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The Role of Delta Neutrophil Index (Immature Granulocyte) and Hematological Markers in the Diagnosis of Pediatric Acute Appendicitis 德尔塔中性粒细胞指数(未成熟粒细胞)和血液标记物在诊断小儿急性阑尾炎中的作用
Pub Date : 2023-01-01 DOI: 10.5455/annalsmedres.2023.01.028
M. K., Hakan Hakkoymaz
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引用次数: 0
Boric acid's cytotoxic effect on CD133+ cancer stem cells in H460 cell line 硼酸对 H460 细胞系中 CD133+ 癌症干细胞的细胞毒性作用
Pub Date : 2023-01-01 DOI: 10.5455/annalsmedres.2023.02.045
M. Acar
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引用次数: 0
Evaluation of Blood and Biliary Drainage Cultures and Mortality after Percutaneous Transhepatic Biliary Drainage Procedure 经皮经肝胆道引流术后血液和胆道引流培养及死亡率的评估
Pub Date : 2023-01-01 DOI: 10.5455/annalsmedres.2023.02.054
Ayhan rk, A. Ayaz
Introduction: Bacteremia and bile duct infection following percutaneous transhepatic biliary drainage (PTBD) are severe complications. Thus, the aim of this study was to investigate the risk factors of mortality and to evaluate the differences between blood and biliary drainage culture positive patients after PTBD. Materials and Methods: This is a retrospective study of 90 patients without any signs of infection prior to the PTBD procedures. Of these patients, we further divided them into three groups based on culture results: 1) first group was only bacteremic, 2) second group was only bile drainage culture-positive, and 3) third group was both bacteremic and bile drainage culture-positive. We compared clinical and laboratory parameters between these three groups and also evaluated the culture results in a high-resistance setting. Results:  There were 90 patients who developed bacteremia, bile duct infections or both. In the laboratory findings, bacteremic patients showed significantly higher serum level of alanine aminotransferase (ALT) (p=0.001). Elevated neutrophil counts, lipase levels and carbapenem-resistant isolates were found to be the independent risk factors for 30-day mortality after PTBD. (p=0.01, p=0.01, and p=0.04, respectively). Gram-negative organisms were present in 71.2% of the cases; Escherichia coli was the most common species (28.1%) followed by Enterococcus faecium (18.1%), Klebsiella pneumoniae (15.8%) and Pseudomonas aeruginosa (9.9%). 51 (41.8%) of the cultured gram-negative bacteria were extended spectrum beta-lactamases positive and carbapenem resistance was found in 27 (15.8%) isolates. Conclusion: Elevated ALT level was only difference between three groups. Therefore, bacteremic and bile culture positive patients should be treated with the same care. Elevated neutrophil counts, lipase levels and carbapenem-resistant isolates were the independent risk factors for mortality. Finally, the choice of antibiotic prophylaxis should be reviewed according to the antimicrobial resistance profiles.
