RESUMO
Conditions in the early stages of life shape body size and proportions. This study includes individuals who came from different socio-economic conditions and worked in physically demanding jobs in childhood. By determining the body sizes of these individuals and evaluating the proportional relationships between several groups, the goal was to understand the effect levels of socio-economic levels and working conditions on the body. For this purpose, an anthropometric study was conducted on 623 males and females between the ages of 20 and 45 living in Samsun, Turkey. The study sample consisted of four different groups. It was divided into two main groups of high and low socio-economic level, and the low socio-economic group was divided into two subgroups of heavy-worker and nonheavy-worker. The results demonstrated that socio-economic differences in the size and proportions of the individuals were statistically significant (p<0.05). The high socio-economic group had the highest values in all measures. External factors affected the lower limbs more than the upper limbs. The measurement most affected by these factors was leg length. Longer legs characterized the high socio-economic group, while longer arms characterized both low socio-economic groups. The relative differences observed can be said to derive from the distal limbs. This finding was valid for both sexes. The average values were close to each other in the low socio-economic group, for which the aim was to comprehend the effects of heavy working conditions. However, differences in proportional relationships were more significant. In this context, it was seen that heavy labour also affected growth, in addition to the well-known factors encountered during the growth period, such as nutrition, health, and illness. The observed changes were more significant in males than in females. Thus, it can be said that males were more affected by physiological and physical conditions.
Assuntos
Condições de Trabalho , Masculino , Feminino , Humanos , Adulto , Adulto Jovem , Pessoa de Meia-Idade , Fatores Socioeconômicos , Turquia , Tamanho Corporal , AntropometriaRESUMO
In patients with endometriosis, ectopic endometrial tissues can escape from immune system control and survive in other tissues. The pathophysiology of endometriosis is still not fully understood. In this study, we aimed to clarify the pathophysiology of endometriosis, which is thought to be a benign but infiltrative cancer type, which has many similarities with cancer biology by determining PD-1 expression in patients with endometriosis. In this study, n = 73 cases who underwent surgery or examination at the Obstetrics and Gynecology Clinic of Sivas Cumhuriyet University Faculty of Medicine and diagnosed as endometriosis in the biopsy material taken with the pre-diagnosis of endometriosis constituted the patient group. The control group consisted of n = 64 healthy subjects without concomitant malignancy or chronic inflammatory disease. Venous whole blood samples were obtained from the study groups. PD-1 and PD-L1 levels were determined by the ELISA method from serum and plasma samples. PD-1 gene expression level was determined by RT-PCR. The PD-1 level was found to be approximately 350 ± 150 ng/L and 45 ± 17 ng/L in endometriosis and control group, respectively. While the PD-L1 level was approximately 760 ± 108 ng/L in the patients, this level was 140 ± 14 ng/L in the controls. According to the RT-PCR results, the expression of the PD-1 gene 10 times higher compared to the controls. Conclusion: The identified increase of PD-1 levels and gene expression in endometriosis groups show that immunotherapy may be used in the treatment of endometriosis.
Assuntos
Antígeno B7-H1/sangue , Endometriose/sangue , Receptor de Morte Celular Programada 1/sangue , Estudos de Casos e Controles , Endometriose/etiologia , Feminino , HumanosRESUMO
Preeclampsia (PE), which occurs in approximately 5% of pregnancies worldwide and constitutes clinically serious complications in 2-3%, is one of the leading causes of maternal and prenatal morbidity and mortality. Recent studies report that regulatory T (Treg) cells, which act as immunosuppressant, are associated with PE. It is clearly defined that FOXP3/Scurfin (Forkhead Box P3) is involved in the development and function of Tregs. However, there are different conclusions regarding the relationship between PE and FOXP3 gene polymorphisms for different populations. For this reason, in this study we investigate the association between FOXP3 gene promoter region polymorphisms and PE in a Turkish population 500 PE patients and 500 healthy pregnant women. Blood samples taken from pregnant women were studied by PCR-RFLP method. As a result, rs2232365 polymorphism was significantly associated with disease (p < .0001) while no significant association was found between rs3761548 polymorphism and the disease (p = .17). Based on these results, it is though that FOXP3 rs2232365 polymorphism may be predisposed to PE development in terms of Turkish population. However, further and functional studies are needed in terms of other polymorphisms and mutations.IMPACT STATEMENTWhat is already known on this subject? A number of recent publications suggest that Tregs may play a role in the pathogenesis of PE. It is known that a stable and high FOXP3 expression is required to maintain the suppressive T cell function of Tregs. Down regulation of FOXP3 in PE has been reported in many previous studies, but the mechanism is still uncertain.What do the results of this study add? Our study has examined two FOXP3 promoter region polymorphisms in terms of Turkish population for the first time. Rs2232365 polymorphism associated with the disease in heterozygous genotype.What are the implications of these findings for clinical practice and/or further research? It has been shown that FOXP3 gene promoter region polymorphisms may be associated with PE for Turkish population. Our results can be a guide for more detailed statistical evaluations and functional studies.
Assuntos
Fatores de Transcrição Forkhead/genética , Pré-Eclâmpsia/genética , Adulto , Estudos de Casos e Controles , Feminino , Predisposição Genética para Doença/epidemiologia , Humanos , Polimorfismo de Nucleotídeo Único , Gravidez , Regiões Promotoras Genéticas/genética , Turquia/epidemiologiaRESUMO
OBJECTIVE: The aim of this study is to establish the factor analytic dimensions of manic episode, and to investigate relationship between established factors and underlying affective temperament. METHODS: Hundred patients who had been hospitalized in psychiatric clinics of Bakirköy Prof. Mazhar Osman Training and Research Hospital for Psychiatry and Neurology for DSM-IV bipolar disorder manic episode were assessed by Young Mania Rating Scale (YMRS), Montgomery-Asberg Depression Rating Scale (MADRS) and Positive And Negative Syndrome Scale (positive syndrome sub-scale) (PANSS) and followed by factor analysis. The relationship between factor scores and underlying affective temperaments has been investigated in 72 full remitted patients who had been re-assessed by Temperament Evaluation of Memphis, Pisa, Paris and San Diego Autoquestionnaire (TEMPS-A) Turkish version. RESULTS: 7 factors model which accounted 67.48% of the total variance has been emerged by principal component factor analysis. Determined factors were dysphoria, psychomotor acceleration, psychosis, irritability, insight, grandiosity and sexual interest. It has been found linear correlation between hyperthymic temperament and psychomotor acceleration (r=0.255, p<0.05) and, inverse correlation between depressive temperament and sexual interest (r=-0.248, p<0.05). CONCLUSIONS: The results of our study has shown that clinical phenomenology of mania has been formed by independent dimensions of dysphoria, irritability and psychosis, also with relationship between hyperthymic temperament and psychomotor acceleration which is accepted core characteristic of mania.