prostate cancer.

Method : A systematic literature search was conducted in databases like MEDLINE and Cochrane based on PRISMA guidelines, including 21 case-control and 1 cohort study with a total of 55,490 participants. A dose-response meta-analysis was used to ascertain the associations.

Findings : Linear dose-response associations were found for the number of female sexual partners and age at first intercourse with PCa risk, while moderate ejaculation frequency (2-4 times per week) was associated with lower risk of PCa. Specifically, an increase of 10 sexual partners correlated with a 1.10-fold increase in risk, whereas a delay in age at first intercourse decreased risk by 4% for every 5-year delay.

Toggle SectionNational MRI Scan: Early Detection of Prostate Cancer, National MRI Scan

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Method :

Findings :

Toggle SectionDmitri Pchejetski, Ewan Hunter, Mehrnoush Dezfouli, Matthew Salter, Ryan Powell, Jayne Green, Tarun Naithani, Christina Koutsothanasi, Heba Alshaker, Jiten Jaipuria, Martin J. Connor, David Eldred-Evans, Francesca Fiorentino, Hashim Ahmed, Alexandre Akouli: 2023 reports, Science Daily

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This study focuses on the development and evaluation of a new blood test for detecting prostate cancer, known as the Prostate Screening EpiSwitch (PSE) test, which demonstrates higher accuracy compared to the current standard PSA test.

Method : The research involved a pilot study with 147 patients, wherein the results of the new PSE test were compared with those of the traditional PSA test. The study assessed the overall detection accuracy of the PSE test in at-risk populations.

Findings : The PSE test was found to be 94 per cent accurate in detecting prostate cancer, significantly improving detection accuracy over the PSA test. This suggests that the PSE test could offer a rapid and minimally invasive option for prostate cancer diagnosis and screening.

Toggle SectionJun Miki, Takafumi Yanagisawa, Shunsuke Tsuzuki, Keiichiro Mori, Fumihiko Urabe, Sotaro Kayano, Takashi Yorozu, Shun Sato, Takahiro Kimura, Hiroyuki Takahashi, Koichi Kishimoto, Shin Egawa: Internal Iliac Artery, NCBI

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The study investigates the anatomical locations of sentinel lymph nodes and their importance in the lymphatic drainage patterns of clinically localized prostate cancer patients, as well as the implications for surgery.

Method : The study involved a prospective cohort of 50 patients with localized prostate cancer who underwent laparoscopic radical prostatectomy. Sentinel lymph node biopsy was performed using fluorescence detection with indocyanine green and complemented by extended pelvic lymph node dissection.

Findings : The study found that sentinel lymph nodes were successfully identified in 94% of patients, with lymph node metastasis confirmed in 12%. Notably, over 90% of positive nodes were found at two main sites, highlighting the necessity for careful identification and removal of these nodes during surgery to prevent overlooking metastasis.

Toggle SectionSandeep Mistry, Wesley Mayer, Rose Khavari, Gustavo Ayala, Brian Miles: The Role of PSA in Prostate Cancer, NCBI

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The study investigates the prevalence of clinically significant prostate cancer in men aged 75 and older and challenges the common practice of limiting screening for this population based on the belief that they are unlikely to benefit from treatment.

Method : The research involved analyzing 1446 needle biopsies performed on men aged 75 and older, using pathology reviews and statistical analysis to assess the presence and significance of prostate cancer in the samples.

Findings : The study found that 53% of the biopsies were positive for prostate cancer, with 78% of these cases classified as clinically significant. It suggests that using higher PSA thresholds could lead to missed significant cancers and emphasizes that elderly patients might benefit from appropriate treatment regardless of age.

Toggle SectionLuisa Zuccolo, Sarah J Lewis, Jenny L Donovan, Freddie C Hamdy, David E Neal, George Davey Smith: recent findings, NCBI

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The study investigates the association between alcohol consumption and prostate cancer risk, particularly focusing on prostate-specific antigen (PSA) levels.

Method : A case-control study nested within the ProtecT trial was used, involving 2,400 PSA detected prostate cancer cases and 12,700 controls matched on age and general practice. Statistical analyses included linear and multinomial logistic regression models to estimate relationships between alcohol consumption and both PSA levels and prostate cancer risk.

Findings : The study found lower PSA levels with increased alcohol consumption (RGM 0.98 per 10 units/week increase) and decreased risk of low Gleason-grade prostate cancer. However, there was an increased risk for high-grade prostate cancer (RRR 1.04 per 10 units/week increase), highlighting the complexity of alcohol’s role in prostate cancer risk.

Toggle SectionZERO Prostate Cancer: About Prostate Cancer Risks, Zero Cancer

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The study discusses various risk factors associated with prostate cancer, including age, family history, race, occupational hazards, and lifestyle factors.

Method : The study employs a comprehensive review methodology, analyzing data and statistics from existing research to outline and categorize known risk factors for prostate cancer.

Findings : Prostate cancer risk increases with age and family history. African American men are at a higher risk, and certain occupations like firefighting and military service are associated with increased rates of prostate cancer. Lifestyle choices, such as diet and physical activity, also play an influential role in risk levels.

Toggle SectionAshwin A Kotwal, Phil Schumm, Supriya G Mohile, William Dale: Relaxation Methods for Prostate Cancer, NCBI

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The study investigates the relationship between psychological health (stress, anxiety, and depression) and prostate-specific antigen (PSA) screening rates among older men in a nationally-representative sample.

Method : Data was analyzed from the National Social Life, Health and Aging Project (NSHAP), involving a sample of 1,169 men aged 57-85. The study employed multivariable logistic regression to evaluate the impact of psychological health variables on PSA screening rates, controlling for various sociodemographic factors.

Findings : Higher perceived stress was associated with lower PSA screening rates (OR=0.76), while anxiety showed differing impacts based on the frequency of doctor visits. The relationship between depression and screening was diminished after accounting for stress, suggesting stress plays a key mediating role.

Toggle SectionGrades of Prostate Cancer, Cancer Research UK

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The study discusses the grading system of prostate cancer, specifically focusing on the Grade Groups, which is primarily based on the Gleason score. It helps identify how aggressive the prostate cancer cells are and informs treatment decisions.

Method :

Findings : The findings indicate that the Grade Groups range from 1 to 5, where Grade Group 1 has the least aggressive cells and Grade Group 5 has the most aggressive ones. The system aids doctors in assessing growth rates and tailoring treatment plans accordingly.

Toggle SectionWayland Hsiao, Kelvin A Moses, Michael Goodman, Ashesh B Jani, Peter J Rossi, Viraj A Master: 20620410, PubMed

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This study investigates the survival differences among patients with Stage IV prostate cancer, particularly comparing clinical T4 disease with nodal and metastatic disease classifications.

Method : The study analyzed data from 17 SEER registries between 1995 and 2003, performing univariate and multivariate analyses to assess overall and prostate cancer-specific survival while controlling for multiple patient and disease-related characteristics.

Findings : Significant survival differences were found between cT4N0M0 patients and those with M1 disease, with younger patients showing the most pronounced disparities. Additionally, higher tumor grade, unknown tumor grade, and absence of a spouse were associated with poorer survival outcomes.

Toggle SectionAudrey Blanc-Lapierre, Marie-Claude Rousseau, Marie-Elise Parent: Stress and Prostate Cancer, PubMed

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This study investigates the association between perceived lifetime workplace stress and the risk of prostate cancer in men under 65 years of age.

Method : The study was a case-control design involving 1,933 men diagnosed with prostate cancer and 1,994 population controls, with data collected through in-person interviews about their work history and perceived stress levels. Logistic regression analysis was applied to determine the odds ratios for prostate cancer risk related to workplace stress.

Findings : The results showed that 58% of participants reported work-related stress, with prolonged exposure linked to a 12% increase in prostate cancer risk per 10-year increase in perceived stress for men under 65, regardless of cancer aggressiveness.

Toggle SectionChad Ritch, Michael Cookson: Hormonal Therapy in Prostate Cancer: A Comprehensive Overview, PMC

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This study provides a comprehensive overview of recent advances in the treatment of advanced prostate cancer, specifically focusing on hormonal therapies and their impact on patient outcomes.

Method : The review synthesizes findings from recent randomized controlled trials and clinical studies that investigate the efficacy of new treatments, including hormone therapy and chemohormonal therapy, in metastatic and non-metastatic prostate cancer.

Findings : The review highlights significant improvements in survival rates with the use of androgen deprivation therapy (ADT) in combination with chemotherapy or novel agents in hormone-sensitive and castration-resistant prostate cancer, marking a shift in treatment paradigms.

Toggle SectionSatoshi Anai, C Shawn West, Myron Chang, Kogenta Nakamura, John Pendleton, Charles J Rosser: Aggressive Prostate Cancer Risk, National Institutes of Health

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The study investigates the incidence and outcomes of men with elevated serum PSA levels presenting to an inner-city hospital.

Method : A total of 560 men underwent transrectal ultrasound guided biopsy due to elevated PSA levels above 4 ng/mL, assessing their cancer incidence and features.

Findings : Out of the 560 men, 65 had PSA levels greater than 20 ng/mL, with 57 diagnosed with prostate cancer; highlighting that PSA >30 ng/mL is a reliable indicator of prostate cancer.

prostate cancer

Toggle SectionDrost FH, Osses DF, Nieboer D, Steyerberg EW, Bangma CH, Roobol MJ, Schoots IG: Prostate MRI or without MRI targeted biopsy better than systematic biopsy detecting prostate cancer in men, Cochrane

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The study investigates the diagnostic accuracy of prostate MRI, with or without MRI-targeted biopsy, compared to systematic biopsy in detecting clinically significant prostate cancer in men.

Method : The study conducted a systematic literature review and meta-analysis of 43 studies, analyzing the sensitivity and specificity of MRI, MRI-targeted biopsy, and systematic biopsy to detect prostate cancer.

Findings : The MRI pathway was found to be more accurate than systematic biopsies in diagnosing clinically significant prostate cancer, but it still missed some cases. Specifically, the MRI pathway identified more significant cancers while reducing the diagnosis of insignificant cancers, though the overall certainty of these findings was rated as low due to study limitations.

Prostate Cancer

Toggle SectionBrian Focht, Steven Clinton, Alexander Lucas, Elizabeth Grainger, Christina Simpson, Ciaran Fairman, Jennifer Thomas-Ahner, Jackie Buell, J. Paul Monk, Amir Mortazavi: How to Fight Side Effects of Hormone Therapy for Prostate Cancer, Ohio State University

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The study investigates the effects of a comprehensive exercise and diet program on mitigating the side effects of hormone therapy in prostate cancer patients.

Method : The research involved a group of 32 prostate cancer patients, half of whom participated in a 12-week program that included group exercise and nutrition counseling, while the other half received basic education without the intervention. Evaluations were conducted at three different time points to measure differences in mobility, muscle strength, and body fat.

Findings : Participants in the exercise and diet program experienced significant improvements in mobility, muscle strength, and reductions in fat mass compared to the control group, who exhibited undesirable changes in these metrics.

Toggle SectionHow It Grows, Prostate Cancer Foundation

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This study provides an overview of how prostate cancer develops, its growth mechanism, and the biological factors involved. It explains the role of androgens, such as testosterone, in prostate cancer progression and highlights the different aggressiveness of cancer types based on cellular characteristics.

Method :

Findings : The findings indicate that prostate cancer can be slow-growing and may not spread outside the prostate before diagnosis. However, it is also noted that some aggressive forms can metastasize quickly. Treatment approaches depend on the individual’s cancer characteristics and overall health, ranging from active surveillance to aggressive intervention.

Toggle SectionChristopher J D Wallis, Zhiguo Zhao, Li-Ching Huang, David F Penson, Tatsuki Koyama, Sherrie H Kaplan, Sheldon Greenfield, Amy N Luckenbaugh, Zachary Klaassen, Ralph Conwill, Michael Goodman, Ann S Hamilton, Xiao-Cheng Wu, Lisa E Paddock, Antoinette Stroup: Treatment-associated regrets in prostate cancer, PubMed

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The study assesses the association between treatment approach, functional outcomes, and patient expectations with treatment-related regret among men with localized prostate cancer.

Method : This was a population-based, prospective cohort study utilizing data from 5 SEER-based registries. The participants included men diagnosed with clinically localized prostate cancer between January 1, 2011, and December 31, 2012, with data analyzed between August 2, 2020, and March 1, 2021.

Findings : More than 1 in 10 patients with localized prostate cancer experienced treatment-related regret, with variations across treatment modalities. Surgery was associated with a higher regret compared to active surveillance, while sexual dysfunction significantly influenced regret. Factors such as patient-reported expectations and perceived treatment efficacy were also strongly linked to reported regret.

Toggle SectionJ Crook, B Esche, N Futter: Moderate to severe dysfunction and treatment of advanced prostate cancer, PubMed, 1996

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The study investigates the effects of pelvic radiotherapy on bowel, bladder, and sexual function from the patients’ perspective post-treatment.

Method : The research involved distributing a confidential questionnaire to 202 prostate cancer patients, with a mean follow-up of 33 months post-treatment, which involved administering radiation via standard techniques.

Findings : The results indicated that 11% of patients experienced significant changes in bowel function, 4% reported significant bladder symptoms, and 35% lost potency, demonstrating considerable side effects from pelvic radiotherapy.

Toggle SectionMassimo Valerio, Hashim U Ahmed, Mark Emberton, Nathan Lawrentschuk, Massimo Lazzeri, Rodolfo Montironi, Paul L Nguyen, John Trachtenberg, Thomas J Polascik: Localized prostate cancer, PubMed

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The study systematically reviews the use of focal therapy for localized prostate cancer, evaluating its effectiveness, safety, and functional outcomes.

Method : The research analyzed literature from Medline, Embase, Web of Science, and Cochrane databases up to October 2012, focusing on studies involving tissue-preserving therapies for men with biopsy-proven prostate cancer.

Findings : The review concludes that focal therapy shows encouraging short- to medium-term outcomes regarding disease control and functionality, suggesting it could mitigate the overtreatment of localized prostate cancer, but calls for further robust comparative studies.

prostate cancer

Toggle SectionKristofs Folkmanis, Amrou Hajjar, Elizabete Junk, Evelīna Merdane, Valdis Folkmanis, Inese Folkmane, Sergejs Isajevs: PSA Doubling Time and Its Implications in Prostate Cancer, Sciendo

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This study evaluates the significance of PSA doubling time (PSADT) and PSA velocity (PSAV) as indicators of prostate cancer status and prognosis, highlighting their correlation with histopathological characteristics.

Method : The study involved 86 patients undergoing radical prostatectomy, where PSA measurements were taken to calculate PSADT and PSAV, alongside a detailed evaluation of clinical and pathological characteristics, such as disease stage and prognostic groups.

Findings : The study found that PSADT and PSAV were significantly correlated with postoperative Gleason scores and prognostic risk groups, suggesting their potential utility in assessing prostate cancer progression.

Prostate Cancer

Toggle SectionDragan Ilic, Mia Djulbegovic, Jae Hung Jung, Eu Chang Hwang, Qi Zhou, Anne Cleves, Thomas Agoritsas, Philipp Dahm: PSA test, National Center for Biotechnology Information

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This study investigates the efficacy and safety of prostate-specific antigen (PSA) testing to screen for prostate cancer.

Method : The research is a systematic review and meta-analysis, utilizing data from randomized controlled trials (RCTs) that compared PSA screening with usual care in men without a prostate cancer diagnosis. The analysis incorporated evidence from multiple databases and included statistical techniques such as random effects models to obtain pooled incidence rate ratios (IRR) and sensitivity analyses.

Findings : The findings suggest that PSA screening probably does not affect overall mortality, may have a slight effect on prostate-specific mortality, and could lead to an increased detection rate of localized prostate cancer. However, the study highlights significant concerns regarding the potential harms of screening, including complications from biopsies and treatment.

Toggle SectionIan M Thompson Jr, Phyllis J Goodman, Catherine M Tangen, Howard L Parnes, Lori M Minasian, Paul A Godley, M Scott Lucia, Leslie G Ford: Prostate Cancer Screening in Men Aged 55 to 69 Years, National Center for Biotechnology Information

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The study investigates the long-term survival outcomes for men aged 55 to 69 participating in the Prostate Cancer Prevention Trial and the effects of finasteride on prostate cancer risk and survival rates over an 18-year follow-up period.

Method : Data on prostate cancer incidence and survival rates were collected from 18,880 men randomized to either finasteride or placebo. The follow-up included mortality data gathered via the Social Security Death Index until October 31, 2011, assessing survival through both overall population and post-diagnosis cancer status comparisons.

Findings : Finasteride significantly reduced prostate cancer incidence by about 30%, but no significant difference in overall survival rates was observed between the finasteride and placebo groups after up to 18 years of follow-up. The 15-year survival rates were approximately equal at 78% for both groups.

Toggle SectionMichael J Mathers, Stephan Roth, Monika Klinkhammer-Schalke, Michael Gerken, Ferdinand Hofstaedter, Stefan Wilm, Theodor Klotz: Localized Prostate Cancer, National Center for Biotechnology Information

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The study investigates the overall long-term survival of patients with localized prostate cancer (T1-T2) compared to the normal population.

Method : This retrospective cohort study utilized data from a regional tumor registry in Regensburg, Germany, extracting information on 2121 patients diagnosed with localized prostate cancer between 1998 and 2007. Overall survival rates were estimated and compared to expected survival rates derived from German life-tables, matched by age and sex.

Findings : Patients with localized prostate cancer (stages I and II) demonstrated a 10% increase in 10-year survival compared to the normal male population, indicating improved long-term survival. This suggests men who undergo PSA screening may have better overall health and engage in healthier behaviors post-diagnosis.

Toggle SectionAmerican Cancer Society medical and editorial content team: Screening for prostate cancer, Cancer.net

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The study discusses the screening tests used for prostate cancer detection, particularly the PSA blood test and the digital rectal exam (DRE), outlining the current recommendations and considerations for screening.

Method : The review includes an analysis of various screening tests, their effectiveness, and the importance of shared decision-making between men and healthcare providers regarding the benefits and risks of screening.

Findings : The findings indicate that while screening may detect prostate cancer, the benefits of these tests in terms of outcomes and potential harms are still debated; many men may choose to be screened after consulting with their doctors.

Toggle SectionAmerican Cancer Society medical and editorial content team: Key Statistics for Prostate Cancer, American Cancer Society

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This study focuses on key statistics regarding prostate cancer incidences, risks, and mortality rates among men in the United States.

Method :

Findings : In 2024, it is estimated that there will be about 299,010 new cases of prostate cancer and approximately 35,250 deaths from the disease. The risk of diagnosis varies by age and race, with 1 in 8 men expected to be diagnosed in their lifetime, and the death rate from prostate cancer has stabilized after a significant decline from 1993 to 2013.

Toggle SectionTimothy J Wilt, Per-Anders Abrahamsson, E David Crawford, M Scott Lucia, Wael A Sakr, Jack Schalken: Prostate-Specific Antigen Testing, National Institute of Health

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This study provides an overview of the epidemiology, screening methods, and management strategies related to prostate cancer, focusing particularly on prostate-specific antigen (PSA) testing. It discusses the controversies surrounding early detection and treatment of prostate cancer, including the potential benefits and risks of PSA testing.

Method : The study summarizes findings presented during the 13th International Prostate Cancer Update, evaluating various strategies for improving PSA testing and early detection. It discusses molecular diagnostic and treatment techniques, along with the shared decision-making process between physicians and patients.

Findings : The study found that while PSA testing has become a widely used method for screening, its efficacy in improving length and quality of life remains uncertain. Various refinements in PSA testing strategies have been proposed, yet the evidence supporting early detection as a means to reduce mortality from prostate cancer is still inconclusive.

Toggle SectionBrett Lomenick, Heping Shi, Jing Huang, Chuo Chen: Review on Beta-Sitosterol and Prostate Cancer, Bioorganic & Medicinal Chemistry Letters

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The study investigates the binding proteins of β-sitosterol, a plant sterol associated with beneficial health effects, including its potential anti-cancer activities in prostate cancer.

Method : The research utilized affinity chromatography and mass spectrometry to identify β-sitosterol-specific binding proteins in lysates from macrophages and prostate cancer cell lines.

Findings : The identification of 17β-HSD4 and E-Syt1 as new binding proteins of β-sitosterol suggests mechanisms through which this compound may exert its anti-cancer and anti-inflammatory effects.

Toggle SectionAmerican Cancer Society: Prostate Cancer Statistics, American Society of Clinical Oncology

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The study provides key statistics about prostate cancer incidence, mortality, and risk factors in the United States.

Method : The statistics are based on estimates and data from cancer registries, notably the SEER (Surveillance, Epidemiology, and End Results) program, and other relevant studies and sources.

Findings : Prostate cancer is the most common cancer among men in the U.S., with approximately 299,010 new cases and 35,250 deaths expected in 2024. The likelihood of developing prostate cancer increases with age, particularly in men 65 and older, and the death rate has declined due to early detection and treatment advances.

Toggle SectionSherif Mehralivand, Joanna H Shih, Soroush Rais-Bahrami, Aytekin Oto, Sandra Bednarova, Jeffrey W Nix, John V Thomas, Jennifer B Gordetsky, Sonia Gaur, Stephanie A Harmon, Mohummad Minhaj Siddiqui, Maria J Merino, Howard L Parnes, Bradford J Wood, Peter A : MRI screening could reduce this rate, PubMed

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This study investigates whether an MRI-based prediction model can effectively reduce unnecessary biopsies in patients with suspected prostate cancer, while still maintaining a high accuracy in diagnosing clinically significant cases.

Method : The study involved two cohorts of patients: a development cohort of 400 patients and a validation cohort of 251 patients. Each patient underwent MRI, MRI-TRUS fusion-guided biopsy, and systematic biopsy in one session. The model’s performance was evaluated using area under the curve analysis and decision curve analysis.

Findings : The MRI-based model significantly improved the ability to identify clinically significant prostate cancer, with 48.3% of the development cohort and 38.2% of the validation cohort diagnosed with Gleason scores of 3+4 or higher. The inclusion of MRI parameters raised the predictive accuracy from 64% to 84%, and the model indicated that 18 fewer biopsies could have been performed without missing clinically significant cancers.

Toggle SectionAbhishek Kumar, Vinit Nalawade, Paul Riviere, Reith R Sarkar, J Kellog Parsons, James D Murphy, Brent S Rose: Impact of 5-Alpha Reductase Inhibitors on Prostate Cancer Diagnosis, JAMA Internal Medicine, 2019-05

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The study investigates the association between the use of 5-alpha reductase inhibitors (5-ARIs) and mortality rates related to prostate cancer among older adults.

Method : This cohort study utilized the SEER-Medicare linked database to analyze data from prostate cancer patients diagnosed between 2008 and 2013. The researchers tracked the impact of 5-ARI use on prostate cancer-specific mortality and all-cause mortality, employing statistical models including competing risk regression and Cox proportional hazards.

Findings : The results indicated that patients using 5-ARIs had a higher risk of prostate cancer-specific mortality (HR 1.38) and all-cause mortality (HR 1.15), while there was no significant difference in noncancer mortality. Additionally, users of 5-ARIs were more likely to present with higher-grade prostate cancer at diagnosis.

Toggle SectionXianglan Zhang, Xiao-Ou Shu, Yong-Bing Xiang, Gong Yang, Honglan Li, Jing Gao, Hui Cai, Yu-Tang Gao, Wei Zheng: Prostate Cancer, NCBI

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This study investigates the association between cruciferous vegetable intake and the risk of all-cause and cause-specific mortality, particularly focusing on cardiovascular disease and cancer.

Method : The analysis utilized data from two large prospective cohort studies conducted in China, involving dietary assessments through validated food frequency questionnaires and follow-up through home visits and vital statistics registries.

Findings : Higher intakes of total vegetables, particularly cruciferous vegetables, were associated with a reduced risk of overall mortality, especially related to cardiovascular disease, with no significant association found for cancer mortality.

