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In Vitro Alpha-Glucosidase Inhibitory Effect of Etlingera Elatior Ethanol Extract Growing in Gayo Highland, Aceh Province, Indonesia 生长在印度尼西亚亚齐省加约高原的 Etlingera Elatior 乙醇提取物的体外α-葡萄糖苷酶抑制作用
Pub Date : 2024-05-17 DOI: 10.12688/f1000research.149029.1
Z. Zumaidar, Nuzul Asmilia, Saudah Saudah, Milda Husnah
Background The prevalence of diabetes mellitus (DM) is increasing overtime, potentially leading to various severe health complications and mortality. Despite therapeutic agents have currently been developed, unexpected adverse effects are inevitable. Hence, safe and effective medications such as those of plant origin are critical to prevent unexpected complication in DM sufferers. Etlingera elatior has been widely used as spice and traditional medicine to treat diabetes in Aceh Province, Indonesia. However, study regarding α-glucosidase inhibitory effect of E. elatior growing in Gayo highlands, Aceh, Indonesia, is completely lacking. The aim of this study was to evaluate in vitro α-glucosidase inhibitory effect of E. elatior ethanol extracts (EEEE) growing in Gayo highlands, Aceh Province, Indonesia. Methods Antioxidant activity was determined using DPPH procedure, whereas α-glucosidase inhibition assay was carried out using spectrophotometric method. Data analysis was performed using One-Way Analysis of Variance (ANOVA), followed by Duncan’s multiple range test at α=0.05. Results Phytochemical analysis revealed the presence of total phenolic (TPC), total flavonoid (TFC), and total tannin (TTC) content in all E. elatior plant parts, in which the highest TPC was found in the stem (158.38 GAE/g), whereas the highest TFC and TTC was obtained in the rhizome extracts. The extract of fruit showed the strongest antioxidant activities, followed by the stem and leaf, with IC50 of 2.381 μg/mL, 6.966 μg/mL, and 19.365 μg/mL, respectively. All E. elatior extracts revealed a significant inhibitory activity against α-glucosidase at the concentration of 500 μg/mL, in which the stem extract showed the most effective α-glucosidase inhibitory effect with IC50 value of 5.15 μg/mL, suggesting its promising potential as antidiabetic agent. Conclusions This study highlights E. elatior potency as a novel source of antioxidant and natural antidiabetic compounds that are useful for the prevention and treatment of diabetes.
背景糖尿病(DM)的发病率与日俱增,有可能导致各种严重的健康并发症和死亡。尽管目前已开发出治疗药物,但不可避免地会出现意外的不良反应。因此,安全有效的药物(如源自植物的药物)对于预防糖尿病患者出现意外并发症至关重要。Etlingera elatior 在印度尼西亚亚齐省被广泛用作治疗糖尿病的香料和传统药物。然而,关于生长在印度尼西亚亚齐省加约高原的 E. elatior 的 α-葡萄糖苷酶抑制作用的研究却完全缺乏。本研究旨在评估生长在印度尼西亚亚齐省加约高原的 E. elatior 乙醇提取物(EEEE)的体外α-葡萄糖苷酶抑制作用。方法 采用 DPPH 方法测定抗氧化活性,采用分光光度法测定α-葡萄糖苷酶抑制作用。数据分析采用单因素方差分析(ANOVA),然后在α=0.05的条件下进行邓肯多重范围检验。植物化学分析结果表明,E. elatior 植物的所有部分都含有总酚(TPC)、总黄酮(TFC)和总鞣质(TTC),其中茎中的总酚含量最高(158.38 GAE/g),而根茎提取物中的总黄酮和总鞣质含量最高。果实提取物的抗氧化活性最强,其次是茎和叶,IC50 分别为 2.381 μg/mL、6.966 μg/mL 和 19.365 μg/mL。在浓度为 500 μg/mL 时,所有 E. elatior 提取物都显示出对α-葡萄糖苷酶的显著抑制活性,其中茎提取物显示出最有效的α-葡萄糖苷酶抑制作用,IC50 值为 5.15 μg/mL,表明其具有作为抗糖尿病药物的潜力。结论 本研究强调了 E. elatior 作为一种新型抗氧化剂和天然抗糖尿病化合物来源的潜力,可用于预防和治疗糖尿病。
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引用次数: 0
Efficacy of different remineralization agents on microhardness and chemical composition of enamel white spot lesion 不同再矿化剂对釉质白斑病变微硬度和化学成分的功效
Pub Date : 2024-05-17 DOI: 10.12688/f1000research.149166.1
Rafal Ghanim Rahman, Ban Sahib Diab
Background White spot lesions (WSLs) are frequently linked with low microhardness and mineral content changes. several strategies have been employed to deal with these problems. This investigation aimed to analyze the microhardness and mineral content changes after remineralization with bioactive glass (BAG) and casein phospho-peptide-amorphous calcium phosphate with fluoride (CPP-ACPF). Methods Twenty sound maxillary first premolars extracted were used to obtain a total of one hundred enamel samples. forty enamel slabs were split into four experimental groups (n = 10 each): Group I, BAG; Group II, BAG+CPP-ACPF; Group III, CPP-ACPF varnish; and Group IV, artificial saliva (negative control). To create artificial WSLs, all samples were preserved in a prepared demineralizing agent for 72 h before treatment with remineralizing agents. Vickers microhardness test was performed. Additionally, 60 enamel samples were selected for analysis