导读:经皮肝胆道引流术(PTBD)后的细菌血症和胆管感染是严重的并发症。因此,本研究的目的是探讨死亡的危险因素,并评估血液和胆道引流培养阳性患者在PTBD后的差异。材料和方法:这是一项回顾性研究,90例患者在PTBD手术前没有任何感染迹象。根据培养结果将患者进一步分为三组:1)第一组仅为菌血症,2)第二组仅为胆管引流培养阳性,3)第三组均为菌血症和胆管引流培养阳性。我们比较了这三组的临床和实验室参数,并评估了高耐药环境下的培养结果。结果:90例患者出现菌血症、胆管感染或两者兼有。实验室结果显示,菌血症患者血清丙氨酸转氨酶(ALT)水平显著升高(p=0.001)。中性粒细胞计数、脂肪酶水平升高和碳青霉烯耐药分离株被发现是PTBD后30天死亡率的独立危险因素。(p=0.01, p=0.01, p=0.04)。71.2%的病例存在革兰氏阴性菌;最常见的菌种为大肠杆菌(28.1%)、屎肠球菌(18.1%)、肺炎克雷伯菌(15.8%)和铜绿假单胞菌(9.9%)。51株(41.8%)革兰氏阴性菌广谱β -内酰胺酶阳性,27株(15.8%)对碳青霉烯类耐药。结论:三组间仅存在ALT水平升高的差异。因此,菌血症和胆汁培养阳性患者应同样谨慎对待。嗜中性粒细胞计数、脂肪酶水平升高和碳青霉烯耐药分离株是死亡的独立危险因素。最后,应根据耐药情况审查抗生素预防的选择。
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引用次数: 0
Levels of teacher smoking and copd awareness: The case of Sanliurfa 教师吸烟水平与慢性阻塞性肺病意识:以三留尔法为例
Pub Date : 2023-01-01 DOI: 10.5455/annalsmedres.2023.04.082
G. Lu, erif Kurtulu, Remzi Can, Hamdiye Turan, Z. Sak, Mahmut lger
Objective: This study aims to investigate the smoking status of teachers, the relationship between smoking and COPD, and teachers' awareness of COPD. Material and Method: 504 teachers participated in this cross-sectional study. The data was obtained through an online questionnaire utilizing a 22-question form designed by the researchers. Results: The mean age of the participants was 38.677.70 years, 47.8% of them were female, and 81.5% worked in public schools. 28% of teachers reported smoking. 24.4% of teachers reported living with a COPD patient, with 86.5% citing smoking as the major risk factor for COPD. 88.3% of participants indicated that avoiding tobacco products is crucial in preventing COPD. The majority of participants (92.7%) provided the correct response when asked about the symptoms of COPD. While 67.7% responded that PFT is used for diagnosis, 50.6% reported that it is a treatable disease, and 25% reported that inhaler medicines are used for treatment. There was a statistically significant distinction between the frequency of hearing about COPD and the specialties of the teachers. It was shown that 91.1% of smokers were aware of COPD, however, no statistical correlation was found between smoking and awareness. Conclusion: This study revealed that the prevalence of smoking among teachers in Sanliurfa was lower than previously reported in the literature. The level of awareness that COPD is a lung disease was found to be higher than in previous studies of a similar sort. It was established that awareness of the risk factors for COPD, its symptoms, preventive strategies, and the fact that COPD is a treatable disease was high. We believe that this awareness will play a crucial role in protecting students from smoking and various smoking-related diseases, such as COPD.
目的:本研究旨在了解教师吸烟状况、吸烟与慢性阻塞性肺病的关系以及教师对慢性阻塞性肺病的认知。材料与方法:504名教师参与本横断面研究。数据是通过研究人员设计的一份包含22个问题的在线问卷获得的。结果:调查对象平均年龄为38.677.70岁,女性占47.8%,公立学校工作人员占81.5%。28%的教师吸烟。24.4%的教师报告与COPD患者生活在一起,86.5%的教师认为吸烟是COPD的主要危险因素。88.3%的参与者表示,避免烟草制品对预防慢性阻塞性肺病至关重要。当被问及COPD的症状时,大多数参与者(92.7%)提供了正确的回答。67.7%的应答者表示将PFT用于诊断,50.6%的应答者表示PFT是一种可治疗的疾病,25%的应答者表示使用吸入器药物进行治疗。慢性阻塞性肺病的听力频率与教师的专业有显著的统计学差异。结果显示,91.1%的吸烟者知晓慢性阻塞性肺病,但吸烟与知晓之间无统计学相关性。结论:本研究表明,三留尔发教师吸烟率低于文献报道。发现COPD是一种肺部疾病的意识水平高于之前类似的研究。人们对慢性阻塞性肺病的危险因素、症状、预防策略以及慢性阻塞性肺病是一种可治疗疾病这一事实的认识很高。我们相信,这种意识将在保护学生远离吸烟和各种与吸烟有关的疾病(如慢性阻塞性肺病)方面发挥关键作用。
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引用次数: 0
Approach to the intracranial aneurysm in patients with autosomal dominant polycystic kidney; Are current radiological screening recommendations applied? 常染色体显性多囊肾患者颅内动脉瘤的治疗方法;目前的放射学筛查建议是否适用?