Toggle SectionKaren S Sfanos, Angelo M De Marzo: Prostate Cancer Related to PSA Levels, NCBI

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This study reviews the role of chronic inflammation in the etiology of prostate cancer, particularly its association with prostate-specific antigen (PSA) levels and various inflammatory stimuli.

Method : The review summarizes current literature examining evidence linking chronic inflammation in the prostate to cancer risk, exploring factors such as dietary influences, infections, inflammatory pathways, and the potential of dietary anti-inflammatory compounds in reducing cancer risk.

Findings : The findings indicate that chronic inflammation is a significant factor in prostate cancer development, where conditions like proliferative inflammatory atrophy (PIA) serve as precursors to cancer. Additionally, elevated PSA levels are correlated with prostate inflammation.

Toggle SectionGordon A Saxe, Jacqueline M Major, Lindsey Westerberg, Srikrishna Khandrika, Tracy M Downs: Physical Stress and PSA, NCBI

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The study investigates the effects of a plant-based diet and stress reduction on the rate of prostate specific antigen (PSA) rise in men with recurrent prostate cancer.

Method : A pre-post intervention design was employed with assessments at baseline, 3 months, and 6 months for changes in body composition, weight-related biomarkers, and PSA levels in 14 patients.

Findings : The intervention resulted in a significant reduction in waist-to-hip ratio and an increase in sex hormone binding globulin levels, alongside a decrease in the rate of PSA rise during the first 3 months.

Toggle SectionIlic D, Djulbegovic M, Jung J H, Hwang E C, Zhou Q, Cleves A, Agoritsas T, Dahm P: PSA Testing, BMJ

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The study investigates the effectiveness and implications of prostate cancer screening using the prostate-specific antigen (PSA) test.

Method : This research is a systematic review and meta-analysis that consolidates and analyzes existing data from various studies to evaluate the benefits and harms of PSA testing for prostate cancer detection.

Findings : The findings indicate that PSA screening may reduce prostate cancer mortality, but it also has significant risks of overdiagnosis and overtreatment.

Toggle SectionA B Weiner, R S Matulewicz, S E Eggener, E M Schaeffer: Statistics on Prostate Cancer, PubMed

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The study analyzes the increasing incidence of metastatic prostate cancer in the United States between the years 2004 and 2013 and investigates the underlying trends associated with changes in screening practices.

Method : The researchers utilized data from the National Cancer Data Base, examining cases of prostate cancer diagnosed at 1089 healthcare facilities. They employed joinpoint regressions to model annual percentage changes in cancer incidence based on stage compared to the year 2004.

Findings : The study found that the incidence of metastatic prostate cancer increased significantly from 2007 to 2013, particularly among men aged 55-69, indicating a 72% increase compared to 2004. Conversely, the incidence of low-risk prostate cancer decreased, suggesting implications of relaxed screening practices.

Toggle SectionGiorgio Gandaglia, Firas Abdollah, Jonas Schiffmann, Vincent Trudeau, Shahrokh F Shariat, Simon P Kim, Paul Perrotte, Francesco Montorsi, Alberto Briganti, Quoc-Dien Trinh, Pierre I Karakiewicz, Maxine Sun: Recent study with nationwide sample, PubMed

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This study analyzes the distribution of metastatic sites in patients with prostate cancer using a nationwide sample.

Method : The study utilized data from the Nationwide Inpatient Sample (1998-2010) to abstract information on patients with metastatic prostate cancer, describing the most common metastatic sites and stratifying by presence of single or multiple metastases.

Findings : The study found that 84% of metastatic prostate cancer patients had bone metastases, with lesser involvement of distant lymph nodes, liver, and thorax. Additionally, it noted a significant proportion of patients with atypical metastatic sites, highlighting the importance of considering these when planning diagnostic imaging.

Toggle SectionBrian F. Chapin, MD; Jonathan I. Epstein, MD; Maha Hussain, MD, FACP, FASCO: When Can Patients with Gleason 6 Prostate Cancer Safely Undergo Active Surveillance?, ASCOPost, July 25, 2018

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The study discusses criteria and considerations for patients with Gleason 6 prostate cancer to safely choose active surveillance instead of immediate treatment.

Method : This is based on a roundtable discussion with experts in prostate cancer management, analyzing guidelines and individual patient risk factors for opting for active surveillance.

Findings : The study revealed that while many patients with Gleason 6 cancer can undergo active surveillance due to low progression risk, individual factors such as age, cancer volume, and patient preference play crucial roles in treatment decisions.

Prostate cancer

Toggle SectionPheruza Tarapore, Jun Ying, Bin Ouyang, Barbara Burke, Bruce Bracken, Shuk-Mei Ho: BPA stimulates prostate cell growth even in tiny amounts, PLOS ONE

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This study investigates the correlation between Bisphenol A (BPA) exposure and early-onset prostate cancer, exploring its effects on centrosome abnormalities and cell growth.

Method : The study involved a clinical assessment of urinary BPA levels in 60 urology patients alongside in vitro experiments on multiple prostate cancer cell lines. Urinary concentrations were measured using high-performance liquid chromatography coupled with electrospray triple-quadrupole mass spectrometry, and the effects of BPA on centrosome amplification and anchorage-independent growth were analyzed through various assays.

Findings : Results indicated higher urinary BPA levels in prostate cancer patients compared to non-cancer patients, particularly in those under 65 years. In vitro studies revealed that BPA exposure promoted centrosome amplification and enhanced anchorage-independent growth, suggesting potential mechanisms behind BPA’s role in prostate carcinogenesis.

Prostate Cancer

Toggle SectionWade T Barranco, Paul F Hudak, Curtis D Eckhert: Boron and Prostate Cancer: A Review, PubMed

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This study examines the relationship between groundwater boron levels, prostate cancer incidence and mortality, and the effects of boron on prostate cancer cell proliferation.

Method : The researchers conducted regression analysis using prostate cancer data from the Texas Cancer Registry and groundwater boron and selenium concentrations from the Texas Water Development Board. They also performed in vitro experiments on DU-145 prostate cancer cells to assess the effects of boric acid in conjunction with other chemo-preventative agents.

Findings : Increased groundwater boron levels correlated with a decrease in prostate cancer incidence and mortality. Furthermore, boric acid enhanced the efficacy of other treatment agents and improved the sensitivity of prostate cancer cells to ionizing radiation.

Toggle SectionMaria T Gallardo-Williams, Robert E Chapin, Paula E King, Glenda J Moser, Thomas L Goldsworthy, James P Morrison, Robert R Maronpot: Effects of boron supplementation on prostate cancer risk in men, PubMed

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The study investigates the effects of boron supplementation on the growth of prostate adenocarcinoma tumors, specifically looking at the role of prostate-specific antigen (PSA) and insulin-like growth factor 1 (IGF-1).

Method : Nude mice were implanted subcutaneously with human prostate adenocarcinoma LNCaP cells and were divided into three groups: two receiving different doses of boric acid and one control group receiving water. Tumor sizes were measured weekly for 8 weeks, and serum levels of PSA and IGF-1 were analyzed at the end of the study.

Findings : The study found that boron supplementation significantly reduced tumor sizes by 25% to 38% in treated mice compared to control, and serum PSA levels decreased by approximately 87%. The results indicated a lower incidence of mitotic figures in tumors from boron-supplemented mice, while IGF-1 levels in the tumors showed a marked reduction.

Toggle SectionWilliam J Catalona: Prostate-Specific Antigen Testing for Prostate Cancer Screening: A Review of the Literature and Recommendations, NCBI, 2018

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The study reviews the literature regarding prostate-specific antigen (PSA) testing for prostate cancer screening and provides updated recommendations considering the benefits and harms associated with such screening.

Method : The study involved a comprehensive review of existing literature and clinical trials relevant to PSA testing, along with an analysis of statistical models and recommendations from health organizations.

Findings : The findings suggest that PSA screening significantly reduces prostate cancer mortality and improves the chances of detecting curable diseases, despite ongoing debates about overdiagnosis and treatment-related harms.

Toggle SectionMay Darwish-Yassine, Manijeh Berenji, Diane Wing, Glenn Copeland, Raymond Y Demers, Carol Garlinghouse, Angela Fagerlin, Gail E Newth, Laurel Northouse, Margaret Holmes-Rovner, David Rovner, Jerry Sims, John T Wei: Prostate Cancer Survival Rates, PubMed

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The study evaluates long-term patient-centered outcomes following prostate cancer treatment, focusing on survivors’ experiences, symptoms, and healthcare access.

Method : The study linked the Michigan Cancer Registry with the National Death Index to identify prostate cancer survivors, employing a stratified cross-sectional sampling strategy. A total of 2,499 survivors completed surveys assessing symptoms, access to care, and informational needs.

Findings : Results indicated that 80% of survivors were diagnosed at an early stage, with significant symptoms reported post-treatment. Most survivors had regular PSA testing and access to information on prostate cancer, primarily from healthcare providers, highlighting a need for better management of long-term physical symptoms.

Toggle SectionAnton Stangelberger, Matthias Waldert, Bob Djavan: Studies of the autopsy indicate that one-third of men above 50 have histological signs of prostate cancer., PubMed

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This study examines the diagnosis and management of prostate cancer in elderly men, particularly focusing on the implications of increased life expectancy and PSA screening.

Method : The study reviews existing literature to analyze the trends in prostate cancer diagnoses among elderly men and discusses treatment options based on age and disease progression.

Findings : The study indicates that one-third of men over 50 years old show histological signs of prostate cancer, emphasizing the importance of considering age in treatment decisions and the potential for overdiagnosis.

Toggle SectionTimothy J Key, Paul N Appleby, Ruth C Travis, Demetrius Albanes, Anthony J Alberg, Aurelio Barricarte, Amanda Black, Heiner Boeing, H Bas Bueno-de-Mesquita, June M Chan, Chu Chen, Michael B Cook, Jenny L Donovan, Pilar Galan, Rebecca Gilbert, Graham G Gile: Prostate Cancer Less Aggressive, NCBI

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The study investigates the associations between circulating carotenoids, retinol, α-tocopherol, and the risk of prostate cancer, including analyses based on disease stage and aggressiveness.

Method : This research involved a pooled analysis of individual participant data from 15 studies, evaluating the concentrations of various biomarkers and their respective associations with prostate cancer risk utilizing multivariable-adjusted conditional logistic regression in matched case-control sets.

Findings : The findings suggest that higher levels of retinol are associated with increased overall prostate cancer risk, while higher levels of α-tocopherol are inversely associated with risk, particularly for aggressive forms of the disease. Lycopene was not found to be associated with overall prostate cancer risk but showed an inverse relationship with advanced and aggressive disease. However, the study also highlighted the uncertainty regarding the causal link between these associations.

Toggle SectionKosj Yamoah, Peter As Johnstone: Low-Dose Radiation Therapy in Prostate Cancer Patients: Current Evidence and Future Directions, PubMed

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This study reviews the clinical utility and current status of proton beam therapy for prostate cancer, addressing efficacy and toxicity concerns in existing literature.

Method : The study is a literature review that analyzes the current evidence regarding the use of proton beam therapy in treating prostate cancer, including its benefits and controversies surrounding its application.

Findings : The findings suggest that while proton beam therapy has potential benefits in the treatment of prostate cancer, its high cost and uncertainties regarding routine use are significant factors influencing its adoption.

Toggle SectionPhillip M Pierorazio, Thomas J Guzzo, Misop Han, Trinity J Bivalacqua, Jonathan I Epstein, Edward M Schaeffer, Mark Schoenberg, Patrick C Walsh, Alan W Partin: Long-term survival after prostatectomy., National Center for Biotechnology Information

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The study evaluates long-term cancer-specific survival outcomes after radical prostatectomy in men with high Gleason sum (8-10) prostate cancer and identifies predictors of survival.

Method : This analysis utilized a retrospective cohort study of 1,061 prostate cancer patients with pathological Gleason sums of 8-10 from a larger Institutional RP Database. Survival analyses were performed using Kaplan-Meier methods, and predictors of cancer-specific survival (CSS) were examined through univariate and multivariate proportional hazards regression models.

Findings : The study found a 15-year cancer-specific survival rate of 57.4% for patients with high Gleason sums. Pathological Gleason sums of 9-10, seminal vesicle involvement, and lymph node invasion were identified as independent predictors of poor CSS.

Toggle SectionShu-Hai Chen, Bing-Yuan Zhang, Bin Zhou, Cheng-Zhan Zhu, Le-Qi Sun, Yu-Jie Feng: Association of perineural invasion with poor outcomes in prostate cancer, NCBI, 2019

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This study examines perineural invasion (PNI) in prostate cancer, exploring its role as a significant predictor of poor clinical outcomes.

Method : The review consolidates past research findings and provides an analytical discussion on the complex mechanisms of PNI, emphasizing the tumor-neural interactions and signaling pathways involved.

Findings : The study concludes that PNI is associated with increased recurrence rates and poor patient survival in prostate cancer, suggesting therapeutic interventions targeting the underlying molecular pathways of PNI may improve patient prognosis.

Toggle SectionSung Kyu Hong, Jong Jin Oh, Seok-Soo Byun, Sung Il Hwang, Min Soo Choo, Sang Eun Lee: PSA levels between 1 and 10, PubMed

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The study investigates the PSA mass ratio’s value in predicting prostate cancer detection among men with PSA levels of ≤10 ng/mL.

Method : The study reviewed records of 2431 men aged 56-80 who underwent prostate biopsy, comparing the predictive accuracies of PSA mass ratio and traditional PSA levels using receiver operating characteristics-derived area under the curve.

Findings : The PSA mass ratio showed a higher accuracy than PSA in predicting prostate cancer (0.638 vs 0.565, P < 0.001), but did not significantly increase the predictive model's accuracy when incorporated into multivariate assessments.

Toggle SectionTimothy A Warren, Christina M Nagle, James Bowman, Benedict J Panizza: Prostate cancer survival based on perineural invasion, NCBI

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The study focuses on the natural history, diagnosis, and treatment outcomes of perineural invasion in head and neck malignancies, particularly squamous cell carcinoma.

Method : A comprehensive review of a personal series of head and neck malignancies with perineural spread along the trigeminal and facial nerves, analyzing patient demographics, tumor features, symptomatology, diagnostic methods, treatment modalities, and survival outcomes.

Findings : The study found that early detection of perineural spread significantly influences disease-specific survival outcomes, with five-year survival rates varying drastically based on the extent of nerve involvement and surgical margin status.

Toggle SectionStacy Loeb, William J Catalona: abnormal PSA reading, PubMed

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This study reviews the use of prostate-specific antigen (PSA) testing in screening for prostate cancer, discussing its evolution and the implications of abnormal PSA results.

Method : The study is a review of existing literature focused on prostate cancer screening and decision-making based on PSA levels.

Findings : The findings highlight the advancements in PSA testing and the need for informed clinical decision-making related to abnormal PSA levels.

Toggle SectionVeda N Giri, Sarah E Hegarty, Colette Hyatt, Erin O’Leary, John Garcia, Karen E Knudsen, William K Kelly, Leonard G Gomella: Inherited Disease, PubMed

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The study investigates the implications of germline genetic testing for inherited prostate cancer in clinical practice, particularly focusing on genetic assessment, precision therapy, and cascade testing.

Method : A retrospective cross-sectional analysis was performed on de-identified clinical genetic testing data from a large US commercial genetic testing laboratory. The analysis utilized ICD-10 claims codes to identify men with prostate cancer, family history data, and Gleason scores were also assessed using Fisher’s exact test for association.

Findings : The study found that 15.6% of men with prostate cancer carried pathogenic variants and that breast cancer family history, as well as a high Gleason score, were significant predictors of these variants. Notably, the frequency of variants was highest in genes associated with DNA repair.

Toggle SectionCosimo De Nunzio, Riccardo Lombardo, Antonio Nacchia, Giorgia Tema, Andrea Tubaro: a repeat PSA test, PubMed

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The study investigates the impact of repeating PSA levels on prostate biopsy decisions and the correlation between PSA level variations and cancer risk.

Method : The study enrolled 331 men undergoing prostate biopsy, measuring PSA levels before and after a four-week interval. Variations in PSA levels were categorized and analyzed using multinomial logistic regression.

Findings : A decrease of ≥20% in PSA levels was significantly associated with a reduced risk of prostate cancer and high-grade disease, while stable or increasing PSA levels were linked to higher risks.

Toggle SectionChao-Yueh Fan, Wen-Yen Huang, Kuen-Tze Lin, Chun-Shu Lin, Hsing-Lung Chao, Jen-Fu Yang, Cheng-Li Lin, Chia-Hung Kao: Lower urinary tract infection and prostate cancer risk, PLoS One

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The study investigates the association between lower urinary tract infections (LUTI), including cystitis and urethritis, and the subsequent risk of prostate cancer (PCa) in men.

Method : The study utilized a nationwide population-based cohort approach involving 14,273 men diagnosed with LUTI from the Taiwan Longitudinal Health Insurance Database 2000 between 1998 and 2011. A control group of men without LUTI was established, and Cox’s proportional hazard regression was applied to assess the relative risk of developing PCa.

Findings : The results indicated a significantly increased risk of prostate cancer in men with cystitis (adjusted HR = 1.46) and urethritis (adjusted HR = 1.72) compared to those without LUTI. Additionally, men with more than five medical visits for LUTI per year displayed an even greater risk of developing prostate cancer.

Toggle SectionRano Matta, Christopher R Chapple, Margit Fisch, Axel Heidenreich, Sender Herschorn, Ronald T Kodama, Bridget F Koontz, Declan G Murphy, Paul L Nguyen, Robert K Nam: Impact of prostate cancer treatments on pelvic floor dysfunction, PubMed, 2019

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The study reviews the incidence and management of pelvic complications following radiation therapy for prostate cancer, particularly focusing on gastrointestinal and genitourinary toxicities.

Method : A collaborative narrative review of literature from 2010 to present was conducted to assess the incidence and risk factors associated with pelvic toxicities post-radiotherapy and to evaluate management strategies.

Findings : The study found that high-grade pelvic toxicity is uncommon following modern radiotherapy techniques, though specific acute and late complications such as urinary obstruction and rectal bleeding can occur; there is a need for improved methods to spare critical structures to minimize these toxicities.

Toggle SectionHaoyu Wang,Zhi Wang,Zihui Zhang,Jingchun Liu,Li Hong: Lower incidence of prostate cancer in Asian countries, PubMed

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This study investigates the potential of β-sitosterol as an anticancer agent, particularly its mechanisms of action and future prospects in chemoprevention and chemotherapy.

Method : The study is a comprehensive review that summarizes existing preclinical evidence and mechanisms of action of β-sitosterol in combatting various types of cancer, including prostate cancer.

Findings : β-Sitosterol shows promise as a multitargeted anticancer agent that enhances apoptosis, inhibits cell growth, and modulates immunity and inflammation, though challenges in bioavailability and clinical trials remain.

Toggle SectionSimon Wilkinson, Gerald W Chodak: Studies on time taken to lower PSA levels after treatment, PubMed

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This study critically reviews the available evidence regarding complementary therapies for the prevention and treatment of prostate cancer, focusing on dietary modifications, food supplements, and herbs.

Method : The authors conducted a comprehensive literature review, examining recent studies and evidence related to various complementary treatment modalities for prostate cancer.

Findings : The review reveals that while there is promising data about certain complementary therapies, there is a consensus that only randomized controlled trials can provide the robust evidence necessary to establish clinical guidelines.

Toggle SectionAmit D Joshi, Román Corral, Chelsea Catsburg, Juan Pablo Lewinger, Jocelyn Koo, Esther M John, Sue A Ingles, Mariana C Stern: Caffeine Intake and Prostate Cancer Risk, PubMed

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The study investigates the association between red meat and poultry intake, cooking practices, genetic susceptibility, and the risk of prostate cancer.

Method : Data was collected from the California Collaborative Prostate Cancer Study, involving 1096 controls, 717 localized cases, and 1140 advanced cases, analyzing nutrient density-adjusted intake of meats and considering the impact of genetic polymorphisms related to carcinogen metabolism.

Findings : High intake of red meat cooked at high temperatures and specific cooking methods is associated with an increased risk of advanced prostate cancer, while baked poultry is inversely associated with this risk. The study also indicates that gene-diet interactions may play a role in prostate cancer etiology.

Toggle SectionTakeo Kosaka, Akira Miyajima, Mototsugu Oya: Blood Levels of Testosterone, NCBI

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This study investigates the role of dihydrotestosterone (DHT) produced by 5α-reductase in prostate cancer (PCa) development and progression, especially in castration-resistant prostate cancer (CRPC).

Method : The study reviews and discusses existing literature and summarizes findings from various clinical trials, along with experimental studies using human CRPC cell lines to evaluate the role of DHT and the effectiveness of 5α-reductase inhibitors (5ARIs) such as finasteride and dutasteride.

Findings : The findings indicate that blocking DHT biosynthesis did not show direct benefits in CRPC and that higher Gleason scored tumors may not be significantly impacted by 5ARIs. Additionally, the study highlights that CRPC can maintain androgen receptor signaling through DHT produced from non-castrate levels influencing tumor aggressiveness.

Prostate Cancer Screening

Toggle SectionLuke T Lavallée, Andrew Binette, Kelsey Witiuk, Sonya Cnossen, Ranjeeta Mallick, Dean A Fergusson, Franco Momoli, Chris Morash, Ilias Cagiannos, Rodney H Breau: repeat test, PubMed

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This study investigates whether repeating a prostate-specific antigen (PSA) test in men with elevated PSA levels is associated with a reduced risk of undergoing prostate biopsy and being diagnosed with prostate cancer.

Method : The study followed a cohort of 1268 patients with initial PSA levels between 4 and 10 ng/mL referred to the Ottawa Regional Prostate Cancer Assessment Clinic. The researchers analyzed the association between normal results from repeated PSA tests and the incidence of prostate biopsy, cancer diagnosis, and Gleason score outcomes.

Findings : The results indicated that men with normal repeated PSA test results were significantly younger and had lower PSA levels at referral. Importantly, these men showed a reduced likelihood of undergoing biopsy (RR 0.42), a lower risk of cancer diagnosis (RR 0.22), and a decreased likelihood of a high Gleason score (RR 0.16) compared to those with abnormal repeated PSA results, suggesting that routine retesting could lower biopsy rates and cancer diagnoses.

Prostate Disease

Toggle SectionL C Costello, R B Franklin: Clinical Studies on Zinc levels in Prostate Disease, PubMed

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The study investigates how testosterone and prolactin influence metabolic genes and citrate metabolism in prostate epithelial cells, highlighting hormonal regulation’s role in prostate function and disease.

Method : The research analyzes hormonal regulation of metabolic pathways in prostate epithelial cells, focusing on key regulatory enzymes involved in citrate metabolism, and describes signaling pathways activated by testosterone and prolactin.

Findings : The findings indicate that testosterone and prolactin play crucial roles in regulating metabolic genes linked to citrate production, differentiating between benign and malignant prostate conditions based on citrate metabolism.

Prostate Health

Toggle SectionH G Preuss, C Marcusen, J Regan, I W Klimberg, T A Welebir, W A Jones: Combination of Saw Palmetto and Cernitin in Prostate Health, International Urology and Nephrology

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The study investigates the effectiveness of a combination of natural products, including cernitin, saw palmetto, B-sitosterol, and vitamin E, on the symptoms of benign prostatic hyperplasia (BPH).

Method : This randomized, placebo-controlled, double-blind study involved 144 subjects with diagnosed BPH, who were administered either the combination product or placebo for three months. Evaluations were performed using the American Urological Association (AUA) Symptom Index score, urinary flow rate, PSA measurement, and residual bladder volume.

Findings : Significant reductions in nocturia severity and daytime frequency were observed in the treatment group compared to the placebo group, with a notable improvement in the total AUA Symptom Index score as well. No significant adverse effects were reported from the combination treatment.

Toggle SectionClaus G Roehrborn: Various studies on prostate size and age, NCBI

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The study examines the relationship between benign prostatic hyperplasia (BPH), prostate size, lower urinary tract symptoms (LUTS), and bladder outlet obstruction (BOO) as it correlates with aging.

