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The condition of periodontal tissues and selected microorganisms presence around implants and natural teeth 种植体和天然牙齿周围的牙周组织状况和选定的微生物
4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-01-01 DOI: 10.2478/ahem-2023-0009
Magdalena Jaszczak-Małkowska, Ewa Grabowska, Bartłomiej Górski, Renata Górska
Abstract Introduction Periodontitis is a disease of the tissues surrounding the tooth, leading to tooth loss. Missing teeth are often restored with fixed prostheses supported by implants. The aim of this study was to analyze subgingival microbiota in periodontal pockets and around implants, as well as to assess the correlation of periodontal parameters and risk factors for periodontitis with the presence of selected bacteria. Materials and Methods The study included 33 patients of both sexes, aged 39 to 79 years, having their own dentition and intraosseous implants with healthy periodontium or reversible gingivitis. The patients underwent periodontal examination and bacteriological analysis with the use of a PET RT-PCR kit (MIP Pharma, Germany). Results Less plaque was observed on implant surfaces than around natural teeth (28.7% vs. 39.8%). On the other hand, significantly deeper pockets (2.9 vs. 2.3 mm), and a slightly higher gingival bleeding index (27.9 vs. 22.6%) were noted around implants. Conclusions There were no significant differences in the overall presence and number of studied pathogens between the natural teeth and implants. In the case of natural teeth, the presence of Porphyromonas gingivalis , Treponema denticola , Tannerella forsythia and Prevotella intermedia showed correlation with clinical status: the amount of plaque (Td, Tf), bleeding (Td, Tf, Pi) and probing depth (Pg, Td, Tf, Pi). Such relationships were not observed in the case of implants. Bacteria from periodontal pockets also demonstrated more correlation with the general condition compared to bacteria residing in tissues around implants.
牙周炎是一种牙齿周围组织的疾病,可导致牙齿脱落。缺失的牙齿通常用种植体支撑的固定假体修复。本研究的目的是分析牙周袋和种植体周围的牙龈下微生物群,并评估牙周参数和牙周炎危险因素与选定细菌存在的相关性。材料与方法本研究纳入33例患者,男女,年龄39 ~ 79岁,有自己的牙列和骨内种植体,牙周组织健康或可逆性牙龈炎。使用PET RT-PCR试剂盒(德国MIP制药公司)对患者进行牙周检查和细菌学分析。结果种植体表面菌斑明显少于天然牙(28.7% vs. 39.8%)。另一方面,种植体周围的口袋明显更深(2.9 vs 2.3 mm),牙龈出血指数略高(27.9 vs 22.6%)。结论天然牙与种植牙的病原菌总体存在和数量无显著差异。在天然牙中,牙龈卟啉单胞菌、牙密螺旋体、连珠Tannerella forsythia和Prevotella intermedia的存在与临床状况相关:菌斑数量(Td, Tf)、出血(Td, Tf, Pi)和探探深度(Pg, Td, Tf, Pi)。在植入物的情况下没有观察到这种关系。与居住在种植体周围组织中的细菌相比,来自牙周袋的细菌也显示出与一般情况的更多相关性。
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引用次数: 0
Is there a link between obesity phenotype and thyroid diseases? A mini-review of current concepts 肥胖表型和甲状腺疾病之间有联系吗?对当前概念的简短回顾
4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-01-01 DOI: 10.2478/ahem-2023-0015
Ewa Malwina Milewska-Kobos, Ewelina Szczepanek-Parulska, Marek Ruchala
Abstract Obesity is a chronic, relapsing, and progressive disease that leads to negative health consequences. Excessive adiposity frequently coexists with metabolic and nonmetabolic complications, deteriorating health and reducing quality of life and life span. Individuals with obesity are not a homogenous group and can present different obesity phenotypes. The most common obesity phenotypes include: metabolically healthy obese (MHO) and metabolically unhealthy obese (MUO). The latter category involves those with developed metabolic syndrome (MetS) and non-fully-developed metabolic syndrome (pre-MetS). The fundamental factor leading to obesity is imbalance between energy uptake and expenditure. From this perspective the thyroid gland plays the pivotal role in metabolism regulation and obesity development. The thyroid regulates thermogenesis, appetite, and lipids turnover. Clinically, hypothyroid patients have decreased metabolic rate and subsequently experience increase of BMI and excess adiposity. The interaction between the thyroid gland and obesity is bidirectional. Several mechanisms of alteration of the hypothalamus-pituitary-thyroid axis in obesity are proposed. Excessive adiposity and dysfunction of adipose tissue may contribute to the development of thyroid functional and structural impairment, such as autoimmunity, thyroid nodules, and thyroid cancer. The prevalence of certain thyroid disorders in obese individuals is higher than in nonobese subjects and this trend is more pronounced in unhealthy obesity phenotypes. The aim of this mini-review is to present the current knowledge on the interaction between thyroid gland disorders and obesity, with special focus on obesity phenotypes.
