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Impact of advancement of otitis media with effusion on vestibular organ condition in children 中耳炎伴积液进展对儿童前庭器官状况的影响
IF 0.3 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-01-01 DOI: 10.2478/ahem-2022-0041
Katarzyna Pazdro-Zastawny, T. Zatoński
Abstract Introduction Otitis media with effusion (OME) is one of the most common otorhinolaryngological (ENT) disorders in childhood. This study aimed to investigate the vestibular organ condition in children with OME and whether the presence of vestibular disturbances depends on the advancement of OME. Materials and Methods Subjects were 53 children between 4 and 14 years old with bilateral OME and treated with middle ear drainage. The study group was divided into two subgroups according to the advancement of the disease. The participants were submitted to an evaluation consisting of anamnesis, ENT evaluation, static posturography, and electronystagmography (ENG). Examination was performed before surgery and one month after drainage. Results The posturography revealed the presence of disturbances before and after ME drainage. After drainage, the assessed parameters improved; they still, however, remained elevated. Disturbances in posturography, both before and after drainage, were expressed more fully in the subgroup with stage II compared to the stage I subgroup, especially before drainage. The analysis of the ENG confirmed that the stage of clinical advancement affects the severity of vestibular disorders in children with OME. Greater vestibular disorders in the form of the presence of spontaneous nystagmus and position were more frequent in the subgroup with stage II. Conclusions ME effusion affects the vestibular organ in children with OME. The degree of vestibular disturbances depends on the clinical advancement of the disease. The assessment of the vestibular organ condition is beneficial and should be included in the OME diagnostic and for qualification for surgical treatment.
摘要:分泌性中耳炎(OME)是儿童最常见的耳鼻喉科疾病之一。本研究旨在探讨OME患儿的前庭器官状况,以及前庭功能障碍的存在是否取决于OME的进展。材料与方法研究对象为53例4 ~ 14岁双侧OME患儿,经中耳引流治疗。根据病情进展情况将研究组分为两个亚组。参与者接受了由记忆、耳鼻喉科评估、静态姿势照相和眼震电图(ENG)组成的评估。术前及引流后1个月进行检查。结果体位造影显示ME引流前后均有干扰。排水后,评价参数有所改善;然而,它们仍然处于高位。与I期亚组相比,II期亚组在引流前后的姿势紊乱表现得更充分,尤其是在引流前。ENG分析证实,临床进展阶段影响OME患儿前庭功能障碍的严重程度。以自发性眼球震颤和体位的形式出现的更大的前庭功能障碍在II期亚组中更常见。结论ME积液对OME患儿前庭器官有影响。前庭功能障碍的程度取决于疾病的临床进展。前庭器官状况的评估是有益的,应包括在OME诊断和手术治疗的资格。
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引用次数: 0
Effect of pasteurization on melatonin concentration in human breast milk 巴氏灭菌对母乳褪黑素浓度的影响
IF 0.3 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-01-01 DOI: 10.2478/ahem-2022-0022
Agnieszka Chrustek, E. Sinkiewicz-Darol, M. Lampka, D. Olszewska-Słonina, B. Sperkowska, K. Linowiecka
Abstract Introduction Women who have problems with lactation can use human milk banks. Mainly this human milk is provided to premature babies and sick newborns. Human milk is the most suitable food for newborns and infants, recommended by WHO (World Health Organization). Human milk has anti-inflammatory, anti-infective, and anti-allergic properties, and also works for immunomodulation. Melatonin has a special, underestimated importance in the composition of breast milk. It is a hormone that has many body functions and, for several decades, its antioxidant potential has been increasingly talked about. The aim of the study was to examine the effect of Holder pasteurization on melatonin concentration in human milk. Materials and Methods 18 samples of human milk from donors from the human milk bank were used for the analysis. Melatonin concentration before and after pasteurization was determined by ELISA. In addition, the nutritional content composition of milk was analyzed using MIRIS Human Milk Analyzer and correlations examined. Results Melatonin concentration in human milk before pasteurization was 0.65–26.24 pg/mL (Me=9.58, IQR=12.72), while after pasteurization 0.80–29.58 pg/mL (Me=9.98, IQR=11.26). There was a positive correlation between melatonin concentration before and after pasteurization (r=0.797, p<0.001). Conclusions The Holder pasteurization process does not affect the concentration of melatonin in milk samples, which may be a recommendation for human milk banks.