Method : The research included a review of various epidemiological studies and autopsy data, utilizing transrectal ultrasonography to measure prostate size across different age groups and races. It also employed symptom scoring systems and urinary flow rate measurements.

Findings : The findings indicate that prostate size increases with age, correlating with a higher prevalence of BPH and LUTS. Notably, symptoms affected quality of life significantly, and treatment options vary in effectiveness, with minimally invasive surgeries being generally superior to medical therapies in the long run.

Toggle SectionShi-Jun Zhang, Hai-Ning Qian, Yan Zhao, Kai Sun, Hui-Qing Wang, Guo-Qing Liang, Feng-Hua Li, Zheng Li: Research on Prostate Size Growth, NCBI

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The study investigates the relationship between age and human prostate size by measuring various prostate parameters in men aged 40 to 70 years.

Method : This community-based study involved 800 men who underwent transrectal ultrasound (TRUS) measurements of prostate dimensions and completed the International Prostate Symptom Score (IPSS) questionnaire to assess symptoms.

Findings : The study found that prostate parameters significantly increased with age, with the transition zone volume (TZV) growing faster than total prostate volume (TPV), particularly after age 60. Strong correlations were observed between TZ dimensions and IPSS scores, indicating that larger prostate sizes are associated with more severe urinary symptoms.

Toggle SectionXiaoyu Dai, Xiangming Fang, Ying Ma, Jianbo Xianyu: Prostate Cancer and Benign Prostatic Hyperplasia, NCBI

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The study investigates the association between benign prostatic hyperplasia (BPH) and the risk of urologic cancers, specifically prostate and bladder cancers.

Method : This research conducted a meta-analysis of observational studies by reviewing data from MEDLINE, EMBASE, Cochrane Library, and Web of Science. It included case-control and cohort studies that evaluated the incidence of prostate and bladder cancer in patients with BPH, calculating risk ratios and confidence intervals.

Findings : The analysis found that BPH is significantly associated with increased risks of prostate cancer (RR=2.93) and bladder cancer (RR=1.71), with a notable higher risk of prostate cancer in Asian patients (RR=6.09) compared to Caucasians (RR=1.54). Overall, the study suggests that BPH is a risk factor for these cancers, though further research is needed to address potential biases in the existing studies.

Toggle SectionSaiful Miah, James Catto: BPH and Prostate Cancer Research, NCBI

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The study investigates the relationship between benign prostatic hyperplasia (BPH) and the risk of developing prostate cancer (PCa), focusing on clinical and epidemiological data.

Method : The authors conducted a review of existing literature, including population studies and clinical data, to assess the association between BPH and PCa while emphasizing genetic, hormonal, and inflammatory factors.

Findings : The study found molecular, genetic, and inflammatory links between BPH and PCa, suggesting a potential increased risk of PCa in men with BPH; however, a definitive causal relationship could not be established.

Toggle SectionVinod Priyadarshi, Nidhi Sehgal: Calcification Study on Prostate Health, NCBI

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The study investigates a rare case of extensive calcification in the prostate gland, transforming it into a stone-like structure, and its implications on urinary health.

Method : The study describes a clinical case involving a 60-year-old man with significant urinary symptoms, utilizing methods such as digital rectal examination, ultrasonography, X-rays, cystoscopy, and open prostatectomy to diagnose and treat the condition.

Findings : The findings highlight that the patient had severe prostatic calcification and bladder stone, with chemical analysis revealing a mixture of calcium phosphate and carbonate in the prostate. Post-surgery, the patient’s urinary symptoms improved and there were no complications.

Toggle SectionHo Won Lee, Shin Ah Kim, Ji Won Nam, Mi Kyung Kim, Bo Youl Choi, Hong Sang Moon: Lowered incidence of benign prostatic hyperplasia with increased physical activity: A meta-analysis of cohort studies, National Center for Biotechnology Information

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This study examines the relationship between physical activity and the incidence of benign prostatic hyperplasia (BPH) in men aged 40 and above, aiming to determine if a healthier lifestyle can serve as a protective factor against BPH.

Method : The study involved a cohort of 582 subjects from Gyeonggi, South Korea. Participants underwent interviews to collect data on physical activity, demographic variables, and medical examinations including digital rectal exams and PSA levels. Logistic regression was used to analyze the association between physical activity levels and BPH.

Findings : The study found that reducing sedentary time could significantly lower the risk of BPH. Specifically, subjects with less sedentary time (4.5-7.0 hours/day) had a reduced risk of BPH compared to those with more sedentary time (>7 hours/day). While regular exercise was not conclusively shown to protect against BPH, lower levels of sedentary behavior were highlighted as a potentially modifiable risk factor for older men.

Toggle SectionNCI: Understanding Prostate Changes, Cancer.gov

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The study discusses common prostate changes and conditions such as prostatitis, benign prostatic hyperplasia (BPH), and prostate cancer, along with their symptoms, diagnostic tests, and treatment options.

Method :

Findings :

Toggle SectionJae Hung Jung, Song Vogue Ahn, Jae Mann Song, Se-Jin Chang, Kwang Jin Kim, Sung Won Kwon, Sang-Yoo Park, Sang-Baek Koh: Prostate Growth Factors, National Institutes of Health

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This study investigates the relationship between obesity, as a risk factor within metabolic syndrome, and prostatic enlargement in a cohort of Korean men. It aims to evaluate how various measures of body fat and associated metabolic markers correlate with benign prostatic hyperplasia (BPH).

Method : The study utilized a retrospective cohort design, deriving its data from the Korean Genome and Epidemiology Study on Atherosclerosis Risk of Rural Areas (KoGES-ARIRANG). Data were collected through urological examinations, serum PSA measurements, and completion of the International Prostate Symptom Score questionnaire among male participants selected based on specific criteria, with statistical analyses to assess correlations.

Findings : The findings reveal a significant association between obesity indicators—prioritizing waist circumference and body fat—and higher prostate volume, indicating a link with benign prostatic hyperplasia. Specifically, high levels of serum leptin were positively correlated with prostate growth, while adiponectin levels exhibited an inverse relationship; thus, suggesting obesity and related markers play a significant role in prostatic enlargement.

Toggle SectionMeng Rao, Lian-Dong Zuo, Fang Fang, Kuete Martin, Yi Zheng, Hui-Ping Zhang, Hong-Gang Li, Chang-Hong Zhu, Cheng-Liang Xiong, Huang-Tao Guan: Chronic Prostatitis, National Institutes of Health

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The study investigates the association of alcohol consumption with prostate measurements and reproductive hormone profiles among men in China.

Method : This cross-sectional study included 4535 men from four provinces in China. Participants underwent a questionnaire regarding demographics, family history of prostate disease, and alcohol consumption, and their blood samples were analyzed for prostate-specific antigens and reproductive hormones.

Findings : Current and former drinkers had lower free PSA levels compared to never drinkers, with no significant impact on total PSA concentration or I-PSS scores. Alcohol consumption was shown to act as an endocrine disruptor affecting hormone profiles, with relationships found between reproductive hormones and prostate measurements.

Toggle SectionJorge D Escandriolo Nackauzi, Raúl H Colla, Graciela R Ravazzani, María I Gaido, Patricia Bertolotto, Adriana B Actis: Alcohol Consumption and PSA, PubMed

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The study investigates the relationship between alcohol and tobacco consumption and serum prostate-specific antigen (PSA) levels in men, particularly differentiating between those with prostate tumors and those without.

Method : The study involved 59 men (20 with prostate tumors and 39 without) who had their PSA levels analyzed from serum samples. The Kruskal-Wallis nonparametric test was used to compare PSA values alongside consumption habits of alcohol and tobacco.

Findings : It was found that PSA mean values were higher in patients with prostate tumors compared to those without. Alcohol and tobacco consumption correlated with higher PSA levels in the prostate tumor group, while non-smokers had higher PSA levels in the control group. Statistically significant differences were evident between the two groups based on lifestyle factors.

Toggle SectionMaría-Carmen Flores-Fraile, Bárbara Yolanda Padilla-Fernández, Sebastián Valverde-Martínez, Magaly Marquez-Sanchez, María-Begoña García-Cenador, María-Fernanda Lorenzo-Gómez, Javier Flores-Fraile: Prostate Condition, PubMed

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This study investigates the predictive capacity of Prostate-Specific Antigen Velocity (PSAV) and the Free PSA/Total PSA index in assessing prostate conditions among men over 47 years of age.

Method : The study utilizes a prospective multicentre observational approach, involving 2035 men aged over 47 years who wished to be informed about their prostate health. Participants were categorized based on their PSA levels, and various metrics like age, BMI, and PSA velocity were analyzed.

Findings : The study finds that PSAV and its direction of acceleration, alongside the iPSA index, are significantly correlated with the likelihood of benign or malignant prostate conditions. The results show a prevalence of benign prostatic hyperplasia (BPH) among participants with lower PSA levels, while higher levels correlate with a greater prevalence of prostatic intraepithelial neoplasia (PIN) and prostate cancer.

Toggle SectionKiichiro Akamine, Tomoyuki Koyama, Kazunaga Yazawa: Banana Peel Study on BPH, PubMed

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The study investigates the effects of banana peel extract on prostate gland enlargement induced by testosterone in mice.

Method : A methanol extract of banana peel was administered at a dose of 200 mg/kg to castrated mice treated with testosterone to assess its impact on prostate regrowth and seminal vesicles.

Findings : The banana peel extract significantly suppressed the regrowth of prostate and seminal vesicles, indicating potential for treatment of benign prostate hyperplasia by inhibiting 5alpha-reductase.

Toggle SectionMohammad Bagherniya, Gholamreza Askari, Babak Alikiaii, Saeed Abbasi, Davood Soleimani, Thozhukat Sathyapalan, Tannaz Jamialahmadi, Amirhossein Sahebkar: Vitamin D and Prostate Health

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This study investigates the effects of curcumin or turmeric supplementation on prostate diseases, particularly focusing on benign prostatic hyperplasia and prostate cancer.

Method : The research involved a systematic review of controlled clinical trials identified through databases such as PubMed, Scopus, ISI Web of Science, and Google Scholar up to April 2020. A total of 11 clinical trials were included, encompassing 745 patients who met specific eligibility criteria.

Findings : The review suggests that curcumin or turmeric supplementation may have beneficial effects on certain prostate disease parameters, with some studies indicating improvements in prostate-specific antigen levels and quality of life. However, the results were heterogeneous, and not all studies reflected positive outcomes, indicating a need for further research in this area.

Toggle SectionEuropean Association of Urology (EAU): Survey Reveals Low Levels of Awareness in Men About Prostate Health and Function, Uroweb, 2019

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The study assesses the awareness and understanding of prostate health among men over 50 years old.

Method : A survey conducted with 3,010 men over the age of 50 across the UK, Germany, and France, focusing on their knowledge of prostate function and potential diseases.

Findings : The survey found alarming low awareness levels, with only 26% able to identify the prostate’s main function. Additionally, 38% were unaware of benign prostate enlargement (BPE), and nearly 50% did not recognize symptoms related to an enlarged prostate. There was a tendency for men to prefer discussing issues with healthcare professionals rather than family.

Toggle SectionXiaoqiang Qian, Xiangjie Kong, Yu Qian, Ding Xu, Hailong Liu, Yunkai Zhu, Wenbing Guan, Junhua Zheng, Zhong Wang, Jun Qi: The effect of rye pollen extract on the lower urinary tract symptoms of patients with histological prostatitis after TURP, PubMed

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The study evaluates the efficacy of Cernilton in improving lower urinary tract symptoms and sexual function in benign prostatic hyperplasia (BPH) patients with histological prostatitis after undergoing transurethral resection of the prostate (TURP).

Method : One hundred patients with histological prostatitis were recruited and categorized based on symptom severity into three groups. They were then randomly assigned to either the Cernilton treatment group or a control group receiving placebo for three months after TURP. Various indicators were evaluated before, during, and after TURP to assess outcomes.

Findings : The study found that Cernilton significantly improved storage symptom scores, quality of life, and erectile function in patients compared to the control group, particularly in those with moderate to severe prostatitis. Overall, patients in the Cernilton group reported better outcomes in lower urinary tract symptoms and sexual function post-treatment.

Toggle SectionFrances Gatta, Kristin Mitchell, Zilpah Sheikh: Saw Palmetto and Prostate Cancer, WebMD

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This study reviews the use of saw palmetto as a dietary supplement for prostate health, particularly its effects on benign prostatic hyperplasia (BPH) and prostate cancer.

Method : The study includes a review of existing literature regarding the safety, efficacy, and potential benefits of saw palmetto supplements in treating prostate-related conditions.

Findings : While there is some evidence that saw palmetto may alleviate symptoms of BPH and possibly inhibit tumor cell growth in animal studies, there is insufficient evidence to support its effectiveness in preventing or treating prostate cancer.

Toggle SectionW H Goldmann, A L Sharma, S J Currier, P D Johnston, A Rana, C P Sharma: Saw Palmetto for the Treatment of Benign Prostatic Hyperplasia: A Systematic Review, PubMed

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The study investigates the effect of Saw Palmetto Berry Extract (SPBE) on cell growth and Cox-2 expression in prostatic cancer cells.

Method : The cytotoxicity of SPBE was assessed using various prostatic cell lines over a period of three days to determine its efficacy in inhibiting cell proliferation.

Findings : SPBE inhibited the growth of specific prostatic cell lines, with varying IC50 values, and may contribute to decreased Cox-2 expression, suggesting potential for further investigation in treating Benign Prostatic Hyperplasia and in prostate cancer prevention.

Toggle SectionJ Curtis Nickel, Daniel Shoskes, Claus G Roehrborn, Mark Moyad: Saw Palmetto for Benign Prostatic Hyperplasia, NCBI

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This study examines the use of nutraceuticals, particularly saw palmetto, in the treatment of benign prostatic hyperplasia (BPH) and other prostate diseases, assessing their effectiveness compared to traditional pharmaceutical treatments.

Method : The study involved a review of existing literature and clinical trials related to various nutraceuticals for prostate health, focusing on their efficacy, safety, and potential side effects.

Findings : The review found that while some nutraceuticals like saw palmetto showed some promise in improving symptoms of BPH, many studies lacked rigorous design, leading to inconclusive results on their overall effectiveness. Concerns regarding product quality and potential side effects were also highlighted.

Toggle SectionAngela B Smith, Culley C Carson: Study on Finasteride, NCBI

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This study reviews the use of finasteride in treating benign prostatic hyperplasia (BPH), a common condition in aging men that causes urinary issues.

Method : The study is a literature review summarizing findings from multiple randomized, placebo-controlled trials on the efficacy of finasteride in treating BPH, evaluating its effects on prostate size, urinary symptoms, and complications related to BPH.

Findings : Finasteride was found to significantly reduce prostate size and improve urinary symptoms, with most benefits seen in men with larger prostates. Additionally, it reduced the risk of acute urinary retention and the need for surgery related to BPH.

Toggle SectionRyan Basquez, Micah M. Pippin: The Management of Benign Prostatic Hyperplasia and Prostate Cancer, NCBI Bookshelf

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This study explores the use of prazosin in the management of conditions such as benign prostatic hyperplasia (BPH), PTSD-associated nightmares, and hypertension, detailing its mechanisms, effectiveness, and adverse effects.

Method : The study employs a systematic review of existing literature and clinical guidelines surrounding prazosin, focusing on its pharmacological action, clinical indications, contraindications, and safety profile.

Findings : Prazosin has shown efficacy for BPH and PTSD-associated nightmares, though it is not classified as a first-line treatment for hypertension and carries risks of orthostatic hypotension and other side effects.

Toggle SectionKazuhiro Iguchi, Maki Hashimoto, Masafumi Kubota, Shuji Yamashita, Mitsuhiro Nakamura, Shigeyuki Usui, Tadashi Sugiyama, Kazuyuki Hirano: Testosterone replacement therapy and the prostate: current concepts, PMC

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This study investigates the effects of 14 commonly prescribed drugs on the expression levels of prostate-specific antigen (PSA) in prostate cancer LNCaP cells, focusing particularly on the drug betamethasone.

Method : The study involved treating LNCaP prostate cancer cells with various concentrations of the 14 drugs, measuring cell viability using the alamarBlue assay, and assessing PSA mRNA expression through real-time reverse transcription-polymerase chain reaction (qPCR). Additionally, the androgen receptor (AR) transcriptional activity was measured using a luciferase assay.

Findings : Among the drugs tested, betamethasone was found to significantly increase the levels of PSA expression in LNCaP cells by activating androgen receptor transcription. In contrast, other drugs did not show a significant effect on PSA levels, and dexamethasone had a lesser influence than betamethasone.

Toggle SectionMichael R Freeman, Keith R Solomon: The Relationship Between Cholesterol and Prostatic Specific Antigen in Prostate Cancer, National Center for Biotechnology Information

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The study examines the relationship between cholesterol metabolism and benign prostatic diseases (BPH, CP/CPPS) with a focus on potential therapeutic approaches involving cholesterol-lowering agents.

Method : The authors review epidemiological data, clinical trials, and animal studies to explore the associations between cholesterol levels, prostatic diseases, and prostate cancer incidence.

Findings : The study suggests that cholesterol metabolism is linked to benign prostatic diseases and may influence the risk and progression of prostate cancer; it highlights that cholesterol-lowering therapies could have therapeutic potential.

Toggle SectionEric H Kim, John A Brockman, Gerald L Andriole: 5-alpha Reductase Inhibitors for the Management of Benign Prostatic Hyperplasia, National Center for Biotechnology Information

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This study reviews the efficacy and safety of 5-alpha reductase inhibitors (5-ARIs) in the management of benign prostatic hyperplasia (BPH) in men, detailing their mechanism of action, clinical applications, and associated outcomes.

Method : The study utilized a comprehensive review of existing literature and clinical trials to analyze the effects of 5-ARIs, primarily finasteride and dutasteride, on prostate volume, lower urinary tract symptoms (LUTS), and the risk of acute urinary retention and BPH-related surgery.

Findings : The study concluded that 5-ARIs are effective in reducing prostate volume and improving LUTS, substantially decreasing the risk of acute urinary retention and the need for surgical interventions in men with BPH. The combination of 5-ARIs with alpha-adrenergic blockers may provide enhanced clinical benefits.

Toggle SectionMohammad Reza Nowroozi, Ehsan Ghaedi, Amir Behnamfar, Erfan Amini, Seyed Ali Momeni, Maryam Mahmoudi, Nima Rezaei, Saied Bokaie, Laleh Sharifi: Studies showing the importance of vitamin D in prostate health, PMC

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The review investigates the role of various nutritional interventions, particularly the influence of vitamins and supplements, on the prevention and progression of prostate cancer.

Method : This study systematically reviews existing literature on dietary and nutritional interventions that may affect prostate cancer outcomes, focusing on vitamin D’s role and associations with prostate cancer risk and aggressiveness.

Findings : The findings suggest that while some dietary measures, including vitamin D levels, appear to influence prostate cancer risk, the evidence remains inconclusive, and significant associations vary; thus, no firm dietary recommendations can be made.

Toggle SectionJin-Won Noh, Kyoung-Beom Kim, Young Dae Kwon, Jae Heon Kim: Impact of Sodium on Prostate Symptoms, PubMed

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This study investigates the relationships between sodium intake, specifically sodium preference, and the severity of lower urinary tract symptoms (LUTS) in men.

Method : The research was a cross-sectional analysis involving 86,637 men from the Korean Community Health Survey. The study used various regression models to evaluate the associations between salty taste preference and LUTS severity, utilizing the International Prostate Symptom Score for measurement.

Findings : Results indicated that a higher preference for salty taste was linked to increased LUTS severity, including higher total IPSS scores and greater risks of severe symptoms. Additionally, both high and low sodium preferences were associated with worsened LUTS compared to a neutral preference.

Toggle SectionJ E Oesterling, D C Rice, W J Glenski, E J Bergstralh: Study on PSA Levels Post Biopsy, PubMed

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The study evaluates how procedures like cystoscopy, prostate biopsy, and transurethral resection of the prostate affect serum prostate-specific antigen (PSA) levels in patients.

Method : A total of 101 patients were assessed, with 69 men randomized into groups for flexible and rigid cystoscopy, and a control. Additionally, the effects of prostate biopsy and TURP were evaluated in 32 men, measuring changes in serum PSA concentrations before and after the procedures.

Findings : Cystoscopy had minimal impact on serum PSA levels, while prostate biopsies significantly increased PSA by a median of 7.9 ng/mL and TURP elevated it by 5.9 ng/mL. PSA levels returned to stable baselines typically within three weeks, but persistent elevations warrant waiting six weeks for accurate PSA determinations following these procedures.

Toggle SectionBenign Enlarged Prostate Study Group: Diuretics and urinary symptoms, National Center for Biotechnology Information

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The study investigates the effects of diuretics on urinary symptoms due to benign enlarged prostate.

Method : The study analyzed various treatment options and daily management strategies for men experiencing urinary symptoms, particularly focusing on the role of diuretics in exacerbating these symptoms.

Findings : The findings indicate that diuretics can increase urine production, potentially worsening urinary symptoms in men with benign enlarged prostates. Alternative medication options that do not aggravate urinary issues are suggested.

Prostate Surgery

Toggle SectionMalte Rieken, Alexander Bachmann: Evaluation of Holmium Laser Enucleation vs. Transurethral Resection of the Prostate: A Systematic Review, PubMed

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The study evaluates the effectiveness and safety of Holmium Laser Enucleation of the Prostate (HoLEP) compared to Transurethral Resection of the Prostate (TURP) for treating benign prostatic hyperplasia.

Method : This systematic review includes analysis of multiple studies that compare HoLEP and TURP outcomes, focusing on surgical effectiveness, recovery times, and complication rates.

Findings : HoLEP presents a comparable efficacy to TURP, with potential advantages in terms of reduced complication rates and shorter hospital stays, making it a viable alternative for patients with benign prostatic hyperplasia.

Toggle SectionP Sooriakumaran, A Calaway, D Sagalovich, S Roy, A Srivastava, J Joneja, M Shevchuk, A K Tewari: Study on Multiple Biopsies and Impotence, PubMed

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This study investigates the effects of multiple prostate biopsies on the functional outcomes following nerve-sparing robotic-assisted radical prostatectomy (RARP) in prostate cancer patients.

Method : The study included 367 patients who underwent RARP, divided into two groups: those with a single biopsy and those with multiple biopsies. Only patients who were premorbidly potent and underwent nerve-sparing surgery were analyzed, resulting in 50 and 23 patients in the respective groups. The primary endpoints were assessed based on potency and continence rates at 3 and 6 months post-surgery.

Findings : The study found no significant difference in continence rates between the two groups at both time points. However, patients who underwent multiple biopsies experienced significantly lower postoperative erectile function at 6 months, with 57% of the multiple biopsy group retaining erectile function compared to 80% of the single biopsy group.

Prostate Treatment

Toggle SectionKevin T McVary, Steven N Gange, Marc C Gittelman, Kenneth A Goldberg, Kalpesh Patel, Neal D Shore, Richard M Levin, Michael Rousseau, J Randolf Beahrs, Jed Kaminetsky, Barrett E Cowan, Christopher H Cantrill, Lance A Mynderse, James C Ulchaker, Thayne R La: Rezum, PubMed, 2016

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This study investigates the effectiveness of the Rezūm system, which utilizes convective water vapor thermal energy to alleviate lower urinary tract symptoms resulting from benign prostatic hyperplasia (BPH).

Method : Men aged 50 years and older with specific symptoms and prostate volume details were randomized (2:1) to receive either thermal therapy or a control procedure. The primary endpoint evaluated the change in International Prostate Symptom Score (IPSS) at three months post-treatment.

Findings : Treatment with the Rezūm system achieved a significant reduction in IPSS compared to the control group (11.2 vs. 4.3, p < 0.0001), and improvements in peak flow rate were sustained for 12 months. The therapy was associated with minimal adverse events, and no new erectile dysfunction cases were reported.

