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1.
Nanotechnology ; 2024 Jul 04.
Artigo em Inglês | MEDLINE | ID: mdl-38964311

RESUMO

Carbon nanotubes (CNTs) and their composites are gaining popularity due to their exceptional strength qualities. It is well known that adding carbon nanotubes to metal foam composites boosts compressive strength. On the other hand CNT addition is still a costly process due to high cost of the CNTs. This study presents a novel and cost-effective solution by selectively adding CNTs to the structurally weakest regions of aluminum foam materials produced via powder metallurgy, employing a newly developed focused multi-step additive method. The cell borders of aluminum foam are strengthened with multiple spherical layers of CNTs, using a transfer method by initially coating the space holders used at the foaming process. The strength increase effect of this CNT addition method was compared with the widely known aluminum foam production parameters via a 4-parameter design of experiment (DOE) study. Compressive strength values of the samples were evaluated using a constant speed compression test acc. to ISO13314. The compacting pressure, CNT concentration, sintering temperature, and sintering period were chosen as design of experiment parameters, and 78% of the interactions effecting on final compressive strength could be explained with the model. As a result, it was established that, compared to the other parameters, sintering duration had the highest influence on compressive strength. But besides It has also been shown that adding 0.53% CNT by weight only to the cell border regions increases overall strength by 9%. This weight-strength increase ratio is compared with similar studies in the literature and found to be providing a production cost advantage due to the lower amount of CNT addition requirement for the comparable weight relative strength increase. Focused strength increase method has potential to enable controlled failure of foam materials by selectively strengthening strength critical areas of a component.

2.
J Endocrinol Invest ; 46(9): 1855-1863, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-36821077

RESUMO

PURPOSE: Resistance to thyroid hormone alpha (RTHα) is a rare entity and has no specific treatment. To date, mostly levothyroxine has been used, but there is a lack of knowledge about the long-term outcomes of this treatment. We aimed to evaluate the long-term follow-up results and treatment outcomes of children and their parents diagnosed with RTHα. METHODS: Four children [the median (minimum-maximum) age at diagnosis, 4.5 (1.4-9.5) years] and three adults [age at diagnosis, 31.7 (28.0-35.3) years] from two families were included in the study, who had RTHα and followed up between 2014 and 2021. RESULTS: The median duration of treatment was 6.7 (5.9-8.0) years, and the levothyroxine dose at the final visit was 1.4 (1.2-2.2) and 1.9 (1.2-2.4) mcg/kg/day for adults and pediatric patients, respectively. Treatment ameliorated constipation in all patients with this complaint (n = 5). Normal mental functions were achieved and IQ scores improved in most children except one (age at diagnosis, 9.5 years). At the final visit, creatine kinase levels relative to the reference upper limit were significantly lower compared to the pre-treatment ratios [0.9 (0.2-1.3) vs. 1.3 (0.5-1.6), p = 0.028]. Anemia was present in five patients at diagnosis, which resolved in one adult patient but occurred in one child despite treatment (p = 0.999). A minimal pericardial effusion persisted in one pediatric patient. CONCLUSIONS: We demonstrated that constipation was ameliorated, neuromotor development of some children was improved, and creatine kinase levels were diminished with levothyroxine treatment in patients with RTHα, while some features including anemia did not resolve.


Assuntos
Anemia , Tiroxina , Humanos , Criança , Adulto , Pré-Escolar , Tiroxina/uso terapêutico , Seguimentos , Hormônios Tireóideos , Resultado do Tratamento , Anemia/tratamento farmacológico , Constipação Intestinal/tratamento farmacológico , Creatina Quinase
3.
Risk Anal ; 43(9): 1902-1916, 2023 09.
Artigo em Inglês | MEDLINE | ID: mdl-36261397

RESUMO

Misconduct by business and political leaders during the pandemic is feared to have impacted people's adherence to protective measures that would help to safeguard against the spread of COVID-19. Addressing this concern, this article theorizes and tests a model linking ethical leadership with workplace risk communication-a practice referred to as 'safety voice' in the research literature. Our study, conducted with 511 employees from UK companies, revealed that ethical leadership is positively associated with greater intention to engage in safety voice regarding COVID-19. We also find that this association is mediated by relations with the perceived health risk of COVID-19 and ambiguity about ethical decision making in the workplace. These findings therefore underscore the importance of good ethical conduct by leaders for ensuring that health and safety risks are well understood and communicated effectively by organizational members particularly during crises. We discuss the theoretical and practical implications of our study and highlight further opportunities for future research to address the ethical dimensions of leadership, risk management, and organizational risk communication.