摘要简介哺乳期有问题的妇女可以使用母乳库。这种母乳主要提供给早产儿和患病新生儿。母乳是世界卫生组织推荐的最适合新生儿和婴儿食用的食物。母乳具有抗炎、抗感染和抗过敏特性,还具有免疫调节作用。褪黑激素在母乳成分中具有特殊的、被低估的重要性。它是一种具有多种身体功能的激素,几十年来,它的抗氧化潜力越来越受到人们的关注。本研究的目的是检验霍尔德巴氏灭菌对母乳中褪黑素浓度的影响。材料与方法采用来自母乳库的18份母乳样本进行分析。用ELISA法测定巴氏灭菌前后褪黑素的浓度。此外,使用MIRIS母乳分析仪对牛奶的营养成分进行了分析,并检验了相关性。结果巴氏灭菌前母乳中褪黑素浓度为0.65~26.24 pg/mL(Me=9.58,IQR=12.72),巴氏灭菌后的褪黑素浓度为0.80–29.58 pg/mL(Me=9.98,IQR=11.26)。巴氏灭菌前后褪黑素浓度呈正相关(r=0.797,p<0.001)。结论Holder巴氏灭菌过程不会影响牛奶样品中褪黑素的浓度,这可能是母乳库的一个建议。
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引用次数: 1
S100 Beta Protein as a Marker of Hepatic Encephalopathy: A Breakthrough in Diagnostics or a False Trail? Review of the Literature. S100 β蛋白作为肝性脑病的标志物:诊断上的突破还是错误的线索?文献综述。
IF 0.3 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-01-01 DOI: 10.2478/ahem-2022-0018
Wojciech Pisarek
Abstract Hepatic encephalopathy is a dysfunction of the central nervous system caused by chronic and acute liver disease. The dysfunction presents a wide spectrum of symptoms—from the undetectable in a standard clinical examination to hepatic coma—and could be caused by both chronic and acute liver diseases. For many years research has been conducted to find a marker that would allow for the accurate, quick, and possibly inexpensive detection of hepatic encephalopathy. Due to the pathogenesis of hepatic encephalopathy, researchers’ attention is focused on markers of damage to the central nervous system. One of the markers of astrocyte damage, known from research in neurology and neurosurgery, is the protein S100B. Published research results so far are inconclusive, but they allow us to look with optimism at the role of S100B as a marker of minimal hepatic encephalopathy (MHE).
肝性脑病是由慢性和急性肝病引起的中枢神经系统功能障碍。这种功能障碍表现出广泛的症状——从标准临床检查无法检测到肝昏迷——并且可能由慢性和急性肝脏疾病引起。多年来,人们一直在进行研究,寻找一种能够准确、快速、可能便宜地检测肝性脑病的标志物。由于肝性脑病的发病机制,研究人员的注意力集中在中枢神经系统损伤的标志物上。从神经病学和神经外科研究中得知,星形胶质细胞损伤的标志之一是蛋白质S100B。到目前为止,已发表的研究结果尚无定论,但它们使我们能够乐观地看待S100B作为轻度肝性脑病(MHE)标志物的作用。
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引用次数: 0
Infection complicating 794 primary and revision arthroscopies. Accuracy of actual prophylactic procedures against infection and results from a single orthopedic center in Poland 794例原发性和翻修性关节镜检查并发感染。波兰单一骨科中心预防感染的实际预防程序和结果的准确性
IF 0.3 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-01-01 DOI: 10.2478/ahem-2022-0026
Karolina Stępień, Karol Kosterna, I. Babiak
Abstract Introduction Septic arthritis after arthroscopy (SAAA) is a devasting complication which reported frequency varies about 0.04%–5.7%. The aim of the study is to analyze frequency of SAAA at one orthopedic center, risk factors and accuracy of actual prophylactic measures. Materials and Methods A retrospective study (level of evidence: V) includes 794 (665 primary and 129 revision) “clean” arthroscopies performed in the years 2017–2018 with confirmed joint infection during 30 days after operation without the use of non-resorbable implants and up to 1 year after procedures with non-resorbable implants. Demographic and medical data about potential risk factors of SAAA were analyzed: patients age, sex, operated joint, type of procedure, primary or revision procedure, the use of drains, usage of non-absorbable implant, time of surgery, BMI, time lapse from index operation to diagnosis of SAAA, length of hospital stay, causative microorganisms. All operations were performed by eight different but experienced surgeons, in operation theatre with vertical laminar flow with the capacity of 50 air exchanges per hour. The perioperative antibiotic prophylaxis consisted of one preoperative dose 1 g cefazolin in simple arthroscopies, which was prolonged to 24 hours with 3 doses in cases of implantation of non-absorbable implant (55.8% of patients). Results From 794 cases 4 have been infected: 2 after knee arthrolysis, one after ACL reconstruction and one after rotator cuff repair. There were 2 early, with manifestation within 30 days, and 2 late-onset SAAA. Infections occurred in 0.5% of all arthroscopies and in 0.47% of knee arthroscopies alone. Patients age and time of surgery have not been found significantly different in infected and non-infected cases, whereas age and time of surgery have been significantly different in revision and non-revision cases. Conclusions Primarily aseptic arthroscopic procedures performed with respect to actual perioperative preventive measures have a low risk of postoperative septic arthritis. The risk increases with patients age and time of operation, but not significantly.