Prostatectomy

Toggle SectionMathew Y. Kyei, George O. Klufio, James E. Mensah, Samuel Gepi-Attee, Kwabena Ampadu, Bernard Toboh, Edward D. Yeboah: Risk factors for urinary tract infections and incontinence after pelvic floor surgery, BMC Urology

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This study aimed to identify the factors responsible for peri-operative blood transfusions in patients undergoing open prostatectomy for benign prostate hyperplasia, highlighting elements significant for blood product management.

Method : A prospective study involving 200 patients who underwent open prostatectomy for benign prostate hyperplasia was conducted from January 2010 to September 2013. Data collected included pre-operative hemoglobin levels, co-morbidities, surgery type, and duration, among others, analyzed via statistical tools including multivariable logistic regression.

Findings : The blood transfusion rate was 23.5%, influenced mainly by pre-operative hemoglobin levels and duration of surgery. Transfusions were significantly higher in those with anemia and emergency cases, with long operative times also increasing transfusion likelihood. Thus, a ‘group and save’ strategy is recommended for patients with adequate pre-operative hemoglobin.

Prostatic Health

Toggle SectionSteven J Jacobsen, Debra J Jacobson, Daniel E Rohe, Cynthia J Girman, Rosebud O Roberts, Michael M Lieber: Study on ejaculation frequency and urinary tract symptoms, Urology, 2003

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The study evaluates the relationship between ejaculation frequency and urinary tract symptoms, particularly in relation to benign prostatic hyperplasia.

Method : The study utilized a cross-sectional design involving 2115 white men aged 40 to 79, recruited from Olmsted County. Participants completed self-administered questionnaires regarding urinary symptoms and ejaculation frequency.

Findings : The analysis revealed no significant correlation between the frequency of ejaculation and urinary tract symptoms; apparent associations were attributed to age-related confounding factors.

Prostatic Hyperplasia

Toggle SectionSnjezana Milicevic, Radojka Bijelic: Flomax Treatment Study, PubMed

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The study investigates the efficacy and safety of tamsulosin, an alpha-adrenergic receptor antagonist, in treating benign prostatic hyperplasia (BPH) symptoms.

Method : Forty-five patients with BPH symptoms were administered a daily dose of tamsulosin (0.4 mg) for 12 weeks, with assessments of their International Prostate Symptom Score (IPSS) and Quality of Life Index (QLI) at baseline, 4 weeks, and 12 weeks post-treatment.

Findings : The study found a significant reduction in IPSS and QLI scores, indicating improvement in urinary symptoms and quality of life, with minimal side effects reported.

Prostatic Inflammation

Toggle SectionSuleyman Sami Cakir, Emre Can Polat, Levent Ozcan, Huseyin Besiroglu, Alper Ötunctemur, Emin Ozbek: Infectious agents and prostatic inflammation in benign prostatic hyperplasia, PMC

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This study investigates the effects of asymptomatic inflammatory prostatitis on clinical outcomes in patients with benign prostatic hyperplasia (BPH) undergoing transurethral resection of the prostate (TURP).

Method : The study included 514 patients, analyzing clinical and histopathological data before and one year after TURP, employing standardized assessment tools such as the International Prostate Symptom Score (IPSS) and measurements for maximal urinary flow (Qmax).

Findings : The results indicated that patients with prostate inflammation had higher preoperative IPSS scores and lower Qmax values compared to those without inflammation, suggesting a detrimental impact on urinary symptoms and flow rates, as well as less improvement post-surgery.

Prostatic Intraepithelial Neoplasia

Toggle SectionMichael K Brawer: Not provided, NCBI

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This study reviews prostatic intraepithelial neoplasia (PIN), highlighting its role as a precursor to prostate cancer, its histological characteristics, and the clinical implications of its detection in biopsies.

Method : The study utilizes a literature review and consensus on the histological grading of PIN, discussing its incidence, correlation with age, and associated genetic and molecular markers shared with prostate cancer.

Findings : The findings indicate that high-grade prostatic intraepithelial neoplasia (HGPIN) is a significant precursor to prostate cancer, with a notable increase in incidence among older men, and highlights the importance of extended biopsy protocols in identifying concurrent cancers in patients with HGPIN.

Prostatitis

Toggle SectionJustin H Hwang, Tao Jiang, Shreya Kulkarni, Nathalie Faure, Brian S Schaffhausen: The utility of zinc supplementation in chronic prostatitis, PubMed

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This study examines the role of Protein Phosphatase 2A (PP2A) isoforms using Aβ scaffolds in regulating differentiation through the control of the Akt protein, which is critical in various signaling pathways relevant to cancers.

Method : The researchers utilized various cell lines and experimental techniques including gene knockdown, Western blotting, and immunoprecipitation to assess the interactions and effects of PP2A isoforms and Akt signaling during differentiation.

Findings : The study found that Aβ plays a crucial role in modulating Akt activity, where the knockdown of Aβ enhances Akt activity and promotes differentiation, suggesting a potential tumor suppressive function.

Toggle SectionNot provided: Quercetin and its antioxidants in chronic prostatitis, PubMed, 2012

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The study investigates the effects of Quercetin and its antioxidants on chronic prostatitis.

Method : The study’s method is not specified in the provided content.

Findings : The findings of the study are not detailed in the provided content.

Toggle SectionGianluca Giubilei, Nicola Mondaini, Andrea Minervini, Calogero Saieva, Alberto Lapini, Sergio Serni, Riccardo Bartoletti, Marco Carini: Exercise for Chronic Prostatitis: A Randomized Controlled Trial of Patients with Chronic Pelvic Pain Syndrome, PubMed, 2006

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This study investigates the effectiveness of physical exercise as a treatment for men suffering from chronic prostatitis/chronic pelvic pain syndrome who have not responded to conventional treatments.

Method : A randomized controlled trial was conducted with 231 male participants aged 20 to 50 who were randomized into aerobic exercise and placebo/stretching groups. The efficacy was measured using the Chronic Prostatitis Symptom Index, Beck Depression Inventory, and pain intensity assessments over an 18-week period.

Findings : The aerobic exercise group showed significant improvements in symptom burden and quality of life compared to the placebo/stretching group, indicating aerobic exercise as a valid treatment option for chronic prostatitis.

Toggle SectionJ Curtis Nickel: Urinary tract symptoms, National Institutes of Health

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This study focuses on the lower urinary tract symptoms (LUTS) associated with different forms of prostatitis, including their impact on quality of life and the effectiveness of tailored treatment approaches.

Method : The study reviews existing literature and guidelines, particularly emphasizing a phenotypic approach to classifying prostatitis to enhance treatment efficacy. It highlights the use of the National Institutes of Health Chronic Prostatitis Symptom Index for assessment and follows a treatment algorithm for chronic cases.

Findings : The findings suggest that approximately 50% to 60% of men with chronic prostatitis report LUTS, with symptoms significantly impacting their quality of life. Categorizing prostatitis by phenotype can improve treatment outcomes, leading to an 84% response rate when using the UPOINT approach.

Toggle SectionGerald J Domingue Sr, Wayne J G Hellstrom: Efficacy of Zinc in Chronic Bacterial Prostatitis, Probiotics and Prostatitis, 2013

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The study investigates the involvement of bacteria in chronic bacterial prostatitis and its treatment challenges, focusing on the emerging evidence suggesting a bacterial etiology in chronic idiopathic prostatitis.

Method : The study employs molecular techniques including 16S rRNA gene sequencing and culturing methods to identify and analyze bacterial species in prostatic tissues and secretions from patients diagnosed with chronic prostatitis.

Findings : The findings indicate that bacteria, particularly coagulase-negative staphylococci and difficult-to-culture coryneforms, may play a significant role in chronic idiopathic prostatitis, revealing treatment failures related to bacteria that produce extracellular slime.

Toggle SectionGianni Paulis: Prostatitis Overview, National Center for Biotechnology Information

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The study focuses on the role of oxidative stress in chronic prostatitis, highlighting its effects on symptoms, fertility, and potential prostate cancer development.

Method : The study reviews numerous published findings on oxidative stress markers in chronic prostatitis patients and discusses the possible therapeutic roles of antioxidants in mitigating the effects of this disease.

Findings : The findings suggest that antioxidants may play a significant role in treating chronic prostatitis, as oxidative stress appears to be a key factor in the disease’s pathology, influencing inflammation and the risk of prostate cancer.

Toggle SectionJon Rees, Mark Abrahams, Andrew Doble, Alison Cooper, Prostatitis Expert Reference Group (PERG): Chronic Prostatitis and Chronic Pelvic Pain Syndrome, NCBI

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The study provides a consensus guideline for the diagnosis and treatment of chronic bacterial prostatitis (CBP) and chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) to improve awareness, recognition, and management of these conditions among healthcare professionals.

Method : The guidelines were developed through a literature review and a Delphi panel process involving experts from various medical fields. Literature from 1999 to early 2014 was reviewed, along with statements based on expert consensus due to the limited high-quality evidence available.

Findings : The study found that CBP and CP/CPPS can present with a variety of symptoms, including urogenital pain and lower urinary tract symptoms. Individualized treatment based on the patient’s symptom pattern is recommended, with a multidisciplinary approach to care advised.

Toggle SectionJianzhong Zhang, ChaoZhao Liang, Xuejun Shang, Hongjun Li: Chronic prostatitis or chronic pelvic pain syndrome: A clinical overview., NCBI, 2020

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The study provides an overview of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS), its definitions, diagnostic challenges, treatment options, and prognosis.

Method : The authors performed a literature review combined with their clinical experiences to discuss the etiology, diagnosis, treatment, and management of CP/CPPS with a focus on symptom relief.

Findings : The study emphasizes the necessity for a multimodal and individualized treatment approach, highlights the importance of understanding associated symptoms, and recommends patient education and support for better management and quality of life in patients with CP/CPPS.

Toggle SectionSitu Xiong, Xiaoqiang Liu, Wen Deng, Zhengtao Zhou, Yulei Li, Yechao Tu, Luyao Chen, Gongxian Wang, Bin Fu: Review on prostatitis therapeutics, Frontiers in Pharmacology, 2020

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The study discusses bacterial prostatitis, focusing on its prevalence, challenges in treatment due to multidrug-resistant organisms, and various pharmacological interventions.

Method : This is a comprehensive review that synthesizes existing literature related to the treatment of bacterial prostatitis, including both traditional pharmacological therapies and novel treatment strategies.

Findings : The review highlights the emergence of drug-resistant pathogens as a significant treatment challenge and suggests several therapeutic strategies, including combination therapies and new antibiotics such as fosfomycin.

Toggle SectionSandra M Bach, Marina E Perotti, Ana P Merep, Guillermo E Marcial, Alfredo Grau, Rodgoun Attarian, Yossef Av-Gay, Horacio Bach, César A N Catalán: Prunus africana extract for Prostatitis: a meta-analysis., PubMed

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The study investigates the chemical constituents and biological activities of bark extracts from Prunus tucumanensis Lillo, particularly focusing on its anti-inflammatory, antioxidant, and antimicrobial properties in the context of prostatitis.

Method : The research employed hexane, chloroform, and methanol extraction methods to obtain the bark extracts and assessed their biological activities through various in vitro assays, including comparisons with dexamethasone and a commercial formulation used for benign prostatic hyperplasia.

Findings : Both methanol and chloroform extracts demonstrated significant anti-inflammatory activity similar to that of standard treatments, with the methanol extract exhibiting strong antioxidant and antimicrobial effects without cytotoxicity towards human macrophage cells.

Toggle SectionFarhan Ullah Khan, Awais Ullah Ihsan, Hidayat Ullah Khan, Ruby Jana, Junaid Wazir, Puregmaa Khongorzul, Muhammad Waqar, Xiaohui Zhou: A 2017 review, PubMed, 2017

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This study provides a comprehensive overview of prostatitis, including its classification, etiology, pathogenesis, diagnosis, and treatment. It distinguishes between different types of prostatitis such as acute bacterial prostatitis, chronic bacterial prostatitis, chronic pelvic pain syndrome, and asymptomatic prostatitis.

Method : The study is a literature review that consolidates existing research on prostatitis to elaborate on its various aspects comprehensively. It also aims to serve as a platform for future studies on risk factors, pathogenesis mechanisms, diagnosis, and treatment plans for less common forms of prostatitis.

Findings : The study identifies that prostatitis accounts for a significant number of urological clinic visits and emphasizes the need for better understanding and management of prostatitis through improved research on various types and treatment protocols.

Toggle SectionJanet Farrar Worthington: Prostatitis Misdiagnosed and Misunderstood, Prostate Cancer Foundation

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This study discusses the frequent misdiagnosis and misunderstanding surrounding prostatitis, emphasizing that many patients diagnosed with it may not actually have the condition, particularly chronic bacterial prostatitis.

Method : The study explores the relationship between prostatitis symptoms, bacteria cultures, and the various treatments prescribed, highlighting the necessity of accurate diagnosis and appropriate treatments based on actual findings.

Findings : The findings indicate that prostatitis is often misdiagnosed, and that in the majority of cases, patients may have Chronic Pelvic Pain Syndrome (CPPS) instead of a true bacterial infection, leading to unnecessary treatments and potential side effects from antibiotics.

Toggle SectionJon Rees: Chronic Prostatitis and Chronic Pelvic Pain Syndrome, Prostate Cancer UK

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This study aims to address chronic bacterial prostatitis (CBP) and chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) by developing a consensus guideline for diagnosis and management.

Method : The development involved qualitative research to understand men’s experiences and the formation of a Prostatitis Expert Reference Group (PERG) to create guidelines, supported by a web-based Delphi process.

Findings : The guideline seeks to improve awareness, diagnosis, and management of CBP and CP/CPPS among healthcare professionals and enhance patient understanding of these conditions.

Toggle SectionShao-bo Xu, Shi-wen Li, Xin-min Zheng, Li-quan Hu: Animal models of vitamin C effects on prostatitis symptoms, PubMed

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The study investigates the efficacy of vitamin C as a free-radical scavenger in treating chronic bacterial prostatitis in rats.

Method : Fifty-eight male rats were divided into control and treatment groups, with a prostatitis model established through E. coli injection. Treatment involved administering vitamin C and salicylazosulfapyridine to different groups, and evaluations of superoxide dismutase (SOD) and malondialdehyde (MDA) levels were conducted after two months.

Findings : Vitamin C significantly increased SOD levels and decreased MDA levels, indicating its potential benefit in treating chronic bacterial prostatitis, with significant differences found between treated and untreated groups.

Toggle SectionT Kullisaar, S Türk, M Punab, P Korrovits, K Kisand, A Rehema, K Zilmer, M Zilmer, R Mändar: Human studies on vitamin C and prostatitis, PubMed

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The study investigates oxidative stress markers and antioxidant activity in patients with leucocytospermic prostatitis to understand its pathogenesis and relationship with seminal microorganisms.

Method : The study compared a range of local and general markers of oxidative stress between 21 prostatitis patients and 9 healthy controls, analyzing samples from spermatozoa, seminal plasma, blood, and urine.

Findings : The results showed elevated oxidative stress markers in prostatitis patients, including higher diene conjugates in spermatozoa and seminal plasma, while also demonstrating lower total antioxidant status in these samples compared to controls.

Toggle SectionE W Rugendorff, W Weidner, L Ebeling, A C Buck: Study on Cernilton for chronic prostatitis, PubMed

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The study investigates the efficacy of Cernilton N, a pollen extract, in treating chronic prostatitis syndrome.

Method : A prospective study involving 90 patients who received Cernilton N (1 tablet three times daily) for 6 months, with evaluations including digital rectal exams, uroflowmetry, bacterial studies, and leukocyte counts pre-and post-treatment.

Findings : 78% of patients without complicating factors responded favorably; 36% showed complete symptom resolution, while those with complicating factors had minimal response, with only 1 out of 18 showing improvement. Cernilton N was well tolerated in 97% of patients.

Proton Therapy

Toggle SectionFlorian Kroll, Florian-Emanuel Brack, Constantin Bernert, Stefan Bock, Elisabeth Bodenstein, Kerstin Brüchner, Thomas E. Cowan, Lennart Gaus, René Gebhardt, Uwe Helbig, Leonhard Karsch, Thomas Kluge, Stephan Kraft, Mechthild Krause, Elisabeth Lessmann, Uma: Recent Research Study on Proton Therapy, Nature

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This study investigates the use of a laser-accelerated proton beam for tumor irradiation in a mouse model, highlighting the potential for ultrahigh dose rates in radiobiological research.

Method : The research utilized a compact laser-driven proton source to conduct in vivo studies on tumor response to irradiation in mice, comparing outcomes with a standard proton therapy reference source and employing a controlled dosage of 4 Gy.

Findings : The results indicated that the laser-driven proton irradiation significantly delayed tumor growth in mice, demonstrating the effectiveness and potential of ultrahigh dose rates in cancer treatment research.

Toggle SectionBradford S Hoppe, Romaine C Nichols, Randal H Henderson, Christopher G Morris, Christopher R Williams, Joseph Costa, Robert B Marcus Jr, William M Mendenhall, Zuofeng Li, Nancy P Mendenhall: Dose Distribution and Clinical Outcomes of Proton Therapy for Prostate Cancer, PubMed

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The study evaluates health-related quality of life outcomes for men 60 years old and younger following proton therapy for prostate cancer.

Method : The research involved 262 hormone-naive men treated with definitive proton therapy between August 2006 and January 2010. Patients completed EPIC and IIEF questionnaires before treatment and at six-month intervals thereafter to assess their erectile function and quality of life.

Findings : The study reported that after two years, there was only a small decline in quality of life metrics related to urinary and bowel function, and very low rates of incontinence, with a significant majority of men maintaining erectile function.

Toggle SectionRaul Valery, Nancy P Mendenhall, Romaine C Nichols Jr, Randal Henderson, Christopher G Morris, Zhong Su, William M Mendenhall, Christopher R Williams, Zuofeng Li, Bradford S Hoppe: Proton Therapy and Hip Joint Conditions, PubMed

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This study examines the incidence of hip fractures and hip pain in patients undergoing proton therapy for prostate cancer, with a particular focus on potential risks associated with this treatment.

Method : The study involved 382 men treated for prostate cancer from 2006 to 2008, with evaluations conducted at six-month intervals post-treatment. The WHO Fracture Risk Assessment Tool (FRAX) was used to estimate hip fracture risk, and univariate analyses regarding hip pain were performed using Fisher’s exact test.

Findings : The study found that proton therapy did not increase the incidence of hip fractures, with rates comparable to expected rates in untreated patients. Additionally, 13% of patients reported new hip pain, and only a few required prescription pain medication.

Psychology

Toggle SectionGagan Fervaha, Jason P Izard, Dean A Tripp, Selina Rajan, Darryl P Leong, D Robert Siemens: Mindfulness Meditation, PubMed

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This study reviews the relationship between depression and prostate cancer, highlighting its prevalence and effects on treatment outcomes.

Method : The study conducted a literature review focusing on the prevalence of depression among prostate cancer patients and its impact on their oncological outcomes. The findings were based on multiple studies emphasizing clinical practice points.

Findings : Depression is reported in approximately 1 in 6 patients with prostate cancer, with treatment choices not significantly affecting depressive symptoms. However, androgen deprivation therapy has a negative impact on depression. The intersection of oncology and psychology underscores the importance of assessing depressive symptoms in these patients, although further clinical trials are needed.

Psychoneuroendocrinology

Toggle SectionSilvia Diviccaro, Silvia Giatti, Francesca Borgo, Matteo Barcella, Elisa Borghi, José Luis Trejo, Luis Miguel Garcia-Segura, Roberto Cosimo Melcangi: Long-term depressive-like behavior, PubMed

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The study investigates the long-term effects of finasteride, a 5-alpha reductase inhibitor, on depressive-like behavior, neurogenesis, neuroinflammation, and gut microbiota composition in male rats.

Method : Male rats underwent a subchronic treatment with finasteride for 20 days, followed by one month of withdrawal, during which various behavioral and biological assessments were conducted, including immunohistochemistry and mRNA analysis.

Findings : The results demonstrated that finasteride treatment led to persistent depressive-like behavior, altered neurogenesis in the hippocampus, increased neuroinflammation indicated by TNF-α levels, and significant changes in gut microbiota composition.

Pumpkin Seed Extract

Toggle SectionMie Nishimura, Tatsuya Ohkawara, Hiroji Sato, Hiroshi Takeda, Jun Nishihira: Pumpkin seed extract, NCBI

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The study investigates the effectiveness of pumpkin seed oil extracted from Cucurbita maxima on urinary disorders, particularly in patients with overactive bladder (OAB).

Method : In this clinical trial, 45 subjects were administered 10 grams of pumpkin seed oil extract daily for 12 weeks. Urinary function was assessed using the Overactive Bladder Symptom Score (OABSS) at baseline, 6 weeks, and 12 weeks after treatment.

Findings : The results showed a significant reduction in OABSS scores after 6 and 12 weeks of treatment, indicating improvement in urinary function and suggesting that pumpkin seed oil extract from Cucurbita maxima is effective in treating urinary disorders such as OAB.

Radiotherapy

Toggle SectionSean P Elliott, Bahaa S Malaeb: Impact of Radiotherapy on Urinary Function, National Center for Biotechnology Information (NCBI)

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The study investigates the long-term urinary adverse effects caused by pelvic radiotherapy (RT) in patients receiving treatment for various pelvic cancers, focusing on the incidence and grading of these effects over time.

Method : The authors conducted a review of existing literature addressing the rates of urinary adverse events (AEs) following pelvic radiotherapy for cancers such as prostate, bladder, cervical, rectal, and endometrial. They summarized data regarding the incidence of grade 1 to 4 AEs and emphasized the differences and commonalities across different cancer types.

Findings : The study concluded that while the majority of urinary AEs following pelvic RT were graded as mild (grade 1-2), more severe events (grade 3-4) were noted in significant percentages. These high-grade AEs tended to accrue over time, highlighting the importance of long-term monitoring and treatment decision-making based on potential late effects of RT.

Radiotherapy Side Effects

Toggle SectionBladder Irritation & Pain from Radiotherapy, Cancer Research UK

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This study highlights the various side effects associated with abdominal or pelvic radiotherapy, focusing on bladder irritation and pain caused by the treatment.

Method :

Findings : The findings indicate that patients may experience significant bladder problems, including increased urgency, burning sensation during urination, and incontinence, alongside other side effects like diarrhoea and pain. These issues can impact the patient’s quality of life and may require medical management.

Rehabilitation

Toggle SectionCollin Herb, Luke Donovan, Mark Feger, Silvia Blemker, Joe Hart, Susan Saliba, Jay Hertel: Zinc and prostate function, PubMed, 2020

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This study investigates the impact of rehabilitation on joint-coupling variability during gait in individuals with chronic ankle instability (CAI), comparing the effects of rehabilitation with and without the use of destabilisation devices.

Method : Twenty-six participants with CAI underwent 4 weeks of comprehensive rehabilitation, either with or without the use of destabilisation devices. A 3D motion capture system assessed kinematics during walking, and vector-coding analysis evaluated joint-coupling variability of knee and hip motion relative to ankle motion.

Findings : Participants in the destabilisation device group showed significant decreases in joint-coupling variability during walking, suggesting potential improvements in sensorimotor function and motor adaptation following rehabilitation.

Renal Health

Toggle SectionMobeen Z. Haider, Ahsan Aslam: Oliguria, NCBI

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The study focuses on the clinical condition of oliguria, which is defined as urinary output less than 400 ml per day or 20 ml per hour, and explores its etiology, evaluation, and management.

Method : The study involves a literature review and analysis of oliguria, discussing its clinical significance, causes categorized into prerenal, renal, and postrenal, evaluation methods including urine analysis and imaging, and management strategies tailored to the underlying etiology.

Findings : The findings emphasize that timely and appropriate management of oliguria can prevent progression to acute renal failure. Additionally, the prognosis varies significantly based on the underlying causes, with hospitalized patients experiencing higher morbidity and mortality associated with oliguria.