using energy dispersive spectroscopy (EDX) and assigned to six experimental groups; the first four groups were similar to that used in the microhardness test along with Group V: WSLs, and Group VI: baseline. The statistical analyses employed in this study included Tukey’s HSD (p<0.05), one-way ANOVA, and Shapiro-Wilk. Result Regarding surface microhardness, the BAG+CPP-ACPF group showed the most favorable recovery, which was better than the outcomes of the BAG and CPP-ACPF groups. A statistically significant change (p <0.05) was not observed between them. Similarly, for mineral content change, the BAG+CPP-ACPF group demonstrated the greatest result, The BAG group came next, and the CPP-ACPF group came last. Conclusion The BAG+CPP-ACPF group might be regarded as the best course of treatment for enhancing both the surface microhardness and mineral content (Ca, P), while the control group (Artificial saliva) showed the least satisfactory results in comparison. After demineralization, mineral content and microhardness decreased in all samples. Therefore, BAG+CPP-ACPF significantly improved the surface microhardness and mineral content.
背景 白斑病(WSL)经常与显微硬度低和矿物质含量变化有关。本研究旨在分析使用生物活性玻璃(BAG)和含氟酪蛋白磷酸肽-无定形磷酸钙(CPP-ACPF)进行再矿化后的显微硬度和矿物质含量变化。方法 将提取的 20 颗上颌第一前磨牙共 100 片釉质样本分成四个实验组(每组 10 片):第一组,BAG;第二组,BAG+CPP-ACPF;第三组,CPP-ACPF清漆;第四组,人工唾液(阴性对照)。为了制造人工 WSL,所有样本都在制备好的脱矿剂中保存 72 小时,然后再用再矿化剂处理。进行维氏硬度测试。此外,还选择了 60 个珐琅质样本进行能量色散光谱(EDX)分析,并将其分配到六个实验组中;前四组与微硬度测试中使用的组别相似,第五组:WSL,第六组:基线。本研究采用的统计分析包括 Tukey's HSD(P<0.05)、单因素方差分析和 Shapiro-Wilk。结果 在表面微硬度方面,BAG+CPP-ACPF 组的恢复效果最好,优于 BAG 组和 CPP-ACPF 组。它们之间没有发现明显的统计学变化(P <0.05)。同样,在矿物质含量变化方面,BAG+CPP-ACPF 组的结果最好,BAG 组次之,CPP-ACPF 组最后。结论 BAG+CPP-ACPF 组可能被认为是提高表面微硬度和矿物质含量(钙、磷)的最佳治疗方案,而对照组(人工唾液)相比之下效果最不理想。脱矿后,所有样品的矿物质含量和显微硬度都有所下降。因此,BAG+CPP-ACPF 能显著提高表面显微硬度和矿物质含量。
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引用次数: 0
The effects of multifactorial pharmacist-led intervention protocol on medication optimisation and adherence among patients with type 2 diabetes: A randomised control trial 以药剂师为主导的多因素干预方案对 2 型糖尿病患者用药优化和依从性的影响:随机对照试验
Pub Date : 2024-05-17 DOI: 10.12688/f1000research.146517.1
Marwan El-Deyarbi, Luai Ahmed, Jeffrey King, Syed Abubackar, Ahmed Al Juboori, Nirmin A. Mansour, Salahdein Aburuz
Background Patient-related factors and limited medication adherence in patients with chronic diseases, are associated with poor clinical outcomes, long-term complications, and increased overall disease costs. Many methods have been tested with mixed results, and innovative approaches are needed to encourage patients to adhere to their prescribed drug regimens. Methods This randomised controlled trial examined a new multifactorial pharmacist-led intervention protocol (MPIP), including a medication therapy management (MTM) program with face-to-face counselling, patient-specific medication booklets, and a mobile application, from July 2021 to September 2022 in the Oud Al Touba diagnostic and screening ambulatory centre in 192 patients with type 2 diabetes in the United Arab Emirates. Medication adherence was assessed using the fixed medication possession ratio of medication refills and the medication adherence questionnaire. Results At 12 months follow-up, participants in the MPIP showed significant improvement in overall medication adherence with total (composite) medication possession ratio (MPRt) of mean (±SD) 0.95 (±0.09) compared to 0.92 (± 0.09) in the control group with mean difference of 0.03 (95%, CI 0.01–0.06), P =0.02. In addition, improvement trend was evident in the MPIP group for all medication regimens with P value <0.01. Comparable results were noticeable in adherence questionnaire scores at the end of the study, with 66 participants in the intervention group scored zero on the questionnaire, suggesting high adherence to medication compared to the control group (48 participants only). The MTM program performed 41 clinical interventions on drug-related problems, compared to six interventions in the control group, and the use of mobile application and medication booklet have increased to 45.7% compared to 21.4% before study exit. Conclusions The pharmacy intervention protocol effectively improved medication adherence and optimised medication regimens in diabetic patients with chronic medication regimens in an ambulatory healthcare centre.
