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Salivary glands - a new site of Helicobacter pylori occurrence. 唾液腺--幽门螺旋杆菌发生的新场所。
IF 2 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-09-01 Epub Date: 2024-09-06 DOI: 10.32725/jab.2024.018
Jan Rotnagl, Jiri Hlozek, Richard Holy, Emil Pavlik, David Kalfert, Jaromir Astl

Objective: The role of Helicobacter pylori (Hp) in the pathological processes of the gastric mucosa is well understood. Decreasing trend in successful eradication of HP from the stomach was observed in last years. This lack of succes is mainly caused by increasing ATB resistance. Nevertheless other possible causes of this phenomenon are being explored. Thus, many studies have focused on the search for extragastric reservoirs as potential sources of persistence or reinfection after successful Hp eradication. The pathological potential of Hp at these localities has also been studied.

Methods: Our study aimed to determine the presence of Hp inside the salivary glands ductal system through its detection from sialolites. Subsequently, we tried to prove the possible ability of Hp to penetrate the salivary gland parenchyma by detecting Hp from the tissue of salivary tumors. Concrements and salivary tumor tissue samples were collected using sialendoscopy or standard surgery, and Hp detection and genotyping were performed through PCR.

Results: Hp was detected in 68.3% of the sialopathy samples. VacA S1AM1 was the most common genotype. CagA-positive genotype represented only 34% of the total number of positive samples.

Conclusion: Our findings of Hp positivity in concrements provide compelling evidence of Hp presence in the ductal system of salivary glands. Confirmation of Hp presence in tumor tissue suggests its potential ability to infiltrate the gland's parenchyma. Further research is needed to confirm Hp's ability to cause local infection, as well as the possible causal association between Hp presence in the studied region, sialolithiasis, and salivary gland tumors.

目的:幽门螺杆菌(Hp)在胃黏膜病理过程中的作用已广为人知。近年来,成功根除胃中幽门螺杆菌的人数呈下降趋势。这种不成功的现象主要是由 ATB 耐药性的增加造成的。尽管如此,人们仍在探索造成这一现象的其他可能原因。因此,许多研究都将重点放在寻找胃外储库上,将其作为成功根除 Hp 后持续感染或再感染的潜在来源。此外,还对 Hp 在这些地方的病理潜能进行了研究:我们的研究旨在通过检测唾液酸盐来确定唾液腺导管系统中是否存在 Hp。随后,我们试图通过检测涎腺肿瘤组织中的 Hp 来证明 Hp 可能具有穿透涎腺实质的能力。我们使用涎内窥镜或标准手术采集了涎腺结石和涎腺肿瘤组织样本,并通过 PCR 进行了 Hp 检测和基因分型:结果:68.3%的涎腺瘤样本中检测到了 Hp。VacA S1AM1是最常见的基因型。CagA阳性基因型仅占阳性样本总数的34%:我们在结石中发现的 Hp 阳性为唾液腺导管系统中存在 Hp 提供了有力的证据。肿瘤组织中 Hp 阳性的确认表明,Hp 有可能浸润腺体实质。还需要进一步的研究来证实 Hp 造成局部感染的能力,以及 Hp 存在于研究区域、涎石病和唾液腺肿瘤之间可能存在的因果关系。
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引用次数: 0
In vitro biological activities of Calamintha nepeta L. aqueous extracts. Calamintha nepeta L. 水提取物的体外生物活性。
IF 2 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-09-01 Epub Date: 2024-09-05 DOI: 10.32725/jab.2024.017
Nadia Salhi, Dorien Deluyker, Virginie Bito, Abdelhamid Zaid, Lhoussaine El Rhaffari

Aim: This study aimed to investigate the phenolic composition, antioxidant capacity, and toxicity of aqueous extracts of Calamintha nepeta L. leaves and their potential vasorelaxant effects.