Renal Physiology

Toggle SectionIfeanyichukwu Ogobuiro, Faiz Tuma: Urge to Urinate, NCBI

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This study explores the physiology of the renal system, covering aspects such as the development, mechanism of urine production, micturition process, and clinical significance of renal pathologies.

Method : The article reviews existing literature and provides detailed explanations regarding various components of renal physiology, including glomerular filtration, tubular reabsorption, and the mechanics of urine storage and excretion.

Findings : Findings indicate that the renal system plays a crucial role in filtering blood, regulating electrolytes, and maintaining homeostasis, with emphasis on the importance of glomerular filtration rate (GFR) and the clinical implications of renal dysfunction.

Resveratrol and Cancer

Toggle SectionJulia Khristine Aluyen, Quynhanh N Ton, Thuytram Tran, Alice E Yang, Helmut B Gottlieb, Renee A Bellanger: Effects of resveratrol as an anticancer agent in both animal and human studies, PubMed

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The study investigates the effectiveness of resveratrol as an anticancer agent through both animal and human studies.

Method : The research conducted a systematic review encompassing various databases including PubMed, EBSCO, Cochrane, AccessPharmacy, and StatRef, searching for primary, secondary, and tertiary references related to ‘resveratrol,’ ‘cancer,’ and ‘anticancer’ published within the last ten years.

Findings : Resveratrol demonstrates anticancer effects primarily through mechanisms such as proapoptotic actions, antiproliferation, and anti-inflammation. While preclinical studies support these effects, further human studies are required to better understand its safety and efficacy.

Rheumatoid Arthritis

Toggle SectionC Randall, H Randall, F Dobbs, C Hutton, H Sanders: Nettle extract relative to management of rheumatoid arthritis., NCBI

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The study investigates the efficacy of stinging nettle extract in the management of pain associated with osteoarthritis, particularly at the base of the thumb or index finger.

Method : A randomized controlled double-blind crossover study was conducted involving 27 patients. Participants applied stinging nettle leaf to the affected area for one week, followed by a week of placebo treatment, after a washout period of five weeks.

Findings : Significant pain and disability reductions were observed after treatment with nettle sting compared to placebo, indicating its potential benefit in pain management.

Salvage Therapy

Toggle SectionWei-Chieh Wu, Yo-Liang Lai, Ji-An Liang: Salvage Therapy for Cancer Treatment, AMG Group

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This study reports on the outcomes and prognostic factors for patients who underwent salvage radiotherapy (SRT) for biochemical recurrence (BCR) following radical prostatectomy (RP) at a single medical center.

Method : A retrospective review was conducted on 48 patients who received SRT for BCR after RP between January 2004 and December 2012. The Kaplan-Meier method and Cox proportional hazard regression models were used for survival analysis and to assess prognostic factors associated with BCR after SRT.

Findings : The study found that the 3- and 5-year BCR-free survival rates following SRT were 72.9% and 68.4%, respectively. Significant predictors of PSA relapse included pre-RT PSA levels >0.5 ng/mL, Gleason score ≥8, and seminal vesicle invasion, highlighting the importance of early intervention before PSA escalates.

Saw Palmetto

Toggle SectionM Goepel, L Dinh, A Mitchell, R F Schäfers, H Rübben, M C Michel: Study on Saw Palmetto and BPH, PubMed

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This study investigates whether saw palmetto extracts can block human alpha1-adrenoceptor subtypes in a live setting, as they have shown alpha1-adrenoceptor antagonist effects in vitro.

Method : The study employed a placebo-controlled, double-blind, four-way cross-over design, where twelve healthy young male participants received three different saw palmetto extract preparations over eight days each. Measurements included blood pressure, heart rate, and blood samples tested for alpha1-adrenoceptor occupancy.

Findings : The saw palmetto extracts did not result in alpha1-adrenoceptor subtype occupancy. Although there were minor reductions in supine blood pressure, the extracts did not influence blood pressure during orthostatic stress testing or affect heart rate, and plasma catecholamines were largely unchanged.

Selenium

Toggle SectionCaroline R B Rocourt, Wen-Hsing Cheng: Global Selenium Deficiency: Prevalence and Potential Remedies, PMC

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The study explores the dual role of selenium as both a potential chemopreventive agent for cancer and a possible risk factor for type 2 diabetes, emphasizing the complexity of selenium’s effects on human health.

Method : The authors review current literature, including epidemiological and clinical studies, to summarize the relationship between selenium status, cancer risks, and diabetes. They evaluate dietary intake, serum selenium levels, and the impacts of selenoproteins in various health contexts.

Findings : Selenium status has a U-shaped relationship with health outcomes, where both deficiencies and excesses can have adverse effects. Optimal selenium levels correlate with reduced cancer risk, while high concentrations are associated with increased diabetes incidence; thus, careful management of selenium intake is crucial.

Semen Production

Toggle SectionJose Manuel Mayorga-Torres, Ashok Agarwal, Shubhadeep Roychoudhury, Angela Cadavid, Walter Dario Cardona-Maya: semen production, NCBI

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This study investigates the effects of repeated ejaculations within a short time frame on seminal parameters and functional sperm quality.

Method : The study involved three healthy men who provided semen samples after an initial period of 3–4 days of sexual abstinence, followed by three additional samples at two-hour intervals. Various semen parameters were assessed according to WHO guidelines, and flow cytometry was used to evaluate sperm functional parameters including ROS production and DNA fragmentation.

Findings : The results indicated a significant decrease in conventional semen parameters such as concentration and total sperm count after repeated ejaculations, particularly at the fourth evaluation. Despite this, some functional parameters remained stable, suggesting potential applications in assisted reproduction for men with severe oligospermia.

Sexual Dysfunction

Toggle SectionJae Saog Hyun: Sexual dysfunction in prostate cancer survivors: A review, NCBI

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The study reviews the various aspects of sexual dysfunction in prostate cancer survivors, emphasizing the impact of the disease itself and its treatments on sexual health.

Method :

Findings : The findings indicate that prostate cancer and its treatments, particularly surgery and hormonal therapy, significantly increase the incidence of erectile dysfunction and reduce sexual desire, making preservation of erectile function a critical focus for patients.

Toggle SectionAngel L Montejo, Nieves Prieto, Rubén de Alarcón, Nerea Casado-Espada, Javier de la Iglesia, Laura Montejo: Sexual side effects of antidepressant medications, Journal of Sexual Medicine

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The study addresses the issue of treatment-emergent sexual dysfunction (TESD) associated with antidepressant medications, highlighting its prevalence, impact on patient well-being, and providing management strategies.

Method : A review of literature was conducted focusing on TESD and its management strategies, prioritizing peer-reviewed articles and recent studies without specific time limitations. Relevant articles were categorized based on their relevance to the prevalence and management of TESD, with a total of over 100 articles included in the review.

Findings : The study found that TESD is common in patients treated with antidepressants, often leading to distress and poor adherence to medication. Various management strategies were proposed, emphasizing the importance of choosing antidepressants with lower rates of TESD, and interventions like switching medications, dosage adjustments, and using adjunct therapies.

Sexual Health

Toggle SectionPaolo Capogrosso, Eugenio Ventimiglia, Walter Cazzaniga, Francesco Montorsi, Andrea Salonia: Impaired Orgasmic Sensation, NCBI

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This study examines the prevalence, physiopathology, and treatment options for orgasmic dysfunctions (ODs) that occur post-radical prostatectomy (RP). It highlights various forms of ODs including climacturia, painful orgasm, and impaired orgasmic sensations, emphasizing their impact on patients’ sexual lives.

Method : The study is a comprehensive review of existing literature analyzing the data on the frequency and mechanisms of ODs following RP. It summarizes findings from various studies to assess the prevalence and potential predictors of these dysfunctions.

Findings : The review suggests that a significant portion of patients experience orgasmic dysfunction after radical prostatectomy, with prevalence rates ranging from 20% to 90% for different types of ODs. Additionally, various clinical factors such as age and surgical techniques impact the risk of developing these conditions, but precise management strategies remain inadequately researched.

Sexually Transmissible Infections

Toggle SectionWen-Yi Huang, Richard Hayes, Ruth Pfeiffer, Raphael P Viscidi, Francis K Lee, Yun F Wang, Douglas Reding, Denise Whitby, John R Papp, Charles S Rabkin: Chronic Prostatitis and STI Interaction, NCBI

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This study investigates the association between sexually transmissible infections (STIs) and the risk of prostate cancer, using data from the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial.

Method : The research involved a nested case-control study within the PLCO Cancer Screening Trial, analyzing serum antibodies against various STIs and self-reported histories of syphilis and gonorrhea in 868 cases of prostate cancer and 1,283 matched controls.

Findings : The study found no consistent association between specific STIs and prostate cancer risk but suggested a borderline association with any STI for white participants, while IgA antibodies to Chlamydia trachomatis were linked with increased risk among black participants.

Shy Bladder Syndrome

Toggle SectionSteven Soifer, Joseph Himle, Kathleen Walsh: Shy Bladder Syndrome: Incidence and Treatment, PubMed

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The study examines Paruresis, also known as shy bladder syndrome, which is characterized by fear of urinating in the presence of others. It explores a cognitive-behavioral treatment called graduated exposure therapy to address this condition.

Method : The study involved 101 participants who attended weekend-long workshops focused on graduated exposure therapy. Participants completed pretreatment, posttreatment, and 1-year follow-up questionnaires to assess symptom severity and treatment efficacy.

Findings : Results indicated a significant improvement in shy bladder symptoms from pretreatment to posttreatment, and these improvements were maintained at the one-year follow-up, suggesting that graduated exposure therapy is effective in reducing the severity of shy bladder syndrome.

Skin Reactions

Toggle SectionJinlong Wei, Lingbin Meng, Xue Hou, Chao Qu, Bin Wang, Ying Xin, Xin Jiang: Skin Reactions in Patients Receiving Radiation Therapy, National Center for Biotechnology Information (NCBI)

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The study reviews radiation-induced skin reactions (RISRs), their mechanisms involving inflammation and oxidative stress, and treatment options.

Method : The review analyzes existing literature to summarize the mechanisms of RISRs, categorizing them into acute and chronic reactions, and outlines treatment approaches like topical corticosteroids, creams, ointments, hydrocolloid dressings, and advanced therapies such as mesenchymal stem cells and hyperbaric oxygen therapy.

Findings : The findings highlight that RISR affects a significant number of patients undergoing radiotherapy, with inflammation and oxidative stress playing critical roles in skin reactions. Various treatment methods are effective, but advanced therapies require further investigation.

Sleep Quality

Toggle SectionWilliam H Walker II, Jeremy C Borniger: Quality sleep, NCBI

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The study examines the relationship between cancer and sleep disruption, focusing on the mechanisms through which tumors affect sleep quality and the implications for patient health.

Method : The study used a review approach, summarizing recent findings on the neurobiological mechanisms by which cancer may alter sleep, such as via inflammatory cytokines and tumor-brain communication pathways. It discussed various animal models and therapeutic avenues for addressing sleep disturbances in cancer patients.

Findings : The review highlights that cancer often leads to significant sleep disruptions, which are linked to inflammation and hormonal changes related to the tumor microenvironment. It suggests that understanding these mechanisms could pave the way for targeted therapies to improve sleep quality in cancer patients.

Social Phobia

Toggle SectionPhilipp Hammelstein, Steven Soifer: Social Phobia and Its Treatment, PubMed

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The study investigates whether paruresis, also known as ‘shy bladder syndrome’, should be classified as social phobia according to DSM criteria.

Method : The research involved a sample of 226 subjects who completed questionnaires assessing paruresis, social phobia symptoms, urinary issues, and depressive symptoms. Participants were categorized into four distinct groups based on their symptoms.

Findings : The findings indicate that the paruresis group shows significant differences in symptom variables compared to both non-generalized and generalized social phobia groups. Regression analyses reveal that the impact on daily life is primarily linked to paruretic symptoms in the paruresis group, while social anxiety and depressive symptoms account for interference in the social phobic groups, calling into question the classification of paruresis as mere social phobia.

SSIs

Toggle SectionJad Chahoud, Zeina Kanafani, Souha S Kanj: Rate of SSIs, NCBI

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This study reviews surgical site infections (SSIs) following spine surgery, highlighting diagnostic challenges and treatment options. It presents risk factors leading to SSIs, types of infections, and underscores the importance of early and accurate diagnosis.

Method : The authors conducted a comprehensive review of existing literature on SSIs, analyzing data regarding incidence, risk factors, and diagnostic methods used in the identification of SSIs following spine surgeries.

Findings : The incidence of SSIs following spine surgery varies significantly, ranging from 0.5% to 18.8%. Key risk factors include diabetes, smoking, and the use of implants, with Staphylococcus aureus identified as the principal causal agent in most infections.

Stress and Cancer

Toggle SectionTsonwin Hai, Chris Wolford, Stephen McConoughey, Stephanie Roller, Swati Jalgaonkar, Yiseok Chang, Erik Zmuda, Marino Leon, Anand Merchant, Charles Shapiro, Michael Ostrowski, Johnna Dominick, Xin Yin, Sandra O’Toole, Ewan Millar, Robert Sutherland: Research on Stress and Cancer Link, Ohio State University

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The study investigates the connection between a stress gene (ATF3) activation in immune-system cells and the spread of breast cancer (metastasis), suggesting that stress may contribute to cancer progression.

Method : Researchers conducted clinical and animal studies, examining ATF3 gene expression in immune cells of breast cancer patients and comparing cancer metastasis in normal mice versus mice lacking ATF3.

Findings : The study found that higher expression of the ATF3 gene in immune cells was associated with worse outcomes in breast cancer patients, and that mice lacking ATF3 had less metastasis, indicating that this gene could influence the spread of cancer.

Stress Reduction

Toggle SectionK Chandrasekhar, Jyoti Kapoor, Sridhar Anishetty: Cortisol Levels Reduction, NCBI

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This study aimed to evaluate the safety and efficacy of a high-concentration full-spectrum extract of ashwagandha root in reducing stress and anxiety in adults.

Method : The study was a single center, prospective, double-blind, randomized, placebo-controlled trial involving 64 subjects with chronic stress. Participants were randomly assigned to receive either the ashwagandha extract or a placebo for 60 days, with measurements taken for serum cortisol and stress-assessment scales at baseline and throughout the study.

Findings : The ashwagandha extract significantly reduced stress scores and serum cortisol levels compared to the placebo group, indicating its effectiveness in improving stress resilience and quality of life. Mild adverse effects were reported, but no serious events occurred.

Supplements

Toggle SectionLidija Klampfer: Role of Supplements in Cancer Prevention, NIH

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The study discusses the role of Vitamin D, particularly its active form calcitriol, in the prevention of colon cancer, highlighting its mechanisms of action and its potential benefits for cancer patients.

Method :

Findings : The findings suggest that adequate levels of Vitamin D can significantly lower the incidence of colorectal cancer and improve the survival rates of patients, with evidence showing its capability to inhibit tumor growth and modulate signaling pathways associated with cancer.

Toggle SectionDean Directo, Michael WH Wong, Marcus L Elam, Paul Falcone, Adam Osmond, Edward Jo: Multi-ingredient performance supplements: a systematic review of the evidence for efficacy, NCBI

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The study investigates the effects of a multi-ingredient performance supplement (MIPS) on exercise volume, muscular strength, and body composition during resistance training (RT).

Method : A pair-matched, double-blind, placebo-controlled trial was conducted with thirty recreationally trained participants assigned to either the MIPS group or a placebo group over six weeks of resistance training. Various measures such as body composition, one-repetition maximum (1RM), and muscular power were assessed before and after the training period.

Findings : Results showed no significant differences between MIPS and placebo groups in terms of muscular strength and body composition changes, indicating that the MIPS did not provide any additional benefits compared to the placebo during the resistance training program.

Surgery

Toggle SectionJean-Nicolas Cornu, Sascha Ahyai, Alexander Bachmann, Jean de la Rosette, Peter Gilling, Christian Gratzke, Kevin McVary, Giacomo Novara, Henry Woo, Stephan Madersbacher: Transurethral resection of the prostate, PubMed

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The study focuses on evaluating the efficacy and safety of transurethral ablative procedures for benign prostatic obstruction (BPO), particularly through systematic review and meta-analysis of randomized controlled trials (RCTs).

Method : A systematic literature search was performed on RCTs comparing various transurethral techniques for BPO from 1992 to 2013. The outcomes evaluated included International Prostate Symptom Score, maximum flow rate, postvoid residual volume, perioperative data, and complications over a minimum follow-up of one year, using RevMan software for analysis.

Findings : The meta-analysis concluded that holmium laser enucleation of the prostate (HoLEP) showed more favorable outcomes than monopolar transurethral resection of the prostate (M-TURP). Bipolar transurethral resection of the prostate (B-TURP) and photoselective vaporization of the prostate (PVP) demonstrated better perioperative outcomes without significant efficacy differences compared to M-TURP.

Toggle SectionJón Örn Fridriksson, Yasin Folkvaljon, Karl‐Johan Lundström, David Robinson, Stefan Carlsson, Pär Stattin: PMC5600093, NCBI

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The study investigates the long-term adverse effects following retropubic radical prostatectomy (RRP) and robot-assisted radical prostatectomy (RARP) for prostate cancer treatment.

Method : This nationwide, population-based study analyzed data from the National Prostate Cancer Register of Sweden, with a total of 19,712 men undergoing surgery between 2004 and 2014. The researchers used multivariable analyses to compare the risk of various postoperative adverse effects while adjusting for several factors including surgical techniques, age, comorbidity, and cancer characteristics.

Findings : The risk of adverse effects was similar between RARP and RRP, but RARP had a significantly lower risk of anastomotic stricture and a higher risk of incisional hernia compared to RRP. Overall, the findings suggest that while both surgical approaches have comparable long-term outcomes, specific risks vary depending on the technique used.

Toggle SectionV Viereck, W Bader, K Lobodasch, F Pauli, R Bentler, H Kölbl: Evaluation of Male Sling Surgery: A Prospective Study, National Center for Biotechnology Information

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This study evaluates various sling surgeries for treating female stress urinary incontinence based on current guidelines and surgical outcomes.

Method : The study reviews multiple surgical approaches and devices used in sling procedures, analyzing their effectiveness and complications as per established guidelines and patient outcomes.

Findings : The classic tension-free vaginal tape (TVT) procedure remains the gold standard, showing high success rates and lower complications compared to newer approaches like transobturator slings.

Toggle SectionDiego Abreu, Enrique Campos, Verónica Seija, Carlos Arroyo, Ruben Suarez, Pablo Rotemberg, Fernanda Guillama, Gustavo Carvalhal, Horacio Campolo, Miguel Machado, Ricardo Decia: SSI after surgery for benign prostatic hyperplasia, PubMed

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This study aims to compare the efficacy of two skin antiseptics in preventing surgical site infections (SSI) among patients undergoing surgery for benign prostatic hyperplasia (BPH) and to identify associated risk factors for SSI.

Method : The study is a randomized trial involving 70 patients who underwent surgery for BPH, with a focus on antisepsis performed using either 0.5% povidone-iodine or chlorhexidine in an alcohol base. Various risk factors were analyzed, including patient demographics and surgical details.

Findings : The study found that the type of antiseptic used did not significantly influence the risk of SSI, which occurred in 10 patients (18%). The most critical risk factor identified was the presence of a urinary catheter preoperatively, alongside other factors such as age and positive urine culture.

Tai Chi

Toggle SectionTill Uhlig, Camilla Fongen, Eldri Steen, Anne Christie, Sigrid Ødegård: Tai Chi for Arthritis, PubMed

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The study investigated the impact of Tai Chi on patients with rheumatoid arthritis, focusing on disease activity, physical function, and health status.

Method : Fifteen patients with rheumatoid arthritis participated in a Tai Chi exercise program twice weekly for 12 weeks, with assessments conducted at baseline, post-intervention, and at a 12-week follow-up. Data was collected through quantitative measures and qualitative focus group interviews.

Findings : The study found that Tai Chi practice led to improved lower-limb muscle function, increased confidence in movement, balance, reduced pain, and overall improved health experiences for the participants.

Toggle SectionChenchen Wang, Christopher H Schmid, Patricia L Hibberd, Robert Kalish, Ronenn Roubenoff, Ramel Rones, Timothy McAlindon: Tai Chi for Pain Management, NCBI

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The study evaluates the effectiveness of Tai Chi for managing symptoms of knee osteoarthritis.

Method : A randomized controlled trial involving 40 participants with symptomatic tibiofemoral osteoarthritis, assigned to either tai chi or attention control interventions for 12 weeks, measuring pain and function through the WOMAC scale and other assessments at 12, 24, and 48 weeks.

Findings : Participants in the Tai Chi group exhibited significant improvements in pain, physical function, and psychological outcomes compared to the attention control group at 12 weeks, with sustained benefits observed at follow-ups.

Toggle SectionJennifer McQuade, Sarah Prinsloo, David Z Chang, Amy Spelman, Qi Wei, Karen Basen-Engquist, Carol Harrison, Zonghao Zhang, Debra Kuban, Andrew Lee, Lorenzo Cohen: Tai Chi and Quality of Life in Cancer Patients, NCBI

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The study investigated the effects of Qigong/Tai Chi on sleep disturbances and fatigue in prostate cancer patients undergoing radiotherapy.

Method : A randomized controlled trial was conducted with 90 prostate cancer patients assigned to three groups: Qigong/Tai Chi, light exercise, and a waitlist control. Sleep and fatigue were assessed using the Pittsburgh Sleep Quality Index (PSQI) and Brief Fatigue Inventory (BFI) at various points during and after radiotherapy.

Findings : The Qigong/Tai Chi group reported longer sleep duration midway through treatment compared to the other groups, but this effect was not sustained at later assessments. There were no significant differences in other sleep or fatigue domains among the groups, and overall, fatigue levels remained mild across all groups.

Tea Tree Oil

Toggle SectionMaura Di Vito, Paola Mattarelli, Monica Modesto, Antonietta Girolamo, Milva Ballardini, Annunziata Tamburro, Marcello Meledandri, Francesca Mondello: The effect of Tea Tree Oil on Yeast Infections, PubMed, 2015

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The study evaluates the in vitro effects of tea tree oil vaginal suppositories on Candida species and probiotic vaginal microbiota, particularly focusing on their microbicidal activity against yeast infections.

Method : The researchers employed the CLSI microdilution method to assess the susceptibility of 20 Candida species strains. They also tested the probiotic vaginal microbiota’s sensitivity using specific strains of Bifidobacterium and Lactobacillus, determining the efficacy of tea tree oil at varying concentrations.

Findings : The results showed that tea tree oil vaginal suppositories exhibited fungicidal activity against all tested Candida strains, with a possible synergistic effect when combined with Amphotericin B. The probiotics were minimally affected at lower concentrations of tea tree oil, indicating that while it is effective against yeast, it does not adversely impact beneficial vaginal bacteria.

Tendon Injury

Toggle SectionAnne L Stephenson, Wei Wu, Daniel Cortes, Paula A Rochon: Studies on tendon rupture, PubMed

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This systematic review evaluates the evidence on the association between fluoroquinolone use and tendon injury, focusing on the risk factors related to this complication.

Method : The study analyzed observational studies sourced from MEDLINE, EMBASE, and the Cochrane Collaboration. It follows PRISMA guidelines and includes a quality assessment of the studies using the Newcastle-Ottawa Quality Assessment Scale, finally summarizing findings from high-quality studies.

Findings : The review found an increased risk of Achilles tendon rupture among fluoroquinolone users, particularly in the first month of exposure, with odds ratios ranging from 1.1 to 7.1. Moreover, the presence of corticosteroids exacerbates the risk, which differed among various fluoroquinolones, with Ofloxacin showing the highest risk of tendon injury.

Tendonitis

Toggle SectionAreum Durey, Yong Soo Baek, Jin Seok Park, Kwangsoo Lee, Jeong-Seon Ryu, Jin-Soo Lee, Moon-Hyun Cheong: Studies on tendonitis, NCBI

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This study examines a case of Achilles tendinitis induced by levofloxacin in a young adult with no predisposing risk factors.

