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Effect of oscillatory lower body negative pressure and isometric handgrip exercise on cardioautonomic tone of healthy individuals 摆动式下半身负压和等长手握运动对健康人心血管自主神经张力的影响
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-03-04 DOI: 10.25259/ijpp_553_2022
Gagan K. Banodhe, H. Sharma, Kishore K. Deepak
The influence of the autonomic nervous system on the heart can be quantified by assessing changes in the heart rate variability (HRV) during orthostatic challenge and exercise. However, the combination of oscillatory lower body negative pressure (oLBNP) and isometric handgrip exercise (IHE) on HRV has not been previously investigated. Therefore, the present study aimed to assess the effects of (oLBNP) at sympathetic (0.1 Hz) and parasympathetic (0.25 Hz) frequencies and IHE at 30% of maximum voluntary contraction (MVC) on HRV in normal healthy individuals.We conducted a cross-sectional study on 18 healthy male subjects. Beat-to-beat blood pressure, lead-II electrocardiogram, and oLBNP chamber pressure were recorded continuously during oLBNP at 0.1 and 0.25 Hz for 3 min each and IHE at 30% of MVC (for 4 min) along with oLBNP at 0.1 or 0.25 Hz (oLBNP was added in last 3 min) each followed by HRV analysis.The oLBNP at 0.25 Hz reduced the root mean square of successive inter-beat (RR) interval differences significantly as compared to baseline values and came to normal during the recovery phase (P = 0.008). The absolute power of the high-frequency band (HF power), Poincaré plot standard deviation perpendicular to the line of identity (SD1), and percentage of successive RR intervals that differ by more than 50 ms (pNN50) were also reduced significantly during oLBNP at 0.25 Hz and when IHE at 30% of MVC (IHE) was added to oLBNP at 0.25 Hz as compared to baseline (P < 0.05).oLBNP and IHE could be used as a non-invasive haemodynamic stressor to assess the neurocardiac axis and its mechanism of action during orthostatic stresses.
自律神经系统对心脏的影响可通过评估正压挑战和运动时心率变异性(HRV)的变化来量化。然而,振荡性下半身负压(oLBNP)和等长手握力运动(IHE)对心率变异性的影响还没有进行过研究。因此,本研究旨在评估交感(0.1 Hz)和副交感(0.25 Hz)频率的(oLBNP)以及最大自主收缩(MVC)30% 的 IHE 对正常健康人心率变异的影响。我们对 18 名健康男性受试者进行了横断面研究。在 0.1 和 0.25 Hz 的 oLBNP 频率和 30% MVC 的 IHE 频率(持续 4 分钟)与 0.1 或 0.25 Hz 的 oLBNP 频率同时进行时,我们连续记录了搏动血压、II 导联心电图和 oLBNP 室压。与基线值相比,0.25 Hz 的 oLBNP 显著降低了连续心搏间期(RR)差异的均方根,并在恢复阶段恢复正常(P = 0.008)。高频段的绝对功率(HF 功率)、垂直于特征线的波恩卡雷图标准偏差(SD1)和相差超过 50 毫秒的连续 RR 间期的百分比(pNN50)在 oLBNP 为 0.oLBNP 和 IHE 可用作无创血流动力学应激源,以评估正压应激时的神经心轴及其作用机制。
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引用次数: 0
Silica nanoparticles: Chemical synthesis and acute neurotoxic study in Wistar rat 纳米二氧化硅颗粒:化学合成和对 Wistar 大鼠的急性神经毒性研究
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-01-25 DOI: 10.25259/ijpp_139_2023
Sonam Yadav, N. K. Nirmal, Hemant Gupta, Placheril J. John
In this study, silica nanoparticles (SNPs) were synthesized through the sol-gel approach, characterized using X-ray diffraction and examined for their potential to induce acute neurotoxicity in rats.The average particle size was confirmed to be 110 ± 5 nm through scanning electron microscope (SEM) analysis. An intraperitoneal injection of 25, 50, and 100 mg/kg of SNPs was administered twice over 24 h to rats, followed by autopsies 24 h later. Brain regions (cerebellum, frontal cortex, hippocampus, and corpus striatum) were analyzed for changes in antioxidant enzyme activity (superoxide dismutase [SOD], catalase [CAT], glutathione-s-transferase [GST], glutathione peroxidase [GPx], glutathione reductase [GR] and thiobarbituric acid reactive substance [TBARS] levels) and neurotransmitter concentrations (acetylcholinestrase [AChE], dopamine, serotonin and nor-epinephrine).The activity of SOD, CAT and GST increased significantly in the high dose group, specifically in the hippocampus and corpus striatum. No significant change in GR activity was observed in any dose group. Significant alterations were observed in neurotransmitter concentrations in hippocampus and corpus striatum in rats treated with high dose.Overall, the outcomes derived from our research suggest that SNPs lead to dose-dependent oxidative harm and neurotoxic effects in different regions of brain.