肥胖是一种慢性、复发性和进行性疾病,会导致负面的健康后果。过度肥胖经常与代谢和非代谢并发症共存,使健康恶化,降低生活质量和寿命。肥胖个体不是一个同质的群体,可以表现出不同的肥胖表型。最常见的肥胖表型包括:代谢健康型肥胖(MHO)和代谢不健康型肥胖(MUO)。后一类包括已发展的代谢综合征(MetS)和未完全发展的代谢综合征(pre-MetS)。导致肥胖的根本因素是能量摄取和消耗之间的不平衡。从这个角度来看,甲状腺在代谢调节和肥胖发展中起着关键作用。甲状腺调节产热、食欲和脂质转换。临床上,甲状腺功能减退患者代谢率降低,随后出现BMI升高和过度肥胖。甲状腺与肥胖之间的相互作用是双向的。提出了肥胖症中下丘脑-垂体-甲状腺轴改变的几种机制。过度肥胖和脂肪组织功能障碍可能导致甲状腺功能和结构损害的发生,如自身免疫、甲状腺结节和甲状腺癌。肥胖人群中某些甲状腺疾病的患病率高于非肥胖人群,这种趋势在不健康的肥胖表型中更为明显。这篇小型综述的目的是介绍目前关于甲状腺疾病和肥胖之间相互作用的知识,特别关注肥胖表型。
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引用次数: 0
Role of geneticin in isolation and culturing of skin melanocytes and melanoma cells 遗传素在皮肤黑色素细胞和黑色素瘤细胞分离和培养中的作用
4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-01-01 DOI: 10.2478/ahem-2023-0014
Aneta Ścieżyńska, Anna Sobiepanek, Marta Soszyńska, Krzysztof Łuszczyński, Marcin Radziszewski, Iryna Levkovych, Natalia Krześniak, Beata Orzechowska, Anna Lutyńska, Jacek Malejczyk
Abstract Introduction Development of an effective, suitable, and reliable method for both the isolation and culturing of melanocytes is crucial for studies on pathomechanisms of skin diseases originating from melanocyte disorders. In this study, we have investigated the influence of geneticin (G418), a substance used for melanocyte selection, in the view of the frequency of presence of cells such as keratinocytes and fibroblasts, widely known as contaminators of melanocyte-originating cell cultures. Materials and Methods Study was conducted on primary, freshly isolated melanocytes, keratinocytes, fibroblasts, and melanoma cells as well as on commercially available melanoma cell lines MeWo, G-361, and A375. Cells were cultured in different culture media supplemented with various concentrations of geneticin ranging from 0.05 to 1 mg/mL. Cell viability, proliferation rate and detection of apoptotic/necrotic cells was assessed. Results Choice of culture media supplemented with various concentrations of geneticin (0.05 mg/mL, 0.1 mg/mL, 0.5 mg/mL and 1 mg/mL) strongly affect viability of melanocytes, fibroblasts, and keratinocytes. Selective culture media without FBS facilitate the process of melanocytes and melanoma pure cell culture, yet without geneticin supplementation are insufficient for complete eradication of fibroblast contamination from cell culture. Conclusions In this study we provide, for the first time, the dose-response action of keratinocytes and fibroblasts upon geneticin stimulation in different culture media and show that a low concentration (0.05 mg/mL) of geneticin added to the selective culture media may be safely implemented to facilitate the production of melanocyte and melanoma cell cultures that are free from frequent cell contaminants.
