Pub Date : 2023-09-05DOI: 10.21103/article13(3)_ra2
Juan Alamilla-Presuel
Even though radiation therapy has achieved great success, there is still an unsolved task of increasing radiation damage to tumor tissue and reducing side effects on healthy tissues. There is a wide variety of obstacles that reduce the efficiency of radiotherapy. Mechanisms of radioresistance involve tumor-specific oncogenic signalling pathways, tumor metabolism and proliferation, tumor microenvironment/hypoxia, and genomics. Radiosensitizers are promising agents that enhance injury to tumor tissue by accelerating DNA damage. Several strategies have been used recently to develop highly effective radiosensitizers with low toxicity. In this review, we considered the use of radiosensitizers, including small molecules and nanomaterials, in various malignant tumors and the problems and prospects for their clinical use in cancer therapy.
{"title":"Radiosensitization: Studies and Modern Approaches to Cellular Radiosensitivity","authors":"Juan Alamilla-Presuel","doi":"10.21103/article13(3)_ra2","DOIUrl":"https://doi.org/10.21103/article13(3)_ra2","url":null,"abstract":"Even though radiation therapy has achieved great success, there is still an unsolved task of increasing radiation damage to tumor tissue and reducing side effects on healthy tissues. There is a wide variety of obstacles that reduce the efficiency of radiotherapy. Mechanisms of radioresistance involve tumor-specific oncogenic signalling pathways, tumor metabolism and proliferation, tumor microenvironment/hypoxia, and genomics. Radiosensitizers are promising agents that enhance injury to tumor tissue by accelerating DNA damage. Several strategies have been used recently to develop highly effective radiosensitizers with low toxicity. In this review, we considered the use of radiosensitizers, including small molecules and nanomaterials, in various malignant tumors and the problems and prospects for their clinical use in cancer therapy.","PeriodicalId":53991,"journal":{"name":"International Journal of Biomedicine","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42938012","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}
Pub Date : 2023-09-05DOI: 10.21103/article13(3)_oa12
S. Mohamed, Zainab Ahmed, Tajalseer Mubarak, Sara Mohamed, Rayan Mohamed, H. Higazi, Sara Ali
Pseudomonas aeruginosa, a gram-negative bacterium, is notorious for its innate resistance to many antibiotics. Carbapenems are broad-spectrum antibiotics often used to treat severe P. aeruginosa infections. However, the emergence and proliferation of carbapenem-resistant P. aeruginosa (CRPA) strains have become a grave global health concern. This study examined the co-occurrence of four major carbapenemase genes, namely blaNDM, blaVIM, blaKPC, and blaOXA-48, in clinical isolates of P. aeruginosa. Using standard microbiological methods,150 P. aeruginosa clinical isolates were collected and identified, and antimicrobial susceptibility testing was conducted following Clinical and Laboratory Standards Institute guidelines. Polymerase chain reaction (PCR) with gene-specific primers was used to detect the presence of carbapenemase genes. Among the 150 P. aeruginosa clinical isolates, 62(41.3%) were found to be carbapenem-resistant. The most detected carbapenemase genes were blaKPC (49%), blaNDM (31%), blaOXA-48 (22%), and blaVIM (9%). Notably 13(12.9%) isolates carried two carbapenemase genes. The combination of blaKPC and blaNDM genes was found in eight isolates, two isolates carried blaKPC and blaVIM, and three isolates carried blaOXA-48 and blaNDM. Four isolates (6.5%) harbored three carbapenemase genes. Co-occurrence of blaNDM, blaVIM, blaKPC, and blaOXA-48 was observed in four isolates (2.8%). Our findings highlight the alarming prevalence of carbapenemase genes, particularly blaNDM and blaKPC, in clinical isolates of P. aeruginosa. The co-occurrence of multiple carbapenemase genes in the same isolate raises concerns about the potential for horizontal gene transfer and dissemination of multidrug-resistant P. aeruginosa strains in clinical settings. Further research is needed to elucidate the molecular mechanisms underlying the co-occurrence of carbapenemase genes and their impact on the clinical outcomes of P. aeruginosa infections. Urgent measures, such as enhanced surveillance, infection control protocols, and antibiotic stewardship programs, are imperative to combat the emergence and spread of CRPA strains.