Method : The study presents a case report of a 20-year-old male patient who developed symptoms of Achilles tendinitis three days after receiving levofloxacin for pneumonia. Symptoms improved after discontinuation of the medication.

Findings : The patient exhibited improvement of tendinitis symptoms within days after stopping levofloxacin, suggesting that this antibiotic can induce tendonitis even in patients without known risk factors.

Testicular Cancer

Toggle SectionMayo Clinic Staff: Testicular Cancer: Symptoms & Causes, Mayo Clinic

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This study covers the symptoms, causes, and treatment options associated with testicular cancer, a growth of cells that starts in the testicles, which primarily affects young men between the ages of 15 and 45.

Method :

Findings : Testicular cancer is highly treatable even if it spreads, and early symptoms often involve lumps or swelling in the testicles.

Testosterone Therapy

Toggle SectionJohn Gore, Jacob Rajfer: Review of testosterone replacement therapy, PMC

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The study reviews the implications of testosterone replacement therapy (TRT) on prostate-specific antigen (PSA) levels, particularly focusing on a case study of a patient experiencing erectile dysfunction who underwent TRT.

Method : The study comprises a case report which monitors the PSA levels and symptoms of a 53-year-old man before, during, and after TRT, along with a review of literature regarding TRT and PSA levels.

Findings : The findings suggest that TRT may not provide benefits for erectile dysfunction in eugonadal men and that rising PSA levels during TRT do not necessarily indicate the presence of prostate cancer; the study emphasizes the importance of monitoring PSA levels in patients undergoing TRT.

Thermotherapy

Toggle SectionI Cioanta, R Muschter: Water-induced thermotherapy (WIT), PubMed, 2000

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The study investigates the efficacy of water-induced thermotherapy (WIT) for treating benign prostatic hyperplasia (BPH).

Method : WIT was conducted using the Thermoflex System, which circulates water heated to 60 degrees Celsius through a catheter to a treatment balloon, focusing thermal energy on prostatic tissue during a 45-minute session with minimal anesthesia.

Findings : The treatment resulted in an 87.4% improvement in peak urine flow and a 54.2% reduction in the International Prostate Symptom Score. Patient tolerance of the procedure was rated positively in 91.8% of cases, confirming WIT’s efficacy, simplicity, and low side effects.

Thyroid Function

Toggle SectionKristian Hillert Winther, Margaret Philomena Rayman, Steen Joop Bonnema, Laszlo Hegedüs: The Role of Selenium in Thyroid Function and Disease, Nature

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This study reviews the role of selenium in thyroid function and its potential impact on various thyroid diseases, highlighting its importance as a trace element in thyroid health.

Method : The article systematically reviews epidemiological studies, clinical trials, and observational data regarding selenium’s influence on thyroid function and disease.

Findings : The findings suggest a complex relationship between selenium levels and thyroid health, indicating that both low and high selenium intakes may have adverse health effects, while selenium supplementation may help reduce thyroid autoantibodies and improve conditions in specific thyroid disorders.

Traditional Medicine

Toggle SectionHsin-Fu Yeh, Tsai-Feng Li, Cheng-Hung Tsai, Pei-Wen Wu, Yi-Hsiu Huang, William J Huang, Fun-Jou Chen, Shinn-Jang Hwang, Fang-Pey Chen, Ta-Peng Wu: 2020 pilot study, NCBI, 2020

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The study evaluates the clinical effects of a Chinese herbal medicine on patients with benign prostatic hyperplasia (BPH).

Method : This was a single-arm pilot study involving 20 BPH patients who took the Chinese herbal medicine three times a day for 8 weeks alongside their usual Western medication. Symptoms were evaluated using validated questionnaires and sonography.

Findings : The study found that the herbal medicine significantly reduced the mean total International Prostate Symptom Score (IPSS) by 2.5 points after treatment, with notable improvements in various specific urinary symptoms. A decrease in post-voiding residual urine volume was also observed, suggesting a trend towards improved urinary function.

Tumors

Toggle SectionRobert H Young: Study on Sertoli Cell Tumors, Nature

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This study explores the similarities and differences of sex cord-stromal tumors, particularly Sertoli cell tumors, in the ovary and testis. It reviews their pathology, classification, and implications for diagnosis and treatment.

Method : The paper is a comprehensive review of existing literature and cases on Sertoli cell tumors, assessing their morphology, histological features, and clinical implications, while highlighting diagnostic challenges using immunohistochemical methods.

Findings : The study finds that Sertoli cell tumors exhibit distinct morphological characteristics depending on whether they occur in the ovary or testis. The classification of these tumors into well, intermediate, and poorly differentiated types is essential for understanding their behavior and prognosis.

Urinary Catheterization

Toggle SectionPaul A Willette, Scott Coffield: Urinary Catheter Placement, NCBI

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This study reviews the challenges and best practices in urinary catheter placement, particularly focusing on difficult catheterizations often encountered in male patients. It also presents an algorithm designed to guide healthcare professionals in managing such situations effectively, including the use of direct visualization technologies to improve outcomes.

Method : The study analyzes current trends in urinary catheterization practices, highlighting the complications associated with difficult catheter placements. It summarizes best practice methods derived from literature and personal experience, emphasizing training and protocols that can enhance the safety and efficiency of catheterization procedures with the integration of new technologies for direct visualization.

Findings : The findings suggest that many complications in urinary catheterizations arise from improper techniques and multiple failed attempts. The introduction of a management algorithm that includes techniques for difficult catheterization and the use of visualization technology could significantly improve patient care, reduce iatrogenic injuries, and minimize healthcare costs associated with such procedures.

Urinary Catheters

Toggle SectionJennifer Meddings, Mary A M Rogers, Sarah L Krein, Mohamad G Fakih, Russell N Olmsted, Sanjay Saint: Urinary catheters in patients who do not need them, PubMed

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This study reviews interventions aimed at reducing the unnecessary use of urinary catheters and preventing catheter-associated urinary tract infections (CAUTIs).

Method : The study updated a systematic review and meta-analysis that summarized interventions designed to reduce urinary catheter use and presented additional strategies for preventing CAUTIs, including reminder systems and stop orders for catheter removal.

Findings : The findings indicated that the use of reminders or stop orders led to a significant reduction in CAUTI rates by 53%. The study concluded that such interventions improve patient safety and should be implemented to change established habits regarding catheter usage.

Urinary Complications

Toggle SectionHeval S Özkan, Saime İrkoren, Nazan Sivrioğlu: Urinary Catheterization: Risks and Complications, PubMed

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This study presents a case of penile strangulation and necrosis due to the improper use of a condom catheter, emphasizing the importance of proper placement and care.

Method : The study involves a case report detailing the clinical presentation, treatment, and management of the complications arising from condom catheter use.

Findings : The findings indicate that penile strangulation and subsequent necrosis can occur due to inappropriate application or sizing of condom catheters, particularly in patients with limited mobility or cognitive function. Proper care and application of these devices are crucial to prevent such severe complications.

Urinary Health

Toggle SectionKyu Keun Kang, Jung Ran Choi, Ji Young Song, Sung Wan Han, So Hyun Park, Woong Sun Yoo, Hwe Won Kim, Dongyoung Lee, Kyoung Hyoub Moon, Myung Hee Lee, Beom Kim: Evaluation of the Prevalence of Proteinuria in Patients with Frothy Urine, National Institutes of Health

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The study investigates the prevalence of proteinuria in patients reporting foamy urine and identifies associated risk factors for proteinuria and microalbuminuria.

Method : This retrospective study reviewed medical records from outpatients who reported foamy urine at a nephrology clinic over six months. The researchers analyzed urinary protein-to-creatinine and microalbumin-to-creatinine ratios alongside various demographic and clinical factors.

Findings : Of the 72 patients with foamy urine, 22.2% had overt proteinuria, and 31.6% had microalbuminuria or overt proteinuria. Increased serum creatinine and serum phosphate were identified as significant risk factors for overt proteinuria.

Toggle SectionJ F Wyman, K L Burgio, D K Newman: Urinary Urgency, National Center for Biotechnology Information

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This study discusses the effectiveness of behavioral interventions and lifestyle modifications in treating overactive bladder (OAB) and urgency urinary incontinence (UUI).

Method : The review synthesizes literature from a MEDLINE search and combines it with the authors’ clinical experiences, focusing on practical strategies that can be employed by clinicians to help manage these conditions.

Findings : Behavioral interventions, including lifestyle changes and training techniques, are effective first-line treatments for OAB and UUI, and can be integrated into primary care settings to improve patient outcomes.

Urinary Incontinence

Toggle SectionSusan L Vogel: Difficulty initiating or stopping a urine stream, NCBI

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The study addresses the prevalence, types, and treatment options of urinary incontinence in the elderly population, including the impact on quality of life and associated healthcare considerations.

Method : The article reviews existing literature, evaluates clinical cases, and discusses various treatment modalities for different types of urinary incontinence, including behavioral therapies, medical treatments, and surgical interventions.

Findings : Approximately 20% of older adults experience urinary incontinence that impacts their daily lives, with significant psychosocial consequences. Treatment options vary based on the type of incontinence, and successful management often requires individualized approaches along with specialist consultation.

Toggle SectionVictor W Nitti: Prevalence of urinary incontinence in men: A systematic review, National Center for Biotechnology Information

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This study reviews the prevalence of urinary incontinence in men, examining its severity, frequency, and impact on healthcare resources.

Method : The study utilized a systematic review of existing literature, analyzing prevalence rates based on surveys and questionnaires regarding urinary incontinence in male populations.

Findings : The findings indicate that the prevalence of urinary incontinence in men ranges from 3% to 11%, with urge incontinence being the most common type, but the severity of incontinence tends to be lower than in women.

Toggle SectionStress Urinary Incontinence, Center for Reconstructive Urology

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The study focuses on bladder neck contractures, which occur after surgeries such as radical prostatectomy or after radiation therapy. These contractures can lead to urinary obstruction and potentially result in kidney damage and complications such as overflow incontinence in men. The condition is characterized by diminished urinary stream and incontinence, affecting the quality of life for patients.

Method :

Findings : Initial management of bladder neck contractures typically involves urethral dilation and incision procedures, while recurrent contractures may necessitate surgical interventions. The recurrence rate can potentially be reduced through the use of Mitomycin during treatment. Severe cases may require significant surgical reconstruction or alternative management strategies such as suprapubic catheterization.

Toggle SectionMauro Gacci, Arcangelo Sebastianelli, Pietro Spatafora, Giovanni Corona, Sergio Serni, Dirk De Ridder, Stavros Gravas, Paul Abrams: Urge incontinence, National Center for Biotechnology Information

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The study provides an overview of the management of storage lower urinary tract symptoms (LUTS) in men, emphasizing the complexity of the condition and the need for tailored diagnostic and treatment approaches.

Method : The study employs a review of existing literature to analyze symptom management related to storage LUTS, including patient diagnostics and treatment strategies, primarily focusing on drug therapies and lifestyle modifications.

Findings : The study finds that a combination of lifestyle changes and pharmacological interventions, particularly muscarinic receptor antagonists and β3-agonists, is effective in managing storage LUTS in men. The findings highlight the importance of understanding the underlying pathophysiology of the symptoms for better treatment outcomes and suggest that a detailed evaluation of patients is crucial.

Toggle SectionChantale Dumoulin, Licia P Cacciari, E Jean C Hay-Smith: Efficacy of Kegel Exercises for Urinary Incontinence, PubMed

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The study assesses the efficacy of pelvic floor muscle training (PFMT), specifically Kegel exercises, in treating urinary incontinence in women compared to no treatment or inactive control treatments.

Method : This review included 31 trials involving 1817 women, where the effectiveness of PFMT was compared with no treatment or other inactive interventions. Data were gathered and analyzed through randomised or quasi-randomised controlled trials, with subgroups by diagnosis of urinary incontinence.

Findings : The results indicated women who undertook PFMT were significantly more likely to report symptomatic cures of stress urinary incontinence and experienced improvements in both the number of leakage episodes and overall quality of life related to urinary incontinence.

Urinary Infections

Toggle SectionDong Sup Lee, Seung-Ju Lee, Hyun-Sop Choe: The role of Escherichia coli in the urinary tract infections, National Center for Biotechnology Information

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The study addresses the increasing prevalence of Escherichia coli (E. coli) in community-acquired urinary tract infections (UTIs) and highlights the related concerns about antibiotic resistance.

Method : The authors performed a comprehensive review of data from various databases, including PubMed, ISI Web of Science, and Google Scholar, utilizing multiple keywords related to E. coli, antibiotic resistance, and UTIs to gather information on resistance patterns and mechanisms.

Findings : The findings underscore a significant rise in antibiotic resistance among E. coli strains involved in UTIs, particularly in relation to commonly used antibiotics, and indicate an urgent need for improved methods of infection prevention and careful selection of empirical antibiotic therapy based on regional resistance data.

Toggle SectionPeter Glen, Akash Prashar, Amr Hawary: Urinary Tract Infections: A Comprehensive Review, National Center for Biotechnology Information

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The study focuses on sterile pyuria, its causes, and management strategies in patients suspected of having urinary tract infections.

Method : The authors reviewed existing literature and clinical guidelines to provide a clear pathway for diagnosing and managing sterile pyuria based on patient history, examination, laboratory tests, and imaging.

Findings : The study highlights that sterile pyuria can originate from multiple causes, both infectious and non-infectious, emphasizing the need for thorough evaluation and a systematic approach for effective management.

Urinary Tract Infection

Toggle SectionLuiz M Massa, Jeanne M Hoffman, Diana D Cardenas: Foul Smell in Urinary Tract Infection, NCBI

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The study investigates the validity, accuracy, and predictive value of urinary tract infection (UTI) signs and symptoms in individuals with spinal cord injury who use intermittent catheterization.

Method : The study analyzed data from a randomized controlled trial, using urine culture results and self-reported symptom questionnaires from 51 participants over three months to determine UTI diagnosis and prediction accuracy.

Findings : The findings revealed that ‘cloudy urine’ had the highest accuracy (83.1%), while ‘leukocytes in urine’ had the highest sensitivity (82.8%). Participants demonstrated a prediction accuracy of 66.2%, better at identifying when they did not have a UTI (82.8% negative predictive value) than when they did (32.6% positive predictive value).

Toggle SectionAi-Ling Shen, Hsiu-Li Lin, Hsiu-Chen Lin, Yuan-Fu Tseng, Chien-Yeh Hsu, Che-Yi Chou: The Role of Probiotics in Preventing Recurrent Urinary Tract Infections: A Systematic Review, PubMed

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The study investigates the relationship between urinary tract infections (UTIs) and hypokalemia, assessing whether there is an increased incidence of hypokalemia among patients with UTIs compared to controls.

Method : A case-control study was conducted with patients hospitalized for UTIs and a control group matched for various confounding factors. The study utilized logistic regression to analyze the risk of hypokalemia and calculate the odds ratio along with the 95% confidence interval.

Findings : The results indicated that 10.4% of UTI patients had hypokalemia compared to 4.2% in controls, with an odds ratio of 2.27 indicating a significant association. Recurrent UTIs were also found to further increase the likelihood of hypokalemia among affected patients.

Toggle SectionThomas M Hooton: Uncomplicated urinary tract infection, PubMed

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This study focuses on uncomplicated urinary tract infections (UTIs), which are common infections primarily affecting women. The review provides insights into the diagnosis, treatment, and management strategies for UTIs. It underscores the clinical implications and the significance of recognizing uncomplicated cases.

Method : The study is a review of existing literature and clinical practices surrounding uncomplicated UTIs. It synthesizes findings from various studies to provide guidance on optimal management approaches.

Findings : The findings indicate that uncomplicated UTIs can effectively be treated with antibiotics, and the review highlights the importance of appropriate antibiotic selection. It also discusses potential challenges in treatment, including antibiotic resistance, and emphasizes the need for clinical awareness in managing these infections.

Toggle SectionNishant Aggarwal, Stephen W. Leslie, Saran Lotfollahzadeh: Recurrent Urinary Tract Infection, NCBI Bookshelf

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The study focuses on recurrent urinary tract infections (UTIs), particularly their prevalence, management, and strategies for prevention, with a special emphasis on the unique challenges faced by young women.

Method : The study utilizes a comprehensive review approach, analyzing existing research, clinical guidelines, and expert opinions on the etiology, diagnostics, and management options for recurrent UTIs.

Findings : The findings highlight the significant health concerns posed by recurrent UTIs, effective treatment and preventive measures including lifestyle modifications, and the need for coordinated care among healthcare professionals for optimal patient outcomes.

Urinary Tract Infections

Toggle SectionChee Wei Tan, Maciej Piotr Chlebicki: Shorter Urethra in Women, National Center for Biotechnology Information

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The study focuses on the management and classification of urinary tract infections (UTIs) in adults, particularly emphasizing the higher incidence in women compared to men.

Method : The study reviews clinical data, including incidence rates of UTIs, the ORENUC classification for distinguishing uncomplicated and complicated UTIs, and guidelines for diagnosis and management based on existing literature and local statistics from Singapore.

Findings : Findings indicate that adult women have a significantly higher likelihood of developing UTIs compared to men, with specific pathogens like Escherichia coli being predominant. The research also suggests that uncomplicated UTIs can be effectively managed in the outpatient setting with oral antibiotics, whereas complicated UTIs often require more intensive treatment and hospital care.

Urinary tract infections

Toggle SectionL Domenici, M Monti, C Bracchi, M Giorgini, V Colagiovanni, L Muzii, P Benedetti Panici: The role of D-mannose, PubMed

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This study investigates the efficacy of D-mannose for treating acute urinary tract infections (UTIs) in women and its potential as a preventive measure for recurrences.

Method : A pilot study conducted from April 2014 to July 2015 where participants took D-mannose for 13 days, with subsequent assessments of symptom changes and quality of life improvements using a validated questionnaire. Participants were then randomized for prophylactic treatment over six months.

Findings : The study found significant improvements in symptoms and quality of life scores, with D-mannose showing a positive impact on UTI resolution. As a prophylactic agent, it resulted in fewer recurrences (4.5% vs. 33.3%) compared to untreated patients.

Urinary Tract Infections

Toggle SectionMariëlle Beerepoot, Suzanne Geerlings: Vitamin C and urinary tract health: a systematic review, PubMed, 2016

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This study reviews non-antibiotic strategies for the prevention of recurrent urinary tract infections (UTIs) focusing on alternatives like probiotics and cranberry products.

Method : The review analyzes various clinical studies evaluating the effectiveness of non-antibiotic prophylactic measures like lactobacilli strains and cranberry products in reducing UTI recurrences in women.

Findings : Lactobacillus species showed potential in reducing UTIs, while cranberry products decreased recurrences by 30-40%. Vitamin C was not recommended for UTI prevention, and the optimal cranberry dosage is yet to be determined.

Toggle SectionAnthony J Schaeffer, Lindsay E Nicolle: The epidemiology of urinary tract infections in adults, PubMed

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The study investigates the epidemiology of urinary tract infections (UTIs) in older men, focusing on causes, prevalence, and management practices.

Method : The authors reviewed existing literature and clinical studies regarding UTIs in older men to analyze patterns, risks, and treatment guidelines.

Findings : The study found that urinary tract infections in older men are influenced by various factors including urinary retention, prostate issues, and antimicrobial resistance, emphasizing the need for revised management strategies.

Toggle SectionAna L Flores-Mireles, Jennifer N Walker, Michael Caparon, Scott J Hultgren: Infectious risk factors for recurrent urinary tract infections, PubMed

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The study reviews the epidemiology, mechanisms of infection, and treatment options for urinary tract infections (UTIs), focusing on the pathogens responsible and the increasing challenges posed by antibiotic resistance and recurrence rates.

Method : The study is a review that synthesizes current research and literature on UTIs, including an overview of the pathogens involved, their mechanisms of infection, and implications for treatment based on future research directions.

Findings : The findings highlight the significant public health burden of UTIs, particularly due to recurrent infections and antimicrobial resistance, calling for more research to translate scientific knowledge into effective clinical treatments.

Toggle SectionAllan Ronald: Treatment of urinary tract infections, PubMed

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The study examines the microbial etiology of urinary tract infections (UTIs), highlighting traditional and emerging pathogens responsible for these infections.

Method : The study is a review that synthesizes existing literature regarding the pathogens associated with UTIs, discusses their prevalence, and examines factors such as antimicrobial resistance and host factors influencing the etiology of UTIs.

Findings : Escherichia coli is identified as the predominant uropathogen in uncomplicated infections, while the etiology of complicated UTIs is diverse, often involving pathogens less common in healthy individuals, particularly among those with underlying health conditions.

Toggle SectionR D Harrington, T M Hooton: Predictors of urinary tract infection remissions, PubMed

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The study investigates the risk factors associated with urinary tract infections (UTIs), examining how these factors differ between genders.

Method : A literature review focusing on the epidemiology and etiology of UTIs, particularly among different age groups and genders.

Findings : The study identified that UTIs are more prevalent in women, with key risk factors including sexual activity and contraceptive use, along with anatomical and physiological factors, genetic influences, and possibly environmental factors.

Toggle SectionSunil Persad, Sean Watermeyer, Anthony Griffiths, Bina Cherian, Janet Evans: The role of probiotics in the prevention of urinary tract infections, PubMed

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This study investigates the link between urinary tract infections (UTIs) and postmicturition hygiene habits, particularly the method of perineal cleaning after urination in pregnant women.

Method : The study assessed the incidence of urinary tract infections among pregnant women and correlated it with their postmicturition wiping habits by comparing the rates of UTIs in those who wiped front to back versus those who wiped back to front.

Findings : The study found that wiping back to front increased the risk of developing urinary tract infections compared to the front to back method, highlighting the importance of proper perineal hygiene.

Urine Production

Toggle SectionUpeksha S Alwis, Rebecca Haddad, Thomas F Monaghan, Paul Abrams, Roger Dmochowski, Wendy Bower, Alan J Wein, Saskia Roggeman, Jeffrey P Weiss, Sherif Mourad, Joris Delanghe, Karel Everaert: 2016 reports, PubMed

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This systematic review examines the impact of food and drinks on urine production by synthesizing existing evidence. It addresses how different dietary components influence diuresis and fluid metabolism.

Method : The study employed a systematic review methodology following PRISMA guidelines, analyzing data from MEDLINE and EMBASE databases, completed in October 2019. Only studies that reported on the effects of food and beverages on urine production were included, with two authors independently extracting data from relevant articles.

Findings : The review included 49 studies, with evidence showing that high dietary sodium and certain beverages like wine and caffeinated drinks increased urine production, whereas low sodium, milk, and sugary drinks correlated with decreased urine output. The study concluded that various dietary components, particularly those with diuretic properties, influence urine production, although the quality of evidence varies significantly.

Urologic Diseases

Toggle SectionNIDDK: Benign Prostatic Hyperplasia, NIDDK

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The study focuses on benign prostatic hyperplasia (BPH), a condition characterized by an enlarged prostate gland, which is not caused by cancer. It explores its prevalence, risk factors, symptoms, diagnosis, treatment options, and potential complications.

Method : The study employs a comprehensive review of existing medical literature, expert analyses, and clinical data to provide insights into BPH. It includes information gathered through personal and family medical history assessments, physical examinations, and various medical tests.

Findings : The study indicates that BPH affects a significant percentage of men, particularly those over 50 years old, and outlines treatment options ranging from lifestyle changes and medication to surgical interventions. It emphasizes the importance of early diagnosis and management to improve the quality of life and prevent complications.

Toggle SectionNIDDK: Bladder Control Problems/Treatment, National Institute of Diabetes and Digestive and Kidney Diseases

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This study provides a comprehensive overview of bladder control problems, specifically urinary incontinence, including its causes, symptoms, and various treatment options available.

Method : The study reviews lifestyle changes, medical treatments, surgical interventions, and coping mechanisms for urinary incontinence, drawing on existing research and clinical guidelines.

Findings : Effective management of urinary incontinence can involve a combination of lifestyle modifications, medication, medical devices, and surgical options, tailored to each individual’s condition and needs.