开发一种有效、合适、可靠的黑素细胞分离和培养方法,对于研究由黑素细胞失调引起的皮肤病的发病机制至关重要。在这项研究中,我们研究了遗传素(G418)的影响,这是一种用于黑素细胞选择的物质,考虑到角质形成细胞和成纤维细胞等细胞的存在频率,这些细胞被广泛称为黑素细胞起源细胞培养的污染物。研究对象为原代、新分离的黑色素细胞、角质形成细胞、成纤维细胞和黑色素瘤细胞,以及市售的黑色素瘤细胞系MeWo、G-361和A375。细胞在不同培养基中培养,培养基中添加不同浓度的遗传素,浓度范围为0.05 ~ 1mg /mL。评估细胞活力、增殖率和凋亡/坏死细胞的检测。结果添加不同浓度遗传素(0.05 mg/mL、0.1 mg/mL、0.5 mg/mL和1mg /mL)的培养基对黑素细胞、成纤维细胞和角质形成细胞的活性有明显影响。不含FBS的选择性培养基有利于黑色素细胞和黑色素瘤纯细胞培养的过程,但不添加遗传素不足以完全消除细胞培养中的成纤维细胞污染。在这项研究中,我们首次提供了在不同培养基中遗传素刺激下角质形成细胞和成纤维细胞的剂量反应作用,并表明在选择性培养基中添加低浓度(0.05 mg/mL)的遗传素可以安全地促进黑色素细胞和黑色素瘤细胞培养物的产生,使其免受常见的细胞污染。
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引用次数: 0
Devices for the treatment of arterial hypertension 治疗动脉高血压的装置
IF 0.3 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-01-01 DOI: 10.2478/ahem-2023-0004
J. Głuszek, T. Kosicka
Abstract Hypertension is still the cause of many cardiovascular complications and the premature death of a large number of patients despite the use of increasingly effective pharmacological drugs. Most patients with therapy-resistant hypertension show excessive activity of the sympathetic system. In the last two decades, there have been successful attempts at nonpharmacological reduction of this activity. The earliest method for this purpose is the denervation of the renal arteries by using devices specially designed for this purpose. Other methods of lowering blood pressure are the electrical activation of baroreceptors, which increases the tone of the parasympathetic system, and special pacemaker software to lower blood pressure. The paper discusses the studies assessing the effectiveness and safety of these methods, and on the basis of the current research results, predictions are made concerning which patients with arterial hypertension would be the most appropriate for these treatment methods.
尽管使用的药物越来越有效,但高血压仍然是导致许多心血管并发症和大量患者过早死亡的原因。大多数治疗难治性高血压患者表现为交感神经系统过度活跃。在过去的二十年中,已经有成功的尝试在非药物减少这种活动。最早用于此目的的方法是使用专门设计的装置对肾动脉进行去神经支配。其他降低血压的方法是电激活压力感受器,这可以增加副交感神经系统的张力,以及特殊的起搏器软件来降低血压。本文讨论了评估这些方法有效性和安全性的研究,并在现有研究结果的基础上,对哪些动脉高血压患者最适合这些治疗方法进行了预测。
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引用次数: 0
Analgesic effects of oxycodone hydrochloride injection after laparoscopic cholecystectomy and influence on substance P, 5-hydroxytryptamine, and patient-controlled intravenous analgesia 盐酸羟考酮注射液在腹腔镜胆囊切除术后的镇痛作用及对P物质、5-羟色胺和患者静脉自控镇痛的影响
IF 0.3 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-01-01 DOI: 10.2478/ahem-2023-0006
Lei Tan, Qi-zhong Fan, Yuegao Chen, Hao Wu, Huanxi Xu, M. Zhong, Lei Wu
Abstract Introduction We sought out to evaluate the effects of oxycodone hydrochloride injection on laparoscopic cholecystectomy (LC), substance P, 5-hydroxytryptamine (5-HT), and patient-controlled intravenous analgesia (PCIA). Materials and Methods A total of 120 eligible patients were randomly divided into an observation group (n=60) and control group (n=60). Oxycodone (0.07 mg/kg) and fentanyl (0.7 μg/kg) were intravenously injected during LC. Substance P and 5-HT were detected by ELISA. Results Heart rate (HR), mean arterial pressure (MAP), and blood oxygen saturation (SpO2) were recorded. Visual analogue scale (VAS), Ramsay scores, and incidence rates of adverse reactions were recorded. The observation group was less prone to agitation, with less affected HR, MAP and SpO2 during recovery. Before and after extubation, and upon leaving the recovery room, substance P and 5-HT increased more slowly in the observation group. After extubation, the control group had higher VAS and Ramsay scores and a higher incidence rate of adverse reactions. Using oxycodone before the end of LC does not delay awakening or affect extubation, but reduces hemodynamic fluctuations, incidence of agitation and release of substance P and 5-HT. It has high safety and stable circulation during recovery. Conclusions Oxycodone used in PCIA after LC effectively mitigates postoperative pain, with milder adverse reactions, which is superior to fentanyl.
