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1.
Am J Surg Pathol ; 2024 May 10.
Artigo em Inglês | MEDLINE | ID: mdl-38726848

RESUMO

Mycobacterial spindle cell pseudotumors (MSPs) are a rare and diagnostically challenging manifestation of non-tuberculous mycobacterial (NTM) infections. Proper recognition of these pseudotumors is important because they are treatable and benign. In this study, we evaluated the morphologic patterns of MSPs to improve their pathologic identification. Clinical and morphologic features of 14 MSPs were analyzed. Histologic factors evaluated included the architectural growth pattern of spindled or epithelioid macrophages, granulomas and their location within the lesion, neutrophilic microabscesses, multinucleated giant cells, necrosis, and effacement of background tissue. The composition of inflammatory infiltrates, organism density by acid-fast staining, and stromal changes were also assessed. In addition, 8 of 14 cases underwent molecular microbiology identification by a clinical amplicon-sequencing assay for non-tuberculous mycobacteria. MSP sites included 2 bowel, 10 lymph nodes, 1 liver, and 1 extremity. Cases with available clinical history (n=10) all occurred in immunocompromised patients. All demonstrated effacement of normal structures with spindled cells arranged in a storiform or fascicular architectural pattern. In addition, all cases showed lymphocytic inflammation, with prominent concurrent neutrophilic inflammation in 50% (7/14) of cases. Other morphologic findings included foamy histiocytes (64%, 9/14), peripherally situated granulomas (21%, 3/14), and neutrophilic microabscesses (21%, 3/14). All tested cases were positive for NTM by PCR methods. Mycobacterium avium was the most commonly isolated pathogen (6/8). Mycobacterial spindle cell pseudotumors show predominantly spindled morphology that may be mistaken as a neoplasm. Surgical pathologists who evaluate lymph nodes, soft tissue, and gastrointestinal tissues should be aware of this spindled tumefactive phenomenon in the setting of immunocompromised patients. Recognition of key morphologic features of neutrophilic inflammation, peripheral granulomas, or foamy histiocytes within a spindled lesion can help guide the pathologist to a correct diagnosis of an inflammatory process secondary to infection rather than a spindle cell neoplasm. Accurate diagnosis to facilitate appropriate antimicrobial and/or surgical therapy requires a comprehensive evaluation combining clinical, histopathologic, and microbiological findings.

2.
J Clin Pathol ; 2024 Mar 06.
Artigo em Inglês | MEDLINE | ID: mdl-38448211

RESUMO

While the overwhelming majority of colorectal carcinomas (CRC) are diagnosed as adenocarcinoma not otherwise specified, there are numerous under-recognised morphologic patterns of CRC. These patterns are recognised by the WHO, appear in reporting manuals for the American Joint Committee of Cancer, and/or are listed on synoptic reports, while many other variants have either fallen out of favour or are emerging as future bona fide patterns. Herein, we discuss 13 variants: serrated adenocarcinoma, micropapillary adenocarcinoma, medullary carcinoma, neuroendocrine carcinoma, mucinous adenocarcinoma, signet-ring cell carcinoma, adenosquamous carcinoma, adenoma-like adenocarcinoma, lymphoglandular complex-like CRC, carcinoma with sarcomatoid components, cribriform-comedo-type adenocarcinoma, undifferentiated carcinoma and low-grade tubuloglandular adenocarcinoma. The purpose of this review is to scrutinise these variants by assessing their clinical characteristics, morphologic cues, as well as pitfalls, and address their prognostic significance. Our analysis aims to bring clarity and updated understanding to these variants, offering valuable insights for pathologists. This contributes to more nuanced CRC diagnosis and treatment strategies, highlighting the importance of recognising a broad spectrum of morphologic patterns in CRC.