Pub Date : 2023-01-01 DOI: 10.5455/annalsmedres.2022.12.398
S. Ediz, U. Soylemez, Başak Atalay
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引用次数: 0
The effect of Alpha-Lipoic Acid on nerve tissue healing after sciatic nerve crush injury in rats α -硫辛酸对大鼠坐骨神经挤压损伤后神经组织愈合的影响
Pub Date : 2023-01-01 DOI: 10.5455/annalsmedres.2023.02.061
A. M. Res, M. Yucel, O. Aktas, O. Zengi, A. Tas, A. Tufan, B. Eren, Feyza Karagoz, Guzey
Background: Crush injury damages the nerve, affects its function and causes oxidative stress. Alpha-lipoic acid (ALA) is an antioxidant agent with protective effects on the nerve tissue. In this study, we aimed to investigate the effects of ALA in the treatment of crush sciatic nerve injury in rats. Materials and Methods: Forty rats were divided into five groups. Walking Track Analysis (WTA) was performed in all groups before sacrificing the sciatic nerve. In group I (sham group), the sciatic nerve was exposed but not crushed, whereas in group II (early control group, 24th hour), group III (late control group, 7th day), group IV (early experimental group, 24th hour), and group V (late control group, 7th day), the sciatic nerve was exposed and clipped with an aneurysm clip for 300 seconds. One hour after the crush injury, subjects in groups II and III were given saline (2.5 ml, intraperitoneally), while ALA (100 mg/kg, intraperitoneally) was administered in Groups IV and V. WTA was performed in Groups I, II, and IV at the 24th hour after clipping and was performed in Groups III and V at 7th day after clipping. In all groups, the Sciatic Functional Index (SFI) was calculated after WTA. Following the completion of WTA, sciatic nerve tissue samples were obtained for the measurement of malondialdehyde (MDA), superoxide dismutase (SOD), glutathione peroxidase (GSH-Px) and catalase (CAT) enzyme values. Results: The SFI scores in groups II, III, IV, and V were significantly lower than that of sham group (p˂0.05), while no significant difference was found between groups II and IV and between groups III and V (p>0.05). The CAT values of groups II and IV, the GSH-Px value and MDA value of group IV, and the SOD values of groups II and IV were found to be significantly higher than those of sham group (p<0.05). However, no significant difference was found among groups I, III, and V with regard to CAT, GSH-Px, MDA and SOD values (p>0.05). Conclusion: The results indicated that a single dose of ALA (100 mg/kg) administered intraperitoneally one hour after the sciatic nerve crush injury had no therapeutic efficacy at 24 hours and 7 days after the administration. Further experimental studies are needed to evaluate the effectiveness of ALA applied in several doses rather than a single dose in crush peripheral nerve injury models.
背景:挤压损伤损伤神经,影响其功能并引起氧化应激。α -硫辛酸(ALA)是一种抗氧化剂,对神经组织有保护作用。本研究旨在探讨ALA对大鼠坐骨神经挤压性损伤的治疗作用。材料与方法:40只大鼠分为5组。各组在牺牲坐骨神经前行步行轨迹分析(WTA)。ⅰ组(假手术组)暴露坐骨神经,不压碎;ⅱ组(早期对照组,24小时)、ⅲ组(晚期对照组,7天)、ⅳ组(早期实验组,24小时)、ⅴ组(晚期对照组,7天)暴露坐骨神经,用动脉瘤夹夹住坐骨神经300秒。压伤后1小时,II、III组给予生理盐水(2.5 ml,腹腔),IV、V组给予ALA (100 mg/kg,腹腔),I、II、IV组于夹持后24小时进行WTA, III、V组于夹持后第7天进行WTA。在所有组中,WTA后计算坐骨功能指数(SFI)。WTA完成后,取坐骨神经组织标本测定丙二醛(MDA)、超氧化物歧化酶(SOD)、谷胱甘肽过氧化物酶(GSH-Px)和过氧化氢酶(CAT)酶值。结果:II、III、IV、V组SFI评分均显著低于假手术组(p小于0.05),而II组与IV组、III组与V组之间无显著差异(p>0.05)。II、IV组的CAT值、IV组的GSH-Px值、MDA值以及II、IV组的SOD值均显著高于假手术组(p0.05)。结论:坐骨神经压伤后1 h腹腔注射单剂量ALA (100 mg/kg), 24 h和7 d均无治疗效果。需要进一步的实验研究来评估ALA在挤压周围神经损伤模型中应用多剂量而不是单剂量的有效性。