摘要简介我们试图评价盐酸羟考酮注射液对腹腔镜胆囊切除术(LC)、P物质、5-羟色胺(5-HT)和患者自控静脉镇痛(PCIA)的影响。材料与方法120例符合条件的患者随机分为观察组(n=60)和对照组(n=60)。LC期间静脉注射羟考酮(0.07 mg/kg)和芬太尼(0.7 μg/kg)。ELISA法检测P物质和5-羟色胺。结果记录患者心率(HR)、平均动脉压(MAP)、血氧饱和度(SpO2)。记录视觉模拟评分(VAS)、Ramsay评分及不良反应发生率。观察组患者恢复过程中躁动较少,HR、MAP、SpO2受影响较小。拔管前后及出院时,观察组P物质、5-HT升高较对照组慢。拔管后,对照组VAS评分、Ramsay评分较高,不良反应发生率较高。在LC结束前使用羟考酮不会延迟苏醒或影响拔管,但可以减少血流动力学波动、躁动发生率和P物质和5-羟色胺的释放。安全性高,回收过程中循环稳定。结论羟考酮用于LC术后PCIA可有效减轻术后疼痛,不良反应轻,优于芬太尼。
{"title":"Analgesic effects of oxycodone hydrochloride injection after laparoscopic cholecystectomy and influence on substance P, 5-hydroxytryptamine, and patient-controlled intravenous analgesia","authors":"Lei Tan, Qi-zhong Fan, Yuegao Chen, Hao Wu, Huanxi Xu, M. Zhong, Lei Wu","doi":"10.2478/ahem-2023-0006","DOIUrl":"https://doi.org/10.2478/ahem-2023-0006","url":null,"abstract":"Abstract Introduction We sought out to evaluate the effects of oxycodone hydrochloride injection on laparoscopic cholecystectomy (LC), substance P, 5-hydroxytryptamine (5-HT), and patient-controlled intravenous analgesia (PCIA). Materials and Methods A total of 120 eligible patients were randomly divided into an observation group (n=60) and control group (n=60). Oxycodone (0.07 mg/kg) and fentanyl (0.7 μg/kg) were intravenously injected during LC. Substance P and 5-HT were detected by ELISA. Results Heart rate (HR), mean arterial pressure (MAP), and blood oxygen saturation (SpO2) were recorded. Visual analogue scale (VAS), Ramsay scores, and incidence rates of adverse reactions were recorded. The observation group was less prone to agitation, with less affected HR, MAP and SpO2 during recovery. Before and after extubation, and upon leaving the recovery room, substance P and 5-HT increased more slowly in the observation group. After extubation, the control group had higher VAS and Ramsay scores and a higher incidence rate of adverse reactions. Using oxycodone before the end of LC does not delay awakening or affect extubation, but reduces hemodynamic fluctuations, incidence of agitation and release of substance P and 5-HT. It has high safety and stable circulation during recovery. Conclusions Oxycodone used in PCIA after LC effectively mitigates postoperative pain, with milder adverse reactions, which is superior to fentanyl.","PeriodicalId":20347,"journal":{"name":"Postȩpy higieny i medycyny doświadczalnej","volume":"77 1","pages":"42 - 48"},"PeriodicalIF":0.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69111733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Quantitative evaluation of the genus Bifidobacterium in stool samples of patients with type 1 and 2 diabetes 1型和2型糖尿病患者粪便样本中双歧杆菌属的定量评价
IF 0.3 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-01-01 DOI: 10.2478/ahem-2023-0007
A. Krawczyk, Katarzyna Talaga-Ćwiertnia, Katarzyna Biegun, Kamil Drożdż, D. Salamon, T. Gosiewski, Agnieszka Sroka-Oleksiak
Abstract Introduction There is evidence of the existence of quantitative changes in the microbiome, including Bifidobacterium spp., due to some chronic diseases, such as liver cirrhosis, inflammatory bowel diseases, obesity, or celiac disease. Materials and Methods We aimed to examine the number of Bifidobacterium and total bacteria present in the colon of patients with type 1 diabetes (T1DM) and type 2 diabetes (T2DM), as well as in healthy subjects. DNA was extracted from patients’ fecal samples and then amplified by real-time PCR to determine the number of Bifidobacterium and total bacteria. Statistical association with selected clinical and biochemical features was examined. Results The mean numbers of bacteria belonging to the genus Bifidobacterium in T1DM and T2DM were lower compared to the control group (p = 0.006, p < 0.001 respectively). There were no statistical differences in the total number of bacteria between all groups (p = 0.397). In the T1DM group, a significant correlation was detected between the number of bifidobacteria and age (r = 0.441, p = 0.010), as well as bifidobacteria and alanine aminotransferease (p = 0.022, r = −0.11). In the group T2DM, a correlation was observed between triglycerydes and bifidobacteria (p < 0.001, r = −0.61). Moreover, we have found a negative correlation between HBA1, glucose level, and bifidobacteria (r = −0.35, p < 0.001 and r = −0.024, p = 0.019, respectively). Conclusions The quantitative composition of Bifidobacterium is lower in T1DM and T2DM patients compared to the healthy controls. Further studies are needed to clarify the relationship between the number of these bacteria and elements of the clinical picture of T1DM.