Methods: Aqueous extracts of Calamintha nepeta L. were prepared by three extraction methods: decoction, infusion, and maceration. The total phenolic contents of the extracts and their antioxidant properties were investigated. The toxicity was evaluated by Artemia salina lethality bioassay. The decoction extract was analyzed by HPLC for its chemical profile and was also used to evaluate the vasorelaxant effect on thoracic aortic rings isolated from healthy Sprague Dawley rats. Pre-contraction was induced by phenylephrine, followed by cumulative doses of the extract (0.001 up to 250 µg/ml).

Results: Aqueous extracts of Calamintha nepeta L. showed noticeable radical scavenging and chelating activities. However, the decoction extract exhibited the most powerful antioxidant capacity. No toxicity was recorded for the extracts obtained by decoction and infusion. Caffeic acid, quercetin, and rosmarinic acid were the main identified compounds. Notably, the aqueous extract obtained by decoction induced significant relaxation in endothelium-intact aortic rings at lower concentrations, and at higher concentrations in denuded aortic rings.

Conclusion: This study reveals that Calamintha nepeta L. extracted with a decoction method possesses potent antioxidant capacity and has an endothelium-dependent vasorelaxant effect.

目的:本研究旨在探讨石菖蒲叶水提取物的酚类成分、抗氧化能力、毒性及其潜在的血管舒张作用:方法:采用煎煮法、浸泡法和浸渍法三种提取方法制备石菖蒲水提取物。研究了提取物的总酚含量及其抗氧化性。毒性采用盐水蒿致死生物测定法进行评估。煎煮提取物的化学成分通过 HPLC 进行分析,并用于评估其对从健康 Sprague Dawley 大鼠身上分离的胸主动脉环的血管舒张作用。先用苯肾上腺素诱导预收缩,再用累积剂量的提取物(0.001 至 250 µg/ml)诱导预收缩:Calamintha nepeta L.的水提取物具有明显的自由基清除和螯合活性。不过,煎煮提取物的抗氧化能力最强。煎煮和浸泡提取物均无毒性。咖啡酸、槲皮素和迷迭香酸是主要的鉴定化合物。值得注意的是,煎煮法提取的水提取物在较低浓度下可诱导内皮细胞接触的主动脉环明显松弛,在较高浓度下可诱导变性主动脉环明显松弛:本研究揭示了用煎煮法提取的肾形石菖蒲具有强大的抗氧化能力,并具有依赖于内皮的血管舒张作用。
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引用次数: 0
Does vanillic acid affect fracture healing? An experimental study in a rat model of femur fracture. 香草酸会影响骨折愈合吗?大鼠股骨骨折模型的实验研究。
IF 2 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-06-01 Epub Date: 2024-06-17 DOI: 10.32725/jab.2024.010
Ahmet Yurteri, Numan Mercan, Mehmet Kilic, Murat Celik, Fatih Dogar, Ahmet Yildirim

Background and objectives: We aimed to determine the effects of vanillic acid (VA) on fracture healing radiologically, histologically, immunohistochemically, and biomechanically using a rat femur open fracture injury model.

Methods: 32 male Wistar-Albino rats were used and divided into two groups: the study group (VA) and the control group. From the time they were operated on until they were sacrificed, the rats in the study group were given 100 mg/kg/day VA by oral gavage. After sacrification, the femurs were analyzed.

Results: It was observed that the Huo histological scoring was significantly higher in the VA group (p = 0.001), and the ratio of the amount of callus tissue compared to intact bone tissue was significantly higher. While no significant difference was observed in immunohistochemical H-scores in ColI antibody staining (p = 1.000), a borderline significant difference in favor of VA was observed in ColIII antibody staining (p = 0.078). In biomechanical analysis, failure load (N), total energy (J), maximum stress (MPa), and stiffness (N/mm) measurements were significantly higher in the VA group (p = 0.040, p = 0.021, p = 0.015, and p = 0.035, respectively).

Conclusion: It has been observed that VA, with its antioxidative properties, increases fracture healing in rats, in which an open fracture model was created. We are hopeful that such an antioxidant, which is common in nature, will increase fracture healing. Since this study is the first to examine the effect of VA on fracture healing, further studies are needed.