背景 慢性病患者与患者相关的因素和服药依从性有限,与不良临床疗效、长期并发症和总体疾病成本增加有关。许多方法已经过测试,但结果喜忧参半,因此需要创新的方法来鼓励患者坚持按处方用药。方法 该随机对照试验于 2021 年 7 月至 2022 年 9 月在阿拉伯联合酋长国的 Oud Al Touba 诊断和筛查门诊中心对 192 名 2 型糖尿病患者进行了一项新的多因素药剂师主导干预方案 (MPIP),包括一项药物治疗管理 (MTM) 计划,其中包括面对面咨询、患者专用药物手册和移动应用程序。用药依从性评估采用的是固定持药率和用药依从性问卷。结果 在12个月的随访中,MPIP参与者的总体用药依从性有明显改善,总(复合)药物持有率(MPRt)平均(±SD)为0.95(±0.09),而对照组为0.92(±0.09),平均差异为0.03(95%,CI 0.01-0.06),P =0.02。此外,MPIP 组的所有用药方案均有明显改善趋势,P 值小于 0.01。在研究结束时,依从性调查问卷的得分也出现了类似的结果,与对照组(仅有 48 名参与者)相比,干预组中有 66 名参与者的问卷得分为零,这表明他们的用药依从性很高。MTM项目针对药物相关问题进行了41次临床干预,而对照组仅进行了6次干预,移动应用程序和药物手册的使用率从研究结束前的21.4%提高到了45.7%。结论 药学干预方案有效改善了非住院医疗中心长期用药糖尿病患者的用药依从性,优化了用药方案。
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引用次数: 0
A study of clinical profile in patients of cataracts with pseudoexfoliation in rural populations of central India 印度中部农村假性角膜外翻性白内障患者临床概况研究
Pub Date : 2024-05-17 DOI: 10.12688/f1000research.149563.1
Yuga Pawar, Dr. Archana Thool
Background Ophthalmologists deal with daily pseudoexfoliation (PXF) due to severe secondary glaucoma, which arises after cataract surgery. Cataracts with pseudoexfoliation are age-related and are associated with open-angle glaucoma. Therefore, pseudoexfoliation is expected to occur more frequently. Pseudoexfoliation is occasionally associated with the development of thick nuclear cataracts, which may make surgery challenging. risks of cataract extraction in patients with pseudoexfoliation include zonular weakness and inadequate pupillary dilation. This may cause vitreous loss, and intraoperative or postoperative lens displacement. It could also lead to a rise in postoperative intraocular pressure (IOP), progressing to long-term inflammation, phimosis of the capsular tissue, glaucoma, and surgical corneal decompensation. Recurrent secondary cataracts are typically caused by some remaining cortical tissue and decreased zonular support, which may lead to lens epithelial cell migration. Surgery for glaucoma and cataracts is complicated by the presence of pseudoexfoliative debris. Objectives To determine the prevalence of pseudoexfoliation in cataract patients visiting the ophthalmic OPD, AVBRH hospital, to locate patients with pseudoexfoliative cataracts, to evaluate their likelihood of progressing to open-angle glaucoma, and to examine the various ocular characteristics of these patients. Methodology The study participants will undergo ophthalmological examination after considering the inclusion and exclusion criteria. This examination will include sac syringing on the lacrimal gland, estimation of the highest corrected visual acuity, slit-lamp examination, application tonometer assessment of intraocular pressure (IOP), and fundus examination using an indirect ophthalmoscope. All individuals with cataracts visiting the ophthalmology department of AVBRH will be examined under a slit-lamp to determine the presence of pseudoexfoliation in the operating eye. Expected Results Hospital statistics from India indicated that the percentage of patients with pseudoexfoliation, in addition to cataracts, ranges from 1.87% to 13.5%.