{"title":"Co-occurrence of Carbapenemase Genes blaNDM, blaVIM, blaKPC and blaOXA-48 in Pseudomonas aeruginosa Clinical Isolates","authors":"S. Mohamed, Zainab Ahmed, Tajalseer Mubarak, Sara Mohamed, Rayan Mohamed, H. Higazi, Sara Ali","doi":"10.21103/article13(3)_oa12","DOIUrl":"https://doi.org/10.21103/article13(3)_oa12","url":null,"abstract":"Pseudomonas aeruginosa, a gram-negative bacterium, is notorious for its innate resistance to many antibiotics. Carbapenems are broad-spectrum antibiotics often used to treat severe P. aeruginosa infections. However, the emergence and proliferation of carbapenem-resistant P. aeruginosa (CRPA) strains have become a grave global health concern. This study examined the co-occurrence of four major carbapenemase genes, namely blaNDM, blaVIM, blaKPC, and blaOXA-48, in clinical isolates of P. aeruginosa. Using standard microbiological methods,150 P. aeruginosa clinical isolates were collected and identified, and antimicrobial susceptibility testing was conducted following Clinical and Laboratory Standards Institute guidelines. Polymerase chain reaction (PCR) with gene-specific primers was used to detect the presence of carbapenemase genes. Among the 150 P. aeruginosa clinical isolates, 62(41.3%) were found to be carbapenem-resistant. The most detected carbapenemase genes were blaKPC (49%), blaNDM (31%), blaOXA-48 (22%), and blaVIM (9%). Notably 13(12.9%) isolates carried two carbapenemase genes. The combination of blaKPC and blaNDM genes was found in eight isolates, two isolates carried blaKPC and blaVIM, and three isolates carried blaOXA-48 and blaNDM. Four isolates (6.5%) harbored three carbapenemase genes. Co-occurrence of blaNDM, blaVIM, blaKPC, and blaOXA-48 was observed in four isolates (2.8%). Our findings highlight the alarming prevalence of carbapenemase genes, particularly blaNDM and blaKPC, in clinical isolates of P. aeruginosa. The co-occurrence of multiple carbapenemase genes in the same isolate raises concerns about the potential for horizontal gene transfer and dissemination of multidrug-resistant P. aeruginosa strains in clinical settings. Further research is needed to elucidate the molecular mechanisms underlying the co-occurrence of carbapenemase genes and their impact on the clinical outcomes of P. aeruginosa infections. Urgent measures, such as enhanced surveillance, infection control protocols, and antibiotic stewardship programs, are imperative to combat the emergence and spread of CRPA strains.","PeriodicalId":53991,"journal":{"name":"International Journal of Biomedicine","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45416251","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}
Pub Date : 2023-09-05DOI: 10.21103/article13(3)_oa3
G. Radzhabova, G. Abdullaeva, D. Zakirova, M. Pulatova, N. Sherbadalova, M. Khatamova, Z. Mashkurova, N. Ibrokhimov, A. Abdullaev, M. Sadulloeva
Background: Atrial fibrillation (AF) is one of the most common cardiac arrhythmias and a major predictor of morbidity and mortality. In recent years, genome-wide association studies (GWAS) have identified common genetic variants associated with a higher risk of AF. The aim of our research was to study the possible association of the 4q25/PITX2 SNP rs6817105 with the risk of developing AF in patients with arterial hypertension (AH) in the Uzbek population. Methods and Results: The study included 142 AH (Grades 1-3; ESC/ESH, 2018) patients of Uzbek nationality who were initially diagnosed with paroxysmal form (15[10.6%]), persistent form (43[30.3%]), and permanent form of AF (84[59.1%]). The mean age of these patients was 64.8±10.9 years. AF was verified using ECG Holter monitoring. The control group (n=88) consisted of AH patients without AF with a mean age of 56.5±12.3 years. Echocardiography was carried out according to the recommendations of the American Society of Echocardiography in M- and B-modes. We genotyped SNP rs6817105 (T>C) and examined the relationships among rs6817105 genotype, clinical characteristics, and echocardiographic parameters in AH patients with AF and non-AF AH patients (controls). The rs6817105 minor C allele frequency was significantly higher in AH patients with AF than in non-AF AH patients (71.8% vs. 59.7%, P=0.007). Analysis of the multiplicative model for the rs6817105 SNP showed a significant risk of AF in the carriage of the C allele (OR=1.72, 95% CI: 1.16-2.56, P=0.007). The dominant and additive models for the rs6817105 SNP showed a significant risk of AF with the carriage of the CC+CT genotypes (OR=3.16, 95% CI: 1.37-7.27, P=0.005) and the homozygous CC genotype (OR=1.63, 95% CI: 0.95-2.81, P=0.008), respectively. The allelic distribution showed that the carriage of the C allele was dominant in permanent and persistent AF (110/68.75% vs. 50/31.25% for the T allele [(χ2=22.50, P=0.000], and 73.61% (64/74.41%) vs. 26.39% (22/25.58%) for the T allele [χ2=20.512, P=0.000], respectively). Among AH patients with paroxysmal AF, the C allele prevailed to the greatest extent: 20(90.9%) vs. 2(9.1%) for the T allele (χ2=14.727, P=0.000), indicating a significant accumulation of the C allele and CC genotype among patients with paroxysmal AF. In general, in AH patients with AF, carriers of the CC genotype, the left atrial volume index (LAVI) was significantly higher than the carriers of the CT and TT genotypes: 46.8±13.9 ml/m2 vs. 40.4±13.0 ml/m2 and 36.1±11.0 ml/m2, respectively (P=0.0083). Conclusion: Our results indicate the rs6817105 minor C allele and CC genotype are associated with the risk of developing AF in AH patients of Uzbek nationality. The highest accumulation of the rs6817105 minor C allele and CC genotype is found in paroxysmal AF. In carriers of the rs6817105 CC genotype, the LAVI was significantly larger than in carriers of the CT and TT genotypes.