3.
Turk Neurosurg ; 34(1): 148-159, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38282594

RESUMO

AIM: To evaluate the effects of the combination of nimodipine and dexamethasone in subarachnoid hemorrhage (SAH). MATERIAL AND METHODS: In this study, 35 female adult Wistar Albino rats were randomly assigned to four groups: Sham (n=8), SAH with no treatment (n=9), SAH with nimodipine (n=9, oral gavage, 12 mg/kg, BID) treatment, and SAH with combined therapy with nimodipine and dexamethasone (n=9, intraperitoneally, 1mg/kg, BID). The "cisterna magna double injection of autologous blood" model was used. The animals were euthanized 5 days after the first injection. RESULTS: Of the total, five rats died before euthanasia. The SAH+Nontreatment group showed the worst score in neurological examinations, and the most severe histopathological findings were noted in terms of vasospasm. The SAH+Nimodipine group showed the best neurological score and the closest histopathological results to those of the Sham group, whereas adding dexamethasone to nimodipine treatment (the SAH+Nimodipine+Dexamethasone group) worsened the neurological and histopathological outcomes. CONCLUSION: We thus concluded that the therapeutic effects of nimodipine were impaired when combined with dexamethasone. We thus hypothesized that dexamethasone possibly induces the CYP3A4-enzyme that metabolizes nimodipine. However, it should be noted that our results are based on laboratory findings obtained on a small sample, therefore further studies with drug-drug interaction on a larger sample size through CYP3A4-enzyme and clinical confirmation are warranted.


Assuntos
Hemorragia Subaracnóidea , Vasoespasmo Intracraniano , Feminino , Ratos , Animais , Nimodipina/farmacologia , Hemorragia Subaracnóidea/tratamento farmacológico , Vasodilatadores/farmacologia , Citocromo P-450 CYP3A/uso terapêutico , Ratos Wistar , Dexametasona/uso terapêutico , Vasoespasmo Intracraniano/tratamento farmacológico , Vasoespasmo Intracraniano/etiologia
5.
Am J Surg Pathol ; 48(1): 70-79, 2024 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-38054635

RESUMO

Distinguishing colon carcinoma that is surrounded by well-circumscribed lymphoid tissue from adenomas involving lymphoglandular complexes can be difficult. We assessed a multi-institutional international cohort of 20 colorectal carcinomas with associated prominent lymphoid infiltrates, which we referred to as lymphoglandular complex-like carcinoma (LGCC). We collected clinical and endoscopic features, including lesion size, endoscopic appearance, location, procedure, follow-up, AJCC stage, and mismatch repair status. We recorded the presence of the following histologic features: haphazard gland distribution, gland angulation, gland fusion, solid nest formation, single-cell formation, stromal desmoplasia, presence of lymphovascular invasion and perineural invasion, presence of lamina propria, cytologic atypia as low- or high-grade, presence of goblet cells in the invasive component, and the presence of a surface lesion. Most cases (9 of 13) were described endoscopically as sessile polyps with an average size of 1.56 cm. Most cases (90%) were associated with a surface lesion, of which the majority were tubular adenomas, though a subset was associated with sessile serrated lesions with dysplasia (3 of 18). All cases of LGCC demonstrated haphazard gland distribution and either gland angulation, fusion, or solid nest formation. A portion of cases demonstrated single-cell infiltration (35%) and desmoplasia (50%), and rarely lymphovascular invasion was present (5%). A subset (10%) of cases invaded beyond the submucosa. Deficient mismatch repair was present in 22% (2 of 9) of cases for which it was performed. In cases of colectomy or completion colectomy, nodal metastasis was present in 38% (3 of 8). No cases demonstrated disease recurrence or disease-specific mortality. Overall, LGCC represents an enigmatic subset of carcinomas that is important to distinguish from adenomas involving lymphoglandular complexes due to its varying prognostic outcomes.