摘要:关节镜术后脓毒性关节炎(SAAA)是一种毁灭性的并发症,报道频率约为0.04% ~ 5.7%。本研究的目的是分析某骨科中心SAAA的发生率、危险因素和实际预防措施的准确性。材料和方法一项回顾性研究(证据水平:V级)包括2017-2018年794例(665例原发性和129例翻修)“清洁”关节镜检查,患者在未使用不可吸收植入物的手术后30天内确诊关节感染,并在使用不可吸收植入物后1年内确诊关节感染。分析SAAA潜在危险因素的人口学和医学资料:患者年龄、性别、手术关节、手术类型、初次或改期手术、使用引流管、使用不可吸收植入物、手术时间、BMI、从指数手术到SAAA诊断的时间间隔、住院时间、致病微生物。所有手术均由8位经验丰富的外科医生在垂直层流手术室进行,每小时换气50次。围手术期抗生素预防包括单纯关节镜下术前1次1 g头孢唑林,不可吸收植入物(55.8%)延长至24小时3次。结果794例患者中4例感染:膝关节松解术后2例,前交叉韧带重建术后1例,肩袖修复术后1例。早发性30天内出现2例,晚发性SAAA 2例。所有关节镜手术中感染发生率为0.5%,单膝关节镜手术中感染发生率为0.47%。感染病例和非感染病例的患者年龄和手术时间无显著差异,而翻修病例和非翻修病例的年龄和手术时间有显著差异。结论在实际围手术期预防措施方面,主要采用无菌关节镜手术可降低术后脓毒性关节炎的发生风险。风险随患者年龄和手术时间的增加而增加,但不显著。
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引用次数: 0
Subjective, but not documented, lactose intolerance accompanies irritable bowel syndrome 主观,但没有记录,乳糖不耐症伴随肠易激综合征
IF 0.3 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-01-01 DOI: 10.2478/ahem-2022-0027
D. Domżał-Magrowska, Marek K. Kowalski, E. Małecka-Wojciesko
Abstract Introduction Lactose intolerance, due to lactase deficiency, may overlap with the symptoms of irritable bowel syndrome (IBS) or lead to an incorrect diagnosis of IBS. Identification of lactose intolerance and lactase deficiency enables targeted treatment to be implemented. The aim of the study was to search for a frequency of a lactose intolerance symptoms in patients with IBS, depending on the results of hydrogen breath test (HBT). Materials and Methods The study involved 56 patients with IBS and 23 healthy people. Both, IBS patients and healthy controls, were asked to complete a survey about IBS symptoms and tolerance of lactose-containing products. A HBT was performed on all subjects. Results Lactase deficiency was diagnosed in 60.7% of patients with IBS and 43.5% of control group. The differences between the study groups were not statistically significant. No statistically significant differences were observed between the incidence of lactase deficiency depending on the type of IBS. In the group of patients with IBS and normal HBT results, as well as in patients with IBS and lactase deficiency, there were no statistically significant differences in the frequency of lactose intolerance symptoms. However, among people with normal HBT results, patients with IBS reported symptoms of intolerance after consuming lactose-containing foods significantly more often compared to the control group (p<0.05). Conclusions Frequency of lactase deficiency does not differ between IBS patients and healthy individuals. Patients with IBS are more likely to report symptoms of lactose intolerance, regardless of the HBT result, compared to healthy individuals.