本研究采用溶胶-凝胶法合成了二氧化硅纳米颗粒(SNPs),并利用 X 射线衍射法对其进行了表征,同时考察了其诱导大鼠急性神经中毒的潜力。通过扫描电子显微镜(SEM)分析,确认其平均粒径为 110 ± 5 nm。对大鼠腹腔注射 SNPs 25、50 和 100 mg/kg,24 小时内注射两次,24 小时后进行尸检。分析脑区(小脑、额叶皮层、海马和纹状体)抗氧化酶活性的变化(超氧化物歧化酶 [SOD]、过氧化氢酶 [CAT]、谷胱甘肽转移酶 [GST]、谷胱甘肽过氧化物酶 [GP]、过氧化氢酶 [CAT]、谷胱甘肽转移酶 [GST])、谷胱甘肽过氧化物酶[GPx]、谷胱甘肽还原酶[GR]和硫代巴比妥酸活性物质[TBARS]水平)和神经递质浓度(乙酰胆碱酯酶[AChE]、多巴胺、血清素和去甲肾上腺素)的变化。高剂量组的 SOD、CAT 和 GST 活性显著增加,尤其是在海马和纹状体中。任何剂量组的 GR 活性都没有明显变化。总之,我们的研究结果表明,SNPs 会导致大脑不同区域出现剂量依赖性氧化伤害和神经毒性效应。
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引用次数: 0
Trop T, hand grip strength and waist circumference as markers of sarcopenic obesity in postmenopausal women: An analytical cross-sectional study 以 Trop T、手握力和腰围作为绝经后妇女肌肉疏松性肥胖的标志:一项分析性横断面研究
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-01-15 DOI: 10.25259/ijpp_510_2023
Sheetal Sarangi, Arul Senghor K. A., V. V. M
Sarcopenic obesity is defined as age-associated histological changes and adiposity in muscles that impair muscle function. Asian Working Group for Sarcopenia suggested hand grip strength (HGS) and gait speed for screening sarcopenia. Troponin is a putative biomarker of muscle health. The study aims to evaluate Trop T, HGS, and waist circumference (WC) as markers of sarcopenic obesity in postmenopausal women.An analytical cross-sectional study was conducted in healthy postmenopausal women. Anthropometric measurements, HGS, and gait speed were documented. Postmenopausal women were identified as sarcopenic obesity with the following criteria: (a) The cut-points for weak handgrip strength (kg) for women as <18 in Asians (b) WC ≥85 cm in women. Total cholesterol, triglycerides, high-density lipoprotein (HDLc), low-density lipoprotein (LDLc), and high sensitive troponin T levels were estimated in the automated biochemistry analyser.About 33% sarcopenic obesity was observed in postmenopausal women aged 56 to 60 years. WC (93 cm) and body mass index (29.64) were increased in sarcopenic obese. Decreased HGS (9.44 kg) and increased gait speed (13.62 s) were observed in sarcopenic obese as compared to non-sarcopenic obese women. Increased troponin T (0.068 ng/mL), small dense LDLc (mmol/L), LDLc, non-HDLc, and decreased HDLc were observed in sarcopenic obese postmenopausal women. Receiver’s operating characteristic curve: sensitivity of waist circumference, HGS, gait, and troponin T were 97% (area under the curve [AUC] 0.76), 83% (AUC 0.84), 82% (AUC 0.76) and 67% (AUC 0.77), respectively.Measurement of waist circumference, hand grip strength, and gait are diagnostic tools of sarcopenic obesity that divulges the quality of postmenopausal life.