Assuntos
Adenoma , Carcinoma , Pólipos do Colo , Neoplasias Colorretais , Humanos , Pólipos do Colo/patologia , Recidiva Local de Neoplasia , Neoplasias Colorretais/patologia , Adenoma/patologia
6.
Anat Histol Embryol ; 53(1): e12994, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-37936559

RESUMO

In this study, it was aimed to make three-dimensional reconstruction of the stifle joint computed tomography (CT) images of the Van cats, to obtain their osteometric measurements, and to determine the statistical biometric differences of these measurement values in terms of both sexual dimorphism and homotypic variations. A total of 16 healthy adult Van cats of both sexes were used. The stifle joints of the cats were scanned with a CT device and images were obtained. Three-dimensional reconstructions of the bony structures of the stifle joint were performed using CT images using the MIMICS 20.1 modelling program. Then, osteometric measurements were calculated, and statistical analysis was performed. When the morphometric measurement values were examined in terms of gender, it was observed that almost all of the osteometric measurement values of the stifle joint in Van cats (except SPW measurement) were higher in male cats. According to homotypic variations, right side TPW (p = 0.009), TPCMA (p = 0.003) and TPMCA (p = 0.032) measurement values in female cats and right side TPLCA (p = 0.002) measurement values in male cats were found to be statistically significantly higher than the left side from the measurements of only the proximal tibia (p < 0.05). In general, although there were negative correlations between morphometric measurement values with age and body weight, mostly strong positive correlations were seen. As a result, statistical differences of the biometric values and anatomical features of the stifle joint between the sexes in Van cats between the sexes were examined using CT and a three-dimensional modelling program.


Assuntos
Joelho de Quadrúpedes , Tomografia Computadorizada por Raios X , Feminino , Masculino , Animais , Tomografia Computadorizada por Raios X/veterinária , Tíbia/diagnóstico por imagem , Tíbia/anatomia & histologia
7.
J Clin Pathol ; 77(2): 73-76, 2024 Jan 18.
Artigo em Inglês | MEDLINE | ID: mdl-38124011

RESUMO

The V-set and transmembrane domain containing 2A (VSTM2A) gene is located on chromosome 7. In the physiological state, VSTM2A regulates preadipocyte cell differentiation. VSTM2A is highly expressed in normal human brain tissue and minimally expressed in other normal tissues. Mucinous tubular and spindle cell carcinoma (MTSCC) of the kidney is a distinct renal tumour subtype with signature chromosomal copy number alterations and an indolent outcome in the majority of cases. VSTM2A overexpression is highly enriched in this renal cancer subtype and has been shown to have potential diagnostic value in distinguishing MTSCC from renal tumours with overlapping histological appearances.


Assuntos
Adenocarcinoma Mucinoso , Carcinoma de Células Renais , Neoplasias Renais , Humanos , Neoplasias Renais/patologia , Carcinoma de Células Renais/patologia , Rim/patologia , Diferenciação Celular , Adenocarcinoma Mucinoso/patologia
8.
Vet Med Sci ; 10(1): e1340, 2024 01.
Artigo em Inglês | MEDLINE | ID: mdl-38117606

RESUMO

BACKGROUND: The purpose of this study was to assess the pelvimetric values obtained from radiographic pelvis images of budgerigars in terms of sexual dimorphism. The objectives included determining linear osteometric and angle measurements of the pelvis, as well as calculating the length-to-width ratios among different pelvimetric measurements. Additionally, the study aimed to reveal the correlations between age and body weight with both the pelvimetric measurements and ratio measurements in these animals. METHODS: In this study, measurements of linear distance, angle and length-to-width ratios were obtained from ventrodorsal images of the pelvis in a sample of 60 budgerigars, consisting of 30 males and 30 females. Subsequently, the statistical analysis of the obtained measurement values was performed. RESULTS: When analysing the morphometric measurement values based on sex, it was observed that all linear measurements (L1, L2, L3, L4, L5, L6, L7, L8, L9, L10 and L11) were higher in males, whereas the angle measurements (A1, LA2 and RA2) were found to be significantly greater in females (p < 0.05). Additionally, both male and female budgerigars exhibited a greater pre-acetabular length of the ilium compared to the post-acetabular length. Moreover, there were mostly positive significant correlations between age and body weight with the pelvic measurement values in both sexes (p < 0.05). CONCLUSIONS: The obtained biometric measurement values from pelvimetric X-ray images in budgerigars were analysed to assess sexual dimorphism. Furthermore, this study presents fundamental morphometric data that can be valuable for clinical, taxonomic, phylogenetic, ornithological, allometric and characterization studies of budgerigars.