乳糖酶缺乏引起的乳糖不耐症可能与肠易激综合征(IBS)的症状重叠或导致IBS的错误诊断。确定乳糖不耐症和乳糖酶缺乏症可以实施有针对性的治疗。该研究的目的是根据氢呼气试验(HBT)的结果,寻找肠易激综合征患者乳糖不耐受症状的频率。材料与方法本研究纳入56例肠易激综合征患者和23例健康人。肠易激综合征患者和健康对照者都被要求完成一项关于肠易激综合征症状和对含乳糖产品耐受性的调查。对所有受试者进行HBT。结果IBS患者中有60.7%诊断为乳糖酶缺乏,对照组为43.5%。研究组之间的差异无统计学意义。不同类型肠易激综合征的乳糖酶缺乏症发生率无统计学差异。在IBS和HBT结果正常的患者组,以及IBS和乳糖酶缺乏的患者中,乳糖不耐受症状出现的频率没有统计学差异。然而,在HBT结果正常的人群中,与对照组相比,IBS患者在食用含乳糖食物后报告不耐受症状的频率明显更高(p<0.05)。结论IBS患者乳糖酶缺乏频率与健康人群无显著差异。与健康个体相比,无论HBT结果如何,肠易激综合征患者更有可能报告乳糖不耐受症状。
{"title":"Subjective, but not documented, lactose intolerance accompanies irritable bowel syndrome","authors":"D. Domżał-Magrowska, Marek K. Kowalski, E. Małecka-Wojciesko","doi":"10.2478/ahem-2022-0027","DOIUrl":"https://doi.org/10.2478/ahem-2022-0027","url":null,"abstract":"Abstract Introduction Lactose intolerance, due to lactase deficiency, may overlap with the symptoms of irritable bowel syndrome (IBS) or lead to an incorrect diagnosis of IBS. Identification of lactose intolerance and lactase deficiency enables targeted treatment to be implemented. The aim of the study was to search for a frequency of a lactose intolerance symptoms in patients with IBS, depending on the results of hydrogen breath test (HBT). Materials and Methods The study involved 56 patients with IBS and 23 healthy people. Both, IBS patients and healthy controls, were asked to complete a survey about IBS symptoms and tolerance of lactose-containing products. A HBT was performed on all subjects. Results Lactase deficiency was diagnosed in 60.7% of patients with IBS and 43.5% of control group. The differences between the study groups were not statistically significant. No statistically significant differences were observed between the incidence of lactase deficiency depending on the type of IBS. In the group of patients with IBS and normal HBT results, as well as in patients with IBS and lactase deficiency, there were no statistically significant differences in the frequency of lactose intolerance symptoms. However, among people with normal HBT results, patients with IBS reported symptoms of intolerance after consuming lactose-containing foods significantly more often compared to the control group (p<0.05). Conclusions Frequency of lactase deficiency does not differ between IBS patients and healthy individuals. Patients with IBS are more likely to report symptoms of lactose intolerance, regardless of the HBT result, compared to healthy individuals.","PeriodicalId":20347,"journal":{"name":"Postȩpy higieny i medycyny doświadczalnej","volume":"76 1","pages":"444 - 449"},"PeriodicalIF":0.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69110208","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
Intestinal barrier disorders and metabolic endotoxemia in obesity: Current knowledge 肥胖症的肠屏障障碍和代谢性内毒素血症:目前的知识
IF 0.3 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-01-01 DOI: 10.2478/ahem-2022-0008
M. Potrykus, M. Szymański, Ł. Kaska, A. Janczy
Abstract The World Health Organization reports that the prevalent problem of excessive weight and obesity currently affects about 1.9 billion people worldwide and is the fifth most common death factor among patients. In view of the growing number of patients with obesity, attention is drawn to the insufficient effectiveness of behavioral treatment methods. In addition to genetic and environmental factors leading to the consumption of excess energy in the diet and the accumulation of adipose tissue, attention is paid to the role of intestinal microbiota in maintaining a normal body weight. Dysbiosis – a disorder in the composition of the gut microbiota – is mentioned as one of the contributing factors to the development of metabolic diseases, including obesity, type 2 diabetes, and cardiovascular disorders. The human gastrointestinal tract is colonized largely by a group of Gram-negative bacteria that are indicated to be a source of lipopolysaccharide (LPS), associated with inducing systemic inflammation and endotoxemia. Research suggests that disturbances in the gut microbiota, leading to damage to the intestinal barrier and an increase in circulating LPS, are implicated in obesity and other metabolic disorders. Plasma LPS and lipopolysaccharide-binding protein (LBP) levels have been shown to be elevated in individuals with excess body weight. Bariatric surgery has become a popular treatment option, leading to stable weight loss and an improvement in obesity-related conditions. The aim of this study was to characterize the factors that promote the induction of metabolic endotoxemia and its associated health consequences, along with the presentation of their changes after bariatric surgery.