肌肉疏松性肥胖症是指与年龄相关的组织学变化和肌肉中的脂肪堆积损害了肌肉功能。亚洲肌肉疏松症工作组建议用手部握力(HGS)和步速来筛查肌肉疏松症。肌钙蛋白是肌肉健康的潜在生物标志物。本研究旨在评估 Trop T、HGS 和腰围(WC)作为绝经后妇女肌肉疏松性肥胖症标志物的情况。研究对绝经后健康女性进行了分析性横断面研究,记录了人体测量、HGS和步速。绝经后妇女肌肉疏松性肥胖的鉴定标准如下:(a) 女性弱握力(千克)的切点为亚洲人<18 (b) 女性腹围≥85 厘米。总胆固醇、甘油三酯、高密度脂蛋白(HDLc)、低密度脂蛋白(LDLc)和高敏肌钙蛋白 T 水平由自动生化分析仪估算。肌肉疏松性肥胖者的腹围(93 厘米)和体重指数(29.64)均有所增加。与非肌松型肥胖妇女相比,肌松型肥胖妇女的体重指数(9.44 千克)降低,步速(13.62 秒)增加。绝经后肌钙蛋白 T(0.068 纳克/毫升)、小密度低密度脂蛋白胆固醇(毫摩尔/升)、低密度脂蛋白胆固醇、非高密度脂蛋白胆固醇增加,高密度脂蛋白胆固醇减少。接收者工作特征曲线:腰围、HGS、步态和肌钙蛋白 T 的灵敏度分别为 97%(曲线下面积 [AUC] 0.76)、83%(曲线下面积 [AUC] 0.84)、82%(曲线下面积 [AUC] 0.76)和 67%(曲线下面积 [AUC] 0.77)。
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引用次数: 0
Online physiology teaching for nursing students during the COVID-19 pandemic – strengths, challenges and reinforcement measures COVID-19 大流行期间面向护理专业学生的在线生理学教学--优势、挑战和强化措施
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-01-15 DOI: 10.25259/ijpp_304_2023
Savitha D, Susan Kumar, Taniya Anto
The forced shift to online education during the COVID-19 pandemic posed several challenges to Indian nursing education, especially with a complex subject like physiology. The objective of the study was to assess the apprehensions, expectations, and challenges perceived by nursing students and physiology faculty about the online mode of learning physiology, to evaluate the utility of reinforcement measures during the constraints of the pandemic, and to compare the online, offline, and blended modes.First-year nursing students (n = 100) underwent online and blended modes of physiology learning, with added reinforcement measures, during the pandemic. Beginning, mid, and end of course feedback was taken from students on the expectations and perceptions of the online mode. Feedback was obtained from students and faculty to understand the strengths and challenges of both modes. Quantitative data of student feedback were analysed using the Cochran-Mantel-Haenszel test. Thematic content analysis was used for qualitative data. Objective measures of student performance were compared using unpaired t-tests.Online learning was perceived to be more difficult than anticipated by students. ‘Comfort’ in learning and ‘time management’ were the major strengths, while ‘reduced internet connectivity,’ ‘lack of interactions’ and ‘health issues’ were the biggest challenges expressed by students and faculty. The planned reinforcement measures were ‘sometimes’ helpful in revising and improving students’ confidence. The final summative assessment scores of students showed a better performance compared to the preceding academic batch.Students and faculty expressed some advantages and several disadvantages of online learning. They preferred offline or well-designed blended learning. The reinforcement measures seemed to aid student learning. The objective measures of assessment showed that students adapted well to the online mode. A model for blended learning for 1st-year nursing education, that utilises the advantages of both modes of learning, has been proposed, which requires further validation.