背景 眼科医师每天都要处理白内障手术后出现的严重继发性青光眼导致的假性角膜外翻(PXF)。伴有假性角膜外翻的白内障与年龄有关,并与开角型青光眼相关。因此,假性角膜外翻的发生率会更高。假性角膜外翻偶尔与厚核白内障的发展有关,这可能会给手术带来挑战。假性角膜外翻患者进行白内障摘除术的风险包括虹膜带薄弱和瞳孔扩张不足。这可能会导致玻璃体脱落、术中或术后晶状体移位。这还可能导致术后眼压(IOP)升高,进而发展为长期炎症、囊膜组织挛缩、青光眼和手术角膜失代偿。复发性继发性白内障通常是由于残留的一些皮质组织和带状支撑力下降造成的,这可能会导致晶状体上皮细胞移位。青光眼和白内障手术会因假性角膜剥脱碎片的存在而变得复杂。目标 确定在 AVBRH 医院眼科手术室就诊的白内障患者中假性角膜剥脱的发生率,找出假性角膜剥脱性白内障患者,评估其发展为开角型青光眼的可能性,并检查这些患者的各种眼部特征。研究方法 研究参与者将在考虑纳入和排除标准后接受眼科检查。检查包括泪腺囊注射、估算最高矫正视力、裂隙灯检查、应用眼压计评估眼压以及使用间接眼底镜进行眼底检查。所有到 AVBRH 眼科就诊的白内障患者都将在裂隙灯下接受检查,以确定手术眼是否存在假性角膜外翻。预期结果 印度医院的统计数据显示,除白内障外,假性角膜外翻患者的比例从 1.87%到 13.5%不等。
{"title":"A study of clinical profile in patients of cataracts with pseudoexfoliation in rural populations of central India","authors":"Yuga Pawar, Dr. Archana Thool","doi":"10.12688/f1000research.149563.1","DOIUrl":"https://doi.org/10.12688/f1000research.149563.1","url":null,"abstract":"Background Ophthalmologists deal with daily pseudoexfoliation (PXF) due to severe secondary glaucoma, which arises after cataract surgery. Cataracts with pseudoexfoliation are age-related and are associated with open-angle glaucoma. Therefore, pseudoexfoliation is expected to occur more frequently. Pseudoexfoliation is occasionally associated with the development of thick nuclear cataracts, which may make surgery challenging. risks of cataract extraction in patients with pseudoexfoliation include zonular weakness and inadequate pupillary dilation. This may cause vitreous loss, and intraoperative or postoperative lens displacement. It could also lead to a rise in postoperative intraocular pressure (IOP), progressing to long-term inflammation, phimosis of the capsular tissue, glaucoma, and surgical corneal decompensation. Recurrent secondary cataracts are typically caused by some remaining cortical tissue and decreased zonular support, which may lead to lens epithelial cell migration. Surgery for glaucoma and cataracts is complicated by the presence of pseudoexfoliative debris. Objectives To determine the prevalence of pseudoexfoliation in cataract patients visiting the ophthalmic OPD, AVBRH hospital, to locate patients with pseudoexfoliative cataracts, to evaluate their likelihood of progressing to open-angle glaucoma, and to examine the various ocular characteristics of these patients. Methodology The study participants will undergo ophthalmological examination after considering the inclusion and exclusion criteria. This examination will include sac syringing on the lacrimal gland, estimation of the highest corrected visual acuity, slit-lamp examination, application tonometer assessment of intraocular pressure (IOP), and fundus examination using an indirect ophthalmoscope. All individuals with cataracts visiting the ophthalmology department of AVBRH will be examined under a slit-lamp to determine the presence of pseudoexfoliation in the operating eye. Expected Results Hospital statistics from India indicated that the percentage of patients with pseudoexfoliation, in addition to cataracts, ranges from 1.87% to 13.5%.","PeriodicalId":504605,"journal":{"name":"F1000Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140965914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Aerodynamic performance enhancement of centrifugal compressor using numerical techniques 利用数值技术提高离心压缩机的空气动力性能
Pub Date : 2024-05-17 DOI: 10.12688/f1000research.145060.1
Shivani S, Amar Murthy A, Srinivas G
Background Centrifugal compressors are dynamic machines utilizing a rotating impeller, efficiently accelerate incoming gases, transforming kinetic energy into pressure energy for compression. They serve a wide range of industries, including air conditioning, refrigeration, gas turbines, industrial processes, and applications such as air compression, gas transportation, and petrochemicals, demonstrating their versatility. Designing a centrifugal compressor poses challenges related to achieving high aerodynamic efficiency, surge and choke control, material selection, rotor dynamics, cavitation, erosion, and addressing environmental considerations while balancing costs. Optimizing maintenance, reliability, and energy efficiency are essential aspects of the design process. Methods The primary objective of this research is to comprehensively investigate and improve the aerodynamic performance of centrifugal compressors. To accomplish this, a comprehensive investigation of variables such as blade number and hub diameter, along with various turbulence models will be conducted. This approach will leverage numerical techniques to fill the significant gaps in the current literature regarding centrifugal compressor design and optimization. The study encompasses the evaluation of two turbulence models, namely Shear Stress Transport and K-epsilon. Furthermore, it delves into the fine-tuning of blade geometry, including variations in blade number and hub diameter, aiming to refine the design for optimal performance. Extensive analyses using Ansys CFX encompass key variables such as Pressure, Mach Number, Density, Velocity, Turbulence Kinetic Energy, and Temperature. Results Notably, the optimized pressure profile yielded remarkable results, achieving a substantial 36% improvement, demonstrating the tangible benefits of these design enhancements. Conclusion The outcomes of this research hold significant utility for engineers, manufacturers, and regulatory bodies, offering invaluable insights and guidance to enhance compressor performance and efficiency.
