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Adapting Gastrointestinal Organoids for Pathogen Infection and Single Cell Sequencing under Biosafety Level 3 BSL-3 Conditions
Published on: September 10, 2021
Large-scale disaster and gastrointestinal diseases.
Keiichi Tominaga1, Masakazu Nakano2, Mina Hoshino3
1Department of Gastroenterology, Dokkyo Medical University, Mibu, Shimotsuga, Tochigi, 321-0293, Japan. tominaga@dokkyomed.ac.jp.
Disasters impact gastrointestinal health across acute, subacute, and chronic phases. Key issues range from nutrition and hydration to conditions like peptic ulcers and inflammatory bowel disease.
Area of Science:
- Disaster medicine
- Gastroenterology
- Public health
Background:
- Large-scale disasters worldwide prompt medical investigations, including epidemiological studies.
- Gastrointestinal diseases are frequently identified in disaster-related health issues.
- These health problems manifest across acute, subacute, and chronic phases post-disaster.
Purpose of the Study:
- To review and synthesize the spectrum of gastrointestinal diseases and related health problems following large-scale disasters.
- To categorize gastrointestinal issues according to the temporal phases of disaster impact: acute, subacute, and chronic.
Main Methods:
- Review of existing medical literature, including epidemiological studies, case reports, and case series on disaster-related diseases.
- Analysis of identified gastrointestinal diseases based on their occurrence in different post-disaster phases.
Main Results:
- Acute phase issues primarily involve food security and nutrition.
- Subacute phase problems focus on constipation and diarrhea.
- Chronic phase concerns include upper gastrointestinal issues (peptic ulcer, functional dyspepsia) and lower gastrointestinal issues (inflammatory bowel disease, irritable bowel syndrome).
- Significant hepatobiliary pancreatic diseases like chronic hepatitis B and alcoholic liver disease/pancreatitis are also noted.
Conclusions:
- Gastrointestinal health is significantly affected by disasters, with distinct problems emerging in each phase.
- Understanding these phased impacts is crucial for effective disaster response and long-term health management.
- Targeted interventions are needed for nutritional support, managing bowel irregularities, and addressing chronic gastrointestinal and hepatobiliary conditions post-disaster.
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