在 COVID-19 大流行期间被迫转向在线教育给印度的护理教育带来了一些挑战,尤其是像生理学这样复杂的学科。本研究的目的是评估护理专业学生和生理学教师对生理学在线学习模式的担忧、期望和挑战,评估在大流行期间强化措施的效用,并比较在线、离线和混合模式。护理专业一年级学生(n = 100)在大流行期间接受了生理学在线和混合模式学习,并增加了强化措施。在课程开始、中期和结束时,学生对在线模式的期望和看法进行了反馈。从学生和教师那里获得反馈,以了解两种模式的优势和挑战。使用 Cochran-Mantel-Haenszel 检验对学生反馈的定量数据进行了分析。定性数据采用主题内容分析。使用非配对 t 检验比较了学生成绩的客观指标。学习中的 "舒适感 "和 "时间管理 "是学生和教师的主要优势,而 "网络连接减少"、"缺乏互动 "和 "健康问题 "则是学生和教师面临的最大挑战。计划中的强化措施 "有时 "有助于学生复习和提高自信心。与上一学年相比,学生的最终总结性评估分数显示出更好的表现。他们更倾向于离线学习或精心设计的混合式学习。强化措施似乎有助于学生的学习。客观评价措施表明,学生对在线模式适应良好。我们提出了一个一年级护理教育混合学习模式,该模式利用了两种学习模式的优点,但还需要进一步验证。
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引用次数: 0
Effect of alcohol-dependence on cognitive performance in middle-aged men: Preliminary results 酒精依赖对中年男性认知能力的影响:初步结果
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-12-29 DOI: 10.25259/ijpp_96_2023
Pankhita Ghai, Dipti Magan, J. Aneja, Himanshu Sharma, Aarthi Choudhary
The understanding of the relationship between alcohol-related neuropathology, cognitive impairment, and various factors such as alcohol consumption, thiamine levels, and age vulnerability is still poorly understood. Therefore, this study aims to examine the effect of alcohol dependence on cognitive performance in middle-aged men with psycho-biochemical evidence. A cross-sectional pilot study with a comparison group including 82 right-handed participants with and without alcohol dependence (n = 41 each). Alcohol dependence was diagnosed clinically by the International Classification of Disease Tenth Edition along with the use of alcohol use disorder identification test (AUDIT) and cognitive screening tests, that is, the Montreal Cognitive Assessment (MoCA) and the Mini-Mental State Examination (MMSE). The serum levels of thiamine (Vitamin B1) were determined using an enzyme-linked immunosorbent assay. The MoCA scores, MMSE scores, and serum thiamine levels were significantly low for alcohol-dependent men (1509.43 ± 898.63 pmol/L) versus non-alcohol-dependent men (1862.81 ± 741.30 pmol/L; P = 0.021). The cognitive sub-domains including orientation, execution, calculation, visuoconstructional skills, and recall functions were also significantly (P < 0.05) affected for the alcohol-dependent patients when compared to non-alcohol-dependent men. Serum thiamine levels showed a positive (P < 0.05) correlation with MoCA scores whereas serum thiamine levels showed a significant (P < 0.05) negative correlation with AUDIT scores. Based on the significant positive association between serum thiamine levels with MoCA scores; therefore, both may be used as a screening tool for the early detection of cognitive impairment in patients with alcohol dependence.
目前,人们对酒精相关神经病理学、认知障碍与饮酒量、硫胺素水平和年龄易感性等各种因素之间关系的了解还很不够。因此,本研究旨在通过心理生化证据研究酒精依赖对中年男性认知能力的影响。 这是一项横断面试验研究,对比组包括 82 名患有和未患有酒精依赖症的右利手参与者(各 41 人)。酒精依赖症是根据第十版《国际疾病分类》进行临床诊断的,同时还使用了酒精使用障碍识别测试(AUDIT)和认知筛查测试,即蒙特利尔认知评估(MoCA)和迷你精神状态检查(MMSE)。血清中的硫胺素(维生素 B1)水平是通过酶联免疫吸附试验测定的。 与非酒精依赖男性(1862.81 ± 741.30 pmol/L;P = 0.021)相比,酒精依赖男性的 MoCA 分数、MMSE 分数和血清硫胺素水平明显偏低(1509.43 ± 898.63 pmol/L)。与非酒精依赖男性相比,酒精依赖患者的认知子领域(包括定向、执行、计算、视觉结构技能和回忆功能)也受到显著影响(P < 0.05)。血清硫胺素水平与 MoCA 评分呈正相关(P < 0.05),而血清硫胺素水平与 AUDIT 评分呈显著负相关(P < 0.05)。 由于血清硫胺素水平与 MoCA 评分呈明显的正相关,因此两者可作为筛查工具,用于早期发现酒精依赖症患者的认知障碍。
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引用次数: 0
Oral curcumin phytosome supplementation improves anthropometric measures of adiposity and enhances endothelial function in rats on a high-fat-diet regimen 口服姜黄素植物胶囊能改善高脂饮食大鼠的人体脂肪测量指标,增强内皮功能
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-12-29 DOI: 10.25259/ijpp_537_2022