有证据表明,由于一些慢性疾病,如肝硬化、炎症性肠病、肥胖或乳糜泻,包括双歧杆菌在内的微生物组存在定量变化。材料和方法我们旨在检测1型糖尿病(T1DM)和2型糖尿病(T2DM)患者以及健康受试者结肠中双歧杆菌和总细菌的数量。从患者粪便样本中提取DNA,通过实时荧光定量PCR扩增,测定双歧杆菌数量和总菌数。统计关联与选定的临床和生化特征进行了检查。结果T1DM和T2DM患者双歧杆菌属细菌的平均数量低于对照组(p = 0.006, p < 0.001)。各组细菌总数比较差异无统计学意义(p = 0.397)。在T1DM组中,双歧杆菌数量与年龄(r = 0.441, p = 0.010)、双歧杆菌数量与丙氨酸氨基转移酶(p = 0.022, r = - 0.11)显著相关。在T2DM组中,甘油三酯和双歧杆菌之间存在相关性(p < 0.001, r = - 0.61)。此外,我们还发现HBA1、葡萄糖水平和双歧杆菌之间存在负相关(r = - 0.35, p < 0.001和r = - 0.024, p = 0.019)。结论T1DM和T2DM患者双歧杆菌的定量组成低于健康对照组。需要进一步的研究来阐明这些细菌的数量与T1DM临床表现要素之间的关系。
{"title":"Quantitative evaluation of the genus Bifidobacterium in stool samples of patients with type 1 and 2 diabetes","authors":"A. Krawczyk, Katarzyna Talaga-Ćwiertnia, Katarzyna Biegun, Kamil Drożdż, D. Salamon, T. Gosiewski, Agnieszka Sroka-Oleksiak","doi":"10.2478/ahem-2023-0007","DOIUrl":"https://doi.org/10.2478/ahem-2023-0007","url":null,"abstract":"Abstract Introduction There is evidence of the existence of quantitative changes in the microbiome, including Bifidobacterium spp., due to some chronic diseases, such as liver cirrhosis, inflammatory bowel diseases, obesity, or celiac disease. Materials and Methods We aimed to examine the number of Bifidobacterium and total bacteria present in the colon of patients with type 1 diabetes (T1DM) and type 2 diabetes (T2DM), as well as in healthy subjects. DNA was extracted from patients’ fecal samples and then amplified by real-time PCR to determine the number of Bifidobacterium and total bacteria. Statistical association with selected clinical and biochemical features was examined. Results The mean numbers of bacteria belonging to the genus Bifidobacterium in T1DM and T2DM were lower compared to the control group (p = 0.006, p < 0.001 respectively). There were no statistical differences in the total number of bacteria between all groups (p = 0.397). In the T1DM group, a significant correlation was detected between the number of bifidobacteria and age (r = 0.441, p = 0.010), as well as bifidobacteria and alanine aminotransferease (p = 0.022, r = −0.11). In the group T2DM, a correlation was observed between triglycerydes and bifidobacteria (p < 0.001, r = −0.61). Moreover, we have found a negative correlation between HBA1, glucose level, and bifidobacteria (r = −0.35, p < 0.001 and r = −0.024, p = 0.019, respectively). Conclusions The quantitative composition of Bifidobacterium is lower in T1DM and T2DM patients compared to the healthy controls. Further studies are needed to clarify the relationship between the number of these bacteria and elements of the clinical picture of T1DM.","PeriodicalId":20347,"journal":{"name":"Postȩpy higieny i medycyny doświadczalnej","volume":"77 1","pages":"59 - 64"},"PeriodicalIF":0.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69111750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
GLP-1 analogues in the treatment of obesity and non-alcoholic fatty liver disease GLP-1类似物治疗肥胖和非酒精性脂肪肝
IF 0.3 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-01-01 DOI: 10.2478/ahem-2023-0001
Kacper Deska, Bartłomiej Bąk, Marcin Kosmalski, T. Pietras
Abstract Type two diabetes has become a civilization disease in the recent years, and the accompanying obesity, metabolic syndrome and non-alcoholic fatty liver are often the inseparable components of the clinical presentation in patients with diabetes of this type. The treatment of each of these elements is important for optimal metabolic control of the patients, as well as directly affecting their life expectancy. However, The ideal solution would be to take as few drugs as possible, preferably drugs that have a beneficial effect on several coexisting diseases at the same time. In the recent years, there have been more and more reports about the pleiotropic effect of drugs affecting the incretin axis - GLP-1 analogues. The presented paper provides an overview of the latest knowledge on the effect of GLP-1 receptor agonists on weight reduction and reduction of changes in the course of non-alcoholic fatty liver disease.
