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相关概念视频

Drug Toxicity: Risk factors01:24

Drug Toxicity: Risk factors

38
Adverse Drug Reactions (ADRs) are potential complications that arise during pharmacotherapy, influenced by multiple risk factors. Age plays a significant role; both neonates and the elderly are at heightened risk due to their respective immature and diminished metabolic and elimination processes. Gender also impacts ADRs, with females experiencing a 1.5 to 1.7-fold greater risk than males, which may be linked to pharmacokinetic, pharmacodynamic, and hormonal differences. Notably, neonates, the...
38
Vitamins01:30

Vitamins

2.6K
Vitamins, derived from the Latin word for life, are essential organic substances required in small quantities for optimal growth and overall well-being. Unlike other organic nutrients, vitamins don't act as sources of energy or building materials but rather facilitate these nutrients' utilization by the body. Vitamins are predominantly coenzymes, assisting enzymes in specific chemical actions, like the oxidation of glucose for energy involving B vitamins. Most vitamins are not produced...
2.6K
Bioavailability Study Design: Healthy Subjects Versus Patients01:15

Bioavailability Study Design: Healthy Subjects Versus Patients

190
Bioavailability studies are essential for evaluating a drug's therapeutic efficacy and understanding its absorption patterns under various physiological conditions. Conducting such studies on target patient populations provides more relevant data by simulating real-world disease states. However, practical challenges often necessitate the use of young, healthy adult volunteers as study subjects.Patients may exhibit altered drug absorption patterns due to the effects of the disease itself,...
190
Bioavailability Study Design: Single Versus Multiple Dose Studies01:11

Bioavailability Study Design: Single Versus Multiple Dose Studies

283
Bioavailability studies are essential for understanding how a drug is absorbed, distributed, metabolized, and excreted in the body. These studies assess the extent and rate at which the active pharmaceutical agent becomes available at the site of action. The design of bioavailability studies can involve single-dose or multiple-dose regimens, each with distinct advantages and limitations.Single-dose studies are the preferred approach due to their simplicity and reduced drug exposure for...
283
Dosage Regimens: Designs and Approaches01:28

Dosage Regimens: Designs and Approaches

386
Designing a dosage regimen, which refers to the manner of drug administration, is a complex process involving the selection of drug dose, route, and frequency. This process is underpinned by pharmacokinetic parameters derived from tests and population averages. These parameters are then tailored to patient-specific variables such as diagnosis, demographics, and allergy status. Once therapy commences, therapeutic response monitoring is critical and achieved through clinical and physical...
386
Bioequivalence of Drugs: Drugs with Multiple Indications01:09

Bioequivalence of Drugs: Drugs with Multiple Indications

177
The concept of therapeutic equivalence (TE) in drugs with multiple indications is complex. A generic drug may be therapeutically equivalent to a brand-name product for one specific indication, but this doesn't necessarily mean it's equivalent for all other indications. Evidence of TE in one patient group and bioequivalence shown in healthy volunteers can support—but not confirm—TE for other indications. However, definitive proof requires individual clinical studies for each...
177

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相关实验视频

Updated: Feb 24, 2026

A Clinical Trial Assessing the Safety, Efficacy, and Delivery of Olive-Oil-Based Three-Chamber Bags for Parenteral Nutrition
04:53

A Clinical Trial Assessing the Safety, Efficacy, and Delivery of Olive-Oil-Based Three-Chamber Bags for Parenteral Nutrition

Published on: September 20, 2019

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成人医疗实践中的多种维生素:证据,风险和务实的处方

Pedro M Neves1, Sofia Almeida1, Vital Domingues2

  • 1Internal Medicine, Unidade Local de Saúde de Santo António, Porto, PRT.

Cureus
|February 23, 2026
PubMed
概括

多种维生素对特定的缺陷和高风险群体有好处,但对营养良好成年人的一般预防没有好处. 常规使用提供有限的益处和潜在的危害,需要有针对性的补充和患者教育.

科学领域:

  • 内部医学 内部医学
  • 营养科学 营养科学
  • 预防医学 预防医学

背景情况:

  • 多种维生素和矿物质补充剂的使用广泛,通常在正式的医疗指导之外.
  • 支持复合维生素广泛预防性健康益处的证据仍然没有确定性.
  • 内科医生需要有关适当使用多种维生素的指导,考虑益处和风险.

研究的目的:

  • 综合证据验证的适用情况,临床益处和多维生素-矿物质补充剂的危害.
  • 为内部医生提供关于多维生素使用的务实处方方法.
  • 评估复合维生素对死亡率,心血管事件和癌症等艰难结果的疗效.

主要方法:

  • 对2000年至2025年8月期间的指导方针,随机试验和元分析进行叙述性审查.
  • 专注于有关全因死亡率,心血管事件,癌症和认知的高水平证据.
  • 与内科相关的优先条件,包括吸收不良,减肥手术和衰老.

主要成果:

  • 多种维生素对于记录的缺陷和高风险状态是合理的 (例如,吸收不良,腹术后手术,酒精使用障碍,怀孕,虚弱).
  • 在一般营养良好的成年人中,复合维生素不能减少心血管事件或死亡率;预防癌症的好处是边际的.
  • 潜在的风险包括高维生素症,药物营养相互作用,掩盖缺陷和取代健康饮食习惯.
关键词:
酒精使用障碍 饮酒障碍所有原因的死亡率.减肥手术 减肥手术是什么癌症发病率和死亡率心血管事件的发生.内部医学是内科的专业.多种维生素-矿物质补充剂

相关实验视频

Last Updated: Feb 24, 2026

A Clinical Trial Assessing the Safety, Efficacy, and Delivery of Olive-Oil-Based Three-Chamber Bags for Parenteral Nutrition
04:53

A Clinical Trial Assessing the Safety, Efficacy, and Delivery of Olive-Oil-Based Three-Chamber Bags for Parenteral Nutrition

Published on: September 20, 2019

11.4K

结论:

  • 常规的多种维生素处方对一般营养良好的成年人提供了很少的临床益处,除了特定的缺乏状态之外.
  • 基于查和测试的有针对性的营养补充剂比广泛的多维生素使用更为可取.
  • 内科医生应指导患者适当使用补充剂,监测安全性,并强调饮食优先策略.