R. A. Razzak, Mohammad Nadir Khan, A. Marwani
Curcumin has a protective role in endothelial function and nitric oxide (NO) production in animal models of different diseases; however, the role of curcumin on aortic reactivity in rats placed on a high-fat diet (HFD) remains unclear. This study aims to determine whether oral curcumin phytosome supplementation can reduce adiposity and enhance endothelial function. Rats were assigned to one of three groups: normal diet (ND), HFD for 20 weeks, and HFD supplemented with curcumin phytosome (HFD + Curcumin). Anthropometric measures were recorded weekly for the three groups, until the end of the feeding regimen. After 20 weeks of feeding on HFD, myographic investigations were conducted on thoracic aortic rings dissected from HFD and HFD + Curcumin rats. The response to high potassium chloride (KCl), incremental doses of phenylephrine (Phe) before and after L-NAME treatment, acetylcholine (ACh), or sodium nitroprusside (SNP), was evaluated. ACh-induced relaxation was also assessed in HFD + Curcumin rats, after preincubation with chromium III-mesoporhyrin. HFD rats exhibited increased adiposity measures, some of which were negatively correlated with vasorelaxation response to ACh. HFD + Curcumin rats had reduced anthropometric measures, compared to HFD rats. Aortic rings from HFD and HFD + Curcumin rats exhibited comparable contractile responses to KCl and Phe. The difference in contractile response to Phe before and after L-NAME incubation was greater for HFD + Curcumin rats. ACh induced greater vasorelaxant responses in HFD + Curcumin rats. There was no group difference in the relaxant response to SNP. In HD + Curcumin rats, chromium III mesoporphyrin significantly reduced ACh-induced relaxations. Oral curcumin phytosome supplementation could reduce adiposity in rats placed on an HFD and may have enhanced basal and stimulated NO release from the endothelium, and heme oxygenase-1 may partly mediate this curcumin protective role. This study provides evidence that this curcumin formulation, taken as a daily supplement, may be effective in providing some protection against adiposity-associated adverse cardiovascular disorders.
姜黄素在不同疾病的动物模型中对内皮功能和一氧化氮(NO)的产生具有保护作用;然而,姜黄素对高脂饮食(HFD)大鼠主动脉反应性的作用仍不清楚。本研究旨在确定口服姜黄素植物胶囊是否能减少脂肪并增强内皮功能。 研究人员将大鼠分为三组:正常饮食组(ND)、连续 20 周高脂肪饮食组(HFD)和补充姜黄素植物胶囊的高脂肪饮食组(HFD + 姜黄素)。每周记录三组动物的人体测量数据,直至喂养方案结束。喂食高纤维食物20周后,对从高纤维食物组和高纤维食物组+姜黄素组大鼠身上剖开的胸主动脉环进行肌电图检查。评估了大鼠对高氯化钾(KCl)、L-NAME 处理前后递增剂量的苯肾上腺素(Phe)、乙酰胆碱(ACh)或硝普钠(SNP)的反应。在使用铬Ⅲ-甲氧苄啶预孵育后,还评估了乙酰胆碱(ACh)诱导的 HFD + 姜黄素大鼠的松弛作用。 高脂饮食大鼠的脂肪含量增加,其中一些指标与血管对 ACh 的舒张反应呈负相关。与高脂饮食大鼠相比,高脂饮食+姜黄素大鼠的人体测量指标有所下降。高脂饮食大鼠和高脂饮食+姜黄素大鼠的主动脉环对氯化钾和Phe的收缩反应相当。HFD +姜黄素大鼠在L-NAME孵育前后对Phe的收缩反应差异更大。ACh 在 HFD + 姜黄素大鼠中诱导了更大的血管舒张反应。对 SNP 的松弛反应没有组间差异。在 HD + 姜黄素大鼠中,铬 III 间卟啉能显著降低 ACh 诱导的松弛反应。 口服姜黄素植物胶囊可减少高脂饮食大鼠的脂肪含量,并可能增强内皮的基础和刺激性 NO 释放,而血红素加氧酶-1 可能部分介导了姜黄素的这种保护作用。这项研究提供的证据表明,姜黄素制剂作为一种日常补充剂,可有效防止与脂肪相关的不良心血管疾病。
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引用次数: 0
Intermittent hypoxia exposure at sea level improves functional capacity (6MWT) at high altitude 海平面间歇性缺氧可提高高海拔地区的功能能力(6MWT)
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-12-29 DOI: 10.25259/ijpp_579_2022
M. Newmei, M. P. Reddy, D. Dass, Vivek Singh, Swarup Naik, G. Bhaumik