Assuntos
COVID-19 , Liderança , Humanos , Pandemias , Local de Trabalho , Percepção
4.
Niger J Clin Pract ; 26(4): 497-501, 2023 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-37203116

RESUMO

Background: Postoperative paralytic ileus refers to the disruption of the normal coordinated propulsive motor activity of the gastrointestinal system following surgery. Surgery causes inflammation in the muscle walls of organs with an intestinal lumen that, in turn, leads to a decrease in intestinal motility. Aim: The aim of this study was to investigate the efficacy of gastrografin, neostigmine, and their combined administration in patients diagnosed with paralytic ileus in the postoperative period. Patients and Methods: One-hundred twelve patients were included from January 2017 and November 2019. The retrospective study is involving prolonged postoperative ileus cases following colorectal surgery. The effect of gastrografin, neostigmine, and gastrografin neostigmine combination was compared retrospectively in the treatment of prolonged ileus after surgery. Results: The study covered 112 patients. Gastrografin was administered to 63 patients; neostigmine was administered to 29, while 20 patients received the combination of the two. Data pertaining to the comparison of the two groups revealed that patients in the gastrografin group were discharged earlier than those in the neostigmine group. Further, patients in the combined group had earlier gas and/or stool discharge and were also discharged from the hospital earlier than those in the neostigmine group. Conclusion: Gastrografin and combined use of gastrografin and neostigmine are effective and viable methods for postoperative ileus cases. Gastrografin can safely be used in patients with anastomoses.


Assuntos
Íleus , Pseudo-Obstrução Intestinal , Humanos , Neostigmina/uso terapêutico , Estudos Retrospectivos , Diatrizoato de Meglumina , Íleus/tratamento farmacológico , Íleus/etiologia , Complicações Pós-Operatórias/tratamento farmacológico , Pseudo-Obstrução Intestinal/complicações
5.
Niger J Clin Pract ; 25(3): 349-353, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-35295059

RESUMO

Background: Red cell distribution width (RDW) has been shown to have predictive properties in different diseases as well as solid cancers. Aim: We aimed to investigate the discriminative properties of RDW in benign and malignant breast lesions. Subjects and Methods: In a retrospective cohort study the files of patients who underwent surgery for fibroadenomas (Group A) and breast cancer with axillary lymph node metastasis (Group B) were reviewed. The pathology reports and laboratory parameters and demographics of the patients were recorded for comparison. The patients were later excluded if they had an hemoglobin level below 12 mg/dl and the outliers were removed for a comparison. Seventy-six patients in the fibroadenoma group and 62 patients in the breast malignancy group were compared for the RDW levels to predict the presence of malignancy. Receiver operating characteristic curves were plotted for RDW and a threshold for prediction of malignancy was calculated. Results: The difference in RDW levels between group A and group B was found to be significant, 13,10% (IQR 12.60 -13.70) versus 13,80% (IQR 13.10-14.40) respectively, P = 0,00. The area under the curve was 0.71 (95% confidence interval 0.62 to 0.79), P = 0,00. For the threshold of 13,75 the positive predictive value was 67.35 (95% CI 55.72 to 77.17) and negative predictive value was 67.42 (95% CI 60.76% to 73.44). Conclusion: The RDW levels, after adjusted for anemia, were found to have a positive prediction for malignancy in more than two thirds of the patients for the level of 13.75%.


Assuntos
Anemia , Neoplasias da Mama , Índices de Eritrócitos , Feminino , Humanos , Curva ROC , Estudos Retrospectivos
6.
Int J Obes (Lond) ; 45(3): 565-576, 2021 03.
Artigo em Inglês | MEDLINE | ID: mdl-33235355

RESUMO

BACKGROUND: Elucidation of lipid metabolism and accumulation mechanisms is of paramount importance to understanding obesity and unveiling therapeutic targets. In vitro cell models have been extensively used for these purposes, yet, they do not entirely reflect the in vivo setup. Conventional lipomas, characterized by the presence of mature adipocytes and increased adipogenesis, could overcome the drawbacks of cell cultures. Also, they have the unique advantage of easily accessible matched controls in the form of subcutaneous adipose tissue (SAT) from the same individual. We aimed to determine whether lipomas are a good model to understand lipid accumulation. METHODS: We histologically compared lipomas and control SAT, followed by assessment of the lipidome using high-resolution 1H NMR spectroscopy and ESI-IT mass spectrometry. RNA-sequencing was used to obtain the transcriptome of lipomas and the matched SAT. RESULTS: We found a significant increase of small-size (maximal axis < 70 µm) and very big (maximal axis > 150 µm) adipocytes within lipomas. This suggests both enhanced adipocyte proliferation and increased lipid accumulation. We further show that there is no significant change in the lipid composition compared to matched SAT. To better delineate the pathophysiology of lipid accumulation, we considered two groups with different genetic backgrounds: (1) lipomas with HMGA2 fusions and (2) without gene fusions. To reduce the search space for genes that are relevant for lipid pathophysiology, we focused on the overlapping differentially expressed (DE) genes between the two groups. Gene Ontology analysis revealed that DE genes are enriched in pathways related to lipid accumulation. CONCLUSIONS: We show that the common shared lipid accumulation mechanism in lipoma is a reduction in lipolysis, with most gene dysregulations leading to a reduced cAMP in the adipocyte. Superficial lipomas could thus be used as a model for lipid accumulation through altered lipolysis as found in obese patients.