背景和目的:方法:使用 32 只雄性 Wistar-Albino 大鼠,将其分为两组:研究组(VA)和对照组。研究组大鼠从接受手术到被处死,每天口服 100 毫克/千克的 VA。结果表明,研究组大鼠的股骨组织中,霍氏组织与对照组大鼠的股骨组织存在显著差异:结果发现,VA 组的霍氏组织学评分明显更高(p = 0.001),胼胝组织量与完整骨组织量之比也明显更高。虽然在 ColI 抗体染色中未观察到免疫组化 H 评分的明显差异(p = 1.000),但在 ColIII 抗体染色中观察到有利于 VA 组的边缘明显差异(p = 0.078)。在生物力学分析中,VA 组的破坏载荷(N)、总能量(J)、最大应力(MPa)和刚度(N/mm)测量值明显更高(分别为 p = 0.040、p = 0.021、p = 0.015 和 p = 0.035):结论:通过观察发现,VA 具有抗氧化特性,可提高大鼠骨折愈合率。我们希望这种自然界中常见的抗氧化剂能促进骨折愈合。由于这是首次研究 VA 对骨折愈合的影响,因此还需要进一步研究。
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引用次数: 0
Possible relationship between respiratory diseases and urinary concentrations of polycyclic aromatic hydrocarbon metabolites - a pilot study. 呼吸系统疾病与尿液中多环芳烃代谢物浓度之间的可能关系--一项试点研究。
IF 2 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-06-01 Epub Date: 2024-06-18 DOI: 10.32725/jab.2024.012
Veronika Gomersall, Katerina Ciglova, Hana Barosova, Katerina Honkova, Ivo Solansky, Anna Pastorkova, Radim J Sram, Jana Schmuczerova, Jana Pulkrabova

This study investigates the potential relationship between exposure to polycyclic aromatic hydrocarbons (PAHs), specifically monohydroxylated metabolites (OH-PAHs), in urine, and the prevalence of respiratory diseases in 2-year-old children residing in two locations within the Czech Republic - České Budějovice (control location) and the historically contaminated mining district of Most. Despite current air quality and lifestyle similarities between the two cities, our research aims to uncover potential long-term health effects, building upon previous data indicating distinctive patterns in the Most population. A total of 248 urine samples were analysed for the presence of 11 OH-PAHs. Employing liquid-liquid extraction with ethyl acetate and clean-up through dispersive solid-phase extraction, instrumental analysis was conducted using ultra-high performance liquid chromatography coupled with tandem mass spectrometry. The incidence of respiratory diseases was assessed through questionnaires administered by paediatricians. The concentrations of OH-PAHs were elevated in urine samples from 2-year-olds in Most compared to those from České Budějovice. The incidence of respiratory diseases showed statistically significant higher levels of OH-PAHs in children from Most, together with a higher incidence of influenza. This association underlines the impact of environmental PAH exposure on children's respiratory health. It suggests that elevated urinary OH-PAH levels indicate an increased risk of developing respiratory diseases in the affected population. Further studies are needed to clarify the possible long-term health effects and to contribute to sound public health strategies.