Our primary objective is to observe whether acclimatisation is elicited by the intermittent hypoxic exposure (IHE) protocol. For this, we have utilised performance in a 6-min walk test (6MWT) as a tool to assess physiological responses to high altitude (HA) both in control and IHE-exposed groups, respectively. The study was a prospective cohort study conducted on Indian army volunteers (n = 57) and they were divided into two groups, a control group (CG) and an experimental group (EG). At the sea level, a baseline study was carried out on barometric pressure. IHE was performed at sea level in the normobaric hypoxia chamber (low fraction of inspired oxygen [FiO2], at normal barometric pressure, 740 mmHg), in which the FiO2 of the chamber was artificially decreased using O2-filtering membranes. The oxygen percentage was constantly maintained at 12%-13%. After recording the baseline, the subjects were exposed to a normobaric hypoxia chamber at 12%-13% FiO2 (altitude – equivalent to 4350 m Approx). Heart rate and blood pressure (BP) were recorded with a battery-operated portable BP monitor (OMRON) at both locations. A finger pulse oximeter probe was set on the right index finger to measure the resting oxygen saturation (SpO2) level (Model MU 300). Incidence of acute mountain sickness (AMS) was scored with the help of the standard Lake Louise questionnaire (LLS). Total LLS scores more than >3 (range 0–15) were considered AMS. EG individuals that went through IHE performed better at 6MWT at Stage I (P = 0.03). EG also had better SpO2, levels as compared to CG (P = 0.00) at Stage II (P = 0.03). Furthermore, there was a significant difference in the Borg’s Scale between CG and EG. The Delta SpO2 of EG was better as compared to CG in all stages, albeit not significant (P = 0.07). There was a significant difference between IHE and CG groups, and CG was at an increased risk for lower SpO2 (8.00 [1.21–52.60], P = 0.03). The findings elucidate the benefits of IHE in rapid acclimatisation, and it contributed to better distance covered as shown by 6MWT as well and reduces hypoxic incidents in HA.
我们的主要目的是观察间歇性缺氧暴露(IHE)方案是否会引起适应性降低。为此,我们利用 6 分钟步行测试(6MWT)作为工具,分别评估对照组和 IHE 暴露组对高海拔(HA)的生理反应。 该研究是一项前瞻性队列研究,对象是印度军队志愿者(n = 57),他们被分为两组,即对照组(CG)和实验组(EG)。在海平面上,对气压进行了基线研究。在海平面上,在常压缺氧室(低吸入氧分数[FiO2],正常气压 740 毫米汞柱)中进行 IHE,利用氧气过滤膜人为降低室中的 FiO2。氧气比例始终保持在 12%-13%。记录基线后,将受试者置于 FiO2 为 12%-13% 的常压缺氧室中(海拔高度 - 相当于 4350 米)。使用电池供电的便携式血压计(欧姆龙)在两个地点记录心率和血压。手指脉搏血氧仪探头安装在右手食指上,用于测量静态血氧饱和度(SpO2)水平(MU 300 型)。急性高山反应(AMS)的发生率通过标准的路易斯湖问卷(LLS)进行评分。LLS 总分超过 3 分(范围为 0-15)即被视为急性高山反应。 经过 IHE 的 EG 在第一阶段的 6MWT 中表现更好(P = 0.03)。在第二阶段(P = 0.03),EG 的 SpO2 水平也优于 CG(P = 0.00)。此外,CG 和 EG 的博格量表也有显著差异。在所有阶段,EG 的 Delta SpO2 均优于 CG,尽管差异不显著(P = 0.07)。IHE 组和 CG 组之间存在明显差异,CG 组 SpO2 更低的风险更高(8.00 [1.21-52.60],P = 0.03)。 研究结果阐明了 IHE 对快速适应环境的益处,它有助于提高 6MWT 的覆盖距离,并减少 HA 的缺氧事件。
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引用次数: 0
Curative intent chemotherapy-induced alterations in specific qEEG markers of cognition in patients with breast cancer 治疗性化疗诱导的乳腺癌患者特定 qEEG 认知标记的改变
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-12-29 DOI: 10.25259/ijpp_465_2022
Subham Samantaray, Prabhu Natesan, Rajalakshmi Rajasegaran, G. Gaur, B. Dubashi
Chemotherapy-induced cognitive impairment is a gruesome outcome of chemotherapy among breast cancer survivors. Electroencephalogram (EEG) power measurement is a known sensitive neurophysiologic correlate of cancer treatment-related cognitive dysfunction. The objective of this study was to assess the changes in specific quantitative EEG markers of cognition among breast cancer patients before, immediately, and three months after chemotherapy. Twenty-three women planning to undergo adjuvant chemotherapy for breast cancer underwent EEG assessment before, immediately, and