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引用次数: 2
The Evaluation of Dynamic Thiol/Disulfide Homeostasis in Papillary Thyroid Carcinoma 甲状腺乳头状癌动态硫/二硫稳态的评价
Pub Date : 2023-01-01 DOI: 10.5455/annalsmedres.2023.08.196
P Akhanl, Sema en, Hakan er, Muhammed l, Salim lu, zcan Erel, Erman akal
Objectives: Aim of this study is to analyze the correlation between thiol/disulfide homeostasis (TDH) and papillary thyroid carcinoma (PTCA) and to reveal the possible impact of TDH on the development of PTCA. Material and Methods: Preoperative venous blood sampling was obtained from the patients having applied to our hospital due to euthyroid nodular goiter and detected with suspected malignancy or malignant cytology in FNAB, according to the BETHESDA system. Those whose postoperative histopathological results proved the presence of PTCA were involved in this study. Healthy volunteers who were without any thyroid nodules and thyroid dysfunction. Results: The number of participants in the patient and control groups was 34 and 101, respectively. Compared to the control group, native thiol (μmol/L), total thiol (μmol/L), and native thiol/total thiol × 100 values were ascertained to be lower in the patient group with PTCA; however, these values were not statistically significant. Disulfide, disulfide/native thiol × 100, and disulfide/total thiol × 100 values were detected to be lower in the patient group with PTCA, but not statistically significant. When the patients with PTCA were assessed within themselves, TDH parameters were not associated with the PTCA subtype, the number of foci, the presence of lymphovascular invasion, and the presence of metastatic lap. Conclusion: Considering the parameters of PTCA and TDH, the results were not statistically significant. And besides postoperative histopathological findings such as the PTCA subtype, the number of foci, the presence of lymphovascular invasion, and presence of metastatic lap were not correlated with THD parameters.
目的:分析硫醇/二硫稳态(thol /disulfide homeostasis, TDH)与甲状腺乳头状癌(papillary thyroid carcinoma, PTCA)的相关性,探讨TDH对PTCA发展的可能影响。材料与方法:根据BETHESDA系统,对因甲状腺结节性甲状腺肿来我院就诊并经FNAB检查疑似恶性或恶性细胞学检查的患者术前静脉血采集。术后组织病理学结果证实PTCA存在者纳入本研究。没有任何甲状腺结节和甲状腺功能障碍的健康志愿者。结果:患者组34人,对照组101人。与对照组相比,PTCA患者组天然硫醇(μmol/L)、总硫醇(μmol/L)、天然硫醇/总硫醇× 100值均较低;然而,这些值没有统计学意义。PTCA患者组检测到二硫、二硫/天然硫醇× 100、二硫/总硫醇× 100值较低,但无统计学意义。当对PTCA患者进行内部评估时,TDH参数与PTCA亚型、病灶数量、是否存在淋巴血管侵犯以及是否存在转移性lap无关。结论:考虑PTCA和TDH参数,结果无统计学意义。除术后PTCA亚型等组织病理学表现外,病灶数量、有无淋巴血管浸润、有无转移lap等与THD参数均无相关性。
{"title":"The Evaluation of Dynamic Thiol/Disulfide Homeostasis in Papillary Thyroid Carcinoma","authors":"P Akhanl, Sema en, Hakan er, Muhammed l, Salim lu, zcan Erel, Erman akal","doi":"10.5455/annalsmedres.2023.08.196","DOIUrl":"https://doi.org/10.5455/annalsmedres.2023.08.196","url":null,"abstract":"Objectives: Aim of this study is to analyze the correlation between thiol/disulfide homeostasis (TDH) and papillary thyroid carcinoma (PTCA) and to reveal the possible impact of TDH on the development of PTCA. Material and Methods: Preoperative venous blood sampling was obtained from the patients having applied to our hospital due to euthyroid nodular goiter and detected with suspected malignancy or malignant cytology in FNAB, according to the BETHESDA system. Those whose postoperative histopathological results proved the presence of PTCA were involved in this study. Healthy volunteers who were without any thyroid nodules and