背景 离心式压缩机是一种动态机器,利用旋转叶轮有效加速进入的气体,将动能转化为压力能进行压缩。离心式压缩机服务于空调、制冷、燃气轮机、工业流程以及空气压缩、气体运输和石油化工等多种行业,充分体现了其多功能性。设计离心式压缩机面临的挑战包括实现高空气动力效率、浪涌和阻塞控制、材料选择、转子动力学、气蚀、侵蚀,以及在平衡成本的同时考虑环境因素。优化维护、可靠性和能效是设计过程的重要方面。方法 本研究的主要目的是全面调查和改进离心式压缩机的空气动力性能。为此,将对叶片数和轮毂直径等变量以及各种湍流模型进行全面研究。这种方法将利用数值技术填补目前文献中有关离心压缩机设计和优化的重大空白。这项研究包括对两种湍流模型的评估,即剪应力传输模型和 K-epsilon 模型。此外,研究还深入探讨了叶片几何形状的微调,包括叶片数量和轮毂直径的变化,旨在完善设计,实现最佳性能。使用 Ansys CFX 进行的大量分析包括压力、马赫数、密度、速度、湍流动能和温度等关键变量。结果 值得注意的是,优化后的压力曲线效果显著,实现了 36% 的大幅改进,证明了这些设计改进所带来的实实在在的好处。结论 这项研究的成果对工程师、制造商和监管机构具有重大意义,为提高压缩机的性能和效率提供了宝贵的见解和指导。
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引用次数: 0
Current status of immunodeficient mouse models as substitutes to reduce cat and dog use in heartworm preclinical research 免疫缺陷小鼠模型的现状,以减少心丝虫临床前研究中猫和狗的使用量
Pub Date : 2024-05-17 DOI: 10.12688/f1000research.149854.1
Jessica L Dagley, Utami DiCosty, Crystal Fricks, A. Mansour, S. McCall, John W McCall, Mark J Taylor, Joseph D Turner
Chemoprophylactic prevention of veterinary heartworm disease in companion animals, caused by the vector-borne nematode parasite Dirofilaria immitis, is a multi-billion-dollar global market. Experimental use of cats and dogs in preclinical heartworm drug testing is increasing due to evolving drug-resistance to frontline macrocyclic lactones and renewed investment in alternative preventative drug research. We and others recently published data demonstrating proof-of-concept of utilising lymphopenic severe-combined immunodeficient (SCID) or Recombination Activating Gene (RAG)2 deficient mice with additional knockout of the IL-2/7 receptor gamma chain (γc) as alternative preventative drug screening research models of dirofilariasis. Here we summarise the current knowledge of candidate immunodeficient mouse models tested, including a comparison of susceptibility using different background strains of mice, different D. immitis isolates, following use of anti-inflammatory treatments to further suppress residual innate immunity, and efficacies achieved against different reference anthelmintics. We supplement this precis with new data on treatment response to the veterinary anthelmintic, oxfendazole, and initial evaluation of D. immitis susceptibility in CB.17 SCID and C57BL/6 RAG2-/-γc-/- mice. We conclude that in addition to NSG and NXG mice, RAG2-/-γc-/- mice on either a BALB/c or C57BL/6 background offer an alternative screening model option, widening access to academic and commercial laboratories wishing to pursue initial rapid in vivo drug screening whilst avoiding potentially unnecessary cat or dog testing.