本研究调查了尿液中多环芳烃(PAHs)(特别是单羟基代谢物(OH-PAHs))的暴露量与居住在捷克共和国两个地方--České Budějovice(对照地点)和历史上受污染的莫斯特矿区--的 2 岁儿童呼吸道疾病发病率之间的潜在关系。尽管这两个城市目前的空气质量和生活方式相似,但我们的研究旨在发现潜在的长期健康影响,并以之前显示莫斯特人口独特模式的数据为基础。我们共分析了 248 份尿液样本中 11 种 OH-PAHs 的含量。采用乙酸乙酯液液萃取和分散固相萃取净化,并使用超高效液相色谱-串联质谱法进行仪器分析。儿科医生通过问卷调查评估了呼吸系统疾病的发病率。与České Budějovice的尿样相比,莫斯特两岁儿童尿样中的OH-PAHs浓度较高。呼吸道疾病的发病率显示,莫斯特儿童的 OH-PAHs 水平明显更高,同时流感的发病率也更高。这种关联强调了环境多环芳烃暴露对儿童呼吸系统健康的影响。这表明,尿液中 OH-PAH 水平的升高表明受影响人群患呼吸道疾病的风险增加。需要开展进一步的研究,以明确可能对健康产生的长期影响,并为制定合理的公共卫生战略做出贡献。
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引用次数: 0
Ethyl pyruvate attenuates cellular adhesion and proliferation of diffuse large B-cell lymphoma by targeting c-Jun. 丙酮酸乙酯通过靶向 c-Jun 减轻弥漫大 B 细胞淋巴瘤的细胞粘附和增殖。
IF 2 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-06-01 Epub Date: 2024-06-20 DOI: 10.32725/jab.2024.014
Zhimin Yan, Qiong Zhong, Ling Yan, Wenhong Lai, Xi Xu

Diffuse large B-cell lymphoma (DLBCL) stands out as the most common type of malignant cancer, representing the majority of cases of non-Hodgkin's lymphoma. Ethyl pyruvate (EP) is a derivative of pyruvic acid and found to have potent anti-tumor properties. Despite its potential benefits, the impact of EP on DLBCL remains ambiguous. Our objective is to elucidate the role of EP in modulating the development of DLBCL. Analysis of cholecystokinin-8 (CCK-8) revealed that treatment with EP significantly diminished the viability of DLBCL cells. Furthermore, EP administration suppressed colony formation and hindered cell adhesion and invasion in DLBCL cells. Examination of cell cycle progression showed that EP treatment induced arrest at the G1 phase and subsequently reduced the S phase population in DLBCL cells. EP treatment consistently exhibited apoptosis-inducing properties in Annexin-V assays, and notably downregulated the expression of Bcl-2 while increasing levels of proapoptotic cleaved caspase 3 and BAX in DLBCL cells. Additionally, EP treatment decreased the overexpression of c-Jun in c-Jun-transfected DLBCL cells. Further, EP demonstrated DNA-damaging effects in TUNEL assays. In vivo, xenograft animal models revealed that EP treatment significantly mitigated DLBCL tumor growth and suppressed DLBCL cell adhesion to bone marrow stromal cells. In summary, these findings suggest that EP mitigates DLBCL progression by inducing apoptosis, inducing cell cycle arrest, and promoting DNA damage.

弥漫大 B 细胞淋巴瘤(DLBCL)是最常见的恶性肿瘤类型,占非霍奇金淋巴瘤病例的大多数。丙酮酸乙酯(EP)是丙酮酸的一种衍生物,具有强大的抗肿瘤特性。尽管EP具有潜在的益处,但它对DLBCL的影响仍不明确。我们的目标是阐明 EP 在调节 DLBCL 发展过程中的作用。对胆囊收缩素-8(CCK-8)的分析表明,用 EP 处理可显著降低 DLBCL 细胞的活力。此外,服用 EP 还能抑制 DLBCL 细胞的集落形成,阻碍细胞粘附和侵袭。对细胞周期进展的研究表明,EP 处理可诱导 DLBCL 细胞停滞在 G1 期,随后减少 S 期细胞数量。在Annexin-V检测中,EP处理始终表现出诱导细胞凋亡的特性,并显著下调了DLBCL细胞中Bcl-2的表达,同时提高了促凋亡的裂解caspase 3和BAX的水平。此外,EP 还能降低 c-Jun 转染的 DLBCL 细胞中 c-Jun 的过表达。此外,EP还在TUNEL检测中显示出DNA损伤效应。在体内,异种移植动物模型显示,EP治疗可显著缓解DLBCL肿瘤的生长,并抑制DLBCL细胞与骨髓基质细胞的粘附。总之,这些研究结果表明,EP可通过诱导细胞凋亡、诱导细胞周期停滞和促进DNA损伤来缓解DLBCL的进展。
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引用次数: 0
RT-qPCR investigation of post-mortem tissues during COVID-19. 在 COVID-19 期间对尸体组织进行 RT-qPCR 调查。
IF 2 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-06-01 Epub Date: 2024-06-21 DOI: 10.32725/jab.2024.013
Zhanna Berdygulova, Elina Maltseva, Yuliya Perfilyeva, Anna Nizkorodova, Andrey Zhigailov, Dinara Naizabayeva, Yekaterina O Ostapchuk, Saltanat Kuatbekova, Zhaniya Dosmagambet, Moldir Kuatbek, Akerke Bissenbay, Alena Cherusheva, Akzhigit Mashzhan, Nurshat Abdolla, Sanzhar Ashimbekov, Gulnara Ismagulova, Andrey Dmitrovskiy, Seidigapbar Mamadaliyev, Yuriy Skiba

