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RESULTS OF PERCUTANEOUS TREATMENT OF LIMITED FLUID FORMATIONS AFTER ABDOMINAL SURGERY. 经皮治疗腹部手术后局限性积液形成的结果。
Q4 Medicine Pub Date : 2024-07-01
I Yusubov

The purpose of the study: Evaluation of the results of percutaneous drainage in the treatment of visceral and non-visceral fluid formations that developed in the abdominal cavity in the postoperative period.

Material and methods: The study involved 64 patients who underwent percutaneous drainage under ultrasound control, and 30 patients who underwent open surgical drainage. The clinical variables were analyzed along with the results of the interventions.

Results: The average hospital stay of patients who underwent open surgical drainage (11.10±3.42 days) was longer than that of patients who underwent percutaneous drainage (9.13±1.63 days). The average time of temperature decrease during percutaneous drainage was 4.31±1.75 days, and with open surgical drainage -4.94±2.01 days. Percutaneous drainage was successful in 96.8% of patients, and an unsuccessful result was observed in 3.2% of patients. In patients who underwent open surgical drainage, these rates were 80% and 20%, respectively. Compared with percutaneous drainage, complications were more frequent in patients who underwent open surgical drainage and amounted to 12.4% and 16.7%, respectively.

Conclusion: Percutaneous drainage under ultrasound control has a lower mortality rate compared to open surgical drainage, as well as reduces hospital stay and in most cases can replace drainage with traditional open or laparoscopic intervention.

研究目的评估经皮引流术治疗术后腹腔内形成的内脏和非内脏积液的效果:研究涉及 64 名在超声控制下接受经皮引流术的患者和 30 名接受开放手术引流术的患者。结果:接受超声控制下经皮引流术的患者平均住院时间比接受开腹手术引流术的患者短:结果:接受开放手术引流的患者平均住院时间(11.10±3.42 天)长于接受经皮引流的患者(9.13±1.63 天)。经皮引流的平均体温下降时间为(4.31±1.75)天,而开放手术引流的平均体温下降时间为(-4.94±2.01)天。96.8%的患者经皮引流成功,3.2%的患者引流失败。在接受开放手术引流的患者中,成功率分别为 80% 和 20%。与经皮引流术相比,开放手术引流术患者的并发症发生率更高,分别为 12.4% 和 16.7%:结论:与开腹手术引流相比,超声控制下的经皮引流死亡率更低,而且可以缩短住院时间,在大多数情况下可以取代传统的开腹或腹腔镜手术引流。
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引用次数: 0
RESULTS OF SURGICAL TREATMENT OF PECTUS EXCAVATUM IN CHILDREN AND ADOLESCENTS. 手术治疗儿童和青少年鸡胸的结果。
Q4 Medicine Pub Date : 2024-07-01
N Narkhojayev, I Turmetov, K Kemelbekov, E Bektayev, A Akhmetov, B Zhunissov

Congenital pectus excavatum (PE) takes the first place among the deformation of the chest, accompanied by violations of the cardiorespiratory system and various cosmetic defects. A radical way to eliminate the deformation of the chest is surgical correction-thoracoplasty.

Material and methods: This study was performed on the results of surgical treatment of 183 patients with various forms of PE at the age of 3 to 18 years. All operated children were divided into three groups. The first group consisted of 76 (41.5%) patients who underwent thoracoplasty with fixation of the mobilized sternal-rib complex on an external traction splint. The second group included 77 (42,1%) patients operated by the developed method of thoracoplasty. The third group of 30 (16.4%) patients operated on the classical Nuss-method. Short- and long-term results were compared between the groups.

Results: The operation time was significantly shorter in third group (55 min) and the volume of blood loss was higher in the first group (46,4±12,5 ml). Pleural effusion and atelectasis were observed 4 and 3 patients and atelectasis, or pneumonitis was observed 3 and 2 patients in first and third groups respectively. The duration of postoperative pain syndrome was significantly shorter in second group with intercostal blockade. Pneumothorax was established 4 and 3 patients in first and third groups. Partial relapse and complete relapse were observed 3 (4.1%) and 2 (2.7%) patients in the first group.

Conclusion: Short and long-term results were excellent for modified thoracoplasty and Nuss procedures with low complication rates.