{"title":"The 4q25/PITX2 SNP rs6817105 and Atrial Fibrillation in Uzbek Patients with Arterial Hypertension","authors":"G. Radzhabova, G. Abdullaeva, D. Zakirova, M. Pulatova, N. Sherbadalova, M. Khatamova, Z. Mashkurova, N. Ibrokhimov, A. Abdullaev, M. Sadulloeva","doi":"10.21103/article13(3)_oa3","DOIUrl":"https://doi.org/10.21103/article13(3)_oa3","url":null,"abstract":"Background: Atrial fibrillation (AF) is one of the most common cardiac arrhythmias and a major predictor of morbidity and mortality. In recent years, genome-wide association studies (GWAS) have identified common genetic variants associated with a higher risk of AF. The aim of our research was to study the possible association of the 4q25/PITX2 SNP rs6817105 with the risk of developing AF in patients with arterial hypertension (AH) in the Uzbek population. Methods and Results: The study included 142 AH (Grades 1-3; ESC/ESH, 2018) patients of Uzbek nationality who were initially diagnosed with paroxysmal form (15[10.6%]), persistent form (43[30.3%]), and permanent form of AF (84[59.1%]). The mean age of these patients was 64.8±10.9 years. AF was verified using ECG Holter monitoring. The control group (n=88) consisted of AH patients without AF with a mean age of 56.5±12.3 years. Echocardiography was carried out according to the recommendations of the American Society of Echocardiography in M- and B-modes. We genotyped SNP rs6817105 (T>C) and examined the relationships among rs6817105 genotype, clinical characteristics, and echocardiographic parameters in AH patients with AF and non-AF AH patients (controls). The rs6817105 minor C allele frequency was significantly higher in AH patients with AF than in non-AF AH patients (71.8% vs. 59.7%, P=0.007). Analysis of the multiplicative model for the rs6817105 SNP showed a significant risk of AF in the carriage of the C allele (OR=1.72, 95% CI: 1.16-2.56, P=0.007). The dominant and additive models for the rs6817105 SNP showed a significant risk of AF with the carriage of the CC+CT genotypes (OR=3.16, 95% CI: 1.37-7.27, P=0.005) and the homozygous CC genotype (OR=1.63, 95% CI: 0.95-2.81, P=0.008), respectively. The allelic distribution showed that the carriage of the C allele was dominant in permanent and persistent AF (110/68.75% vs. 50/31.25% for the T allele [(χ2=22.50, P=0.000], and 73.61% (64/74.41%) vs. 26.39% (22/25.58%) for the T allele [χ2=20.512, P=0.000], respectively). Among AH patients with paroxysmal AF, the C allele prevailed to the greatest extent: 20(90.9%) vs. 2(9.1%) for the T allele (χ2=14.727, P=0.000), indicating a significant accumulation of the C allele and CC genotype among patients with paroxysmal AF. In general, in AH patients with AF, carriers of the CC genotype, the left atrial volume index (LAVI) was significantly higher than the carriers of the CT and TT genotypes: 46.8±13.9 ml/m2 vs. 40.4±13.0 ml/m2 and 36.1±11.0 ml/m2, respectively (P=0.0083). Conclusion: Our results indicate the rs6817105 minor C allele and CC genotype are associated with the risk of developing AF in AH patients of Uzbek nationality. The highest accumulation of the rs6817105 minor C allele and CC genotype is found in paroxysmal AF. In carriers of the rs6817105 CC genotype, the LAVI was significantly larger than in carriers of the CT and TT genotypes.","PeriodicalId":53991,"journal":{"name":"International Journal of Biomedicine","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42408993","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}
Pub Date : 2023-09-05DOI: 10.21103/article13(3)_oa1
E. Tursunov, A. Kevorkov, Ravshanbek Kurbanov, Nodir Zakirov, Alisher Rasulov
Background: An attempt was made to study the effect of surgical myocardial revascularization on the processes of electrical myocardium instability underlying the occurrence of life-threatening ventricular arrhythmias, as well as the possibility of its non-invasive assessment by studying heart rate variability (HRV) and heart rate turbulence (HRT), as well as the duration and dispersion of the QT interval. Based only on the presence of viable myocardium, it is often impossible to predict the positive impact of revascularization on a patient’s prognosis, especially with reduced myocardial contractility. Moreover, given the well-studied relationship between myocardial remodeling and neurohormonal activation, non-invasive methods for assessing the autonomic regulation of cardiac activity can provide additional diagnostic information. Along with this, changes in these indicators and their prognostic role in patients with coronary artery disease after revascularization are subjects of discussion. Methods and Results: All patients underwent a comprehensive clinical and biochemical blood test, transthoracic echocardiography, tissue Doppler echocardiography, ultrasound examination of brachiocephalic arteries, selective coronary angio- and ventriculography, as well as Holter monitoring. Results show that a year after the coronary intervention, there was a significant positive trend in the frequency and structure of ventricular arrhythmias (VA). HRV indicators generally did not show significant dynamics. Only an increase in the values of the SDANN and low-frequency power (LFP) indices was noted, indicating a gradual increase in the activity of the sympathetic part of the autonomic nervous system. HRT indicators also did not show significant dynamics. A significant increase was found in the number of patients with no signs of impaired HRT. The average duration of the QT interval decreased significantly. There was also a tendency to shorten the corrected QT interval; however, it was insignificant. In terms of dispersion, both the QT interval and its corrected index, no significant dynamics were recorded in the general group of patients. Conclusion: Our study found that in patients with prior myocardial infarction, after revascularization, significant positive dynamics were recorded in life-threatening ventricular arrhythmias, but were unreliable for the indicators of autonomic regulation of cardiac activity, such as HRV and HRT.