由媒介传播的线虫寄生虫所引起的伴侣动物兽医心丝虫病的化学预防是一个价值数十亿美元的全球市场。由于对前线大环内酯类药物的耐药性不断发展,以及对替代性预防药物研究的重新投资,临床前心丝虫药物测试中对猫和狗的实验性使用正在增加。我们和其他人最近发表的数据证明了利用淋巴细胞严重合并免疫缺陷(SCID)或重组激活基因(RAG)2缺陷小鼠以及IL-2/7受体γ链(γc)的额外敲除作为预防性药物筛选研究模型的概念。在此,我们总结了目前所测试的候选免疫缺陷小鼠模型的知识,包括使用不同背景品系的小鼠、不同的丝虫病分离株、使用抗炎治疗以进一步抑制残余先天免疫力后的易感性比较,以及不同参考抗蠕虫药的疗效。我们补充了关于兽用驱虫药奥芬达唑治疗反应的新数据,以及对 CB.17 SCID 和 C57BL/6 RAG2-/γc-/-小鼠对伊蚊的敏感性的初步评估。我们的结论是,除了 NSG 和 NXG 小鼠外,BALB/c 或 C57BL/6 背景的 RAG2-/γc-/- 小鼠也提供了另一种筛选模型选择,为希望进行初步体内快速药物筛选的学术和商业实验室提供了更多机会,同时避免了可能不必要的猫或狗测试。
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引用次数: 0
Greenspace exposure and associated health outcomes: a systematic review of reviews 绿地暴露与相关健康结果:系统性回顾综述
Pub Date : 2024-05-17 DOI: 10.12688/f1000research.148878.1
Brittnee Bryer, Chinonso Christian Odebeatu, Wen Ray Lee, Kathryn Vitangcol, Victor Gallegos-Rejas, Nicholas J. Osborne, Gail Williams, Darsy Darssan
Background Numerous systematic reviews and meta-analyses have sought to clarify the relationship between greenspace exposure and health outcomes, but the results are inconsistent. We aimed to synthesise all relevant systematic reviews and meta-analyses on this association. Methods We searched five databases (PubMed, Embase, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), Scopus, and the Cochrane Database of Systematic Reviews) and conducted a manual reference search for systematic reviews and meta-analyses written in English and published in peer-reviewed journals that used clearly defined measures of greenspace exposure and reported health outcomes directly attributable to greenspace exposure. A total of 36 systematic reviews published between January 2010 and December 2020 were identified for inclusion in this systematic review of reviews (PROSPERO: CRD42021227422). An updated review is underway, and the protocol is published in PROSPERO (CRD42022383421). The methodological quality and risk of bias of included systematic reviews were evaluated using the AMSTAR-2 and ROBIS tools, respectively. Results Beneficial effects of greenspace exposure were observed for all-cause and cardiovascular disease mortality, and mental health and cognitive function. Ambivalent results were found for cardiovascular and metabolic health, general health and quality of life (QOL), and respiratory health and allergies. Most of the systematic reviews included in the current umbrella review had a low to moderate methodological quality and a high risk of bias. Conclusions This umbrella review highlights the link between greenspaces and a variety of health outcomes, emphasising the importance of preserving existing greenspaces and integrating additional vegetation into urban areas to maintain public health.