世界卫生组织报告称,超重和肥胖的普遍问题目前影响着全世界约19亿人,是患者中第五大最常见的死亡因素。鉴于肥胖患者数量的不断增加,人们开始注意到行为治疗方法的有效性不足。除了遗传和环境因素导致饮食中过量能量的消耗和脂肪组织的积累外,肠道微生物群在维持正常体重方面的作用也受到关注。生态失调——一种肠道微生物群组成紊乱——被认为是代谢性疾病发展的因素之一,包括肥胖、2型糖尿病和心血管疾病。人类胃肠道主要由一组革兰氏阴性细菌定植,这些细菌被认为是脂多糖(LPS)的来源,与诱导全身炎症和内毒素血症有关。研究表明,肠道微生物群紊乱,导致肠道屏障受损和循环LPS增加,与肥胖和其他代谢紊乱有关。血浆LPS和脂多糖结合蛋白(LBP)水平已被证明在体重超标的个体中升高。减肥手术已经成为一种流行的治疗选择,导致稳定的体重减轻和肥胖相关疾病的改善。本研究的目的是描述促进代谢内毒素血症的诱发因素及其相关的健康后果,以及减肥手术后这些因素的变化。
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引用次数: 1
Evaluation of antitumoral effect of mistletoe fruit extract on Ehrlich ascites tumor cells with muse cell analyzer and argyrophilic nucleolar organizer region staining method 用muse细胞分析仪和亲银核仁组织区染色法评价槲寄生果提取物对埃利希腹水肿瘤细胞的抗肿瘤作用
IF 0.3 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-01-01 DOI: 10.2478/ahem-2022-0014
Şükrü Ateş, H. Ülger, S. Yılmaz, G. Karatoprak, Ö. Al, Sümeyye Uçar, M. Taştan, A. Tokpınar, Ş. Alpa, A. Farooqi
Abstract Introduction Mistletoe has been used alone or as a complementary therapy in the treatment of different diseases for years. In this study, the antitumoral effect of mistletoe fruit extract on Ehrlich ascites tumor (EAT) cells was evaluated. Materials and Methods EAT cells from preformed stock mice were transferred to culture dishes containing 5-fluorouracil (5-FU) and mistletoe extracts at different doses (100, 200, 400, and 800 μg/ml). These cells were incubated at 37 °C in an environment with 95% humidity and 5% CO2. At the end of the incubations, the apoptosis status of the cells, cell cycle, mitochondrial membrane potential, and proliferation status with the argyrophilic (Ag) nucleolar organizer region staining (NORs) method were evaluated. Results As a result, it was observed that the mistletoe fruit extract and 5-FU induce apoptosis of EAT cells. It was concluded that the 5-FU substance arrests the cell cycle at the G0/G1 stage, while the mistletoe arrests the cell cycle at the S and G2/M stages. The depolarization rate of the mistletoe treated cells was higher. As a result of the evaluation made with the AgNORs method, it was seen that mistletoe and 5-FU could be effective in reducing the proliferation of EAT cells. Conclusions It was seen that mistletoe fruit extract could be effective in stimulating the apoptosis and depolarization of cancer cells. The results of other studies in the literature and our study support each other. It was concluded that the mistletoe plant may be useful in cancer treatment.