Assuntos
Melopsittacus , Pelvimetria , Masculino , Feminino , Animais , Pelvimetria/veterinária , Filogenia , Peso Corporal
9.
Turk Arch Otorhinolaryngol ; 61(3): 124-133, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-38020411

RESUMO

Objective: To investigate the effects of cross-linked hyaluronic acid (CLHA) in an experimental model of vestibulotoxicity and cochleotoxicity. Methods: Twenty-eight female Wistar albino rats (200-250 g) were divided into four groups. Group A received 0.06 mL of 13.33 mg/mL gentamicin, Group B received 0.06 mL of CLHA, Group C received 0.03 mL of 26.66 mg/mL gentamicin and 0.03 mL CLHA, and Group D received 0.06 mL of 0.09% saline. All groups underwent auditory brainstem response testing at 4-32 kHz, signal-to-noise ratio of distortion product otoacoustic emission measurements at 1.5-8 kHz and vestibular tests on days 0,1,7,10. The rats were sacrificed, and their labyrinths were histologically assessed and scored. Results: The hearing thresholds of Groups A and C were similar and significantly higher than those of the other groups at all frequencies, beginning from day 1. The vestibular and histological scores of Groups A and C were similar and significantly higher than those of the other groups from day 1. The audiological results, vestibular scores, and histological scores of Groups B and D were similar, except for a temporary middle ear effusion and hearing threshold shift in Group B. No significant deterioration was observed in the audiological, vestibular, and histological analyses of Groups B and D. Conclusion: That both Group A and Group C similarly showed worsening audiological, vestibular, and histological tests suggests that CLHA did not alter the pharmacokinetics and histologic results of gentamicin.

10.
Ann Ital Chir ; 94: 419-424, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37794832

RESUMO

AIM: Anastomosis leakage is one of the most common complications after colorectal surgery. Studies have shown that the incidence of anastomotic leakage is between 0.5-30%. The aim of our study was to investigate the efficacy of local application of of epidermal growth factor (EGF) on colon anastomosis healing. MATERIAL AND METHODS: 28 Wistar rats were randomly divided into 4 groups. Sham group, control group, saline injection group, EGF injection group. Anastomosis line was determined as 3 cm distal to ilealcecal junction. The rats were reoperated on the 7th postoperative day. The colon segment was cut out 3 cm proximal and distal to the anastomotic line.The bursting pressure of each removed colon segment was measured and the segments were fixed with 10% formaldehyde for pathology examination. Anastomosis line was stained with hematoxylin eosin and histopathological evaluation was performed. Evaluation parameters were inflammatory cells, fibroblast, angiogenesis (neovascularization) and collagen amounts. RESULTS: Bursting pressure was higher in the EGF group than in the control group and saline injection group. There was statistically significant difference between EGF and positive control group. (p<0,05) Histopathological examination revealed that the inflammatory cell density was higher in the positive control group than in the other groups. Fibroblast cell density, neovascularization and collagen content were higher in EGF group than the others. However, no statistically significant difference was found between the control group,saline injection group and EGF injection group. CONCLUSION: As result of our study,we think that local application of EGF may have a positive effect on healing of colon anastomosis. KEY WORDS: Colonic Anastomosis, Egf, Experimental, Healing.