In 2020, there were numerous cases in Kazakhstan with clinical symptoms of COVID-19 but negative PCR results in nasopharyngeal and oropharyngeal swabs. The diagnosis was confirmed clinically and by CT scans (computed tomography). The problem with such negative PCR results for SARS-CoV-2 infection confirmation still exists and indicates the need to confirm the diagnosis in the bronchoalveolar lavage in such cases. There is also a lack of information about confirmation of SARS-CoV-2 infection in deceased patients. In this study, various tissue materials, including lungs, bronchi, and trachea, were examined from eight patients who died, presumably from SARS-CoV-2 infection, between 2020 and 2022. Naso/oropharyngeal swabs taken from these patients in hospitals tested PCR negative for SARS-CoV-2. This study presents a modified RNA isolation method based on a comparison of the most used methods for RNA isolation in laboratories: QIAamp Viral RNA Mini Kit and TRIzol-based method. This modified nucleic acid extraction protocol can be used to confirm SARS-CoV-2 infection by RT-qPCR in the tissues of deceased patients in disputed cases. RT-qPCR with RNA of SARS-CoV-2 re-extracted with such method from post-mortem tissues that were stored at -80 °C for more than 32 months still demonstrated high-yielding positive results.

2020 年,哈萨克斯坦有许多病例出现 COVID-19 的临床症状,但鼻咽和口咽拭子的 PCR 结果为阴性。经临床和 CT 扫描(计算机断层扫描)确诊。在确认 SARS-CoV-2 感染时,PCR 结果为阴性的问题依然存在,这表明在此类病例中需要通过支气管肺泡灌洗液来确诊。目前还缺乏有关已故患者 SARS-CoV-2 感染确诊的信息。在这项研究中,研究人员对 2020 年至 2022 年期间死亡的 8 名推测感染 SARS-CoV-2 的患者的各种组织材料(包括肺、支气管和气管)进行了检查。这些患者在医院采集的鼻/咽拭子的 PCR 检测结果均为阴性。本研究在比较实验室中最常用的 RNA 分离方法的基础上,提出了一种改进的 RNA 分离方法:QIAamp Viral RNA Mini Kit 和基于 TRIzol 的方法。这种改良的核酸提取方案可用于在有争议的病例中通过 RT-qPCR 在死亡患者的组织中确认 SARS-CoV-2 感染。用这种方法从在-80 °C下保存超过32个月的尸体组织中重新提取的SARS-CoV-2的RNA进行RT-qPCR检测,仍然显示出高阳性结果。
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引用次数: 0
Dictyophora indusiata polysaccharide mediates priming of the NLRP3 inflammasome activation via TLR4/ NF-κB signaling pathway to exert immunostimulatory effects. Dictyophora indusiata多糖通过TLR4/ NF-κB信号通路介导NLRP3炎性体激活,从而发挥免疫刺激作用。
IF 1.3 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-03-01 Epub Date: 2024-03-13 DOI: 10.32725/jab.2024.005
Youyi Liu, Huanxiao Zhang, Yuxuan Li, Hanqian Zha, Yujie Gao, Hui Chen, Yalin Wang, Tongxin Zhou, Chao Deng