thyroid dysfunction. Results: The number of participants in the patient and control groups was 34 and 101, respectively. Compared to the control group, native thiol (μmol/L), total thiol (μmol/L), and native thiol/total thiol × 100 values were ascertained to be lower in the patient group with PTCA; however, these values were not statistically significant. Disulfide, disulfide/native thiol × 100, and disulfide/total thiol × 100 values were detected to be lower in the patient group with PTCA, but not statistically significant. When the patients with PTCA were assessed within themselves, TDH parameters were not associated with the PTCA subtype, the number of foci, the presence of lymphovascular invasion, and the presence of metastatic lap. Conclusion: Considering the parameters of PTCA and TDH, the results were not statistically significant. And besides postoperative histopathological findings such as the PTCA subtype, the number of foci, the presence of lymphovascular invasion, and presence of metastatic lap were not correlated with THD parameters.","PeriodicalId":8248,"journal":{"name":"Annals of Medical Research","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135159960","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
Validity and reliability of innovative behaviors of nurses and midwives scale: A scale development study 护士助产士创新行为量表的效度与信度:量表开发研究
Pub Date : 2023-01-01 DOI: 10.5455/annalsmedres.2023.01.014
eyda Can, Berna Dalcal, Hanife Durgun
Aim: This research was carried out to develop a measurement instrument to determine the innovative behaviors of nurses and midwives. Materials and Methods: This study, which is of a methodological nature was applied with 216 nurses and midwives between 01.06.2021-31.09.2021. The item pool of the scale was created by the researchers with the literature as twenty-three items in a five-point Likert type and submitted to the opinions of twelve specialists. Results: The three-factor scale structure designed by making explanatory and confirmatory factor analysis was confirmed with the validity and reliability. According to the analysis results; the scale consisted of three sub-dimensions (managerial and personal; physical and occupational; organizational and environmental) and 15 items. It was founded that the content validity index of the scale items was 0.468-0.851; factor loads were 0.510-0.871; item-total score correlations were 0.467-0.768, and the Cronbach's alpha reliability coefficient of the sub-dimensions ranged between 0.703-0.876 and it was 0.912 for the whole scale. Conclusion: As a result of the validity and reliability analyzes of the Attitude Scale towards Innovative Behaviors of Nurses and Midwives, it was founded that it can be used as a valid and reliable scale.
目的:本研究旨在开发一种衡量护士和助产士创新行为的测量工具。材料与方法:本研究于2021年6月1日至2021年9月31日期间对216名护士和助产士进行了方法学研究。量表的题库是由研究人员根据文献创建的,共有23个题库,分为五点李克特式,并提交给12位专家的意见。结果:通过解释性因子分析和验证性因子分析设计的三因子量表结构具有一定的信度和效度。根据分析结果;量表包括三个子维度(管理和个人;体力和职业;组织和环境)和15个项目。结果发现,量表项目的内容效度指数为0.468 ~ 0.851;因子负荷为0.510 ~ 0.871;项目总分的相关系数为0.467 ~ 0.768,子维度的Cronbach′s α信度系数在0.703 ~ 0.876之间,整体信度系数为0.912。结论:通过对《护士助产士创新行为态度量表》的效度和信度分析,发现该量表是一份有效、可靠的量表。
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引用次数: 0
Enhanced anticancer potency of Aloe vera in combination with Royal jelly in non-small cell lung cancer and colorectal adenocarcinoma 芦荟与蜂王浆联合抗非小细胞肺癌和结直肠腺癌的研究
Pub Date : 2023-01-01 DOI: 10.5455/annalsmedres.2023.08.207