先天性胸大肌(PE)在胸部畸形中占首位,同时伴有心肺系统损伤和各种外观缺陷。消除胸部变形的根本方法是手术矫正--胸廓成形术:本研究对 183 名 3 至 18 岁患有各种形式 PE 的患者的手术治疗结果进行了分析。所有接受手术的儿童被分为三组。第一组包括 76 名(41.5%)患者,他们接受了胸廓成形术,并将活动的胸肋复合体固定在外牵引夹板上。第二组包括 77 名(42.1%)采用已开发的胸廓成形术方法进行手术的患者。第三组包括 30 名(16.4%)采用传统努斯方法进行手术的患者。两组患者的短期和长期效果进行了比较:结果:第三组的手术时间明显更短(55 分钟),而第一组的失血量更高(46.4±12.5 毫升)。第一组和第三组分别有 4 名和 3 名患者出现胸腔积液和气胸,3 名和 2 名患者出现气胸或肺炎。采用肋间阻滞术的第二组患者术后疼痛综合征的持续时间明显较短。第一组和第三组分别有 4 名和 3 名患者出现气胸。第一组有 3 例(4.1%)和 2 例(2.7%)患者出现部分复发和完全复发:结论:改良胸廓成形术和努斯手术的短期和长期效果都很好,并发症发生率低。
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引用次数: 0
EFFECT OF INTRANASAL ELECTROPHORESIS WITH 5% POTASSIUM IODATE SOLUTION ON CLINICAL OUTCOME OF PATIENTS WITH HYPERTROPHIC RHINITIS. 用 5%碘酸钾溶液进行鼻内电泳对肥厚性鼻炎患者临床疗效的影响。
Q4 Medicine Pub Date : 2024-07-01
Sh Tsiklauri, N Nakudashvili, M Lomaia

High prevalence of hypertrophic rhinitis makes more topical the problem of search of new, more effective means of treatment this pathology. 37 patients with hypertrophic rhinitis were examined. The clinical examination included the study of complaints and objective visual indicators associated with hypertrophic rhinitis. The olfactory function of the nose and the motor activity of the ciliated epithelium of the nasal mucosa were also studied. It has been established, that treatment intranasal electrophoresis with 5% potassium iodate solution caused attenuation, up to disappearance of the complaint, has a normalizing action on smelling function of nose, motor activity of scintillans epithelial of nasal mucosa and other objective indexes of clinical status. The above shown positive shifts were more positive in mild cases of hypertrophy.

肥厚性鼻炎的高发病率使得寻找治疗这种病症的更有效的新方法成为了当务之急。研究人员对 37 名肥厚性鼻炎患者进行了检查。临床检查包括研究与肥厚性鼻炎相关的主诉和客观视觉指标。此外,还研究了鼻子的嗅觉功能和鼻黏膜纤毛上皮的运动活动。结果表明,用 5%的碘酸钾溶液进行鼻内电泳治疗后,症状会减轻,甚至消失,对鼻子的嗅觉功能、鼻黏膜纤毛上皮的运动活动以及其他临床状况的客观指标都有正常作用。上述积极变化在轻度肥大的病例中更为明显。
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引用次数: 0
COMPREHENSIVE STUDY OF ANTIOXIDANT ACTIVITY OF OXALIC ACID DIAMIDE DERIVATIVES AND THEIR EFFECT ON THE CONCENTRATION OF MALONIC DIALDEHYDE IN THE BRAIN AND LIVER TISSUES OF WHITE RATS. 草酸二酰胺衍生物抗氧化活性及其对白鼠脑和肝组织中丙二醛浓度影响的综合研究。
Q4 Medicine Pub Date : 2024-07-01
G Arajyan, Q Navoyan, N Pahutyan, H Hunanyan, A Pogosyan, H Gasparyan

The wide range of chemical structures of antioxidants provides opportunities for individual selection of the most suitable compounds, taking into account the unique needs and characteristics of the body. Synthetic antioxidants can be specially designed with certain characteristics, which helps to create more effective and stable compounds. The aim of this work was to conduct a series of studies to identify the antioxidant activity of newly synthesized compounds of a number of oxalic acid diamides based on 3,4-dimethoxyphenylcyclopentylamine N1 ((1-3,4-dimethoxyphenyl)methyl)-N2-(2-methoxyphenyl)oxalamide on the content of malondialdehyde (MDA) in the brain and liver tissues of white rats (in vivo, in vitro), as well as to determine their potential pharmacological properties that correspond to Lipinsky's "Rule of Five" (in silico).

Material and methods: The studies were conducted on white male rats weighing 180-200 g, kept on a normal diet. The brain and liver were washed with physiological solution, purified from vessels and homogenized in Tris-HCl buffer. The level of lipid peroxides was determined in a non-enzymatic peroxidation system by the yield of the final product - (MDA), which forms a complex compound with thiobarbituric acid in the form of a chromogen (trimethine complex).

Results and discussion: As a result of the conducted studies, it was established that the synthesized compounds exhibit antioxidant properties with varying degrees of effectiveness. The most pronounced activity was demonstrated by compound 1.24.50 both in liver tissue and in brain tissue. The least activity, both in liver tissue and in brain tissue, was demonstrated by compound 1.24.43. In addition, all physicochemical descriptors of the studied compounds correspond to Lipinsky's "Rule of Five". These data confirm the prospects of further studies of these compounds as potential sources for the development of new molecules for the treatment of oxidative stress.

Conclusion: Analysis of the obtained data allows us to conclude that the studied compounds demonstrate antioxidant properties, helping to protect cells from oxidative stress. These results are of significant importance for the prevention and treatment of diseases associated with increased levels of free radicals.