背景 大量系统综述和荟萃分析试图阐明绿地暴露与健康结果之间的关系,但结果并不一致。我们的目的是综合所有与这一关系相关的系统综述和荟萃分析。方法 我们检索了五个数据库(PubMed、Embase、《护理与联合健康文献累积索引》(CINAHL)、Scopus 和 Cochrane 系统性综述数据库),并进行了手动参考文献检索,以查找以英语撰写并发表在同行评审期刊上的系统性综述和荟萃分析,这些综述和分析使用了明确定义的绿地暴露测量方法,并报告了可直接归因于绿地暴露的健康结果。本系统性综述共纳入了 2010 年 1 月至 2020 年 12 月间发表的 36 篇系统性综述(PROSPERO:CRD42021227422)。更新后的综述正在进行中,综述方案已发布在 PROSPERO(CRD42022383421)上。采用 AMSTAR-2 和 ROBIS 工具分别对纳入的系统综述的方法学质量和偏倚风险进行了评估。结果 观察到绿地对全因死亡率、心血管疾病死亡率、心理健康和认知功能的有益影响。在心血管和新陈代谢健康、一般健康和生活质量(QOL)以及呼吸系统健康和过敏症方面则发现了不均衡的结果。纳入本综述的大多数系统综述的方法学质量为中低水平,偏倚风险较高。结论 本综述强调了绿地与各种健康结果之间的联系,强调了保护现有绿地并将更多植被纳入城市地区以维护公众健康的重要性。
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引用次数: 0
Acute Kidney Injury Complicating Critical Forms of COVID-19: risk Factors and Prognostic Impact 并发 COVID-19 重症形式的急性肾损伤:风险因素和预后影响
Pub Date : 2024-05-17 DOI: 10.12688/f1000research.144105.1
J. Guissouma, H. Ben Ali, H. Allouche, Insaf Trabelsi, Olfa Hammami, Yosra Yahia, Ghadhoune Hatem
Background Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) mainly affects the respiratory tract, but different organs may be involved including the kidney. Data on acute kidney injury (AKI) in critical forms of coronavirus disease 2019 (COVID-19) are scarce. We aimed to assess the incidence, risk factors and prognostic impact of AKI complicating critical forms of COVID-19. Methods A retrospective descriptive case/control monocentric study conducted in a medical intensive care unit of a tertiary teaching hospital over a period of 18 months. Results We enrolled 144 patients, with a mean age of 58±13 years old and a male predominance (sex-ratio: 1.25). Forty-one (28%) developed AKI within a median of 4 days (Q1: 3, Q3: 8.5) after hospitalization. It was staged KDIGO class 3, in about half of the cases. Thirteen patients underwent renal replacement therapy and renal function improved in seven cases. Diabetes (OR: 6.07; 95% CI: (1,30-28,4); p: 0.022), nephrotoxic antibiotics (OR: 21; 95% CI: (3,2-146); p: 0.002), and shock (OR: 12.21; 95% CI: (2.87-51.85); p: 0.031,) were the three independent risk factors of AKI onset. Mortality was significantly higher in AKI group (OR: 3.94; 95% CI: (1.65-9.43); p<10−3) but AKI didn’t appear to be an independent risk factor of poor outcome. In fact, age (p: 0.004), shock (p: 0.045) and MV (p<10−3) were the three prognostic factors in multivariate analysis. Conclusions The incidence of AKI was high in this study and associated to an increased mortality. Diabetes, use of nephrotoxic antibiotics and shock contributed significantly to its occurrence. This underlines the importance of rationalizing antibiotic prescription and providing adequate management of patients with hemodynamic instability in order to prevent consequent AKI.
背景严重急性呼吸系统综合征冠状病毒-2(SARS-CoV-2)主要影响呼吸道,但也可能累及包括肾脏在内的不同器官。有关 2019 年冠状病毒病(COVID-19)危重型急性肾损伤(AKI)的数据很少。我们旨在评估COVID-19危重型并发急性肾损伤的发病率、风险因素和预后影响。方法 在一家三级教学医院的内科重症监护室开展了一项回顾性病例/对照单中心研究,历时 18 个月。结果 我们共收治了 144 名患者,平均年龄(58±13)岁,男性居多(性别比:1.25)。41名患者(28%)在住院后中位 4 天内(Q1:3,Q3:8.5)出现 AKI。约半数病例分级为 KDIGO 3 级。13 名患者接受了肾脏替代治疗,其中 7 例患者的肾功能得到了改善。糖尿病(OR:6.07;95% CI:(1.30-28.4);P:0.022)、肾毒性抗生素(OR:21;95% CI:(3.2-146);P:0.002)和休克(OR:12.21;95% CI:(2.87-51.85);P:0.031)是 AKI 发病的三个独立危险因素。AKI 组的死亡率明显更高(OR:3.94;95% CI:(1.65-9.43);P<10-3),但 AKI 似乎并不是不良预后的独立风险因素。事实上,年龄(p: 0.004)、休克(p: 0.045)和 MV(p<10-3)是多变量分析中的三个预后因素。结论 在本研究中,AKI 的发生率很高,并与死亡率增加有关。糖尿病、使用肾毒性抗生素和休克是导致其发生的重要因素。这就强调了合理使用抗生素处方和对血流动力学不稳定的患者进行适当管理以防止出现 AKI 的重要性。
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引用次数: 0
Protocol for the study of bedside CSF analysis by urinary reagent strips and comparison with traditional laboratory measurements in a tertiary care centre in rural India 在印度农村地区的一家三级医疗中心,利用尿液试剂条进行床旁脑脊液分析的研究方案以及与传统实验室测量方法的比较
Pub Date : 2024-05-17 DOI: 10.12688/f1000research.145065.1
Dr. Shahzad Ahmad, Dr. Sham Lohiya
Abstract* Background Meningitis is an infection of leptomeninges. It is an emergency life-threatening condition that requires prompt treatment initiation. Diagnosis is the rate-limiting step because cerebrospinal fluid (CSF) analysis requires experienced personnel. Therefore, this study was conducted to assess the utility of urinary reagent strips for the rapid bedside diagnosis of CSF glucose, proteins, and leukocytes. Objective To determine the efficacy of a urinary reagent strip for bedside analysis of cerebrospinal fluid (CSF) samples. Methods This prospective comparative study will be conducted in the Department of Neonatology and Pediatrics, Jawaharlal Nehru Medical College, Sawangi, Wardha. CSF samples from patients suspected of infection of the central nervous system (CNS) and awaiting diagnosis will be subjected to semi-quantitative analysis using a urinary reagent strip (for glucose, proteins, and leukocytes). The results were compared with the laboratory results of the individual samples. Result After completing the study, we determined the efficacy of the urinary reagent strips in bedside estimation of CSF glucose, protein, and leukocyte levels in terms of sensitivity, specificity, positive and negative predictive values, and diagnostic accuracy. Conclusion This study provides insight into the utility of urinary reagent strips for rapid bedside diagnosis of CSF samples from patients suspected of having an infection.