{"title":"Dynamics of Non-Invasive Risk Factors of Sudden Cardiac Death after Myocardial Revascularization","authors":"E. Tursunov, A. Kevorkov, Ravshanbek Kurbanov, Nodir Zakirov, Alisher Rasulov","doi":"10.21103/article13(3)_oa1","DOIUrl":"https://doi.org/10.21103/article13(3)_oa1","url":null,"abstract":"Background: An attempt was made to study the effect of surgical myocardial revascularization on the processes of electrical myocardium instability underlying the occurrence of life-threatening ventricular arrhythmias, as well as the possibility of its non-invasive assessment by studying heart rate variability (HRV) and heart rate turbulence (HRT), as well as the duration and dispersion of the QT interval. Based only on the presence of viable myocardium, it is often impossible to predict the positive impact of revascularization on a patient’s prognosis, especially with reduced myocardial contractility. Moreover, given the well-studied relationship between myocardial remodeling and neurohormonal activation, non-invasive methods for assessing the autonomic regulation of cardiac activity can provide additional diagnostic information. Along with this, changes in these indicators and their prognostic role in patients with coronary artery disease after revascularization are subjects of discussion. Methods and Results: All patients underwent a comprehensive clinical and biochemical blood test, transthoracic echocardiography, tissue Doppler echocardiography, ultrasound examination of brachiocephalic arteries, selective coronary angio- and ventriculography, as well as Holter monitoring. Results show that a year after the coronary intervention, there was a significant positive trend in the frequency and structure of ventricular arrhythmias (VA). HRV indicators generally did not show significant dynamics. Only an increase in the values of the SDANN and low-frequency power (LFP) indices was noted, indicating a gradual increase in the activity of the sympathetic part of the autonomic nervous system. HRT indicators also did not show significant dynamics. A significant increase was found in the number of patients with no signs of impaired HRT. The average duration of the QT interval decreased significantly. There was also a tendency to shorten the corrected QT interval; however, it was insignificant. In terms of dispersion, both the QT interval and its corrected index, no significant dynamics were recorded in the general group of patients. Conclusion: Our study found that in patients with prior myocardial infarction, after revascularization, significant positive dynamics were recorded in life-threatening ventricular arrhythmias, but were unreliable for the indicators of autonomic regulation of cardiac activity, such as HRV and HRT.","PeriodicalId":53991,"journal":{"name":"International Journal of Biomedicine","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43646754","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}
Pub Date : 2023-09-05DOI: 10.21103/article13(3)_cr2
Floren Kavaja, F. Veselaj
Background: In this article, we highlight the importance of utilizing multiple imaging modalities, including CT, MRI, and abdominal Doppler ultrasound, to accurately differentiate between atypical liver hemangiomas (LH) and metastases. Case report: We introduce a 57-year-old male patient who presented with severe abdominal pain. Initial CT scan findings showed hypodense liver lesions and a well-defined hypodense mass in the sub-diaphragmatic region, raising suspicion for metastatic liver lesions, and prompting further evaluation. To differentiate between atypical hemangiomas and metastases, an MRI scan was performed, revealing a hyperintense signal on T2-weighted images and a hypointense signal on T1-weighted images, consistent with the characteristics of LH. These characteristic signal intensities aided in ruling out metastatic liver lesions, which typically present with a more solid and homogeneous appearance. Contrast-enhanced MRI played a crucial role in confirming the diagnosis. The liver lesions demonstrated moderate vascularization during the early phase of contrast enhancement, followed by progressive centripetal filling during the portal venous and delayed phases. This enhancement pattern is consistent with the slow flow within the dilated vascular spaces of liver hemangiomas. The lesion in the right liver lobe is almost completely filled with contrast, further supporting the diagnosis of hemangioma. Abdominal Doppler ultrasound can provide additional information regarding the vascularity of liver lesions. In this case, the Doppler examination likely helped to further confirm the presence of a hemangioma, as these lesions typically demonstrate increased vascularity compared to metastatic lesions. Conclusion: The comprehensive imaging evaluation utilizing CT, MRI, and abdominal Doppler ultrasound allowed for the confident differentiation of atypical liver hemangiomas from metastatic liver lesions in this case. This emphasizes the importance of a multimodal imaging approach in cases of liver lesions with overlapping features, leading to improved patient management and outcomes.
{"title":"Exploring the Role of MRI in the Detection of Atypical Liver Hemangiomas and Exclusion of Metastases","authors":"Floren Kavaja, F. Veselaj","doi":"10.21103/article13(3)_cr2","DOIUrl":"https://doi.org/10.21103/article13(3)_cr2","url":null,"abstract":"Background: In this article, we highlight the importance of utilizing multiple imaging modalities, including CT, MRI, and abdominal Doppler ultrasound, to accurately differentiate between atypical liver hemangiomas (LH) and metastases. Case report: We introduce a 57-year-old male patient who presented with severe abdominal pain. Initial CT scan findings showed hypodense liver lesions and a well-defined hypodense mass in the sub-diaphragmatic region, raising suspicion for metastatic liver lesions, and prompting further evaluation. To differentiate between atypical hemangiomas and metastases, an MRI scan was performed, revealing a hyperintense signal on T2-weighted images and a hypointense signal on T1-weighted images, consistent with the characteristics of LH. These characteristic signal intensities aided in ruling out metastatic liver lesions, which typically present with a more solid and homogeneous appearance. Contrast-enhanced MRI played a crucial role in confirming the diagnosis. The liver lesions demonstrated moderate vascularization during the early phase of contrast enhancement, followed by progressive centripetal filling during the portal venous and delayed phases. This enhancement pattern is consistent with the slow flow within the dilated vascular spaces of liver hemangiomas. The lesion in the right liver lobe is almost completely filled with contrast, further supporting the diagnosis of hemangioma. Abdominal Doppler ultrasound can provide additional information regarding the vascularity of liver lesions. In this case, the Doppler examination likely helped to further confirm the presence of a hemangioma, as these lesions typically demonstrate increased vascularity compared to metastatic lesions. Conclusion: The comprehensive imaging evaluation utilizing CT, MRI, and abdominal Doppler ultrasound allowed for the confident differentiation of atypical liver hemangiomas from metastatic liver lesions in this case. This emphasizes the importance of a multimodal imaging approach in cases of liver lesions with overlapping features, leading to improved patient management and outcomes.","PeriodicalId":53991,"journal":{"name":"International Journal of Biomedicine","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48817333","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}