抗氧化剂的化学结构种类繁多,可根据人体的独特需求和特点,选择最合适的化合物。人工合成的抗氧化剂可以根据某些特性进行专门设计,这有助于制造出更有效、更稳定的化合物。这项工作的目的是进行一系列研究,以确定基于 3,4-二甲氧基苯基环戊胺 N1(1-3、(1-3,4-二甲氧基苯基)甲基)-N2-(2-甲氧基苯基)草酰胺对白鼠脑和肝组织中丙二醛 (MDA) 含量的影响(体内和体外),并确定其符合利宾斯基 "五法则 "的潜在药理特性(硅学)。材料和方法研究对象为体重 180-200 克、饮食正常的白色雄性大鼠。用生理溶液清洗大脑和肝脏,从血管中分离出来,在 Tris-HCl 缓冲液中均质。在非酶过氧化系统中,通过最终产物(MDA)的产量确定脂质过氧化物的水平,MDA 与硫代巴比妥酸以发色剂的形式形成复合物(三甲基复合物):研究结果表明,合成的化合物具有不同程度的抗氧化性。化合物 1.24.50 在肝组织和脑组织中的活性最明显。化合物 1.24.43 在肝组织和脑组织中的活性最低。此外,所研究化合物的所有物理化学描述符都符合利宾斯基的 "五法则"。这些数据证实了进一步研究这些化合物的前景,它们是开发治疗氧化应激的新分子的潜在来源:通过对所获数据的分析,我们可以得出结论:所研究的化合物具有抗氧化特性,有助于保护细胞免受氧化应激。这些结果对于预防和治疗与自由基水平升高有关的疾病具有重要意义。
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引用次数: 0
SIGNS OF ORAL CAVITY MICROCIRCULATORY DISORDERS IN ADOLESCENTS WHO SMOKE. 吸烟青少年口腔微循环障碍的迹象。
Q4 Medicine Pub Date : 2024-07-01
A Grygorova, S Grygorov, Y Yaroslavska, N Mykhailenko, D Demyanyk, A Steblianko, O Rak, O Voloshan, R Nazaryan

Smoking is one of the most common harmful habits that can lead to the development of pathological processes in various organs and systems. At the same time, smoking in childhood and adolescence especially contributes to the deterioration of the general somatic condition, increases the risk and determines the severity of the course of respiratory diseases, which in the future has an impact on the development and functioning of the respiratory system, becomes the cause of dependent conditions and complicates the course of accompanying pathology. It is believed that disruption of the microcirculatory channel can be one of the key links in the development of pathological processes in the oral cavity. Therefore, improving the quality of diagnosis of lesions of the microcirculatory bed of periodontal tissues in the early stages of the inflammatory process became the goal of our work.

Material and methods: All patients were divided into 2 groups: the main group adolescents from 14 to 17 years old who smoke, and the control group - adolescents who have never smoked. Determination of the degree of damage to the vascular bed of periodontal tissues in adolescents was carried out with using biochemical analysis of oral fluid to detect in it prognostic markers of microcirculation disorders in periodontal tissues with determination of the level of arginine, nitrates, citrulline, urea. The index of micro crystallization of oral fluid, the rate of saliva secretion and the pH of the oral fluid were detected also.

Results: The results and their analysis indicate certain differences in the biochemical profile of the oral fluid of adolescents who smoke and adolescents who do not have this habit. The following values of the investigated indicators were obtained. Interquartile indicators of the level of arginine in the main group are 6.19-13.63, in the control group - 9.01-12.12; nitrates - 98.2-174.84 and 96.3-179.39, citrulline - 10.20-17.39 and 7.31-14.38, urea - 10.2-15.9 and 11.1-17.7 in accordance with the specified procedure. Such a situation may indicate the presence of an early biochemical response, which appears some time before clinical manifestations, since individuals with an intact periodontium were selected for participation in this study.

Conclusions: Smoking is an unconditional factor that worsens the morpho-functional condition of the mucous membrane of the oral cavity not only in adults, but also in children. Yes, a reliable difference between smokers and non-smokers was determined for arginine and citrulline indicators; no significant differences were found between the parameters of nitrates and urea.