二型糖尿病近年来已成为一种文明病,伴随的肥胖、代谢综合征和非酒精性脂肪肝往往是该型糖尿病患者临床表现不可分割的组成部分。这些元素的治疗对于患者的最佳代谢控制非常重要,也直接影响他们的预期寿命。然而,理想的解决方案是服用尽可能少的药物,最好是同时对几种并存的疾病有有益作用的药物。近年来,关于影响肠促胰岛素轴- GLP-1类似物的药物多效性的报道越来越多。本文综述了GLP-1受体激动剂在非酒精性脂肪性肝病过程中对体重减轻和改变的影响的最新知识。
{"title":"GLP-1 analogues in the treatment of obesity and non-alcoholic fatty liver disease","authors":"Kacper Deska, Bartłomiej Bąk, Marcin Kosmalski, T. Pietras","doi":"10.2478/ahem-2023-0001","DOIUrl":"https://doi.org/10.2478/ahem-2023-0001","url":null,"abstract":"Abstract Type two diabetes has become a civilization disease in the recent years, and the accompanying obesity, metabolic syndrome and non-alcoholic fatty liver are often the inseparable components of the clinical presentation in patients with diabetes of this type. The treatment of each of these elements is important for optimal metabolic control of the patients, as well as directly affecting their life expectancy. However, The ideal solution would be to take as few drugs as possible, preferably drugs that have a beneficial effect on several coexisting diseases at the same time. In the recent years, there have been more and more reports about the pleiotropic effect of drugs affecting the incretin axis - GLP-1 analogues. The presented paper provides an overview of the latest knowledge on the effect of GLP-1 receptor agonists on weight reduction and reduction of changes in the course of non-alcoholic fatty liver disease.","PeriodicalId":20347,"journal":{"name":"Postȩpy higieny i medycyny doświadczalnej","volume":"77 1","pages":"1 - 8"},"PeriodicalIF":0.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69111764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The carbohydrate-deficient transferrin as a marker of chronic alcohol consumption and assessment of its usefulness in patients with cardiovascular diseases – a pilot study 缺乏碳水化合物的转铁蛋白作为慢性饮酒的标志及其在心血管疾病患者中的有效性评估——一项初步研究
4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-01-01 DOI: 10.2478/ahem-2023-0010
Joanna Dominika Waś, Magdalena Niedolistek, Dorota Sokołowska, Joanna Wiśniewska, Tomasz Zieliński, Anna Mierzyńska, Daniel Rabczenko, Beata Orzechowska, Dominika Franz, Ewa Augustynowicz-Kopeć, Anna Lutyńska
Abstract Introduction Cardiovascular diseases (CVDs) are the leading cause of death in the world. The dose of 60 g of alcohol / day has been estimated to significantly increase the risk of developing high blood pressure, arrhythmias, hemorrhagic stroke, and cardiomyopathy. The aim of the study was to evaluate the diagnostic value of CDT when compared with gammaglutamyltransferase (GGT), alkaline phosphatase (ALP), N-terminal fragment brain natriuretic peptide (NT pro-BNP) and troponin T biomarkers in patients with heart failure. Materials and Methods The study was conducted on 59 patients with advanced heart failure with reduced ejection fraction (EF<40%). CDT serum levels were measured using CDT kit, Chromsystems Instruments & Chemicals GmbH, Germany and were expressed as a percentage of total transferrin using high-performance liquid chromatography (HPLC). Results Nineteen patients (n = 19) expressed a normal level of carbohydrate deficiency transferrin <1.2% of the total transferrin found in plasma. The results are obtained from 34 patients (n = 34) were within the range doubtful for the test (1.2–2.5%). In 6 Patients (n = 6) the results of more than 2.5% of CDT content were observed, which could indicate chronic alcohol consumption. Conclusions No statistically significant correlations between CDT and troponin T or NT pro-BNP were identified.
心血管疾病(cvd)是世界上主要的死亡原因。据估计,每天60克的酒精剂量会显著增加患高血压、心律失常、出血性中风和心肌病的风险。本研究的目的是评价CDT与γ -谷氨酰转移酶(GGT)、碱性磷酸酶(ALP)、n端片段脑钠肽(NT pro-BNP)和肌钙蛋白T生物标志物在心力衰竭患者中的诊断价值。材料与方法对59例射血分数降低(EF<40%)的晚期心力衰竭患者进行研究。CDT血清水平检测使用CDT试剂盒,Chromsystems Instruments &用高效液相色谱法(HPLC)表示为总转铁蛋白的百分比。结果19例患者(n = 19)碳水化合物缺乏性转铁蛋白表达正常,占血浆总转铁蛋白的1.2%。34例患者(n = 34)的结果在可疑范围内(1.2-2.5%)。在6例患者(n = 6)中观察到CDT含量超过2.5%的结果,这可能表明慢性饮酒。结论CDT与肌钙蛋白T或NT亲bnp无显著相关性。
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引用次数: 0
Can colistin susceptibility results determined in multidrug resistant Gram-negative bacteria be used for polymyxin B? 多粘菌素耐药革兰氏阴性菌的敏感性结果是否可用于多粘菌素B?