Pub Date : 2023-09-05DOI: 10.21103/article13(3)_oa15
Jehona Kolgeci-Istogu, B. Lumezi, M. Sopjani, Labinot Istogu, Dhurata Kolgeci
Background: All types of chromosomal aberrations have an impact on the development of dermatoglyphs, which changes both their quantitative and qualitative characteristics. This study aims to compare the quantitative characteristics of dermatoglyphs between individuals with Down syndrome and those with normal karyotypes in the Kosova Albanian population. Methods and Results: The quantitative characteristics of digitopalmar dermatoglyphs were analyzed on 104 individuals (54 men and 50 women) with Down syndrome from Kosova's Albanian population. The dermatoglyphs of 403 Albanians from Kosova with normal karyotypes (the control group) were also analyzed quantitatively. Using the method devised by Cummins and Midlo, dermatoglyph traces were obtained and analyzed. We analyzed the quantitative features of both the dermatoglyphs of the fingers and the dermatoglyphs of the palms of the hands. Moorhead and Seabright's peripheral blood culture technique was utilized to analyze the karyotypes of individuals with Down syndrome. A total of 40 dermatoglyphic variables were analyzed. When the quantitative dermatoglyphic features of men with Down syndrome and the control group were compared, significant differences were discovered in 20 of the dermatoglyphic variables. Significant differences were discovered in 21 of the dermatoglyphic variables when the features of women with Down syndrome and the control group were compared. One of the most distinctive characteristics of Down syndrome was the breadth of the atd angle, which should be taken into consideration. Compared to the control group's males and females, the males and females with Down syndrome exhibit wider atdT angles (161.91° vs. 92.60° [P<0.0001] and 165.48° vs. 94.75° [P<0.0001], respectively). Conclusion: The size of atd angles is the factor that most closely identifies people with Down syndrome.
{"title":"Dermatoglyphs in People with Down Syndrome and People with Normal Karyotype: A Comparison of Quantitative Characteristics","authors":"Jehona Kolgeci-Istogu, B. Lumezi, M. Sopjani, Labinot Istogu, Dhurata Kolgeci","doi":"10.21103/article13(3)_oa15","DOIUrl":"https://doi.org/10.21103/article13(3)_oa15","url":null,"abstract":"Background: All types of chromosomal aberrations have an impact on the development of dermatoglyphs, which changes both their quantitative and qualitative characteristics. This study aims to compare the quantitative characteristics of dermatoglyphs between individuals with Down syndrome and those with normal karyotypes in the Kosova Albanian population. Methods and Results: The quantitative characteristics of digitopalmar dermatoglyphs were analyzed on 104 individuals (54 men and 50 women) with Down syndrome from Kosova's Albanian population. The dermatoglyphs of 403 Albanians from Kosova with normal karyotypes (the control group) were also analyzed quantitatively. Using the method devised by Cummins and Midlo, dermatoglyph traces were obtained and analyzed. We analyzed the quantitative features of both the dermatoglyphs of the fingers and the dermatoglyphs of the palms of the hands. Moorhead and Seabright's peripheral blood culture technique was utilized to analyze the karyotypes of individuals with Down syndrome. A total of 40 dermatoglyphic variables were analyzed. When the quantitative dermatoglyphic features of men with Down syndrome and the control group were compared, significant differences were discovered in 20 of the dermatoglyphic variables. Significant differences were discovered in 21 of the dermatoglyphic variables when the features of women with Down syndrome and the control group were compared. One of the most distinctive characteristics of Down syndrome was the breadth of the atd angle, which should be taken into consideration. Compared to the control group's males and females, the males and females with Down syndrome exhibit wider atdT angles (161.91° vs. 92.60° [P<0.0001] and 165.48° vs. 94.75° [P<0.0001], respectively). Conclusion: The size of atd angles is the factor that most closely identifies people with Down syndrome.","PeriodicalId":53991,"journal":{"name":"International Journal of Biomedicine","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41581403","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}
Pub Date : 2023-09-05DOI: 10.21103/article13(3)_oa4
M. Darenskaya, L. Rychkova, N. Semenova, Zhanna Prokhorova, Olga Tugarinova, Tatyana Mityukova, Anastasia Basalai, Olga Poluliakh, L. Kolesnikova
The aim of this study was to identify the relationships between cytokine status, lipid peroxidation (LPO) products, and total antioxidant activity (TAA) in obese adolescent boys and girls. Methods and Results: The study included 29 boys and 33 girls with an established diagnosis of exogenous-constitutional obesity of the first degree. Twenty-eight healthy adolescent boys and 24 adolescent girls made up control groups. The concentration of cytokines (IL-6, IL-8, IL-4, and IL-10) was assessed by enzyme immunoassay. The content of LPO products (conjugated dienes [CDs], ketodienes and conjugated trienes [KD-CT], Schiff bases [SB], thiobarbituric acid reactants [TBARs], total antioxidant activity (TAA) was evaluated. Spectrophotometric methods were used. The data obtained indicated a statistically significant increase in the level of IL-6 (P=0.018) and the IL-6/IL10 ratio (P=0.033) in obese boys, compared with the control. There was also an increase in the content of LPO products in this group relative to the control group: KD-CT (P=0.043) and SB (P=0.021). In the group of obese girls, there was an increase in IL-6 values (P=0.018), a decrease in IL-4 (P=0.040), and an increase in CDs (P=0.035) and KD-CT (P=0.044). The following correlations were found in the control group of boys: CDs‒KD-CT (r=0.91; P=0.001), TBARS‒IL-8 (r=0.73; P=0.027), and SB‒IL-4 (r=0.79; P=0.011); there were no statistically significant correlations between study parameters in obese boys. The following correlations were recorded in the girls of the control group: CDs‒KD-CT (r=0.99; P<0.0001), TAA‒IL-10 (r=-0.80; P=0.033), TAA‒IL-4 (r=-0.78; P=0.040); in obese girls, it was SB‒IL-4 (r=-0.67; P=0.048). Conclusion: Data analysis showed high activity of proinflammatory cytokines and LPO products in obese adolescents, regardless of gender, with a reduced concentration of anti-inflammatory factors and correlations between parameters of inflammation and OS in girls. An important component of the pathogenetic approach in treating obesity should be the control of these parameters.