吸烟是最常见的有害习惯之一,可导致各种器官和系统出现病理过程。同时,在儿童和青少年时期吸烟尤其会导致全身状况的恶化,增加患呼吸系统疾病的风险,并决定病程的严重程度,这在未来会对呼吸系统的发育和功能产生影响,成为依赖性病症的原因,并使伴随的病理过程复杂化。据认为,微循环通道的破坏可能是口腔病理过程发展的关键环节之一。因此,在炎症过程的早期阶段提高牙周组织微循环床病变的诊断质量成为我们工作的目标:将所有患者分为两组:主要组为 14 至 17 岁的吸烟青少年,对照组为从未吸烟的青少年。青少年牙周组织血管床受损程度的测定采用口腔液生化分析法,通过测定精氨酸、硝酸盐、瓜氨酸、尿素水平,检测其中牙周组织微循环障碍的预后标志物。此外,还检测了口腔液的微结晶指数、唾液分泌率和口腔液的 pH 值:结果及其分析表明,吸烟青少年和无吸烟习惯青少年的口腔液生化状况存在一定差异。调查得出的指标值如下。根据规定程序,主要组精氨酸水平的四分位数间指标为 6.19-13.63,对照组为 9.01-12.12;硝酸盐为 98.2-174.84 和 96.3-179.39,瓜氨酸为 10.20-17.39 和 7.31-14.38,尿素为 10.2-15.9 和 11.1-17.7。这种情况可能表明存在早期生化反应,这种反应出现在临床表现之前一段时间,因为本研究选择了牙周完好的个体:吸烟是导致口腔黏膜形态功能状况恶化的一个无条件因素,不仅对成年人如此,对儿童也是如此。是的,精氨酸和瓜氨酸指标在吸烟者和非吸烟者之间存在可靠的差异;硝酸盐和尿素参数之间没有发现明显的差异。
{"title":"SIGNS OF ORAL CAVITY MICROCIRCULATORY DISORDERS IN ADOLESCENTS WHO SMOKE.","authors":"A Grygorova, S Grygorov, Y Yaroslavska, N Mykhailenko, D Demyanyk, A Steblianko, O Rak, O Voloshan, R Nazaryan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Smoking is one of the most common harmful habits that can lead to the development of pathological processes in various organs and systems. At the same time, smoking in childhood and adolescence especially contributes to the deterioration of the general somatic condition, increases the risk and determines the severity of the course of respiratory diseases, which in the future has an impact on the development and functioning of the respiratory system, becomes the cause of dependent conditions and complicates the course of accompanying pathology. It is believed that disruption of the microcirculatory channel can be one of the key links in the development of pathological processes in the oral cavity. Therefore, improving the quality of diagnosis of lesions of the microcirculatory bed of periodontal tissues in the early stages of the inflammatory process became the goal of our work.</p><p><strong>Material and methods: </strong>All patients were divided into 2 groups: the main group adolescents from 14 to 17 years old who smoke, and the control group - adolescents who have never smoked. Determination of the degree of damage to the vascular bed of periodontal tissues in adolescents was carried out with using biochemical analysis of oral fluid to detect in it prognostic markers of microcirculation disorders in periodontal tissues with determination of the level of arginine, nitrates, citrulline, urea. The index of micro crystallization of oral fluid, the rate of saliva secretion and the pH of the oral fluid were detected also.</p><p><strong>Results: </strong>The results and their analysis indicate certain differences in the biochemical profile of the oral fluid of adolescents who smoke and adolescents who do not have this habit. The following values of the investigated indicators were obtained. Interquartile indicators of the level of arginine in the main group are 6.19-13.63, in the control group - 9.01-12.12; nitrates - 98.2-174.84 and 96.3-179.39, citrulline - 10.20-17.39 and 7.31-14.38, urea - 10.2-15.9 and 11.1-17.7 in accordance with the specified procedure. Such a situation may indicate the presence of an early biochemical response, which appears some time before clinical manifestations, since individuals with an intact periodontium were selected for participation in this study.</p><p><strong>Conclusions: </strong>Smoking is an unconditional factor that worsens the morpho-functional condition of the mucous membrane of the oral cavity not only in adults, but also in children. Yes, a reliable difference between smokers and non-smokers was determined for arginine and citrulline indicators; no significant differences were found between the parameters of nitrates and urea.</p>","PeriodicalId":12610,"journal":{"name":"Georgian medical news","volume":" 352-353","pages":"173-177"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142498755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
EFFECT OF XIAOYAO PILLS COMBINED WITH ALENDRONATE ON BONE DENSITY IN POSTMENOPAUSAL PATIENTS WITH OSTEOPOROSIS. 小枣丸联合阿仑膦酸钠对绝经后骨质疏松症患者骨密度的影响
Q4 Medicine Pub Date : 2024-06-01
R Xu, Sh Li, A Zheng, L He

Objective: The aim of the study was to explore the effect of Xiaoyao Pills combined with alendronate on bone density in postmenopausal patients with osteoporosis.

Methods: The data of postmenopausal osteoporosis patients admitted to Taizhou Hospital of Traditional Chinese Medicine from January 2022 to January 2023 were retrospectively collected. According to the treatment method, patients were randomly divided into study group and control group. Finally, 54 cases were selected for each group. The study group was treated with Xiaoyao Pills combined with alendronate sodium, while the control group was treated with alendronate sodium alone. The femoral neck bone density of the two groups of patients was observed.

Results: Compared with before treatment, the bone mineral density of both groups of patients increased significantly 6 months and 12 months after treatment (P<0.05). Comparing the bone density of the two groups of patients before treatment, the difference was not statistically significant [(0.58±0.06) g/ cm² vs. (0.60±0.08) g/cm², P=0.486]. Compared with the control group, the bone density of the study group increased significantly after 6 months of treatment [(0.69±0.08)g/cm² vs. (0.60±0.08)g/cm²].

Conclusion: Xiaoyao Pills combined with alendronate can improve bone density in postmenopausal patients with osteoporosis.