摘要* 背景 脑膜炎是一种脑膜感染。它是一种危及生命的急症,需要及时治疗。由于脑脊液(CSF)分析需要经验丰富的人员,因此诊断是限制性步骤。因此,本研究旨在评估尿液试剂条在床旁快速诊断 CSF 葡萄糖、蛋白质和白细胞方面的效用。目的 确定尿液试剂条在床旁分析脑脊液样本中的功效。方法 这项前瞻性比较研究将在沃达省 Sawangi 的尼赫鲁医学院新生儿和儿科系进行。将使用尿液试剂条(葡萄糖、蛋白质和白细胞)对疑似中枢神经系统(CNS)感染并等待诊断的患者的 CSF 样本进行半定量分析。分析结果与个别样本的化验结果进行比较。结果 完成研究后,我们确定了尿液试剂条在床旁估计 CSF 葡萄糖、蛋白质和白细胞水平方面的灵敏度、特异性、阳性和阴性预测值以及诊断准确性。结论 本研究深入探讨了尿液试剂条在床旁快速诊断疑似感染患者 CSF 样本方面的实用性。
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引用次数: 0
A guide to selecting high-performing antibodies for Protein-glutamine gamma-glutamyltransferase 2 (TGM2) for use in western blot, immunoprecipitation and immunofluorescence 用于 Western 印迹、免疫沉淀和免疫荧光的蛋白-谷氨酰胺γ-谷氨酰转移酶 2 (TGM2) 高效抗体选择指南
Pub Date : 2024-05-17 DOI: 10.12688/f1000research.150684.1
Riham Ayoubi, Maryam Fotouhi, Charles Alende, Sara González Bolívar, K. Southern, C. Laflamme
Protein-glutamine gamma-glutamyltransferase 2 (TGM2) is a Ca2+ dependent enzyme that catalyzes transglutaminase cross-linking modifications. TGM2 is involved in various diseases, either in a protective or contributory manner, making it a crucial protein to study and determine its therapeutic potential. Identifying high-performing TGM2 antibodies would facilitate these investigations. Here we have characterized seventeen TGM2 commercial antibodies for western blot and sixteen for immunoprecipitation, and immunofluorescence. The implemented standardized experimental protocol is based on comparing read-outs in knockout cell lines against their isogenic parental controls. This study is part of a larger, collaborative initiative seeking to address antibody reproducibility issues by characterizing commercially available antibodies for human proteins and publishing the results openly as a resource for the scientific community. While the use of antibodies and protocols vary between laboratories, we encourage readers to use this report as a guide to select the most appropriate antibodies for their specific needs.
蛋白-谷氨酰胺γ-谷氨酰转移酶 2(TGM2)是一种依赖于 Ca2+ 的酶,可催化转谷氨酰胺酶交联修饰。TGM2 以保护性或促成性方式参与各种疾病,因此是研究和确定其治疗潜力的关键蛋白。找出高效的 TGM2 抗体将有助于这些研究。在此,我们对 17 种 TGM2 商品抗体进行了表征,其中 17 种用于 Western 印迹,16 种用于免疫沉淀和免疫荧光。实施标准化实验方案的基础是比较基因敲除细胞系与同源亲代对照的读出结果。这项研究是一项大型合作计划的一部分,该计划旨在通过鉴定市售的人类蛋白质抗体来解决抗体的可重复性问题,并将结果公开发表,作为科学界的资源。虽然不同实验室使用的抗体和方案各不相同,但我们鼓励读者以本报告为指南,根据自己的具体需要选择最合适的抗体。
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引用次数: 0
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