{"title":"Relationship of Cytokine Status Parameters with the Lipid Peroxidation-Antioxidant Defense System in Obese Adolescents","authors":"M. Darenskaya, L. Rychkova, N. Semenova, Zhanna Prokhorova, Olga Tugarinova, Tatyana Mityukova, Anastasia Basalai, Olga Poluliakh, L. Kolesnikova","doi":"10.21103/article13(3)_oa4","DOIUrl":"https://doi.org/10.21103/article13(3)_oa4","url":null,"abstract":"The aim of this study was to identify the relationships between cytokine status, lipid peroxidation (LPO) products, and total antioxidant activity (TAA) in obese adolescent boys and girls. Methods and Results: The study included 29 boys and 33 girls with an established diagnosis of exogenous-constitutional obesity of the first degree. Twenty-eight healthy adolescent boys and 24 adolescent girls made up control groups. The concentration of cytokines (IL-6, IL-8, IL-4, and IL-10) was assessed by enzyme immunoassay. The content of LPO products (conjugated dienes [CDs], ketodienes and conjugated trienes [KD-CT], Schiff bases [SB], thiobarbituric acid reactants [TBARs], total antioxidant activity (TAA) was evaluated. Spectrophotometric methods were used. The data obtained indicated a statistically significant increase in the level of IL-6 (P=0.018) and the IL-6/IL10 ratio (P=0.033) in obese boys, compared with the control. There was also an increase in the content of LPO products in this group relative to the control group: KD-CT (P=0.043) and SB (P=0.021). In the group of obese girls, there was an increase in IL-6 values (P=0.018), a decrease in IL-4 (P=0.040), and an increase in CDs (P=0.035) and KD-CT (P=0.044). The following correlations were found in the control group of boys: CDs‒KD-CT (r=0.91; P=0.001), TBARS‒IL-8 (r=0.73; P=0.027), and SB‒IL-4 (r=0.79; P=0.011); there were no statistically significant correlations between study parameters in obese boys. The following correlations were recorded in the girls of the control group: CDs‒KD-CT (r=0.99; P<0.0001), TAA‒IL-10 (r=-0.80; P=0.033), TAA‒IL-4 (r=-0.78; P=0.040); in obese girls, it was SB‒IL-4 (r=-0.67; P=0.048). Conclusion: Data analysis showed high activity of proinflammatory cytokines and LPO products in obese adolescents, regardless of gender, with a reduced concentration of anti-inflammatory factors and correlations between parameters of inflammation and OS in girls. An important component of the pathogenetic approach in treating obesity should be the control of these parameters.","PeriodicalId":53991,"journal":{"name":"International Journal of Biomedicine","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48336933","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}
Pub Date : 2023-09-05DOI: 10.21103/article13(3)_oa13
Mohanad Hussein, Hasan Owaif, Sura A. Abdulateef
Background: Klebsiella oxytoca may cause various infections, including respiratory, urinary, and bloodstream infections, often with multidrug-resistant strains posing challenges in treatment. The aim of this study was for molecular identification of K. oxytoca and to assess the existence of aminoglycoside resistance genes in biofilm and in toxin-producing and AmpC-positive isolates. Methods and Results: A total of 400 non-duplicate stool samples were collected from patients with colitis from 2019 to 2020 and were immediately cultured onto McConkey and blood agar (Merk, Germany). Antibiotic discs and Mueller-Hinton agar (MHA) culture medium (Merck, Germany) were used for antimicrobial susceptibility testing. The disk diffusion was done for susceptibility examination of them using CLSI 2020. Phenotypic detection of AmpC enzymes and biofilm formation were also determined. The PCR was performed to detect polygalacturonase (pehX) gene, blaCTX-M gene, npsB toxin-encoding gene, blaAmpC gene, and the aac(6′)-lb and aac(3′)-IIa AMEs genes. A total of 100 K. oxytoca were identified from stool samples. Most isolates were not susceptible to tetracycline, cotrimoxazole, or cefoxitin disks. Moreover, most were susceptible to amikacin and piperacillin-tazobactam disks. Among 100 isolates, 54% produced the AmpC enzyme in the combined disk method. Among them, 30 isolates were resistant to gentamicin. Strong biofilm formation was determined in 66% of isolates, and 30% of them produced moderate biofilms. Moreover, 4% of the isolates had weak biofilms. Among the 60 gentamicin-resistant K. oxytoca, 32 isolates had strong biofilms, and 11 isolates produced moderate ones. The pehX was used for the molecular identification of K. oxytoca; the results showed the presence of this gene in all isolates. The majority (98%) of K. oxytoca amplified the npsB toxin-encoding gene. The rate of blaCTX-M, blaAmpC, aac(6′)-lb, and aac(3)-IIa genes were 62%, 45%, 12%, 24%, respectively. Conclusion: In our study, more than half of K. oxytoca showed MDR phenotype. Moreover, half of the isolates carried the blaAmpC and blaCTX-M genes. Strong biofilm formation was observed in more than 60% of them.
