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弥合微循环基础研究与临床世界之间的差距:工程学与医学之间的转化联姻。

Bridging the gap between basic research on microcirculation and clinical world: The translational marriage between engineering and medicine.

机构信息

Department of Industrial Engineering, University of Padova, Padova, Italy.

UOC of Angiology, Azienda Ospedale Università di Padova, Padova, Italy.

出版信息

Clin Hemorheol Microcirc. 2019;71(3):357-363. doi: 10.3233/CH-180415.

Abstract

The words "Translational" and "Medicine" have been recently coupled to indicate a combination of disciplines, resources, expertise, and techniques aimed at enhancing prevention, diagnosis, and therapies. As stated in 2015 by the European Society for Translational Medicine, translational medicine is "an interdisciplinary branch of the biomedical field supported by three main pillars: benchside, bedside and community". By definition, Translational Medicine is a highly interdisciplinary field, which gathers several specialties aimed at improving the global healthcare system.With regard to the assessment of the microcirculatory function, it is worthwhile to mention the growing interest from both basic research and clinical practice. Microcirculation is where the exchange of substances between blood and tissues takes place. Thus, it plays a key role in the pathophysiology of many diseases. Nonetheless, a gap does exist between the theoretical analysis of the microcirculatory function and its clinical exploitation. This gap can be due to the weak dissemination of analytical methods and theoretical results within the clinical community, which also delays the establishment of specific operative guidelines.This paper aims at encouraging, and possibly accelerating, the translation of basic research outcomes on microcirculatory function assessment into clinical applications.

摘要

“转化”和“医学”这两个词最近被联系在一起,以表示旨在增强预防、诊断和治疗的跨学科、资源、专业知识和技术的结合。正如 2015 年欧洲转化医学协会所述,转化医学是“由三个主要支柱支撑的生物医学领域的一个跨学科分支:床边、社区和实验室”。从定义上讲,转化医学是一个高度跨学科的领域,汇集了旨在改善全球医疗保健系统的多个专业。

关于微循环功能的评估,值得一提的是基础研究和临床实践的兴趣日益增加。微循环是血液和组织之间物质交换的地方。因此,它在许多疾病的病理生理学中起着关键作用。然而,微循环功能的理论分析与其临床应用之间确实存在差距。这种差距可能是由于分析方法和理论结果在临床界的传播较弱,这也延迟了特定操作指南的建立。

本文旨在鼓励并可能加速将微循环功能评估的基础研究成果转化为临床应用。

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