Dictyophora indusiata, commonly known as bamboo fungus, is a type of edible mushroom that is highly popular worldwide for its rich flavor and nutritional value. It is also recognized for its pharmaceutical efficacy, with medicinal benefits attributed to its consumption. One of the most important components of Dictyophora indusiata is polysaccharide, which has been acknowledged as a promising regulator of biological response due to its immunostimulatory and anti-inflammatory properties. However, the specific roles of polysaccharide in modulating the NOD-like receptor protein 3 (NLRP3) inflammasome activation within macrophages remain relatively under-researched. To investigate this further, the mechanism by which Dictyophora indusiata polysaccharide (DIP) exerts its immunostimulatory activity in RAW 264.7 macrophages was analyzed. Results indicated that DIP has the potential to facilitate the priming of NLRP3 inflammasome activation by enhancing TLR4 expression, phosphorylation of IκB-α, and nuclear translocation of NF-κB p65 subunit. It was noted that DIP was unable to mediate the second step of NLRP3 inflammasome activation. The findings of this study provide compelling evidence that DIP has immunomodulatory effects by modulating the NLRP3 inflammasome in RAW264.7 macrophages.

竹荪俗称竹笙,是一种食用菌,因其风味浓郁、营养价值高而深受世界各地人们的喜爱。它的药用功效也得到了认可,食用竹荪具有药用价值。Dictyophora indusiata 最重要的成分之一是多糖,由于其免疫刺激和抗炎特性,多糖已被公认为是一种很有前景的生物反应调节剂。然而,多糖在调节巨噬细胞内 NOD 样受体蛋白 3(NLRP3)炎性体活化方面的具体作用研究相对不足。为了进一步研究这一问题,研究人员分析了苣荬菜多糖(DIP)在 RAW 264.7 巨噬细胞中发挥免疫刺激活性的机制。结果表明,DIP 有可能通过增强 TLR4 的表达、IκB-α 的磷酸化和 NF-κB p65 亚基的核转位来促进 NLRP3 炎性体的激活。研究指出,DIP 无法介导 NLRP3 炎症小体激活的第二步。本研究的结果提供了令人信服的证据,证明 DIP 可通过调节 RAW264.7 巨噬细胞中的 NLRP3 炎性体发挥免疫调节作用。
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引用次数: 0
Rapid triage and transfer system for patients with proven Covid-19 at emergency department. 急诊科经证实患有 Covid-19 的病人的快速分流和转院系统。
IF 1.3 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-03-01 Epub Date: 2024-03-13 DOI: 10.32725/jab.2024.006
Martin Jakl, Jana Berkova, Tomas Veleta, Vladimir Palicka, Petra Polcarova, Jan Smetana, Petr Grenar, Martina Cermakova, Jan Vanek, Jan M Horacek, Jaromir Koci

Background: COVID-19 is a viral disease notorious for frequent worldwide outbreaks. It is difficult to control, thereby resulting in overload of the healthcare system. A possible solution to prevent overcrowding is rapid triage of patients, which makes it possible to focus care on the high-risk patients and minimize the impact of crowding on patient prognosis.

Methods: The triage algorithm assessed self-sufficiency, oximetry, systolic blood pressure, and the Glasgow coma scale. Compliance with the triage protocol was defined as fulfillment of all protocol steps, including assignment of the correct level of care. Triage was considered successful if there was no change in the scope of care (e.g., unscheduled hospital admission, transfer to different level of care) or if there was unexpected death within 48 hours.

Results: A total of 929 patients were enrolled in the study. Triage criteria were fulfilled in 825 (88.8%) patients. Within 48 hours, unscheduled hospital admission, transfer to different level of care, or unexpected death occurred in 56 (6.0%), 6 (0.6%), and 5 (0.5%) patients, respectively. The risk of unscheduled hospital admission or transfer to different level of care was significantly increased if triage criteria were not fulfilled [13.1% vs. 76.1%, RR 5.8 (3.8-8.3), p < 0.001; 0.5% vs. 5.2%, RR 11.4 (2.3-57.7), p = 0.036, respectively].