{"title":"The Aminoglycoside Resistance Genes, pehX, blaCTXM, blaAmpC, and npsB among Klebsiella oxytoca Stool Samples","authors":"Mohanad Hussein, Hasan Owaif, Sura A. Abdulateef","doi":"10.21103/article13(3)_oa13","DOIUrl":"https://doi.org/10.21103/article13(3)_oa13","url":null,"abstract":"Background: Klebsiella oxytoca may cause various infections, including respiratory, urinary, and bloodstream infections, often with multidrug-resistant strains posing challenges in treatment. The aim of this study was for molecular identification of K. oxytoca and to assess the existence of aminoglycoside resistance genes in biofilm and in toxin-producing and AmpC-positive isolates. Methods and Results: A total of 400 non-duplicate stool samples were collected from patients with colitis from 2019 to 2020 and were immediately cultured onto McConkey and blood agar (Merk, Germany). Antibiotic discs and Mueller-Hinton agar (MHA) culture medium (Merck, Germany) were used for antimicrobial susceptibility testing. The disk diffusion was done for susceptibility examination of them using CLSI 2020. Phenotypic detection of AmpC enzymes and biofilm formation were also determined. The PCR was performed to detect polygalacturonase (pehX) gene, blaCTX-M gene, npsB toxin-encoding gene, blaAmpC gene, and the aac(6′)-lb and aac(3′)-IIa AMEs genes. A total of 100 K. oxytoca were identified from stool samples. Most isolates were not susceptible to tetracycline, cotrimoxazole, or cefoxitin disks. Moreover, most were susceptible to amikacin and piperacillin-tazobactam disks. Among 100 isolates, 54% produced the AmpC enzyme in the combined disk method. Among them, 30 isolates were resistant to gentamicin. Strong biofilm formation was determined in 66% of isolates, and 30% of them produced moderate biofilms. Moreover, 4% of the isolates had weak biofilms. Among the 60 gentamicin-resistant K. oxytoca, 32 isolates had strong biofilms, and 11 isolates produced moderate ones. The pehX was used for the molecular identification of K. oxytoca; the results showed the presence of this gene in all isolates. The majority (98%) of K. oxytoca amplified the npsB toxin-encoding gene. The rate of blaCTX-M, blaAmpC, aac(6′)-lb, and aac(3)-IIa genes were 62%, 45%, 12%, 24%, respectively. Conclusion: In our study, more than half of K. oxytoca showed MDR phenotype. Moreover, half of the isolates carried the blaAmpC and blaCTX-M genes. Strong biofilm formation was observed in more than 60% of them.","PeriodicalId":53991,"journal":{"name":"International Journal of Biomedicine","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47098712","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}
Pub Date : 2023-09-05DOI: 10.21103/article13(3)_oa16
Miranda Abazi, Erik Musliu, Saranda Sadiku, Egzon Veliu, Rina Prokshi
Background: Cheiloscopy (lip-print studies) is an important tool for the identification of human bodies in social and criminal issues. Lip prints present the labial mucosa with characteristic grooves and lines specific to every person. The purpose of this study was to analyze the lip prints among an adolescent sample of the Albanian population in Kosovo, to determine the most prevalent lip-print pattern in both genders, and to determine if there are any differences between male and female lip prints. Methods and Results: A total of 100 adolescents aged from 12 to 18 were randomly selected from schools in southeastern Kosovo. The lip prints were classified according to Suzuki and Tsuchihashi's classification (1970). For the analysis, the lips were divided into four quadrants: right upper quadrant, left upper quadrant, right lower quadrant, and left lower quadrant. The analysis was done using a magnifying glass. In the present study, the slightly prevalent lip-print pattern among all subjects was Type II (25.0%), followed by Type I (20.0%), Type III (17.0%), Type IV (16.0%), Type I′ (16.0%), and Type V (6.0%). The lip prints of Type IV were slightly more common in female subjects (24.0%), followed by Type II (20.0%), Type I (18.0%), Type III (18.0%), Type I′ (12.0%), and Type V (8.0%). Type II was slightly more common in male subjects (30.0%), followed by Type I (22.0%), Type I′ (20/0%), Type III (16.0%), Type IV (8.0%), and Type V (8.0%). However, some differences between the sexes, with a tendency toward the predominance of Type IV in women and Type II in men, were not statistically significant, and there was no significant difference between the lip patterns by quadrants in women and men.