槲寄生已被单独使用或作为一种辅助疗法在治疗不同的疾病多年。本研究探讨槲寄生果实提取物对埃利希腹水肿瘤(Ehrlich as腹水tumor, EAT)细胞的抗肿瘤作用。材料与方法将预形成的家畜小鼠的EAT细胞转移到含有5-氟尿嘧啶(5-FU)和槲寄生提取物的培养皿中,不同剂量(100、200、400、800 μg/ml)。这些细胞在37°C、95%湿度和5% CO2的环境中培养。孵育结束时,用嗜银(Ag)核仁组织区染色(NORs)法评价细胞凋亡状态、细胞周期、线粒体膜电位和增殖状态。结果槲寄生果提取物和5-FU可诱导细胞凋亡。结果表明,5-FU物质在G0/G1期阻滞细胞周期,而槲寄生在S和G2/M期阻滞细胞周期。槲寄生处理的细胞去极化率较高。通过AgNORs法评价,槲寄生和5-FU均能有效抑制EAT细胞的增殖。结论槲寄生果提取物具有促进肿瘤细胞凋亡和去极化的作用。文献中其他研究的结果与我们的研究结果相互支持。结论是槲寄生植物可能对癌症治疗有用。
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引用次数: 1
Cotinine as an indicator of fetal exposure to active and passive smoking in pregnant women 可替宁作为胎儿暴露于孕妇主动和被动吸烟的指标
IF 0.3 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-01-01 DOI: 10.2478/ahem-2022-0037
Marta Dulęba, B. Kozakiewicz
Abstract Introduction Within 5 years, the number of pregnant smokers in Poland decreased by 5%. Still, 6% of pregnant women are active and 18% are passive smokers, and 5% smoke and drink alcohol. The study examined the levels of cotinine concentration in the blood of pregnant women and in the umbilical cord blood of their children in relation to the number of cigarettes smoked; the places and persons conducive to exposure of pregnant women to tobacco smoke were determined. Materials and Methods The study included 123 women who have entered medical facilities for childbirth during physiological pregnancy, who filled out a questionnaire about their lifestyle. Moreover, venous and umbilical blood was collected from them and their newborns for cotinine evaluation. The nicotine marker was determined by the UPLC/MS/MS analytical method. Results When examining the frequency of smoking and exposure to smoke, it was found that 38% of the respondents concealed their smoking status by giving false answers, as shown by the biochemical analysis of the presence of cotinine in the blood. A significant correlation was found between the cotinine levels of exposed and smoking mothers and their babies. Pregnant smokers were in the presence of smokers more often (p = 0.019). Moreover, it was found that the presence of women in the company of smokers who smoked more than 20 cigarettes/day resulted in a significant (p = 0.011) increase of cotinine in the umbilical blood in 31.5% of newborns, higher than the concentration in mothers. Conclusions Protecting women from passive smoking requires extensive educational measures. The inclusion of cotinine level assessment in pregnant women in the program of the standard of perinatal examinations should be considered in order to protect children from diseases resulting from the effects of nicotine in the embryonic period.
在5年内,波兰怀孕吸烟者的数量下降了5%。尽管如此,仍有6%的孕妇是主动吸烟者,18%是被动吸烟者,5%是吸烟和饮酒。该研究检测了孕妇血液和孩子脐带血中的可替宁浓度水平与吸烟数量的关系;确定了有利于孕妇接触烟草烟雾的场所和人群。材料与方法本研究包括123名在生理怀孕期间进入医疗机构分娩的妇女,她们填写了一份关于生活方式的调查问卷。同时采集患者及其新生儿的静脉血和脐血进行可替宁评价。采用UPLC/MS/MS法测定烟碱标志物。结果在检查吸烟频率和吸烟暴露时,通过血液中可替宁的生化分析,发现38%的应答者通过虚报答案来隐瞒吸烟状况。研究发现,接触可替宁和吸烟的母亲及其婴儿的可替宁水平之间存在显著相关性。吸烟孕妇与吸烟者的关系更为密切(p = 0.019)。此外,研究还发现,每天吸烟超过20支的女性与吸烟者在一起,导致31.5%的新生儿脐血中可替宁浓度显著(p = 0.011)增加,高于母亲的浓度。结论保护妇女免受被动吸烟需要广泛的教育措施。应考虑将孕妇的可替宁水平评估纳入围产期检查标准方案,以保护儿童在胚胎期免受尼古丁影响引起的疾病。
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引用次数: 0
MTHFD1 c.1958G>A and TCN2 c.776G>C polymorphisms of folate metabolism genes and their implication for oral cavity cancer 叶酸代谢基因MTHFD1 C . 1958g >A和TCN2 C . 776g >C多态性及其与口腔癌的关系
IF 0.3 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-01-01 DOI: 10.2478/ahem-2021-0041