Assuntos
Fístula Anastomótica , Fator de Crescimento Epidérmico , Ratos , Animais , Fístula Anastomótica/prevenção & controle , Fator de Crescimento Epidérmico/uso terapêutico , Ratos Wistar , Anastomose Cirúrgica , Colo/cirurgia , Colágeno/metabolismo
11.
Pleura Peritoneum ; 8(3): 123-131, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37662606

RESUMO

Objectives: In our study, we aimed to (1) create a peritoneal metastasis (PM) model in nude mice, administer intraperitoneal chemotherapy using the peritoneal infusion pump we developed in this model, and (2) compare the efficacy of intraperitoneal chemotherapy using various drugs at different temperatures. Methods: The peritoneal metastasis model was established in nude mice using the CC531 colon carcinoma cell line. Models with peritoneal metastasis (PM) were randomized into four groups of seven animals each: Group 1, control group (n=7); Group 2, normothermic intraperitoneal chemotherapy (NIPEC) with mitomycin C(MMC) (n=7); Group 3, hyperthermic intraperitoneal chemotherapy (HIPEC) with mitomycin C (n=7), and Group 4, NIPEC with 5-fluorouracil (5-FU). Results: Tumor development was achieved in all animals. While the tumor burden decreased significantly in the treatment Group 3 (p=0.034), no significant difference was found in the other groups. In the PM mouse model, hyperthermic intraperitoneal administration of MMC had the highest tumoricidal effect. Conclusions: Our PM model provided a good opportunity to examine the efficacy of HIPEC and intraperitoneal infusion pump (IPIP). In future studies, we plan to evaluate efficacies of different drugs in the PM models we have created.

12.
ACS Omega ; 8(35): 31880-31889, 2023 Sep 05.
Artigo em Inglês | MEDLINE | ID: mdl-37692254

RESUMO

Deep frying is one of the strongest emission sources into indoor air. A vegetable margarine has recently been used in commercial kitchens. This study investigated the respiratory effects of exposure to its fumes in an experimental model. A setup with glass chambers was constructed. A chamber housed a fryer. The fumes were transported to the other chamber where 24 Wistar albino rats were placed in four randomized groups: acute, subacute, chronic, and control for the exposure durations. PM10 concentration in the exposure chamber was monitored to ensure occupational levels were obtained. Sacrification was performed 24 h after exposure. Lung, trachea, and nasal concha specimens were evaluated by two blinded histologists under a light microscope with hematoxylin-eosin. Mild mononuclear cell infiltration, alveolar capillary membrane thickening, alveolar edema, and diffuse alveolar damage, along with diffuse hemorrhage, edema, and vascular congestion in the interstitium were observed in the acute and subacute groups, and were overexpressed in the chronic group, whereas normal lung histology was observed in the control group. The results indicate that exposure to fumes of vegetable margarine for frying in commercial kitchens may cause pulmonary inflammation that becomes severe as the duration of the exposure increases.

13.
Cancer Discov ; 13(12): 2532-2547, 2023 12 12.
Artigo em Inglês | MEDLINE | ID: mdl-37698949

RESUMO

Improved biomarkers are needed for early cancer detection, risk stratification, treatment selection, and monitoring treatment response. Although proteins can be useful blood-based biomarkers, many have limited sensitivity or specificity for these applications. Long INterspersed Element-1 (LINE-1) open reading frame 1 protein (ORF1p) is a transposable element protein overexpressed in carcinomas and high-risk precursors during carcinogenesis with negligible expression in normal tissues, suggesting ORF1p could be a highly specific cancer biomarker. To explore ORF1p as a blood-based biomarker, we engineered ultrasensitive digital immunoassays that detect mid-attomolar (10-17 mol/L) ORF1p concentrations in plasma across multiple cancers with high specificity. Plasma ORF1p shows promise for early detection of ovarian cancer, improves diagnostic performance in a multianalyte panel, provides early therapeutic response monitoring in gastroesophageal cancers, and is prognostic for overall survival in gastroesophageal and colorectal cancers. Together, these observations nominate ORF1p as a multicancer biomarker with potential utility for disease detection and monitoring. SIGNIFICANCE: The LINE-1 ORF1p transposon protein is pervasively expressed in many cancers and is a highly specific biomarker of multiple common, lethal carcinomas and their high-risk precursors in tissue and blood. Ultrasensitive ORF1p assays from as little as 25 µL plasma are novel, rapid, cost-effective tools in cancer detection and monitoring. See related commentary by Doucet and Cristofari, p. 2502. This article is featured in Selected Articles from This Issue, p. 2489.