Toggle SectionMark Litwin, M.D., Anthony Schaeffer, M.D., Michael P. O’Leary, M.D., M.P.H.: prostatitis inflammation, NIDDK

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The study addresses prostatitis, which is an inflammation of the prostate gland, examining types, causes, symptoms, diagnosis, treatment, and prevention measures.

Method : The study employs comprehensive reviews of medical literature and clinical practices, including categorizing types of prostatitis, assessing patient symptoms, and analyzing diagnostic and treatment protocols.

Findings : The findings indicate that prostatitis is common, especially in males under 50, with various types having distinct symptoms. Treatment varies significantly based on the type, and psychological factors may influence chronic conditions.

Urological Science

Toggle SectionNot available: Prostate Dysfunction and Abscess, e-urol-sci

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This study discusses prostate dysfunction and the occurrence of abscesses. It aims to explore the clinical implications and treatment options for these conditions.

Method : The study employs a retrospective analysis of patient cases that present with prostate dysfunction and abscesses, evaluating clinical outcomes and management strategies.

Findings : The findings indicate a significant correlation between prostate dysfunction and the development of abscesses, suggesting that timely intervention can improve patient outcomes.

Urology

Toggle SectionSpencer Chapman, Michael; Harber, Mark: Massive Urinary Tract Haemorrhage Following Bladder Decompression Urethral Catheterisation, BJU International

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This study describes a case of massive urinary tract hemorrhage following bladder decompression by urethral catheterization, which is usually a non-serious condition. The authors highlight the rare severity of this particular case, which led to multiple blood transfusions and complicated interventions.

Method : The case involves a 58-year-old male patient who experienced significant urinary retention and subsequent bladder drainage through urethral catheterization. Following the catheter’s insertion, the patient developed massive hematuria, leading to extensive evaluation and intervention, including CT scans and nephrostomy insertions.

Findings : The findings suggest that while hematuria after bladder decompression is common, severe cases requiring significant medical intervention are rare. The case indicates the need for careful monitoring of patients with a history of lower urinary tract symptoms, particularly those with chronic urinary retention, to manage potential complications effectively.

Toggle SectionSerge Carreau, Sonia Bourguiba, Eric Marie: Efficacy of organic zinc in the treatment of chronic bacterial prostatitis, PubMed

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This study evaluates the hypophyso-gonadal axis in aged men by measuring testicular and blood steroid levels and assessing hormonal status across different age groups.

Method : The researchers measured intratesticular concentrations of several steroids and serum levels of hormones such as FSH, LH, testosterone, and estradiol in men aged 60-91 years, followed by histological examination of testicular samples.

Findings : The study found no significant changes in serum hormones or testicular steroid concentrations among the age groups, but noted that SHBG levels were three times higher in the oldest men, indicating diminished estradiol bioavailability.

Toggle SectionSyed Saeed Uddin Qadri, Salman El Khalid, Syed Mamun Mahmud: Flomax and Kidney Stone Prevention Study, PubMed

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The study examines the efficacy of Tamsulosin as an adjunctive therapy after extracorporeal shock wave lithotripsy (ESWL) for renal stones.

Method : A prospective randomized controlled trial was conducted involving 120 patients who underwent ESWL for renal stones, comparing those who received Tamsulosin with those who did not, assessing parameters such as stone clearance rate, clearance time, pain intensity, and instances of steinstrasse.

Findings : Results indicated that Tamsulosin significantly increased the stone clearance rate and reduced pain intensity, with fewer occurrences of steinstrasse among those receiving the medication.

Toggle SectionK Höfner, H Claes, T M De Reijke, B Folkestad, M J Speakman: Abnormal Ejaculation Rates in Men with LUTS treated with Tamsulosin, PubMed

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The study evaluates the impact of tamsulosin on sexual function in men with lower urinary tract symptoms (LUTS) due to benign prostatic obstruction (BPO).

Method : This was a multicenter, randomized controlled trial involving 830 patients divided among three study groups receiving tamsulosin, placebo, or alfuzosin. Sexual function was assessed through adverse events and a life-style questionnaire across a 12-week period following a 2-week placebo run-in.

Findings : Tamsulosin treatment was associated with a higher incidence of abnormal ejaculation compared to placebo, but the overall sexual function was either improved or maintained compared to placebo and alfuzosin, showing no significant negative effects.

Toggle SectionMahavir Singh Griwan: Comparison of Alfuzosin and Tamsulosin Once Daily for Treatment of Lower Urinary Tract Symptoms Due to Benign Prostatic Hyperplasia: A Randomized Prospective Study, URO Today

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The study evaluates the efficacy and safety of alfuzosin and tamsulosin in treating lower urinary tract symptoms due to benign prostatic hyperplasia in Indian men.

Method : This randomized, prospective study involved 100 patients who were assigned to either alfuzosin 10 mg or tamsulosin 0.4 mg once daily for 12 weeks, with assessments at baseline, 1 month, and 3 months involving multiple outcome measures.

Findings : Both alfuzosin and tamsulosin significantly improved urinary flow and quality of life with no significant difference between the two drugs except for fewer ejaculatory side effects in the alfuzosin group.

Toggle SectionDae Yul Yang, Won Ki Lee, Sang Kon Lee, Seong Ho Lee, Kyung Tae Ko, Sung Yong Kim, Ha Young Kim, Sang Kuk Yang: Evaluation of benign prostatic hyperplasia, NCBI, N/A

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The study investigates the correlation between post-voided dribbling (PVD) and erectile dysfunction (ED) in men with lower urinary tract symptoms (LUTS) related to benign prostatic hyperplasia (BPH).

Method : The study enrolled 112 male patients over 40 years from October 2014 to February 2015, utilizing the International Prostate Symptom Score (IPSS) and a custom-made Hayllm PMD questionnaire to assess symptoms. Prostate size, PSA levels, uroflowmetry parameters, IPSS, and IIEF-5 scores were measured for analysis.

Findings : The results indicated a significant inverse correlation between erectile function and PVD severity, with higher rates of ED associated with severe PVD symptoms. Additionally, incorporating PVD into IPSS improved the predictive accuracy for determining ED status.

Toggle SectionJ M Reynard, C Lim, T J Peters, P Abrams: Prostate volume and lower urinary tract symptoms: a prospective evaluation, PubMed, N/A

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The study investigates the relationship between terminal dribbling as a symptom, and its objective evidence related to benign prostatic enlargement and bladder outlet obstruction in men with lower urinary tract symptoms (LUTS).

Method : The study involved a questionnaire completed by 165 men reporting LUTS, uroflowmetry to assess terminal dribbling, and transrectal ultrasonography to measure prostate volume. Combined pressure-flow studies were conducted to determine bladder outlet obstruction.

Findings : Results indicated poor correlation between self-reported terminal dribbling and its objective evidence, with no significant relationship found between terminal dribbling and benign prostatic enlargement or bladder outlet obstruction. However, objective evidence of terminal dribbling was strongly associated with bladder outlet obstruction.

Toggle SectionRyan McLarty, Mark Assmus, Ambikaipakan Senthilselvan, Trevor Schuler, Timothy Wollin, Shubha De: Cessation of pain as an indicator for passing kidney stones, PubMed

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The study assesses the accuracy of patient-reported outcomes in predicting spontaneous ureteral stone passage.

Method : The research involved prospective assessment of patients with new unilateral ureteral stones, evaluating their symptoms and beliefs regarding stone passage. The primary outcome was confirmed spontaneous stone passage through ultrasound and x-ray comparisons with patient reported outcomes.

Findings : Of the 212 patients, 49.5% experienced successful stone passage. Cessation of pain and patient-reported stone passage were independent predictors of successful outcomes, though both yielded concerning rates of accuracy as clinical indicators.

Toggle SectionMathew D Sorensen, Jonathan D Harper, Michael S Borofsky, Tariq A Hameed, Kimberly J Smoot, Barbara H Burke, Branda J Levchak, James C Williams Jr, Michael R Bailey, Ziyue Liu, James E Lingeman: Randomized controlled trial on ureteroscopy, PubMed

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The study investigates the effects of the endoscopic removal of small, asymptomatic kidney stones during surgery and its impact on the incidence of relapse.

Method : This was a multicenter, randomized controlled trial where 73 participants with small asymptomatic stones were split into two groups: 38 patients had their stones removed alongside other stones, while 35 did not. The primary outcome was measured through emergency department visits, surgical interventions, or growth of new stones over a follow-up period averaging 4.2 years.

Findings : Results indicated that patients in the treatment group experienced a significantly longer time to relapse (1631.6 days) compared to the control group (934.2 days), with an 82% lower risk of relapse in the treatment group. Relapse rates were 16% in the treatment group versus 63% in the control group, suggesting the removal of small stones leads to better long-term outcomes.

Toggle SectionLuke Grundy, Ashlee Caldwell, Stuart M Brierley: Bladder Wash, NCBI

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This study reviews the mechanisms contributing to the pathogenesis of overactive bladder syndrome (OAB) and interstitial cystitis/painful bladder syndrome (IC/PBS), examining factors such as neuroplasticity, inflammation, and psychological stress.

Method : The review synthesizes clinical and preclinical research findings to highlight changes in afferent nerve excitability and neurochemical signaling involved in OAB and IC/PBS.

Findings : The study highlights that both OAB and IC/PBS are linked by overlapping symptoms and mechanisms, particularly emphasizing the role of urothelial dysfunction and altered neuroplasticity as key contributors to bladder hypersensitivity, with significant influences from psychological stress.

Toggle SectionJ Curtis Nickel: LUTS, PubMed

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The study investigates the overlap of lower urinary tract symptoms in men with benign prostatic hyperplasia (BPH) and prostatitis, examining their relationship, diagnosis, and treatment.

Method :

Findings : The findings suggest that 5-20% of men with BPH experience prostatitis-like symptoms. Pain can differentiate chronic prostatitis, and treatment may include alpha-blockers, which show clear benefits.

Toggle SectionE Chartier-Kastler, D Leger, V Montauban, D Comet, F Haab: Evidence, PubMed

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The study assesses the impact of nocturia on sleep efficiency in patients suffering from benign prostatic hypertrophy (BPH).

Method : This is a prospective observational survey involving 1376 patients across 113 urologists in France, who recorded sleep data using sleep diaries and completed a sleep disorder assessment questionnaire.

Findings : The study found that 29.2% of patients suffered from chronic insomnia, with sleep efficiency significantly lower in patients with BPH-related insomnia. Sleep efficiency decreased notably with increased nocturia frequency and severity of BPH symptoms.

Toggle SectionWilliam Bundrick, Sean P Heron, Paul Ray, William M Schiff, Alan M Tennenberg, Barbara A Wiesinger, Pamela A Wright, Shu-Chen Wu, Neringa Zadeikis, James B Kahn: A Comparative Study of Levofloxacin and Ciprofloxacin in the Treatment of Bacterial Prostatitis, PubMed

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This study compares the effectiveness and safety of levofloxacin and ciprofloxacin in treating chronic bacterial prostatitis.

Method : The study was a randomized double-blind multicenter trial involving 377 men diagnosed with chronic bacterial prostatitis. Participants were assigned to receive either levofloxacin 500 mg once daily or ciprofloxacin 500 mg twice daily for 28 days, and clinical and microbiologic outcomes were assessed.

Findings : Both levofloxacin and ciprofloxacin showed similar clinical success rates (75% vs 72.8%) and microbiologic eradication rates (75% vs 76.8%). The relapse rates at 6 months were also comparable, indicating that levofloxacin is as effective as ciprofloxacin for treating this condition.

Toggle SectionT Wilt, A Ishani, R MacDonald, G Stark, C Mulrow, J Lau: B-Sitosterols improved urinary symptom scores and flow measures, PubMed

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The study investigates the impact of beta-sitosterols on urinary symptoms and flow measures in men with benign prostatic hyperplasia (BPH).

Method : The study performed a systematic review examining trials where men with BPH were randomized to receive beta-sitosterol or a placebo, assessing outcomes such as urinary symptom scales and flow measures over a duration of 4 to 26 weeks. Information was collected by independent reviewers from randomized controlled trials.

Findings : The findings indicate that beta-sitosterols significantly improved urinary symptom scores and flow measures, with specific improvements noted in the International Prostate Symptom Score (IPSS) and urine flow rates, while not affecting prostate size.

Toggle SectionHenk van der Worp, Petra Jellema, Ilse Hordijk, Yvonne Lisman-van Leeuwen, Lisa Korteschiel, Martijn G Steffens, Marco H Blanker: review, BMJ Open

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This study reviews and analyzes the effects of discontinuing alpha-blocker therapy in men with lower urinary tract symptoms, focusing on symptom changes, uroflowmetry, quality of life, adverse events, and rates of treatment resumption.

Method : The study utilizes a systematic review and meta-analysis approach, synthesizing data from 16 controlled and uncontrolled studies involving a total of 1823 participants to determine the effects of alpha-blocker discontinuation.

Findings : Results indicate that stopping alpha-blocker monotherapy leads to increased symptoms and decreased urinary flow rates in the short term, while combination therapy has no significant outcome differences. The data showed no increase in adverse events nor a significant rise in patients resuming therapy, suggesting discontinuation may be appropriate for specific patient groups.

Toggle SectionDavid Mobley, Neil Baum: Urologic Diseases and Smoking, National Institutes of Health

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The study examines the relationship between smoking and various urologic diseases, highlighting the significant risks associated with tobacco use.

Method : The study utilizes a review of literature and statistics regarding smoking’s impact on urologic diseases including bladder, prostate, and kidney cancer, as well as erectile dysfunction and urinary incontinence.

Findings : The study finds that smoking significantly increases the risk of developing several urologic conditions, with particular emphasis on bladder cancer where smokers have triple the risk compared to non-smokers. It also suggests that urologists can play a key role in encouraging smoking cessation to improve patient health.

Toggle SectionHerman Bagga, MD, Rut Patel, MD, Kushan Radadia, MD, Steven Jurczak, PA-C, Anna McMaster, PA-C, Zohra Sayani, FNP: urological emergency, Advanced Urology

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The study focuses on the diagnosis and management of urological emergencies, evaluating common conditions and their treatment strategies.

Method : This study employs a retrospective review of case reports and clinical trials involving patients presenting with urological emergencies, analyzing data on treatment outcomes and patient responses.

Findings : The findings indicate a high success rate in managing urological emergencies with early intervention and appropriate treatment plans, emphasizing the importance of swift diagnosis and management.

Toggle SectionJ E Pontes: renal parenchyma, NCBI

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The study reviews experiences related to urologic trauma cases, emphasizing proper emergency management and surgical interventions in patients with renal injuries.

Method : The study involved reviewing 311 cases of urologic trauma at Detroit General Hospital, with emphasis on surgical approaches and team organization.

Findings : The findings suggest that conservative management of renal injuries is preferred, with aggressive approaches utilized as necessary; also, specific surgical techniques are recommended for various types of urologic injuries.

Toggle SectionProstate Massage Effects, Open Urology and Nephrology Journal

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The study investigates the effects of prostate massage on various health outcomes.

Method : The research involved a controlled clinical trial with participants receiving prostate massage under medical supervision to evaluate its impacts.

Findings : Results indicated potential benefits such as improved urinary function and sexual health, but further research was suggested to confirm these findings.

Toggle SectionKidon Jang, Dae Hun Lee, Seung Hwan Lee, Byung Ha Chung: Chronic Bacterial Prostatitis, NCBI

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The study investigates the treatment of prostatic abscesses by comparing various methods including conservative treatment, transurethral resection, and TRUS-guided needle aspiration.

Method : This retrospective study analyzed 52 cases of prostatic abscess diagnosed through CT over a 10-year period, focusing on treatment methods, length of hospitalization, and recurrence rates.

Findings : Patients who underwent transurethral resection had a significantly shorter hospitalization compared to those treated with needle aspiration, and a higher recurrence rate was noted in the needle aspiration group.

Toggle SectionM P O’Leary: Study about tolerability and effectiveness of tamsulosin, PubMed

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The study focuses on the clinical use of tamsulosin in treating lower urinary tract symptoms associated with benign prostatic hyperplasia.

Method : The study reviews population-based research and clinical trials that assess the efficacy and safety of tamsulosin compared to other alpha blockers, including an examination of its impact on urinary flow rates and symptom relief without significant blood pressure effects.

Findings : Tamsulosin is shown to be effective in alleviating lower urinary tract symptoms and offers advantages in terms of safety, tolerability, and ease of administration, as it does not require titration and has a rapid onset of action.

Toggle SectionProstatitis, Columbia Urology

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Prostatitis is an inflammation or infection of the prostate gland which is common and often painful, affecting men of all ages. It is recognized as the most prevalent condition managed by urologists in men under 50, and its symptoms can resemble those of painful bladder syndrome.

Method : Diagnosis includes a thorough patient history, physical examination, digital rectal exam, blood and urine tests, and may involve imaging techniques like ultrasound or MRI. Treatment options largely depend on the type of prostatitis and can encompass antibiotics, alpha blockers, pelvic floor therapy, and behavioral changes.

Findings : Prostatitis is categorized into four types: acute bacterial, chronic bacterial, chronic non-bacterial (CPPS), and asymptomatic prostatitis. Individual treatment plans based on symptoms and patient lifestyle are critical for effective management.

Toggle SectionNot provided: Urethroplasty: A Review of Indications and Techniques, Indian Journal of Urology, 2020

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This study reviews the various indications and techniques for urethroplasty, a surgical procedure used to repair or reconstruct the urethra.

Method : The study utilizes a comprehensive literature review method, analyzing existing studies and surgical techniques related to urethroplasty.

Findings : It discusses the success rates, complications, and long-term outcomes associated with different urethroplasty techniques.

Toggle SectionHideyasu Tsumura, Takefumi Satoh, Hiromichi Ishiyama, Ken-ichi Tabata, Shouko Kotani, Satoru Minamida, Masaki Kimura, Tetsuo Fujita, Kazumasa Matsumoto, Masashi Kitano, Kazushige Hayakawa, Shiro Baba: Study on Flomax and blood pressure, PubMed

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This study compares the efficacy of three different α(1A)/α(1D)-adrenoceptor antagonists—naftopidil, tamsulosin, and silodosin—in treating lower urinary tract symptoms induced by brachytherapy in Japanese men with prostate cancer.

Method : The study was a prospective randomized controlled trial involving 212 patients who received either naftopidil, tamsulosin, or silodosin starting one day post brachytherapy, with assessments at multiple time points over one year to evaluate changes in urinary symptoms.

Findings : Silodosin demonstrated the most significant improvement in urinary symptoms compared to naftopidil and tamsulosin, particularly in terms of total International Prostate Symptom Score (IPSS) and postvoid residual urine at various time intervals.

Toggle SectionVedamurthy Reddy Pogula, Lalith Sagar Kadiyala, Vijayabhaskar Reddy Gouru, Sivasankar Reddy Challa, Ranadheer Byram, Sudeep Bodduluri: Efficacy of Tamsulosin and Tadalafil in Managing Urinary Symptoms, PubMed, 2019

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This study investigates the efficacy of tadalafil versus tamsulosin for managing lower urinary tract symptoms (LUTS) associated with benign prostatic hyperplasia (BPH).

Method : A randomized prospective trial was conducted with 50 patients in each group—one receiving tadalafil and the other tamsulosin—over a 12-week period. Patients were assessed at baseline, 4, and 12 weeks for various efficacy measures, including maximum flow rate and International Prostate Symptom Scores.

Findings : The study concluded that tamsulosin was more effective than tadalafil in treating LUTS secondary to BPH, with a higher percentage of patients reporting moderate LUTS in the tamsulosin group.

Toggle SectionSmita Pattanaik, Harbhupinder Singh Sandhu, Ravimohan Suryanarayan Mavuduru, Shrawan Kumar Singh, Arup Kumar Mandal: Tamsulosin and Erectile Dysfunction: A Comparison Study, PubMed Central

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This study compares the effects of tamsulosin and tadalafil in alleviating lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH) and their impact on erectile function.

Method : A randomized double-blind, placebo-controlled crossover study included men aged 45 and older with an International Prostate Symptom Score (IPSS) of 8 or higher. Participants were treated with tadalafil and tamsulosin in different sequences over specified periods, with assessments made using IPSS and the International Index of Erectile Function-5 (IIEF-5).

Findings : Both tamsulosin and tadalafil improved LUTS and erectile function without significant differences between the drugs in terms of overall effectiveness. Notably, tadalafil demonstrated better improvement in erectile function compared to tamsulosin.

Toggle SectionAhmed M Elshal, Hazem M Elmansy, Mohamed A Elkoushy, Mostafa M Elhilali: Update on the Safety and Efficacy of Laser Techniques for Benign Prostatic Hyperplasia, PubMed

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The study assesses the impact of three laser surgical techniques for prostate surgery on male sexual function outcomes.

Method : In this longitudinal study, 216 men were evaluated preoperatively and after one year using the International Index of Erectile Function-15 questionnaire, which assessed sexual function changes post-laser prostatectomy.

Findings : Results demonstrated significant differences in erectile function outcomes among the three techniques, with holmium laser enucleation showing improvement in scores while the other methods did not. Furthermore, new onset retrograde ejaculation was significantly higher in the enucleation group.

Toggle SectionTika Ram Bhandari, Sudha Shahi, Naveen Mahaseth: Complications of Foley Catheter Removal, JAMA Internal Medicine

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The study reports a rare case of massive encrustation of a long-term indwelling Foley catheter that led to complications.

Method : The case involves a 55-year-old male who underwent open suprapubic cystostomy for removal of an encrusted Foley catheter after being neglected for over two years without a replacement. A plain X-ray was used to assess the encrustation.

Findings : The findings indicate that massive encrustation is an unusual but serious complication of long-term indwelling catheters. The authors concluded that surgical removal is the only effective treatment for such unusual cases, alongside recommendations for proper patient education and catheter management to prevent future occurrences.

Toggle SectionMalte Rieken, Nicole Ebinger Mundorff, Gernot Bonkat, Stephen Wyler, Alexander Bachmann: Long-term complications after laser prostate surgery: an update, PubMed

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The study reviews the long-term complications and safety profile of laser prostate surgery techniques for treating bladder outlet obstruction due to benign prostate enlargement.

Method : A Medline search was conducted to collect data over the past four years on the intra- and postoperative morbidity associated with various laser techniques, including holmium laser enucleation of the prostate (HoLEP) and photoselective vaporization of the prostate (PVP).

Findings : The study concluded that HoLEP and KTP or LBO laser vaporization are effective with low morbidity, while diode lasers and thulium laser applications require more evidence from high-quality trials to confirm their clinical efficacy.

Toggle SectionBimalesh Purkait, Manoj Kumar, Ankur Bansal, Ashok Kumar Sokhal, Satya Narayan Sankhwar, Kawaljit Singh: Comparison of Single vs Double Catheter Techniques for Continuous Bladder Irrigation in Patients Undergoing Urological Surgery: Cancer or Non-cancer Patients, PMC

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The study investigates the effects of normal saline versus distilled water as irrigation fluids during percutaneous nephrolithotomy (PCNL) in patients with renal failure, focusing on fluid overload and electrolyte imbalances.

Method : Seventy-six patients with compromised renal function were randomized into two groups: Group A (normal saline) and Group B (distilled water). Hematocrit and serum electrolyte levels were measured pre- and post-operatively to evaluate the outcomes.

Findings : The use of distilled water irrigation was associated with significant hyponatremia and hematocrit reductions in renal failure patients, indicating that normal saline is a safer irrigation fluid choice during PCNL procedures.

Toggle SectionLevi Ballstaedt, Stephen W. Leslie, Blair Woodbury: Postvoid Residual Volume Study, NCBI Books

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The study focuses on the measurement of post-void residual volume (PVR) in the bladder, which serves as a diagnostic tool for various urological conditions.

Method : PVR can be measured through urinary catheterization, portable bladder scanners, or formal ultrasound examinations. The study emphasizes the accuracy and non-invasive nature of bladder scanning compared to catheterization and the importance of timely measurement post-void.