研究目的目的:探讨小枣丸联合阿仑膦酸钠对绝经后骨质疏松症患者骨密度的影响:回顾性收集台州市中医院2022年1月至2023年1月收治的绝经后骨质疏松症患者资料。根据治疗方法将患者随机分为研究组和对照组。每组各 54 例。研究组采用小枣丸联合阿仑膦酸钠治疗,对照组单用阿仑膦酸钠治疗。观察两组患者的股骨颈骨密度:与治疗前相比,两组患者治疗后 6 个月和 12 个月的骨矿密度均明显增加(P<0.05)。两组患者治疗前的骨密度比较,差异无统计学意义[(0.58±0.06)g/cm² vs. (0.60±0.08)g/cm²,P=0.486]。与对照组相比,研究组的骨密度在治疗 6 个月后明显增加[(0.69±0.08)g/cm² vs. (0.60±0.08)g/cm²]:小枣丸联合阿仑膦酸钠可改善绝经后骨质疏松症患者的骨密度。
{"title":"EFFECT OF XIAOYAO PILLS COMBINED WITH ALENDRONATE ON BONE DENSITY IN POSTMENOPAUSAL PATIENTS WITH OSTEOPOROSIS.","authors":"R Xu, Sh Li, A Zheng, L He","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the study was to explore the effect of Xiaoyao Pills combined with alendronate on bone density in postmenopausal patients with osteoporosis.</p><p><strong>Methods: </strong>The data of postmenopausal osteoporosis patients admitted to Taizhou Hospital of Traditional Chinese Medicine from January 2022 to January 2023 were retrospectively collected. According to the treatment method, patients were randomly divided into study group and control group. Finally, 54 cases were selected for each group. The study group was treated with Xiaoyao Pills combined with alendronate sodium, while the control group was treated with alendronate sodium alone. The femoral neck bone density of the two groups of patients was observed.</p><p><strong>Results: </strong>Compared with before treatment, the bone mineral density of both groups of patients increased significantly 6 months and 12 months after treatment (P<0.05). Comparing the bone density of the two groups of patients before treatment, the difference was not statistically significant [(0.58±0.06) g/ cm² vs. (0.60±0.08) g/cm², P=0.486]. Compared with the control group, the bone density of the study group increased significantly after 6 months of treatment [(0.69±0.08)g/cm² vs. (0.60±0.08)g/cm²].</p><p><strong>Conclusion: </strong>Xiaoyao Pills combined with alendronate can improve bone density in postmenopausal patients with osteoporosis.</p>","PeriodicalId":12610,"journal":{"name":"Georgian medical news","volume":" 351","pages":"100-101"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142125427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
ADVANCEMENT IN ALPHA-SYNUCLEIN PROTEOMICS: EXPLORING ANALYTICAL TECHNIQUES AND THEIR CLINICAL IMPLICATIONS IN PARKINSON'S DISEASE. α-突触核蛋白蛋白质组学的进展:探索帕金森病的分析技术及其临床意义。
Q4 Medicine Pub Date : 2024-06-01
S Palanisamy, P Subramani, P Narasimman, M Murugesan

Parkinson's disease (PD) is a prevalent neurodegenerative disorder, affecting around 500,000 to 1 million Americans, with a significant portion diagnosed before age 50. Despite advances in treatments such as dopamine replacement therapy and deep brain stimulation, no therapies currently exist to halt or slow disease progression in advanced stages. Research is increasingly focused on identifying early biomarkers for PD to enable earlier intervention. Alpha-synuclein (α-Syn), a key protein implicated in PD pathology, is studied using various proteomics techniques like mass spectrometry, gel electrophoresis, and chromatography, to understand its role and alterations in PD. These techniques help in extracting, analyzing, and characterizing α-Syn from brain samples, providing insights into disease mechanisms and potential diagnostic and therapeutic applications.