Assuntos
Carcinoma , Neoplasias Ovarianas , Feminino , Humanos , Elementos Nucleotídeos Longos e Dispersos , Proteínas/genética , Biomarcadores Tumorais , Neoplasias Ovarianas/diagnóstico , Neoplasias Ovarianas/genética
14.
Z Geburtshilfe Neonatol ; 227(4): 310-311, 2023 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-37586378

RESUMO

Cor triatriatum sinister is rare congenital heart disease. It is defined as the presence of an abnormal septum dividing the left atrium into two chambers, and in some cases may be associated with a total abnormal pulmonary venous connection. Prenatal diagnosis of cor triatriatum sinister may be possible with fetal echocardiography and the diagnosis can be made earlier than postnatal imaging techniques. In the fetal echocardiography performed in our patient, cor triatriatum sinister was present and the main pathology was the flow of right and left pulmonary vein return from the accessory atrium to the right atrium.


Assuntos
Coração Triatriado , Gravidez , Feminino , Humanos , Coração Triatriado/diagnóstico por imagem , Coração Triatriado/cirurgia , Ecocardiografia , Diagnóstico Pré-Natal
15.
Br J Cancer ; 129(6): 917-924, 2023 10.
Artigo em Inglês | MEDLINE | ID: mdl-37507544

RESUMO

BACKGROUND: Lymph node (LN) harvesting is associated with outcomes in colonic cancer. We sought to interrogate whether a distinctive immune milieu of the primary tumour is associated with LN yield. METHODS: A total of 926 treatment-naive patients with colorectal adenocarcinoma with more than 12 LNs (LN-high) were compared with patients with 12 or fewer LNs (LN-low). We performed immunohistochemistry and quantification on tissue microarrays for HLA class I/II proteins, beta-2-microglobulin (B2MG), CD8, CD163, LAG3, PD-L1, FoxP3, and BRAF V600E. RESULTS: The LN-high group was comprised of younger patients, longer resections, larger tumours, right-sided location, and tumours with deficient mismatch repair (dMMR). The tumour microenvironment showed higher CD8+ cells infiltration and B2MG expression on tumour cells in the LN-high group compared to the LN-low group. The estimated mean disease-specific survival was higher in the LN-high group than LN-low group. On multivariate analysis for prognosis, LN yield, CD8+ cells, extramural venous invasion, perineural invasion, and AJCC stage were independent prognostic factors. CONCLUSION: Our findings corroborate that higher LN yield is associated with a survival benefit. LN yield is associated with an immune high microenvironment, suggesting that tumour immune milieu influences the LN yield.


Assuntos
Neoplasias do Colo , Neoplasias Colorretais , Humanos , Linfonodos/patologia , Neoplasias Colorretais/genética , Neoplasias Colorretais/cirurgia , Neoplasias do Colo/patologia , Prognóstico , Excisão de Linfonodo , Microambiente Tumoral , Estadiamento de Neoplasias
16.
Vet Radiol Ultrasound ; 64(5): 798-805, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37325948