Conclusion: The proposed algorithm for triage of patients with proven COVID-19 is a simple, fast, and reliable tool for rapid sorting for outpatient treatment, hospitalization on a standard ward, or assignment to an intensive care unit.

背景:COVID-19 是一种病毒性疾病,在全球频繁爆发,臭名昭著。这种疾病难以控制,从而导致医疗系统不堪重负。防止过度拥挤的一个可行解决方案是对病人进行快速分流,这样就能集中护理高危病人,并将拥挤对病人预后的影响降至最低:分诊算法评估了患者的自理能力、血氧饱和度、收缩压和格拉斯哥昏迷量表。遵守分诊规程的定义是完成所有规程步骤,包括分配正确的护理级别。如果护理范围没有发生变化(如计划外入院、转入不同护理级别)或在 48 小时内出现意外死亡,则认为分流成功:共有 929 名患者参与了研究。符合分诊标准的患者有 825 人(88.8%)。在 48 小时内,分别有 56 名(6.0%)、6 名(0.6%)和 5 名(0.5%)患者发生非计划入院、转院或意外死亡。如果不符合分诊标准,非计划入院或转入不同级别护理的风险会显著增加[分别为13.1% vs. 76.1%,RR 5.8 (3.8-8.3),p < 0.001;0.5% vs. 5.2%,RR 11.4 (2.3-57.7),p = 0.036]:建议的 COVID-19 患者分流算法是一种简单、快速、可靠的工具,可快速分流至门诊治疗、标准病房住院或重症监护室。
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引用次数: 0
Prenatal exposure to polycyclic aromatic hydrocarbons and growth parameters. 产前接触多环芳烃与生长参数。
IF 1.3 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-03-01 Epub Date: 2024-03-13 DOI: 10.32725/jab.2024.004
Radim J Sram, Ivo Solansky, Anna Pastorkova, Milos Veleminsky, Milos Veleminsky, Katerina Honkova, Hana Barosova, Jana Schmuczerova, Katerina Urbancova, Darina Dvorakova, Jana Pulkrabova

Background and objectives: It has long been known that airborne polycyclic aromatic hydrocarbons (PAHs) can negatively affect pregnancy and birth outcomes, such as birth weight, fetal development, and placental growth factors. However, similar studies yield divergent results. Our goal was to estimate the amount of monohydroxylated PAH (OH-PAH) metabolites in the urine of pregnant women/mothers and their newborns in relation to birth outcomes, such as placenta weight, Apgar 5', and the growth parameters of children up to the age of two.

Methods: Two cohorts of children born in 2013 and 2014 during the summer and winter seasons in the Czech Republic in the cities Karviná (N = 144) and České Budějovice (N = 198), which differ significantly in the level of air pollution, were studied. PAH exposure was assessed by the concentration of benzo[a]pyrene (B[a]P) in the air and the concentration of 11 OH-PAH metabolites in the urine of newborns and mothers. Growth parameters and birth outcomes were obtained from medical questionnaires after birth and from pediatric questionnaires during the following 24 months of the child's life.

Results: Concentrations of B[a]P were significantly higher in Karviná (p < 0.001). OH-PAH metabolites were significantly higher in the mothers' as well as in the newborns' urine in Karviná and during the winter season. Neonatal length was shorter in newborns in Karviná (p < 0.001), but this difference evened out during the next 3 to 24 months. Compared to České Budějovice, newborns in Karviná showed significantly lower weight gain between birth and three months after delivery. The OH-PAH metabolites in mothers' or newborns' urine did not affect birth weight. The presence of seven OH-PAH (top 25% of values of concentrations higher than the median) metabolites in the newborns' urine is associated with decreased length of newborn. Nine OH-PAH metabolites decreased placenta weight, which was the most significant, while seven OH-PAH metabolites decreased Apgar 5'.

Conclusion: We have shown a possible connection between higher concentration of OH-PAH metabolites in newborns' urine and decreased length, head circumference, placenta weight, and Apgar 5', but not birth weight.