帕金森病(Parkinson's disease,PD)是一种常见的神经退行性疾病,影响着大约 50 万到 100 万美国人,其中很大一部分人在 50 岁之前就已确诊。尽管多巴胺替代疗法和脑深部刺激疗法等治疗方法取得了进展,但目前还没有任何疗法能够阻止或减缓晚期疾病的进展。研究的重点越来越多地放在确定帕金森病的早期生物标志物上,以便更早地进行干预。α-突触核蛋白(α-Syn)是与帕金森病病理有关的一种关键蛋白质,研究人员利用质谱、凝胶电泳和色谱等各种蛋白质组学技术来了解它在帕金森病中的作用和变化。这些技术有助于从大脑样本中提取、分析α-Syn并确定其特征,从而深入了解疾病机制以及潜在的诊断和治疗应用。
{"title":"ADVANCEMENT IN ALPHA-SYNUCLEIN PROTEOMICS: EXPLORING ANALYTICAL TECHNIQUES AND THEIR CLINICAL IMPLICATIONS IN PARKINSON'S DISEASE.","authors":"S Palanisamy, P Subramani, P Narasimman, M Murugesan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Parkinson's disease (PD) is a prevalent neurodegenerative disorder, affecting around 500,000 to 1 million Americans, with a significant portion diagnosed before age 50. Despite advances in treatments such as dopamine replacement therapy and deep brain stimulation, no therapies currently exist to halt or slow disease progression in advanced stages. Research is increasingly focused on identifying early biomarkers for PD to enable earlier intervention. Alpha-synuclein (α-Syn), a key protein implicated in PD pathology, is studied using various proteomics techniques like mass spectrometry, gel electrophoresis, and chromatography, to understand its role and alterations in PD. These techniques help in extracting, analyzing, and characterizing α-Syn from brain samples, providing insights into disease mechanisms and potential diagnostic and therapeutic applications.</p>","PeriodicalId":12610,"journal":{"name":"Georgian medical news","volume":" 351","pages":"49-54"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142125420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
THE INFLUENCE OF CHANGES IN CARBOHYDRATE METABOLISM INDICATORS IN PATIENTS WITH POLYTRAUMA COMPLICATED BY ALCOHOLIC DELIRIUM ON THE CHOICE OF THE SEDATION METHOD. 多发性创伤并发酒精性谵妄患者碳水化合物代谢指标的变化对镇静方法选择的影响。
Q4 Medicine Pub Date : 2024-06-01
S Dubivska, Y Hryhorov, V Lazyrskyi, D Dotsenko, P Lebid
<p><p>Topicality: Providing assistance to patients with polytrauma, in a state of alcohol intoxication, complicated by alcoholic delirium, is a serious problem when providing anesthesia care and, in particular, choosing drugs for sedation. Considering the severity of mechanical damage, complications associated with alcohol intoxication and serious biochemical disorders of the body, namely carbohydrate, lipid metabolism, electrolyte changes, on which the activity of all systems depends, it is necessary to study the influence on the course of these processes, depending on the choice of their medicinal corrections.</p><p><strong>Purpose: </strong>The purpose of the work is to choose a sedation method to improve the results of treatment of patients with polytrauma and alcohol withdrawal, based on the study of changes in carbohydrate metabolism indicator.</p><p><strong>Materials and methods: </strong>The paper analyzes the results of a study of 80 patients with polytrauma and chronic alcohol intoxication with a state of alcohol withdrawal, complicated by alcoholic delirium, who received intensive therapy in the 12-bed department of anesthesiology and intensive therapy for patients with combined trauma of the KNP «Kharkiv City Clinical Hospital of Emergency Medical Care» named after Prof. O. I. Meschaninov» KhMR. All patients were diagnosed with polytrauma (thoracic and/or abdominal trauma: rib fractures, hemo-, pneumothorax, hematomas of the liver or spleen, fracture of the bones of the waist, and/or upper and/or lower limbs, fracture of the pelvis). In the course of the research, to achieve the goal, the main indicators of carbohydrate metabolism were determined, which were evaluated by the content of key metabolites: glucose, pyruvic acid, lactate. The study was conducted on the 1st, 3rd and 7th day of hospitalization of the patients.</p><p><strong>Results and discussion: </strong>In all traumatized patients with alcohol withdrawal syndrome and alcoholic delirium with the use of dexmedetomidine for sedation (group 1) and in patients who were used as sedatives, diazepam and haloperidol (group 2), changes in these parameters were observed in the blood, compared to healthy people of the control group. As for the glucose content in the blood of the patients of the 1st group, on the first day, persistent hyperglycemia was observed in them 1.7 times higher than this indicator in healthy people. Next, patients' blood glucose levels were determined on the 3rd and 7th day after hospitalization. Glucose content on the 3rd day decreased by 9.4% compared to the level determined on the first day. On the 7th day, the content of glucose in the blood decreased to normal values, which is 26.5% lower compared to the content of glucose in the blood on the first day. In the 2nd group of patients, where diazepam and haloperidol were used on the first day, hyperglycemia was also observed - 1.9 times higher than this indicator in the control group of healthy individuals.