{"title":"A Morphologic Approach of Lip Prints in a Sample of Albanian Population in Kosovo","authors":"Miranda Abazi, Erik Musliu, Saranda Sadiku, Egzon Veliu, Rina Prokshi","doi":"10.21103/article13(3)_oa16","DOIUrl":"https://doi.org/10.21103/article13(3)_oa16","url":null,"abstract":"Background: Cheiloscopy (lip-print studies) is an important tool for the identification of human bodies in social and criminal issues. Lip prints present the labial mucosa with characteristic grooves and lines specific to every person. The purpose of this study was to analyze the lip prints among an adolescent sample of the Albanian population in Kosovo, to determine the most prevalent lip-print pattern in both genders, and to determine if there are any differences between male and female lip prints. Methods and Results: A total of 100 adolescents aged from 12 to 18 were randomly selected from schools in southeastern Kosovo. The lip prints were classified according to Suzuki and Tsuchihashi's classification (1970). For the analysis, the lips were divided into four quadrants: right upper quadrant, left upper quadrant, right lower quadrant, and left lower quadrant. The analysis was done using a magnifying glass. In the present study, the slightly prevalent lip-print pattern among all subjects was Type II (25.0%), followed by Type I (20.0%), Type III (17.0%), Type IV (16.0%), Type I′ (16.0%), and Type V (6.0%). The lip prints of Type IV were slightly more common in female subjects (24.0%), followed by Type II (20.0%), Type I (18.0%), Type III (18.0%), Type I′ (12.0%), and Type V (8.0%). Type II was slightly more common in male subjects (30.0%), followed by Type I (22.0%), Type I′ (20/0%), Type III (16.0%), Type IV (8.0%), and Type V (8.0%). However, some differences between the sexes, with a tendency toward the predominance of Type IV in women and Type II in men, were not statistically significant, and there was no significant difference between the lip patterns by quadrants in women and men.","PeriodicalId":53991,"journal":{"name":"International Journal of Biomedicine","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46300122","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}
Pub Date : 2023-09-05DOI: 10.21103/article13(3)_oa6
M. Ismaili
Background: The aim of this study was to determine the relationship between central corneal thickness (CCT) and intraocular pressure (IOP) in patients with refractive anomalies and emmetropes. Methods and Results: This retrospective study was conducted in the Department of Ophthalmology at the University Clinical Center. The study included 330 respondents, with a total of 660 eyes, divided into two groups. The test group (TG) included 180 respondents with refractive anomalies (65 respondents with hypertropia, 65 with myopia, and 50 with astigmatism); the control group (CG) included 150 respondents with uncorrected visual acuity – 6/6 in both eyes. All respondents included in the research were aged 18–40, with an average age of 22.9 years. The values of CCT in TG was around 499.3–577.1 μm. From 360 eyes in the TG with refractive anomalies, the highest IOP values were found in the astigmatic group (20.6 mmHg) and the lowest values in the myopic group (15.3 mmHg) (P<0.001) and were statistically higher compared to the CG (P<0.001 in both cases). We found a statistically significant, moderate positive correlation between the values of CCT and IOP in the hypermetropic group (rs=0.655, 95% CI: 0.540 to 0.745, P<0.0001) and a statistically significant low negative correlation (rs=-0.209, 95% CI: -0.373 to -0.033, P=0.0165) between the values of CCT and IOP in the myopic group. Also, a statistically significant low negative correlation (rs=-0.304, 95% CI: -0.510 to -0.152, P=0.0005) was found between the values of CCT and IOP in the astigmatism group. Conclusion: The results of our study show that increasing the CCT values in the hypermetropic group leads to an increase in the IOP values. Therefore, these findings can be used as a reference for our population, which would assist in the early diagnosis of ocular hypertension.
{"title":"Association Between Central Corneal Thickness and Intraocular Pressure in Patients with Refractive Anomalies and Emmetropes","authors":"M. Ismaili","doi":"10.21103/article13(3)_oa6","DOIUrl":"https://doi.org/10.21103/article13(3)_oa6","url":null,"abstract":"Background: The aim of this study was to determine the relationship between central corneal thickness (CCT) and intraocular pressure (IOP) in patients with refractive anomalies and emmetropes. Methods and Results: This retrospective study was conducted in the Department of Ophthalmology at the University Clinical Center. The study included 330 respondents, with a total of 660 eyes, divided into two groups. The test group (TG) included 180 respondents with refractive anomalies (65 respondents with hypertropia, 65 with myopia, and 50 with astigmatism); the control group (CG) included 150 respondents with uncorrected visual acuity – 6/6 in both eyes. All respondents included in the research were aged 18–40, with an average age of 22.9 years. The values of CCT in TG was around 499.3–577.1 μm. From 360 eyes in the TG with refractive anomalies, the highest IOP values were found in the astigmatic group (20.6 mmHg) and the lowest values in the myopic group (15.3 mmHg) (P<0.001) and were statistically higher compared to the CG (P<0.001 in both cases). We found a statistically significant, moderate positive correlation between the values of CCT and IOP in the hypermetropic group (rs=0.655, 95% CI: 0.540 to 0.745, P<0.0001) and a statistically significant low negative correlation (rs=-0.209, 95% CI: -0.373 to -0.033, P=0.0165) between the values of CCT and IOP in the myopic group. Also, a statistically significant low negative correlation (rs=-0.304, 95% CI: -0.510 to -0.152, P=0.0005) was found between the values of CCT and IOP in the astigmatism group. Conclusion: The results of our study show that increasing the CCT values in the hypermetropic group leads to an increase in the IOP values. Therefore, these findings can be used as a reference for our population, which would assist in the early diagnosis of ocular hypertension.","PeriodicalId":53991,"journal":{"name":"International Journal of Biomedicine","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44406060","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}
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