RESUMO

The size of an animal's pelvis can have a substantial impact on the ease or difficulty of giving birth, which can vary depending on the breed. Radiography is a medical imaging technique that is commonly utilized in clinical cases to assess pelvic dimensions. The present retrospective, observational study was designed to evaluate pelvimetric differences in radiographic images of British Shorthair (BS) cats with dystocia and eutocia. Pelvimetric values (linear distance, angle, area, height/width) for ventrodorsal and laterolateral radiographic images were recorded in 15 BS cats with dystocia and 15 BS cats with eutocia. Statistical analysis of the obtained measurement values was performed. When the pelvimetric data were examined overall, it was seen that mean values, except the PL (pelvis length) measurement, were higher in cats with eutocia than in cats with dystocia. Vertical diameter, conjugate vera, coxal tuberosities, transversal diameter, acetabula, pelvic inclination, ischiatic arch, pelvis inlet area (PIA), and pelvic outlet area (POA) values were significantly higher in cats with eutocia than in cats with dystocia (P < 0.05). Mean PIA and POA measurement values in cats with dystocia were 22.89 ± 2.38 cm2 and 19.59 ± 1.90 cm2 , respectively; in cats with eutocia, the mean was calculated as 27.16 ± 2.76 cm2 and 23.18 ± 1.88 cm2 , respectively. In conclusion, the present study revealed that pelvimetric values, except the PL measurement, were higher in cats with eutocia than in cats with dystocia. Findings can be used to assist veterinarians in future clinical decision-making for pregnant BS cats.


Assuntos
Doenças do Gato , Distocia , Feminino , Gravidez , Gatos , Animais , Estudos Retrospectivos , Pelve/diagnóstico por imagem , Distocia/diagnóstico por imagem , Distocia/veterinária , Radiografia , Doenças do Gato/diagnóstico por imagem
17.
Saudi Med J ; 44(6): 529-536, 2023 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-37343988

RESUMO

OBJECTIVES: To determine the overall effect size, identify the study with the strongest effect size, and examine the age group with the strongest relationships between the variables. METHODS: In this study, a meta-analytical analysis was carried out by bringing together 13 studies from around the world examining the statistical relationships between cardiothoracic ratio (CTR) and left ventricular ejection fraction (LVEF). Thus, it is hoped that the results will contribute to studies on the relationships between CTR and LVEF and bring a holistic view to these relationships. To determine CTR, studies were identified through a review of the literature, and those that reported a correlation between the variables under investigation were included in the analysis process. The date range of this study 01.11.2022-15.01.2023. RESULTS: According to the findings, when all the results were analysed together, the mean effect size for CTR and LVEF correlation was found to be r=-0.12. When all studies were considered separately, generally small negative correlations were observed between CTR and LVEF. It is possible to say that there is no publication bias in the studies. CONCLUSION: This study is a meta-analytic study combining 13 studies examining the statistical relationships between CTR and LVEF. The results of this study are expected to make a valuable contribution to the field of research on the relationship between CTR and LVEF, providing a more comprehensive understanding of these associations. PROSPERO Reg. No.: 392207.


Assuntos
Função Ventricular Esquerda , Humanos , Volume Sistólico
18.
Environ Monit Assess ; 195(6): 735, 2023 May 26.
Artigo em Inglês | MEDLINE | ID: mdl-37233858

RESUMO

In this study, trend analysis of the lake surface areas was performed on the Google Earth Engine (GEE) platform in the period of 1985-2022 with Landsat 5/7/8/9 (TM) (ETM +), and (OLI) satellite images. The study analyzed 10 lakes, including Acigol, Aksehir, Beysehir, Burdur, Egirdir, Ilgin, Isikli, Karatas, Salda, and Yarisli in the Türkiye Lakes Region. In this analysis, the normalized differentiated water index was calculated for each of the 3147 satellite images, and water surfaces were extracted from other details using Otsu's threshold method. In the study's accuracy, the overall accuracy and F1-score values were calculated to be over 90% for all lakes. Moreover, the relationship between the changes in the surface areas of the lakes was evaluated using correlation analysis, with the sea surface temperature obtained from the NOAA satellite and the evaporation, temperature, and precipitation parameters obtained from the Era-5 satellite being used. In addition, the change of the area on the lake surface was analysed using Mann-Kendall (MK), Sen's slope, and sequential MK test statistics. During the 37 years between 1985 and 2022, there was no significant change in the Acigol surface area, but a slight increasing trend was observed. Decreases of 76.07, 4.68, 41.77, 5.44, 37.56, 28.97, 78.65, 7.26, and 81.02% were determined in the lakes of Aksehir, Beysehir, Burdur, Egirdir, Ilgin, Isikli, Karatas, Salda, and Yarisli, respectively. The application of this method in the lakes region and monitoring these lakes, which are of great importance for Türkiye, provide valuable information in determining the lakes' organizational strategies.