背景和目的:众所周知,空气中的多环芳烃(PAHs)会对妊娠和分娩结果(如出生体重、胎儿发育和胎盘生长因子)产生负面影响。然而,类似的研究却得出了不同的结果。我们的目标是估算孕妇/母亲及其新生儿尿液中单羟基多环芳烃(OH-PAH)代谢物的含量与胎盘重量、Apgar 5'和两岁以下儿童生长参数等出生结果的关系:研究对象为 2013 年和 2014 年夏季和冬季在捷克共和国卡尔维纳市(144 人)和切斯克布杰约维采市(198 人)出生的两组儿童。通过空气中苯并[a]芘(B[a]P)的浓度以及新生儿和母亲尿液中 11 种 OH-PAH 代谢物的浓度来评估多环芳烃的暴露情况。生长参数和出生结果来自婴儿出生后的医疗调查问卷和随后 24 个月的儿科调查问卷:结果:卡尔维纳的 B[a]P 浓度明显更高(p < 0.001)。在卡尔维纳和冬季,母亲和新生儿尿液中的 OH-PAH 代谢物含量都明显较高。卡尔维纳的新生儿出生时身长较短(p < 0.001),但在接下来的 3 至 24 个月中,这一差异趋于平稳。与České Budějovice相比,卡尔维纳的新生儿从出生到产后三个月的体重增长明显较低。母亲或新生儿尿液中的 OH-PAH 代谢物不会影响出生体重。新生儿尿液中的七种 OH-PAH 代谢物(浓度高于中位数的前 25%)与新生儿身长减少有关。9种OH-PAH代谢物会降低胎盘重量,这一点最为显著,而7种OH-PAH代谢物会降低Apgar 5':结论:我们的研究表明,新生儿尿液中 OH-PAH 代谢物浓度较高与新生儿身长、头围、胎盘重量和 Apgar 5'下降之间可能存在联系,但与出生体重无关。
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引用次数: 0
Selected widely prescribed pharmaceuticals: toxicity of the drugs and the products of their photochemical degradation to aquatic organisms. 部分广泛使用的药物:药物及其光化学降解产物对水生生物的毒性。
IF 1.3 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-03-01 Epub Date: 2024-03-13 DOI: 10.32725/jab.2024.007
Sarka Klementova, Martina Poncarova

Cholesterol-lowering drugs, antidiabetics, antiarrhythmics, antidepressants, and antibiotics belong to the most prescribed drugs worldwide. Because of the manufacture, excretion, and improper disposal of leftover drugs, the drugs enter waste waters and, subsequently, surface waters. They have been detected in surface waters all over the world, from concentrations of ng/l to concentrations several orders of magnitude higher. Since pharmaceuticals are designed to be both biologically and chemically stable, photochemical degradation by sun radiation represents a way of transformation in the natural environment. This review provides a survey of how selected drugs of the above-mentioned classes affect aquatic organisms of different trophic level. The emphasis is on the harmful effects of phototransformation products, an area of scientific investigation that has only attracted attention in the past few years, revealing the surprising fact that products of photochemical degradation might be even more toxic to aquatic organisms than the parent drugs.

降胆固醇药、抗糖尿病药、抗心律失常药、抗抑郁药和抗生素是全球处方量最大的药物。由于药物的生产、排泄和剩余药物的不当处置,这些药物进入了废水,进而进入地表水。在世界各地的地表水中都检测到了这些药物,其浓度从纳克/升到高出几个数量级不等。由于药物在设计上具有生物和化学稳定性,太阳辐射的光化学降解是药物在自然环境中的一种转化方式。本综述介绍了上述几类药物如何影响不同营养级的水生生物。重点是光转化产物的有害影响,这是过去几年才引起关注的科学研究领域,揭示了一个令人惊讶的事实,即光化学降解产物对水生生物的毒性可能比母体药物还要大。
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引用次数: 0
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Journal of applied biomedicine
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