three months after chemotherapy. Repeated measures analysis of variance was used to analyse the data. Post hoc pairwise comparison was done with Bonferroni correction to determine the pair in which the difference existed. A significant increase in resting state EEG total power was observed (P = 0.012) after chemotherapy in the frontal area. The relative alpha power (RAP) significantly decreased with chemotherapy (P = 0.039), with post hoc pairwise comparison with Bonferroni correction revealing the significant decline to be present immediately after chemotherapy (P = 0.036) only over the posterior channels. Furthermore, the alpha-to-theta ratio (ATR) over posterior areas decreased (P = 0.012) both after completion of chemotherapy (P = 0.039) as well as three months after chemotherapy (P = 0.048). However, similar changes were not observed over frontal areas. Chemotherapy induces enhanced frontal power with a coincidental decline in RAP and ATR in the posterior areas.
化疗引起的认知障碍是乳腺癌幸存者化疗后的一个可怕结果。脑电图(EEG)功率测量是已知的癌症治疗相关认知功能障碍的敏感神经生理学相关指标。本研究的目的是评估乳腺癌患者在化疗前、化疗后和化疗后三个月内认知能力的特定定量脑电图标记物的变化。 23 名计划接受乳腺癌辅助化疗的女性分别在化疗前、化疗中和化疗后三个月接受了脑电图评估。采用重复测量方差分析来分析数据。采用 Bonferroni 校正进行事后配对比较,以确定存在差异的配对。 化疗后,额叶区静息状态脑电图总功率明显增加(P = 0.012)。化疗后,相对α功率(RAP)显著下降(P = 0.039),经Bonferroni校正的事后配对比较显示,只有后部通道在化疗后立即出现显著下降(P = 0.036)。此外,化疗结束后(P = 0.039)和化疗三个月后(P = 0.048),后部区域的α-θ比值(ATR)均有所下降(P = 0.012)。然而,在额叶区域没有观察到类似的变化。 化疗会增强额叶的力量,同时后部区域的 RAP 和 ATR 也会下降。
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引用次数: 0
5-hydroxytryptamine-evoked contractile activity of large gut in neonatal albino rats 5-羟色胺诱发的新生白化大鼠大肠收缩活动
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-12-29 DOI: 10.25259/ijpp_519_2022
Shuchita Singh, M. B. Mandal, Devarshi Dixit, Parul Sharma
Serotonin, also known as 5-hydroxytryptamine (5-HT), is a monoamine neurotransmitter. It is abundantly present in the gut of mammals. The extent to which it contributes to the contraction of the neonatal gut requires further investigation. This study aimed to assess the effect of 5-HT on the contractions of the large intestine in newborn albino rats. The colon and rectum samples were collected from neonatal and adult albino rats for analysis. Further, in an organ bath, isometric contractions of these isolated gut segments were recorded, in vitro, using a force transducer and a computerised chart recorder, with and without 5-HT in different groups. The 5-HT-induced contractions were also recorded in gut segments pre-treated with various antagonists. 5-HT (0.01–10 μM) caused a significantly (P < 0.05) greater contractile response (g/g wet tissue) in neonate rats as compared to adults. The response was greater in the rectum as compared to the colon in both neonates and adults. In neonate rats, ondansetron, a 5-HT3 antagonist, could not block the 5-HT-induced large gut contractions, while, in adult rats, it significantly blocked the 5-HT-evoked gut contractility. Methysergide, a 5-HT1/2/5-7 antagonist, blocked the response in both the adult and neonate rectum. The 5-HT-evoked response is mediated through 5-HT3 receptor subtypes in adults but not in neonate colon and rectum, indicating possible changes in the distribution of 5-HT receptors in the colon and rectum during development. Furthermore, atropine (a muscarinic cholinergic blocker) and hexamethonium (a ganglion blocker) could not affect the 5-HT-evoked responses in the neonate or adult rats’ colons or rectum. The effect of 5-HT did not appear to involve cholinergic or enteric ganglionic elements.