专题性:在提供麻醉护理时,尤其是在选择镇静药物时,向处于酒精中毒状态并伴有酒精性谵妄的多发性创伤患者提供援助是一个严重的问题。考虑到机械损伤的严重性、与酒精中毒相关的并发症以及严重的机体生化紊乱,即碳水化合物、脂质代谢、电解质变化,所有系统的活动都依赖于这些变化,因此有必要研究这些过程的影响,这取决于对其药物纠正的选择。目的:这项工作的目的是在研究碳水化合物代谢指标变化的基础上,选择一种镇静方法来改善多发性创伤和酒精戒断患者的治疗效果:本文分析了对 80 名患有多发性创伤和慢性酒精中毒并伴有酒精戒断状态、并发酒精中毒性谵妄的患者的研究结果,这些患者在 KNP "哈尔科夫市临床急救医院"(以 O. I. Meschaninov 教授的名字命名)12 张病床的麻醉科和合并创伤患者强化治疗科接受了强化治疗。Meschaninov" KhMR。所有患者均被诊断为多发性创伤(胸部和/或腹部创伤:肋骨骨折、血气胸、肝脏或脾脏血肿、腰部和/或上肢和/或下肢骨折、骨盆骨折)。在研究过程中,为了实现目标,确定了碳水化合物代谢的主要指标,这些指标通过关键代谢物的含量进行评估:葡萄糖、丙酮酸、乳酸。研究在患者住院的第 1 天、第 3 天和第 7 天进行:在所有使用右美托咪定镇静的酒精戒断综合征和酒精性谵妄外伤患者(第 1 组)和使用地西泮和氟哌啶醇镇静的患者(第 2 组)中,与对照组的健康人相比,血液中的这些参数都发生了变化。至于第一组患者血液中的葡萄糖含量,在第一天就观察到了持续的高血糖,比健康人的这一指标高出 1.7 倍。接着,测定了住院后第 3 天和第 7 天患者的血糖水平。第三天的血糖含量比第一天测定的水平下降了 9.4%。第 7 天,血液中的葡萄糖含量降至正常值,比第 1 天血液中的葡萄糖含量低 26.5%。在第二组病人中,第一天使用地西泮和氟哌啶醇的病人也出现了高血糖现象,比对照组健康人的这一指标高出 1.9 倍。第三天,血液中的葡萄糖水平下降了 6%。第 7 天,血糖水平下降了 20.5%。因此,酒精戒断综合症患者在住院期间并发谵妄时,在住院第三天(第一组和第二组)和第七天在第二组患者血液中观察到高血糖,这表明碳水化合物代谢紊乱和缺氧的发展,以及肝脏和胰腺功能受损。根据研究的目的和目标,还对入院时和治疗一周后血液中葡萄糖代谢的主要代谢产物--丙酮酸和乳酸--的含量进行了研究,从而可以全面评估可能出现的碳水化合物代谢紊乱,以及在合并多发性创伤和戒酒,并伴有酒精中毒性谵妄的情况下机体能量供应的特点。研究结果表明,与健康人相比,在慢性酒精中毒背景下的多发性创伤患者体内的乳酸和丙酮酸含量有所增加。在分析多发性创伤和酒精戒断综合征(并发酒精中毒性谵妄)患者进入重症监护室后血液中的乳酸含量时,发现第一组和第二组患者的这一指标分别显著增加了 97.1%和 113.0%。强化治疗一周后,第一组患者血液中的乳酸含量显著下降了 13% (Р结论:因此,多发性创伤和酒精戒断综合征并发酒精性谵妄的患者,其无氧糖酵解过程会加剧,表现为丙酮酸、乳酸含量和乳酸/丙酮酸比值的增加,并伴有缺氧状态。
{"title":"THE INFLUENCE OF CHANGES IN CARBOHYDRATE METABOLISM INDICATORS IN PATIENTS WITH POLYTRAUMA COMPLICATED BY ALCOHOLIC DELIRIUM ON THE CHOICE OF THE SEDATION METHOD.","authors":"S Dubivska, Y Hryhorov, V Lazyrskyi, D Dotsenko, P Lebid","doi":"","DOIUrl":"","url":null,"abstract":"&lt;p&gt;&lt;p&gt;Topicality: Providing assistance to patients with polytrauma, in a state of alcohol intoxication, complicated by alcoholic delirium, is a serious problem when providing anesthesia care and, in particular, choosing drugs for sedation. Considering the severity of mechanical damage, complications associated with alcohol intoxication and serious biochemical disorders of the body, namely carbohydrate, lipid metabolism, electrolyte changes, on which the activity of all systems depends, it is necessary to study the influence on the course of these processes, depending on the choice of their medicinal corrections.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;The purpose of the work is to choose a sedation method to improve the results of treatment of patients with polytrauma and alcohol withdrawal, based on the study of changes in carbohydrate metabolism indicator.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Materials and methods: &lt;/strong&gt;The paper analyzes the results of a study of 80 patients with polytrauma and chronic alcohol intoxication with a state of alcohol withdrawal, complicated by alcoholic delirium, who received intensive therapy in the 12-bed department of anesthesiology and intensive therapy for patients with combined trauma of the KNP «Kharkiv City Clinical Hospital of Emergency Medical Care» named after Prof. O. I. Meschaninov» KhMR. All patients were diagnosed with polytrauma (thoracic and/or abdominal trauma: rib fractures, hemo-, pneumothorax, hematomas of the liver or spleen, fracture of the bones of the waist, and/or upper and/or lower limbs, fracture of the pelvis). In the course of the research, to achieve the goal, the main indicators of carbohydrate metabolism were determined, which were evaluated by the content of key metabolites: glucose, pyruvic acid, lactate. The study was conducted on the 1st, 3rd and 7th day of hospitalization of the patients.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results and discussion: &lt;/strong&gt;In all traumatized patients with alcohol withdrawal syndrome and alcoholic delirium with the use of dexmedetomidine for sedation (group 1) and in patients who were used as sedatives, diazepam and haloperidol (group 2), changes in these parameters were observed in the blood, compared to healthy people of the control group. As for the glucose content in the blood of the patients of the 1st group, on the first day, persistent hyperglycemia was observed in them 1.7 times higher than this indicator in healthy people. Next, patients' blood glucose levels were determined on the 3rd and 7th day after hospitalization. Glucose content on the 3rd day decreased by 9.4% compared to the level determined on the first day. On the 7th day, the content of glucose in the blood decreased to normal values, which is 26.5% lower compared to the content of glucose in the blood on the first day. In the 2nd group of patients, where diazepam and haloperidol were used on the first day, hyperglycemia was also observed - 1.9 times higher than this indicator in the control group of healthy individuals. ","PeriodicalId":12610,"journal":{"name":"Georgian medical news","volume":" 351","pages":"109-115"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142125459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
ANALYSIS OF THE USE OF COMPLEX DIGITAL TECHNOLOGIES IN THE DIAGNOSIS AND TREATMENT OF OCCLUSAL ANOMALIES. 分析复杂数字技术在诊断和治疗咬合异常中的应用。
Q4 Medicine Pub Date : 2024-06-01
S Terekhov, A Proshchenko, N Proshchenko