4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-01-01 DOI: 10.2478/ahem-2023-0017
Rıza Adaleti, Nilgün Kansak, Şeyma Çalık, Neslihan Arıcı, Seniha Şenbayrak, Sebahat Aksaray
Abstract Introduction The present study aimed to compare the MIC values of colistin and polymyxin B in fermentative and non-fermentative Gram-negative bacteria and to examine whether the susceptibility results determined with colistin can be used for polymyxin B. Materials and Methods A total of 268 strains of Escherichia coli ( E. coli ), Klebsiella pneumoniae ( K. pneumoniae ), Pseudomonas aeruginosa ( P. aeruginosa ), and Acinetobacter baumannii ( A. baumannii ) isolates were included in the study. The reference broth microdilution and the results were evaluated according to CLSI recommendations. Results Of the 268 strains, 40.7% were found to be colistin resistant and 34% polymyxin B resistant. Essential agreement (EA) and categorical agreement (CA) ratios for all isolates were found to be 81.3% and 85.1%, respectively. Identical MIC values were found for colistin and polymyxin B in 104 isolates (38.8%), and this rate was 31.1% and 48.7% in Enterobacterales and non-fermentative bacteria, respectively. Colistin resistance rates were 25.4% for E. coli , 67.4% for K. pneumoniae , 23.8% for P. aeruginosa , and 31.5% for A. baumannii . Polymyxin B resistance rates were 18.6% for E. coli , 64.1% for K. pneumoniae , 19% for P. aeruginosa , and 16.7% for A. baumannii . Conclusion According to the results of the study, it was concluded that the MIC values of colistin and polymyxin B antibiotics in all bacteria were not compatible with each other. Colistin susceptibility results cannot be used for treatment with polymyxin B, despite CLSI's recommendation.
摘要:本研究旨在比较大肠杆菌素和多粘菌素B在发酵和非发酵革兰氏阴性菌中的MIC值,探讨用粘菌素测定的药敏结果是否可用于多粘菌素B。材料与方法共268株大肠杆菌(E. coli)、肺炎克雷伯菌(K. pneumoniae)、铜绿假单胞菌(P. aeruginosa)、鲍曼不动杆菌(鲍曼不动杆菌)分离株纳入研究。对照肉汤微量稀释度和结果按照CLSI推荐值进行评价。结果268株细菌中粘菌素耐药40.7%,多粘菌素B耐药34%。所有分离株的基本一致性(EA)和分类一致性(CA)比率分别为81.3%和85.1%。黏菌素和多粘菌素B的MIC值在104株分离菌中相同(38.8%),肠杆菌和非发酵菌的MIC值分别为31.1%和48.7%。大肠杆菌耐药率为25.4%,肺炎克雷伯菌为67.4%,铜绿假单胞菌为23.8%,鲍曼不动杆菌为31.5%。大肠杆菌耐药率为18.6%,肺炎克雷伯菌耐药率为64.1%,铜绿假单胞菌耐药率为19%,鲍曼假单胞菌耐药率为16.7%。结论根据研究结果,所有细菌中粘菌素和多粘菌素B抗生素的MIC值不相容。尽管CLSI推荐,粘菌素敏感性结果不能用于多粘菌素B的治疗。
{"title":"Can colistin susceptibility results determined in multidrug resistant Gram-negative bacteria be used for polymyxin B?","authors":"Rıza Adaleti, Nilgün Kansak, Şeyma Çalık, Neslihan Arıcı, Seniha Şenbayrak, Sebahat Aksaray","doi":"10.2478/ahem-2023-0017","DOIUrl":"https://doi.org/10.2478/ahem-2023-0017","url":null,"abstract":"Abstract Introduction The present study aimed to compare the MIC values of colistin and polymyxin B in fermentative and non-fermentative Gram-negative bacteria and to examine whether the susceptibility results determined with colistin can be used for polymyxin B. Materials and Methods A total of 268 strains of Escherichia coli ( E. coli ), Klebsiella pneumoniae ( K. pneumoniae ), Pseudomonas aeruginosa ( P. aeruginosa ), and Acinetobacter baumannii ( A. baumannii ) isolates were included in the study. The reference broth microdilution and the results were evaluated according to CLSI recommendations. Results Of the 268 strains, 40.7% were found to be colistin resistant and 34% polymyxin B resistant. Essential agreement (EA) and categorical agreement (CA) ratios for all isolates were found to be 81.3% and 85.1%, respectively. Identical MIC values were found for colistin and polymyxin B in 104 isolates (38.8%), and this rate was 31.1% and 48.7% in Enterobacterales and non-fermentative bacteria, respectively. Colistin resistance rates were 25.4% for E. coli , 67.4% for K. pneumoniae , 23.8% for P. aeruginosa , and 31.5% for