Assuntos
Lagos , Água , Lagos/análise , Água/análise , Ferramenta de Busca , Monitoramento Ambiental/métodos , Temperatura
19.
J Clin Pathol ; 2023 May 31.
Artigo em Inglês | MEDLINE | ID: mdl-37258254

RESUMO

AIM: Micropapillary carcinoma (MPC) is a recognised WHO variant of colonic carcinoma (CC), although little is known about its prognosis, immune microenvironment and molecular alterations. We investigated its clinical, pathological and immunological characteristics. METHODS: We assessed 903 consecutive CCs and used the WHO definition to identify MPC. We recorded serrated and mucinous differentiation and mismatch repair (MMR) status. We performed immunohistochemistry and quantification on tissue microarrays for HLA class I/II proteins, beta-2-microglobulin (B2MG), CD8, CD163, LAG3, PD-L1, FoxP3, PD-L1and BRAF V600E. RESULTS: We classified 8.6% (N=78) of CC as MPC. Relative to non-MPC, MPC was more often high grade (p=0.03) and showed serrated morphology (p<0.01); however, we found no association with extramural venous invasion (p=0.41) and American Joint Committee on Cancer stage (p=0.95). MPCs showed lower numbers of CD8 positive lymphocytes (p<0.01), lower tumour cell B2MG expression (p=0.04) and lower tumour cell PD-L1 expression (p<0.01). There was no difference in HLA class I/II, LAG3, FOXP3, CD163 and PD-L1 positive histiocytes. There was no association with MMR status or BRAF V600E relative to non-MPC. MPC was not associated with decreased disease-specific survival (p=0.36). CONCLUSION: MPCs are associated with high-grade differentiation and a less active immune microenvironment than non-MPC. MPC is not associated with inferior disease-specific survival.

20.
Physiol Behav ; 267: 114200, 2023 08 01.
Artigo em Inglês | MEDLINE | ID: mdl-37075964

RESUMO

As a multidisciplinary field, laboratory animal science promotes or accelerates the emergence of innovative ideas and products. As research has increased, so has the demand for laboratory animals with reliable, standardized characteristics. Thus, the breeding, reproduction, and welfare of laboratory animals are now animals reliable and more. The aim of this study to investigate whether different litter sizes of mothers and different husbandry methods affect the physical and mental development of pups. 30 adults female Wistar Hanover albino rats weighing 200-250 g were used for the study. The weight of the pups was measured once a week from birth until the end of the study, and their physical development was observed. After the pups were weaned, they were randomly divided into cages by sex. The 45 male and 45 female pups were housed in groups of three, five, and seven per cage. When the pups were 12 weeks old, open field test, elevated plus-maze test and Morris water maze behavioral tests were performed every other day, and then plasma corticosterone levels were measured. When the male and female pups in the groups were 14 weeks old, six females were taken from each housing group and mated, and the conception rates and maternal behavior of the pups were observed. During lactation, physical developmental parameters and the body weight of the rats were affected by litter size. Among the post-weaning housing groups, cage density was found to affect weight gain and body weight between groups. It was found that only the sex factor caused significant differences in the behavior of the animals. Females housed with seven rats per cage had higher corticosteroid levels than other females. As a result, it was observed that cages with seven female rats were more physically and psychologically affected than those with three and five rats.


Assuntos
Animais de Laboratório , Reprodução , Gravidez , Animais , Ratos , Feminino , Masculino , Tamanho da Ninhada de Vivíparos , Ratos Wistar , Aumento de Peso , Peso Corporal
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