Background: Digital technologies have expanded in the field of dentistry, especially in the clinical and diagnostic aspects of occlusal abnormalities. Consequently, the purpose of this narrative review is to identify and synthesize data concerning the effects of these sophisticated digital technologies on improved diagnostic performance, treatment interventions, and patient outcomes.

Methods: Cochrane, Scopus, Web of Science, and PubMed were searched and, therefore, performed to find the pertinent digital technologies in dentistry from the published literature. The search was conducted in the period between 2000 and 2024. The criteria for inclusion of the studies targeted technologies that were Cone-Beam Computed Tomography (CBCT), intraoral scanners, 3D imaging, and Computer-Aided Design and Manufacturing (CAD/CAM). Some of the comparing between conventional and modern approaches were raised.

Results: Digital technologies have enhanced the diagnostic process due to extended visualization and precise evaluation of occlusal disturbances Conclusion: It has been seen that the application of information technologies in dentistry significantly improved the diagnostics and therapy of occlusion disturbances. While there are some invincible challenges posed by these advancements, the prospects are noteworthy when it comes to accuracy, efficiency, and patient benefits.

背景:数字技术在牙科领域的应用不断扩大,尤其是在咬合异常的临床和诊断方面。因此,本叙事性综述的目的是找出并综合有关这些尖端数字技术对提高诊断效果、治疗干预和患者预后的影响的数据:因此,我们对 Cochrane、Scopus、Web of Science 和 PubMed 进行了检索,以便从已发表的文献中找到牙科领域的相关数字技术。搜索时间跨度为 2000 年至 2024 年。纳入研究的标准是锥形束计算机断层扫描 (CBCT)、口内扫描仪、三维成像和计算机辅助设计与制造 (CAD/CAM)。研究还对传统方法和现代方法进行了比较:结果:由于扩大了可视化范围并对咬合紊乱进行了精确评估,数字技术增强了诊断过程:信息技术在牙科中的应用大大改善了咬合紊乱的诊断和治疗。虽然这些进步带来了一些不可战胜的挑战,但在准确性、效率和患者获益方面,其前景是值得关注的。
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引用次数: 0
ANTIOXIDANTS, LIPID PROFILES, AND GLUCOSE LEVELS, AS WELL AS PERSISTENT INFLAMMATION, ARE CENTRAL TO THE LINK BETWEEN DIABETES MELLITUS TYPE II AND OXIDATIVE STRESS. 抗氧化剂、血脂和血糖水平以及持续的炎症是 II 型糖尿病与氧化应激之间联系的核心。
Q4 Medicine Pub Date : 2024-06-01
Q Qasim

One of the four main non-communicable illnesses, diabetes mellitus, calls for immediate attention from all key stakeholders worldwide to address its prevalence and related consequences. Hyperglycemia and hyperglycemic-induced oxidative stress and inflammation are thought as the third largest risk factor for early mortality throughout the globe, killing an estimated 1.6 million people annually. Hyperglycemia hyperglycemic-induced oxidative stress, inflammation, and the onset and progression of type 2 diabetes mellitus are all intricately connected. Several studies showed that subclinical inflammation adds to insulin resistance and is connected to the hallmarks of metabolic syndrome, including hyperglycemia, that increases the chance of developing type 2 diabetes. Inflammation increases the creation of reactive oxygen species, which will be later increased by oxidative stress. The fundamental impetus for this study was the recognition of the interplay between diabetes, oxidative stress, and inflammation. This literature review focuses on type 2 diabetes and selected diabetic complications, and it analyses the relationship between these diseases, as well as oxidative stress, inflammation, risk factors for developing diabetes, and the mechanisms behind hyperglycemia-induced oxidative stress.

糖尿病是四大非传染性疾病之一,需要全世界所有主要利益攸关方立即关注,以解决其发病率和相关后果。高血糖和高血糖引起的氧化应激和炎症被认为是导致全球早期死亡的第三大风险因素,估计每年有 160 万人因此死亡。高血糖、高血糖诱导的氧化应激、炎症、2 型糖尿病的发生和发展都有着错综复杂的联系。多项研究表明,亚临床炎症会加重胰岛素抵抗,并与代谢综合征的特征(包括高血糖)相关联,从而增加罹患 2 型糖尿病的几率。炎症会增加活性氧的产生,随后氧化应激也会增加活性氧的产生。本研究的根本动力是认识到糖尿病、氧化应激和炎症之间的相互作用。这篇文献综述侧重于 2 型糖尿病和部分糖尿病并发症,分析了这些疾病与氧化应激、炎症、糖尿病发病风险因素之间的关系,以及高血糖诱发氧化应激背后的机制。
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引用次数: 0
期刊
Georgian medical news
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