A. baumannii . Polymyxin B resistance rates were 18.6% for E. coli , 64.1% for K. pneumoniae , 19% for P. aeruginosa , and 16.7% for A. baumannii . Conclusion According to the results of the study, it was concluded that the MIC values of colistin and polymyxin B antibiotics in all bacteria were not compatible with each other. Colistin susceptibility results cannot be used for treatment with polymyxin B, despite CLSI's recommendation.","PeriodicalId":20347,"journal":{"name":"Postȩpy higieny i medycyny doświadczalnej","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135704839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A patient infected with SARS-Cov-2 presents with DIHS syndrome induced by olanzapine: diagnostic difficulties 1例SARS-Cov-2感染患者出现奥氮平诱导的DIHS综合征:诊断困难
4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-01-01 DOI: 10.2478/ahem-2023-0016
Michalina Pinkosz, Mateusz Szymański, Monika Cendrowska-Pinkosz
Abstract Drug-induced hypersensitivity syndrome (DIHS) is a potentially life-threatening reaction. The pathology of DIHS has been connected with adverse reactions to drugs; however, it has been observed that viruses and other infectious factors may induce similar responses in the body. COVID-19 caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has recently become a major challenge for worldwide healthcare. The dermatological symptoms occur in approximately 5.95% of COVID-19 patients, however, they are not exclusively a manifestation of SARS-CoV-2 infection. Certain skin-related symptoms might result from therapeutic drug administration, personal protective equipment, or sanitizers used by medical personnel. The complex pathomechanism of those symptoms leads to multiple diagnostic difficulties. This article describes a case of a 40-year-old man who was admitted to the intensive care unit (ICU) due to heavy respiratory failure in the course of SARS-CoV-2 infection. The patient has been treated with olanzapine for anxiety disorder for approximately 4 years. On the seventh day of treatment, the patient presented with a maculopapular rash, fever, and swollen upper lip. Because of these presented symptoms, the patient has been diagnosed with drug-induced hypersensitivity syndrome (DIHS). The results of blood analysis showed elevated levels of acute phase markers, liver and kidney damage markers, which are present both during COVID-19 and DIHS. Furthermore, the patient presented with peripheral eosinophilia, which is a distinctive feature of DIHS. In the course of COVID-19, the laboratory-measured levels of eosinophilic granulocytes declined to 0. Therefore, in the active phase of SARS-CoV-2 infection, the eosinophilia connected with DIHS was difficult to assess. In this paper, we compare and contrast the clinical and laboratory symptoms of COVID-19 and DIHS syndrome, describe patient's case and explain the diagnostics difficulties resulting from the concomitance of those disease entities.
药物致过敏综合征(DIHS)是一种潜在的危及生命的反应。DIHS的病理与药物不良反应有关;然而,已经观察到病毒和其他感染因素可能在体内引起类似的反应。由严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)引起的COVID-19最近已成为全球卫生保健的重大挑战。大约5.95%的COVID-19患者出现皮肤症状,然而,它们并不完全是SARS-CoV-2感染的表现。某些与皮肤有关的症状可能是由治疗药物的使用、个人防护设备或医务人员使用的消毒剂引起的。这些症状的复杂病理机制导致多重诊断困难。本文描述了一例40岁男性在SARS-CoV-2感染过程中因严重呼吸衰竭而入住重症监护病房(ICU)的病例。患者已接受奥氮平治疗焦虑症约4年。治疗第7天,患者出现黄斑丘疹、发热和上唇肿胀。由于这些症状,患者被诊断为药物致过敏综合征(DIHS)。血液分析结果显示,急性期标志物、肝脏和肾脏损伤标志物水平升高,这些标志物在COVID-19和DIHS期间都存在。此外,患者表现为外周嗜酸性粒细胞增多,这是DIHS的一个显著特征。在COVID-19过程中,实验室测量的嗜酸性粒细胞水平降至0。因此,在SARS-CoV-2感染的活跃期,与DIHS相关的嗜酸性粒细胞增多难以评估。本文对COVID-19和DIHS综合征的临床和实验室症状进行了比较和对比,对患者的病例进行了描述,并解释了这两种疾病并存导致的诊断困难。
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Postȩpy higieny i medycyny doświadczalnej
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