Findings : The study concludes that bladder scanning is a convenient, non-invasive, and accurate method for measuring PVR, with no significant difference in results compared to catheterization. It highlights the importance of PVR measurement in diagnosing urinary retention and other bladder disorders, recommending the use of non-invasive tools wherever possible.

Toggle SectionAshok Kumar Sokhal, Rahul Janak Sinha, Bimalesh Purkait, Vishwajeet Singh: Relationship of Waist circumference and Bladder Pressure, NCBI

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The study evaluates the clinical outcomes and efficacy of transurethral resection of the prostate (TURP) in patients with benign prostatic enlargement (BPE) and underactive bladder.

Method : A retrospective analysis of 174 patients who underwent TURP between 2008 and 2015, with various clinical evaluations including history, physical examinations, and urodynamic studies. Excluded were patients with neurologic conditions, diabetes, urethral surgery, and prostatic cancer.

Findings : The study found a significant improvement in urinary symptoms and quality of life post-TURP; however, 12.64% of patients remained dependent on catheters due to voiding failure after the procedure.

Toggle SectionUrine Flow Test, Hopkins Medicine

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The urine flow test assesses how well the bladder and sphincter function by measuring the speed and volume of urine flow over time. It helps identify any blockages in the urinary tract that could impede normal urination.

Method : The test involves urinating into a specialized funnel connected to a measuring device, which records urine volume, flow rate, and time until completion. The patient is instructed to stay still and not to exert any additional force while urinating.

Findings : The urine flow test can reveal anomalies in urinary output patterns and help diagnose conditions such as benign prostatic hypertrophy, urinary blockages, and neurogenic bladder dysfunction. Variations in normal flow patterns can indicate underlying health issues.

Toggle SectionTimothy Y Tseng, Marshall L Stoller: Obstructive Uropathy, PubMed

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The study discusses obstructive uropathy, a condition characterized by the obstruction of normal urinary flow due to anatomical or functional issues, which is especially prevalent in the geriatric population.

Method :

Findings :

Toggle SectionNishant D. Patel, J. Kellogg Parsons: Bladder overflow obstruction, Research on Prostate Disorders

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This study discusses benign prostatic hyperplasia (BPH) and bladder outlet obstruction (BOO), their definitions, epidemiology, and risk factors, as well as their public health impacts on older men. It emphasizes both non-modifiable and modifiable risk factors that may influence the onset and progression of these conditions.

Method : The authors reviewed epidemiological studies and current concepts surrounding the risk factors associated with BPH and BOO. They analyzed historical data to demonstrate how the prevalence and treatment of these conditions have changed over time, particularly with an aging population.

Findings : The findings indicate a significant increase in the incidence and prevalence of BPH and LUTS among older men due to aging demographics and modifiable risk factors such as metabolic syndrome, obesity, and lifestyle choices. The study highlights the need for awareness and interventions that can impact these risk factors to improve outcomes for affected individuals.

Toggle SectionMinoru Kobayashi, Akihiko Tokue, Tatsuo Morita: Not Provided, Urologia Internationalis, Not Provided

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This study investigates the effects of discontinuing tamsulosin treatment in men with lower urinary tract symptoms (LUTS) after initial symptom improvement.

Method : The study enrolled 33 of 78 patients who had milder forms of prostate hyperplasia and had shown symptom improvement as per the International Prostate Symptom Score. Evaluations of both subjective and objective parameters were conducted at multiple intervals: baseline, after treatment, and at 4, 8, 12, and 24 weeks post-discontinuation.

Findings : A high rate of successful discontinuation was observed, with 80.6% at 4 weeks, remaining above 68.9% at 24 weeks. Initial temporary symptom worsening was noted at 4 weeks, but symptoms reverted to near pre-treatment levels by 24 weeks, suggesting continuous treatment may not always be necessary for some patients.

Toggle SectionMohamed El-Shazly, Nawaf El-Enzy, Khaled El-Enzy, Encho Yordanov, Badawy Hathout, Adel Allam: Transrectal ultrasound-guided needle aspiration, NCBI

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The study evaluates different treatment methods for prostatic abscess and provides technical points to enhance the outcomes of transurethral drainage (TUR).

Method : The authors conducted a retrospective study of 11 patients diagnosed with prostatic abscess. Different drainage techniques were employed: TUR drainage in 7 cases, ultrasound-guided transrectal drainage in 2, and ultrasound-guided perineal drainage in 2.

Findings : All patients who underwent TUR drainage had successful outcomes without requiring further treatment or surgery, demonstrating that TUR drainage increases the chance of successful resolution while minimizing the risk of complications.

Toggle SectionCharalampos Konstantinidis, Zisis Kratiras, Michael Samarinas, Konstantinos Skriapas: A 3-day bladder diary is reliable and efficient for patients with suprapontine neurogenic lower urinary tract dysfunction, NCBI

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This study investigates the optimal duration for bladder diaries in patients with suprapontine neurogenic lower urinary tract dysfunction to determine the minimum length needed for reliable documentation.

Method : The study involved 285 patients who completed a bladder diary for 7 consecutive days. Data on micturition frequency, volume, and episodes of urgency and incontinence were collected, and comparisons were made between averages from shorter diary durations (2-6 days) against the 7-day reference for reliability.

Findings : The study found that a 3-day bladder diary provides reliable data comparable to the 7-day diary for four out of five measured parameters, although it was borderline for incontinence episodes, indicating that a 3-day duration is efficient.

Toggle SectionJeanette S Brown, Kristin S McNaughton, Jean F Wyman, Kathryn L Burgio, Richard Harkaway, Donald Bergner, David S Altman, Joel Kaufman, Keith Kaufman, Cynthia J Girman: Voiding diary completed for seven days is reliable and valid for documenting changes in symptoms of overactive bladder, PubMed

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The study investigates the test-retest reliability and validity of a 7-day voiding diary for assessing symptoms of overactive bladder.

Method : Participants, consisting of 21 men and 133 women with a history of urge incontinence or mixed incontinence with urge, completed a 7-day voiding diary on two separate occasions. The reliability was measured using intraclass correlation coefficients (ICCs) and correlations with global questions on urinary symptoms were assessed for validity.

Findings : The study found that the 7-day voiding diary exhibited good to excellent reliability (ICCs ranging from 0.81 to 0.86) and validly documented changes in overactive bladder symptoms. Shorter diaries (3-4 days) also demonstrated acceptable reliability, indicating potential for flexibility in diary duration based on the required precision.

Toggle SectionTania Lourenco, Matthew Shaw, Cynthia Fraser, Graeme MacLennan, James N’Dow, Robert Pickard: Transurethral incision of the prostate (TUIP), PubMed, 2018

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The study evaluates the clinical effectiveness of transurethral incision of the prostate compared to transurethral resection of the prostate in treating benign prostate enlargement.

Method : The authors conducted a systematic review and meta-analysis of randomized controlled trials comparing TUIP with TURP, analyzing both short- and long-term data.

Findings : The review found no significant difference in symptomatic improvement between TUIP and TURP, with TUIP showing a lower improvement in urine flow rate but less peri-operative morbidity, although it had a higher re-operation rate.

Toggle SectionTongqing Wang, Lei Wang, Yalin Liang, Jiechang Ju, Yi Cai, Jie Zhang, Hongtao Zhen, Yaolei Liu, Xiaolong Tang, Jizheng Wang, Jian Liu: Research on Tamsulosin Effectiveness, NCBI

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This study compares the effectiveness of two α1-receptor blockers, tamsulosin and alfuzosin, on urinary symptoms, sexual function, and quality of life in young and middle-aged men with benign prostatic hyperplasia (BPH).

Method : The study involved 80 patients divided into two groups, receiving either tamsulosin or alfuzosin for 18 days. Various parameters, including urinary flow rates and semen quality, were measured before and after treatment.

Findings : The results indicated that tamsulosin was significantly more effective than alfuzosin in improving urinary symptoms, sexual function, semen quality, and overall quality of life, as reflected in higher scores in various measured indices.

Toggle SectionJonathan L Edwards: Study on Rare Side Effects of Tamsulosin, PubMed

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The study addresses the diagnosis and management of benign prostatic hyperplasia (BPH), a common condition in older men characterized by urinary issues.

Method : The study involved a review of existing literature and guidelines regarding the management of BPH, focusing on symptom assessment using the American Urological Association Symptom Index, physical examination, and various treatment options, including medication and surgery.

Findings : The findings highlighted that alpha blockers provide quick symptom relief, while 5-alpha reductase inhibitors may alter disease progression. Various surgical interventions were noted to be effective, with newer methods showing efficacy and lower morbidity.

Toggle SectionHenk van der Worp, Petra Jellema, Ilse Hordijk, Yvonne Lisman-van Leeuwen, Lisa Korteschiel, Martijn G Steffens, Marco H Blanker: Study on Managing Side Effects of Tamsulosin, PubMed

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This study systematically reviews and analyzes the effects of discontinuing alpha-blocker therapy in men with lower urinary tract symptoms, focusing on symptom scores, peak urine flow rates, quality of life, and adverse events.

Method : The authors conducted a systematic review and meta-analysis of studies from various databases, selecting controlled trials where men were treated with alpha-blockers for at least three months. They independently extracted data and assessed the risk of bias using established tools, pooling data using random-effects meta-analyses.

Findings : The analysis revealed that discontinuing alpha-blocker monotherapy worsened symptoms and reduced peak flow rates in the short term, while discontinuation after combination therapy showed no significant long-term effects. A notable percentage of patients (0%-49%) reinstated therapy after discontinuation, and adverse events did not increase with the stop of medication.

Toggle SectionJoyce A Generali, Dennis J Cada: The Role of Alpha-Blockers in the Management of Benign Prostatic Hyperplasia, National Center for Biotechnology Information

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This study discusses the role of alpha-blockers, specifically prazosin, in the management of benign prostatic hyperplasia (BPH) and its associated symptoms including urinary issues.

Method : The study utilized an open randomized design involving 121 male patients with mild to moderate BPH who were treated with prazosin, terazosin, or tamsulosin over a four-week period. Patients’ symptoms were rated using a 6-point scale, and uroflowmetry assessments were performed.

Findings : The study found that although prazosin showed some improvement in total symptom scores after four weeks, it had limited research compared to other alpha-blockers. The American Urology Association guidelines indicated insufficient data to recommend prazosin for BPH management.

Toggle SectionTimothy J Wilt, Roderick MacDonald: Doxazosin for Benign Prostatic Hyperplasia, NCBI

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The study evaluates the efficacy and safety of doxazosin for the treatment of lower urinary tract symptoms associated with benign prostatic hyperplasia (BPH).

Method : Fourteen randomized controlled trials involving a total of 6261 men were combined to assess the effects of doxazosin. The primary outcome measured was improvement in urinary symptoms, assessed using the International Prostate Symptom Score (IPSS).

Findings : Doxazosin significantly improved urinary symptoms and flow rates compared to placebo, but the improvement may not be clinically noticeable to patients. Combination therapy with finasteride showed better outcomes than either medication alone.

Toggle SectionLi-Xin Hua, Hong-Fei Wu, Yuan-Geng Sui, Shuang-Guan Chen, Zheng-Quan Xu, Wei Zhang, Li-Xin Qian: Efficacy of Tamsulosin for Acute Urinary Retention After Catheter Removal, PubMed

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The study evaluates the efficacy of tamsulosin in treating patients with benign prostatic hyperplasia (BPH) who experience acute urinary retention after catheter removal.

Method : A total of 72 BPH patients were randomly allocated into a treatment group and a control group, with each group comprising 36 patients. The treatment group received tamsulosin at a dosage of 0.4 mg once a day for 3 days alongside standard treatment, and the catheter was removed after 72 hours.

Findings : The results indicated that 44% of all patients voided successfully after catheter removal. Specifically, the treatment group showed a success rate of 61%, while the control group had a rate of 28%, demonstrating a statistically significant improvement with tamsulosin treatment.

Toggle SectionUroflowmetry, Columbia Urology

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This study focuses on Uroflowmetry, a diagnostic test that measures urine flow rate to assess bladder and sphincter function.

Method : The procedure involves the patient urinating into a specialized receptacle that quantifies the amount of urine produced, its flow rate, and the time taken to fully empty the bladder.

Findings : Uroflowmetry helps diagnose various conditions related to urinary tract health, such as benign prostatic hypertrophy (BPH), prostate cancer, bladder cancer, incontinence, urinary obstruction, neurogenic bladder dysfunction, and urinary tract infections (UTIs).

Toggle SectionAriana L. Smith, M.D., FPMRS: Urinary tract – how it works, NIDDK

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This study provides an overview of the urinary tract’s structure and function, detailing how urination occurs and its significance for health. It explores factors affecting urine production and offers tips for maintaining a healthy urinary tract.

Method :

Findings :

Toggle SectionUrge Incontinence, Penn Medicine

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The study investigates the incidence and impact of urge incontinence among various populations, focusing on its underlying causes and treatment options available.

Method : The study employed a combination of retrospective analysis of patient records along with a survey method to assess symptoms and treatment outcomes.

Findings : The findings indicate a high prevalence of urge incontinence, particularly among older adults, and highlight the effectiveness of behavioral therapies and medications in managing symptoms.

Toggle SectionTobias Klein, Rein Jueri Palisaar, Alexander Holz, Marko Brock, Joachim Noldus, Andreas Hinkel: Study on Prostate Biopsy Effects, PubMed

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This study investigates the impact of prostate biopsy and periprostatic nerve block on erectile and voiding function in patients suspected of having prostate cancer.

Method : The study included 198 patients who were randomly assigned to receive either a 10-core biopsy with or without periprostatic nerve block. Additionally, 53 men with previous negative biopsies underwent a 20-core saturation biopsy with nerve block. Various scores were measured at multiple time points before and after the procedures to assess function changes.

Findings : The study found that prostate biopsy significantly impaired voiding, with effects lasting after saturation biopsy. While erectile function was transiently affected, voiding function showed a lasting impact, especially after saturation biopsy.

Toggle SectionC Carani, V Salvioli, A Scuteri, A Borelli, A Baldini, A R Granata, P Marrama: Effect of Pygeum extract on urinary symptoms of prostatitis, PubMed

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The study evaluates the efficacy of Pygeum africanum extract (Tadenan) in treating urinary symptoms in patients with benign prostatic disease, specifically chronic prostatitis and prostatic hypertrophy, and its impact on sexual dysfunction.

Method : Eighteen patients received high doses of Pygeum africanum extract for 60 days, with urinary symptoms evaluated through anamnesis and prostatic transrectal echography, while sexual dysfunction was assessed through nightly penile tumescence and hormonal level measurements before and after treatment.

Findings : The treatment led to significant improvements in urinary parameters and a reduction in peri-urethral edema, as well as some enhancement in sexual behavior. However, no notable changes in serum hormonal levels or NPTR were observed.

UTI

Toggle SectionAnna Mae Scott, Justin Clark, Chris Del Mar, Paul Glasziou: Systematic Review on UTI Recurrence, PubMed

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This study assesses the effectiveness of increased fluid intake in reducing the recurrence of urinary tract infections (UTIs) in individuals at risk.

Method : The authors conducted a systematic review and meta-analysis, searching multiple databases for randomized controlled trials related to increased fluid intake and UTI recurrence. They included studies that compared increased fluid intake against no treatment or control with no antimicrobials.

Findings : The findings indicated a non-significant reduction in UTI recurrence after 12 months but a significant reduction at ≤6 months with increased fluid intake. The review also suggested that advising patients to drink more fluids could be a beneficial preventative measure.

UTIs

Toggle SectionReeta Ala-Jaakkola, Arja Laitila, Arthur C. Ouwehand, Liisa Lehtoranta: Using D-mannose and antibiotics together for UTIs, Biomed Central Nutrition

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This study reviews the role of D-mannose in preventing and treating urinary tract infections (UTIs), particularly focusing on its effectiveness compared to antibiotics and its potential use as a complementary treatment.

Method : The authors conducted a narrative review of existing research on D-mannose and its effects on UTIs, exploring both the mechanisms of action as well as clinical evidence from trials involving D-mannose treatments.

Findings : The review suggests that D-mannose could be a promising alternative or complementary treatment for UTIs, particularly for recurrent cases, potentially reducing the need for antibiotics and thus addressing concerns about antibiotic resistance.

Vaginal Health

Toggle SectionSara E. Crann, Shannon Cunningham, Arianne Albert, Deborah M. Money, Kieran C. O’Doherty: Prevalence and risk factors of urinary tract infections in women, BMC Women’s Health, 2018

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The study investigates vaginal health and hygiene practices among Canadian women, focusing on product use and its association with adverse gynecological health conditions.

Method : An anonymous online survey was conducted across Canada, targeting participants aged 18 and older to assess their vaginal/genital health and hygiene practices. Data from 1435 respondents were analyzed, utilizing descriptive and logistic regression analyses to explore associations between product use and health conditions.

Findings : The study found that 95% of respondents used at least one vaginal health product, with significant associations between product use and higher odds of adverse health conditions, including yeast infections, bacterial vaginosis, and UTIs.

Vaginitis

Toggle SectionJason P. Hildebrand, Karen Carlson, Adam T. Kansagor: Medications and Drug Interactions, National Center for Biotechnology Information

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This study addresses vaginitis, a common condition characterized by inflammation of the vagina that can result in symptoms such as itching, burning, discomfort, and abnormal discharge. It highlights the importance of understanding the underlying causes for effective management and treatment, considering the various types of vaginitis, including bacterial vaginosis, yeast infections, and trichomoniasis.

Method : The study employs a comprehensive educational approach targeted at healthcare professionals, providing insights into symptomatology, diagnostic criteria, treatment protocols, and the role of interprofessional collaboration in managing vaginitis.

Findings : Effective management of vaginitis involves accurate diagnosis followed by tailored treatment plans. The study suggests that while most cases can be resolved with appropriate interventions, recurrence is common, necessitating careful follow-up and potential adjustments in treatment strategies.

Vanadium

Toggle SectionJosé L Domingo, Mercedes Gómez: Study on Vanadium in Humans, PubMed

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The study reviews the potential of vanadium compounds as treatments for diabetes mellitus based on over thirty years of research.

Method : This is a systematic review of existing literature on the effects of vanadium compounds on diabetes, particularly focusing on their insulin-like effects and potential toxicity.

Findings : While vanadium compounds show insulin-like effects in animal models, their efficacy in humans has not been convincingly established, and the potential risks associated with long-term use raise concerns about their suitability for diabetes treatment.

Vasectomy

Toggle SectionBimal Bhindi, Christopher J D Wallis, Madhur Nayan, Ann M Farrell, Landon W Trost, Robert J Hamilton, Girish S Kulkarni, Antonio Finelli, Neil E Fleshner, Stephen A Boorjian, R Jeffrey Karnes: Vasectomy and prostate cancer: an update, National Center for Biotechnology Information

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This study investigates whether vasectomy is associated with an increased risk of prostate cancer, high-grade prostate cancer, advanced prostate cancer, and fatal prostate cancer.

Method : The study is a systematic review and meta-analysis that included 53 studies comprising 16 cohort studies, 33 case-control studies, and 4 cross-sectional studies. Various databases were searched for studies indexed from inception to March 21, 2017, and data were analyzed using random-effects models. Risk of bias was assessed using the Newcastle-Ottawa Scale, and associations were calculated for different prostate cancer outcomes.

Findings : The review found a weak association between vasectomy and any risk of prostate cancer, with an adjusted rate ratio of 1.05 among cohort studies, indicating a weakly significant association. No statistically significant association was found for high-grade, advanced-stage, or fatal prostate cancer. Overall, if assuming a causal association, the increased lifetime risk of prostate cancer due to vasectomy was estimated at 0.6%.

Vibration Therapy

Toggle SectionJordan E Rullo, Tierney Lorenz, Matthew J Ziegelmann, Laura Meihofer, Debra Herbenick, Stephanie S Faubion: Studies on Vibration Therapy for ED, NCBI

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The study reviews the evidence regarding the use of genital vibration as a tool for enhancing sexual function and addressing sexual dysfunctions.

Method : This study is a narrative review aggregating findings from existing literature on genital vibration from multiple databases, focusing primarily on sexual function improvements.

Findings : The findings suggest that vibratory stimulation is beneficial for treating erectile dysfunction, ejaculatory dysfunction, and anorgasmia, and is positively correlated with increased sexual desire and overall sexual function.

Vitamin D

Toggle SectionGeovanni Espinosa, Ralph Esposito, Amir Kazzazi, Bob Djavan: Vitamin D and Prostate Volume, PubMed

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The study reviews the correlation between vitamin D levels and benign prostatic hyperplasia (BPH), which is characterized by the excessive growth of prostate cells leading to lower urinary tract symptoms. It highlights the prevalence of vitamin D deficiency in men with BPH and its potential role in disease progression.

Method : The study employed a comprehensive literature review methodology, compiling the most relevant studies discussing the effects of vitamin D on BPH. Various studies were analyzed to understand the relationship and potential implications of vitamin D supplementation in men with enlarged prostate.

Findings : Findings suggest that vitamin D may inhibit pathways associated with prostate cell proliferation, correlating increased vitamin D intake with a reduced prevalence of BPH. High doses of vitamin D analogues have demonstrated a decrease in prostate volume, indicating potential therapeutic benefits in BPH management.

Weight Loss

Toggle SectionRena R Wing, Delia Smith West, Deborah Grady, Jennifer M Creasman, Holly E Richter, Deborah Myers, Kathryn L Burgio, Frank Franklin, Amy A Gorin, Eric Vittinghoff, Judith Macer, John W Kusek, Leslee L Subak: Studies Confirm Weight Loss Can Reduce Urinary Incontinence, National Center for Biotechnology Information

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This study investigates the long-term impact of a behavioral weight loss intervention on urinary incontinence (UI) among overweight and obese women over 18 months.

Method : The study randomized 338 overweight and obese women with at least 10 UI episodes weekly to an 18-month behavioral weight loss intervention or a control group. Outcomes were measured at baseline, 6, 12, and 18 months using assessments conducted by staff masked to group allocation.

Findings : The weight loss intervention led to significant reductions in weekly stress UI episodes and improved participant satisfaction compared to the control group at 12 months. Although some benefits persisted at 18 months, differences between groups diminished, indicating the need for ongoing support for weight maintenance.

Toggle SectionNajmeh Maharlouei, Reza Tabrizi, Kamran B Lankarani, Abbas Rezaianzadeh, Maryam Akbari, Fariba Kolahdooz, Maryam Rahimi, Fariba Keneshlou, Zatollah Asemi: A review of ginger supplementation and its impact on weight loss, PubMed, 2019

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The study reviews the effect of ginger intake on weight loss, glycemic control, and lipid profiles in overweight and obese individuals, through a systematic review and meta-analysis of randomized controlled trials.

Method : This study performed a systematic review and meta-analysis of 14 randomized controlled trials involving 473 subjects, assessing the effects of ginger supplementation on body weight, waist-to-hip ratio, fasting glucose, and lipid levels using inverse variance method and Cochrane risk of bias tool for quality assessment.

Findings : The results indicated that ginger supplementation significantly reduced body weight, waist-to-hip ratio, fasting glucose, and improved HDL-cholesterol levels, while showing no significant effects on BMI, insulin, triglycerides, and LDL-cholesterol levels.

Toggle SectionTomoyoshi Aoyagi, Krista P Terracina, Ali Raza, Hisahiro Matsubara, Kazuaki Takabe: Pharmacologic Approaches to Address Weight Loss and Cachexia, PubMed

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The study reviews cancer cachexia, its mechanisms, and treatment options, highlighting the majority of cancer patients eventually developing cachexia characterized by weight loss and muscle mass reduction.

Method : The review presents insights from various clinical studies and trials regarding existing and emerging treatment options for cancer cachexia, focusing on pharmacological approaches and multidisciplinary interventions.

Findings : Existing therapies mainly alleviate symptoms and improve life quality, while newer combination therapies with dietary and pharmaceutical strategies show potential to improve survival rates and are currently being explored in clinical trials.

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