Tu l
Aim: The aim of this study was to determine the anticancer activity of royal jelly (RJ) and Aloe vera (AVE) separately and in combination on human non-small cell lung cancer (A549) and colorectal adenocarcinoma cells (HT29) and to investigate whether the side effects of AVE can be ameliorated by RJ. Materials and Methods: The antiproliferative activity of RJ, AVE, and the combination of AVE and RJ was performed in vitro on A549 and HT29 cells using a Real-Time Cell Analyzer (xCELLigence). To determine the mechanisms underlying the antiproliferative activity, cell apoptosis was performed by flow cytometry using the annexin V-FITC/PI apoptosis detection kit, while cell migration was determined by wound healing assay. Results: Treatment with varying concentrations of AVE, RJ, and the combination of AVE and RJ was concluded to have dose-dependent antiproliferative activity and that the AVE-RJ combination induced 41% of HT29 and 11.79% of A549 early apoptosis (p<0.05). However, the inhibition effect of the combination of AVE and RJ on cancer cell migration was not detected. Conclusion: Taken together, our results showed that the AVE-RJ combination could be a promising therapeutic combination in A549 and HT29 by inducing apoptosis. The obtained results revealed that the AVE (40 µg/mL) and RJ (300 mg/mL) combination in the A549 cell line exhibited earlier antiproliferative activity than the 40 µg/mL AVE. Also, it has been found that the antiproliferative activity of AVE is enhanced when used in combination with RJ. Keywords: Aloe vera; Royal jelly; Non-small cell lung cancer; Colorectal adenocarcinoma; Real-time cell analyzer/xCELLigence); Wound healing assay.
目的:测定蜂王浆(RJ)和芦荟(AVE)单独及联合对人非小细胞肺癌(A549)和结直肠癌腺癌细胞(HT29)的抗肿瘤活性,探讨蜂王浆和芦荟是否能减轻AVE的毒副作用。材料与方法:采用实时细胞分析仪(xCELLigence)检测RJ、AVE及AVE与RJ联合对A549和HT29细胞的体外抗增殖活性。为了确定其抗增殖活性的机制,采用annexin V-FITC/PI细胞凋亡检测试剂盒流式细胞术检测细胞凋亡,采用伤口愈合实验检测细胞迁移。结果:不同浓度的AVE、RJ及AVE和RJ联合治疗均具有剂量依赖性的抗增殖活性,AVE-RJ联合治疗可诱导41%的HT29和11.79%的A549早期凋亡(p<0.05)。然而,AVE和RJ联合使用对癌细胞迁移的抑制作用未被检测到。结论:综上所述,AVE-RJ联合治疗A549和HT29可能是一个很有前景的联合治疗方案,其作用是诱导细胞凋亡。结果表明,AVE(40µg/mL)与RJ (300 mg/mL)联合使用对A549细胞株的抗增殖活性比40µg/mL的AVE更早,且AVE与RJ联合使用对A549细胞株的抗增殖活性增强。关键词:芦荟;蜂王浆;非小细胞肺癌;结直肠腺癌;实时细胞分析仪(xCELLigence)伤口愈合试验。
{"title":"Enhanced anticancer potency of Aloe vera in combination with Royal jelly in non-small cell lung cancer and colorectal adenocarcinoma","authors":"Tu l","doi":"10.5455/annalsmedres.2023.08.207","DOIUrl":"https://doi.org/10.5455/annalsmedres.2023.08.207","url":null,"abstract":"Aim: The aim of this study was to determine the anticancer activity of royal jelly (RJ) and Aloe vera (AVE) separately and in combination on human non-small cell lung cancer (A549) and colorectal adenocarcinoma cells (HT29) and to investigate whether the side effects of AVE can be ameliorated by RJ. Materials and Methods: The antiproliferative activity of RJ, AVE, and the combination of AVE and RJ was performed in vitro on A549 and HT29 cells using a Real-Time Cell Analyzer (xCELLigence). To determine the mechanisms underlying the antiproliferative activity, cell apoptosis was performed by flow cytometry using the annexin V-FITC/PI apoptosis detection kit, while cell migration was determined by wound healing assay. Results: Treatment with varying concentrations of AVE, RJ, and the combination of AVE and RJ was concluded to have dose-dependent antiproliferative activity and that the AVE-RJ combination