K. Malinowska, Alicja Nowak-Zduńczyk, Anna Merecz-Sadowska, A. Szczepańska, D. Kaczmarczyk, Katarzyna Bliźniewska-Kowalska, H. Zielińska-Bliźniewska
Abstract Background Cancers of the head and neck can damage the brain, spinal cord, and nerves, as well as the sense organs responsible for contact with the outside world. Oncogenic transformation occurs following mutations that change the function of specific genes, such tumor suppressor genes or oncogenes, and their encoded protein products. Therefore, the aim of this study was to evaluate the relationship between the occurrence of MTHFD1 c.1958G>A and TCN2 c.776G>C gene polymorphisms and the risk of oral cavity cancer. Materials and methods The study population consisted of 439 patients and 200 healthy subjects. Genomic DNA was extracted from peripheral blood and from paraffin-embedded tissue. Analysis of the gene polymorphisms was performed using polymerase chain reaction–restriction fragment length polymorphism. Results Statistically significant differences were found in the distribution of genotypes of the rs2236225 and rs1801198 polymorphisms between patients and controls. Regarding MTHFD1 c.1958G>A, the GA genotype (p<0.0001, OR = 2.91, 95% CI = 1.88–4.49-GA) was more common among patients than healthy subjects. Regarding TCN2 c.776G>C, the frequency of CC genotype (p< 0.0001, OR = 0.17, 95% CI = 0.10–0.33-CC) was significantly less common among patients than healthy subjects. Tobacco smoking, alcohol use, and male gender (p<0.0001) were found to be predictors of the disease. Conclusion The results suggest that the MTHFD1 c.1958G>A polymorphism may be associated with a greater risk of oral cavity cancer, whereas a protective effect has been found for the TCN2 c.776G>C polymorphism.
头颈部癌症可损害大脑、脊髓和神经,以及负责与外界接触的感觉器官。致癌转化发生在改变特定基因(如肿瘤抑制基因或致癌基因)及其编码蛋白产物功能的突变之后。因此,本研究的目的是评估MTHFD1 C . 1958g >A和TCN2 C . 776g >C基因多态性的发生与口腔癌风险的关系。材料与方法研究人群为439例患者和200例健康受试者。从外周血和石蜡包埋组织中提取基因组DNA。基因多态性分析采用聚合酶链反应-限制性片段长度多态性。结果rs2236225和rs1801198基因型多态性在患者与对照组间的分布差异有统计学意义。对于MTHFD1 c.1958G>A, GA基因型(pC, CC基因型频率(p< 0.0001, OR = 0.17, 95% CI = 0.10 - 0.33 CC)在患者中的发生率明显低于健康者。吸烟、饮酒和男性性别(pA多态性)可能与口腔癌风险增加有关,而TCN2 C . 776g >C多态性则具有保护作用。
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引用次数: 0
The impact of external factors on psoriasis 外部因素对牛皮癣的影响
IF 0.3 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-01-01 DOI: 10.2478/ahem-2022-0017
Agnieszka Owczarczyk-Saczonek, Marta Kasprowicz-Furmańczyk, M. Krajewska-Włodarczyk, W. Placek
Abstract Psoriasis is one of the most common chronic inflammatory skin diseases, constituting a significant health and socioeconomic problem. Despite numerous therapeutic options, the results of treatment very often remain insufficient. It is extremely important to remember that many external factors impact the effectiveness of therapy. This article discusses the importance of emollients in therapy and the influence of infectious agents and injuries on the course of psoriasis. Understanding the above-mentioned factors in the treatment of psoriasis is critical to achieve satisfactory therapeutic effects.
牛皮癣是最常见的慢性炎症性皮肤病之一,构成了重大的健康和社会经济问题。尽管有许多治疗选择,但治疗结果往往仍然不足。重要的是要记住,许多外部因素会影响治疗的有效性。本文讨论了润肤剂在治疗中的重要性以及感染因子和损伤对牛皮癣病程的影响。了解上述因素在银屑病治疗中对取得满意的治疗效果至关重要。
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引用次数: 0
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Postȩpy higieny i medycyny doświadczalnej
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