羟色胺又称 5-羟色胺(5-HT),是一种单胺类神经递质。它大量存在于哺乳动物的肠道中。它在多大程度上促进了新生儿肠道的收缩还需要进一步研究。本研究旨在评估 5-HT 对新生白化大鼠大肠收缩的影响。 研究人员采集了新生白化大鼠和成年白化大鼠的结肠和直肠样本进行分析。此外,在体外器官浴中,使用力传感器和计算机图表记录器记录了这些离体肠段的等长收缩,在不同组别中使用和不使用 5-羟色胺。在使用各种拮抗剂预处理的肠段中,也记录了 5-HT 诱导的收缩。 与成年大鼠相比,5-羟色胺(0.01-10 μM)在新生大鼠体内引起的收缩反应(克/克湿组织)明显更大(P < 0.05)。与结肠相比,新生大鼠和成年大鼠的直肠收缩反应更大。在新生大鼠中,5-HT3 拮抗剂昂丹司琼不能阻断 5-HT 诱导的大肠收缩,而在成年大鼠中,昂丹司琼能显著阻断 5-HT 诱导的肠道收缩。5-HT1/2/5-7拮抗剂甲塞西肽能阻断成年和新生直肠的反应。 在成人结肠和直肠中,5-HT 诱发的反应是通过 5-HT3 受体亚型介导的,而在新生儿结肠和直肠中则不是,这表明在发育过程中结肠和直肠中 5-HT 受体的分布可能发生了变化。此外,阿托品(一种毒蕈碱胆碱能阻断剂)和六甲嘧啶(一种神经节阻断剂)也不能影响新生大鼠或成年大鼠结肠和直肠的 5-HT 诱发反应。5-HT 的作用似乎不涉及胆碱能或肠神经节元件。
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引用次数: 0
Teaching framework of basic sciences in medical curriculum: A literature review 医学课程中的基础科学教学框架:文献综述
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-11-01 DOI: 10.25259/ijpp_266_2023
D. K. Badyal
The quantity, quantity, and timing of basic sciences teaching in the context of clinical learning have been a debatable issue for a long time. Therefore, this study was planned to evaluate the teaching framework of basic sciences in undergraduate medical education. The publications were collected through online searches according to predefined inclusion and exclusion criteria. Three reviewers analysed the data and arrived at a conclusion to select 90 publications. These publications were analysed thoroughly to classify them into ten categories of basic sciences teaching frameworks. Content analysis of these publications was done for comparison across publications. The reviewer’s rate of agreement for their conclusions varied between 89 and 94% for different phases of analysis. The most common category was ‘Integration’ (29%), followed by ‘Problem-based/Case base learning’ (18%) and ‘Mixed-methods approach’ (14%). The strategies being used in basic sciences teaching were mostly learner centred (68.9%). The review of basic sciences teaching frameworks in our study indicates that various frameworks of basic sciences teaching are being used in various medical schools throughout the world. The pattern of these frameworks can contribute to effective policy-making for improving basic sciences teaching.
长期以来,临床学习背景下基础科学教学的数量、质量和时间安排一直是一个备受争议的问题。因此,本研究计划对医学本科教育中的基础科学教学框架进行评估。 根据预先设定的纳入和排除标准,通过在线搜索收集了相关出版物。三位审稿人对数据进行了分析并得出结论,选出了 90 篇出版物。对这些出版物进行了深入分析,将其分为十类基础科学教学框架。对这些出版物进行了内容分析,以便对不同出版物进行比较。 在不同的分析阶段,审稿人对其结论的同意率介于 89% 和 94% 之间。最常见的类别是 "整合"(29%),其次是 "基于问题/案例的学习"(18%)和 "混合方法"(14%)。基础科学教学中使用的策略大多以学习者为中心(68.9%)。 我们的研究对基础科学教学框架的回顾表明,世界各地的医学院校正在使用各种基础科学教学框架。这些框架的模式有助于制定有效的政策,改善基础科学教学。
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引用次数: 0
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Indian journal of physiology and pharmacology
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