induced 41% of HT29 and 11.79% of A549 early apoptosis (p<0.05). However, the inhibition effect of the combination of AVE and RJ on cancer cell migration was not detected. Conclusion: Taken together, our results showed that the AVE-RJ combination could be a promising therapeutic combination in A549 and HT29 by inducing apoptosis. The obtained results revealed that the AVE (40 µg/mL) and RJ (300 mg/mL) combination in the A549 cell line exhibited earlier antiproliferative activity than the 40 µg/mL AVE. Also, it has been found that the antiproliferative activity of AVE is enhanced when used in combination with RJ. Keywords: Aloe vera; Royal jelly; Non-small cell lung cancer; Colorectal adenocarcinoma; Real-time cell analyzer/xCELLigence); Wound healing assay.","PeriodicalId":8248,"journal":{"name":"Annals of Medical Research","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134979953","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
CHA2DS2-VASc Score as a Predictor of New Onset Atrial Fibrillation in Patients With Non-ST Segment Elevation Myocardial Infarction Who Underwent Percutaneous Coronary Intervention CHA2DS2-VASc评分作为经皮冠状动脉介入治疗的非st段抬高型心肌梗死患者新发房颤的预测因子
Pub Date : 2023-01-01 DOI: 10.5455/annalsmedres.2023.08.212
mehdi karasu, erkan m, y karaca, mehmet kobat
Background: New-onset atrial fibrillation (NOAF) often complicates acute coronary syndromes (ACSs) with adverse short- and long-term consequences. However, the current risk classification model for estimating NOAF during non-ST-segment elevation myocardial infarction (NSTEMI) remains unclear. Some parameters in the CHA2DS2-VASc score are closely related to the development of atrial fibrilation (AF). Methods: This retrospective study was conducted among 670 consecutive NSTEMI patients who applied to our cardiovascular center between June 2020 and June 2022 and underwent percutaneous coronary intervention (PCI). Results: NOAF developed during hospitalization in 55 patients (12.5%). NOAF patients were older and had higher high sensitivity C-reactive protein (hs-CRP), left atrial volume index, Post PCI thrombolysis in myocardial infarction (TIMI) grade <3, CHA2DS2-VASc score, peak troponin I (ng/ml), and SYNTAX score (SS). After univariate logistic regression analysis for the predictors of NOAF development, CHA2DS2-VASc score, post PCI TIMI grade <3, hemoglobin, hsCRP, SS alone were predictors of NOAF, but after multivariate analysis, CHA2DS2-VASc score, post PCI TIMI grade <3, hemoglobin had a determining effect. Conclusions: The CHA2DS2-VASc score can be evaluated as a predictor of NOAF after PCI in NSTEMI. Except for the components of the CHA2DS2-VASc score, post PCI TIMI grade <3 and low hemoglobin levels are independent risk factors for NSTEMI-NOAF.
背景:新发心房颤动(NOAF)常并发急性冠状动脉综合征(ACSs),具有不良的短期和长期后果。然而,目前用于估计非st段抬高型心肌梗死(NSTEMI)期间NOAF的风险分类模型仍不清楚。CHA2DS2-VASc评分中的一些参数与房颤(AF)的发生密切相关。方法:本回顾性研究纳入了670例于2020年6月至2022年6月期间向我中心申请并接受经皮冠状动脉介入治疗(PCI)的连续NSTEMI患者。结果:住院期间发生NOAF 55例(12.5%)。NOAF患者年龄较大,高敏c -反应蛋白(hs-CRP)、左房容积指数、PCI后心肌梗死溶栓(TIMI)分级<3、CHA2DS2-VASc评分、肌钙蛋白I峰值(ng/ml)、SYNTAX评分(SS)均较高。经单因素logistic回归分析NOAF发展的预测因子,CHA2DS2-VASc评分、PCI后TIMI分级<3、血红蛋白、hsCRP、SS单独为NOAF的预测因子,多因素分析CHA2DS2-VASc评分、PCI后TIMI分级<3、血红蛋白具有决定性作用。结论:CHA2DS2-VASc评分可作为NSTEMI患者PCI术后NOAF的预测指标。除CHA2DS2-VASc评分外,PCI后TIMI分级<3和低血红蛋白水平是NSTEMI-NOAF的独立危险因素。
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引用次数: 0
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