Assuntos
Lipólise/fisiologia , Lipoma , Modelos Biológicos , Obesidade/metabolismo , Adipócitos/citologia , Adulto , Idoso , Feminino , Humanos , Metabolismo dos Lipídeos/genética , Metabolismo dos Lipídeos/fisiologia , Lipoma/metabolismo , Lipoma/fisiopatologia , Masculino , Pessoa de Meia-Idade , Mapas de Interação de Proteínas/genética , Gordura Subcutânea/metabolismo , Transcriptoma/genética
7.
Niger J Clin Pract ; 23(7): 975-979, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32620728

RESUMO

BACKGROUND: Open appendectomy (OA) has been the gold standard for a long time. Laparoscopic appendectomy (LA) has gained wide acceptance and popularity, outdoing open approach. Yet, conversion may be required when laparoscopic approach fails. AIMS: To predict conversion from laparoscopic appendectomy to open appendectomy sing Oreo-ratio radiological appendices diameter. MATERIALS AND METHODS: This is a retrospective cohort study conducted on 320 (included) patients who underwent appendectomy between January 2018 and August 2018 in the General Surgery departmentof Haseki Training and Research Hospital, Istanbul, Turkey. Appendiceal diameter obtained during preoperative radiological screening was evaluated about its relationship to conversion from LA to OA. Age, sex, inflammatory serum parameters and pathology reports were also investigated. RESULTS: A total of 269 (84%) cases were started LA and 17 (6,3%) laparoscopic cases were converted to open. The appendix diameter, the grade of inflammation (perforated or gangrenous), age, and c-reactive protein (CRP) were found to have significant importance in conversion, P = 0.003, P = 0.000, P = 0.042, and P = 0.018, respectively. When a cutoff of 50 years was chosen for age, the odds ratio (OR) was 3. For the appendiceal diameter of 14 mm, the OR was 3.0286. CONCLUSION: Preoperative evaluation of appendix diameter is a quick and useful method for a surgeon to distinguish cases with risk of conversion in the emergency department. The other risk factors associated with conversion of LA to OA are grade of inflammation, age and CRP levels.


Assuntos
Apendicectomia/métodos , Apendicite/cirurgia , Apêndice/diagnóstico por imagem , Laparoscopia/métodos , Tomografia Computadorizada por Raios X/métodos , Adulto , Apendicectomia/efeitos adversos , Apendicite/diagnóstico por imagem , Apêndice/anatomia & histologia , Apêndice/patologia , Proteína C-Reativa/análise , Proteína C-Reativa/metabolismo , Feminino , Humanos , Inflamação/sangue , Laparoscopia/efeitos adversos , Masculino , Pessoa de Meia-Idade , Cuidados Pré-Operatórios , Estudos Retrospectivos , Resultado do Tratamento , Turquia/epidemiologia
8.
Niger J Clin Pract ; 21(2): 206-211, 2018 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-29465056

RESUMO

OBJECTIVE: The purpose of this study was to investigate the effect of temporary or persistent neurosensory disturbance of the inferior alveolar nerve (IAN) on the quality of life using Oral Health Impact Profile (OHIP-14) questionnaire. METHODS: The patients with the neurosensory deficit of the IAN that was confirmed by subjective and objective neurosensory tests formed the study group. The patients who had dental or oral and maxillofacial surgery procedures in the same unit and did not present neurosensory deficit were matched with the study group according to their gender and age and were presented as the control group. Both groups filled OHIP-14 questionnaire. RESULTS: This study included 200 patients (122 female and 78 male), aged between 18 and 75 years. Kolmogrov-Smirnov, Levene, Mann-Whitney U, and Kruskal Wallis tests were used for statistical analysis. In study group, the average OHIP-14 scores were higher in women than in men in physical pain and handicap subgroups. There were significant differences between study and control groups in functional limitation, psychological discomfort, psychological disability, and handicap subgroups. The OHIP-14 scores were higher in study group compared with the control group. CONCLUSION: It was concluded that the patients with the neurosensory deficit of the IAN have a poorer quality of life than those without neurosensory deficits.


Assuntos
Nervo Mandibular/fisiopatologia , Parestesia/psicologia , Qualidade de Vida , Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Parestesia/fisiopatologia , Inquéritos e Questionários , Adulto Jovem
9.
Acta Endocrinol (Buchar) ; 14(3): 324-329, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-31149279

RESUMO

PURPOSE: Previous studies have demonstrated the relationship between hyperthyroidism and increased risk of cardiac arrhythmias. The most common causes of hyperthyroidism are Graves' disease (GD) and toxic nodular goiter (TNG). The aim of our study was to demonstrate if the underlying mechanism of hyperthyroidism, in other words autoimmunity, has an impact on the type of cardiac arrhythmias accompanying hyperthyroidism. METHOD: Twenty patients with TNG and 16 patients with GD who had overt hyperthyroidism were included in the study. Age, sex, thyroid hormone levels, thyroid autoantibody positivity, thyroid ultrasonography and scintigraphy results were recorded. 24-hour Holter ECG monitoring was performed in all patients. RESULTS: Mean age was significantly higher in the TNG group compared to the GD group (62.9±11.5 vs. 48.9±8.6 years, p=0.001). Free T3 was significantly higher (7.87±3.90 vs. 5.21±1.53 pg/mL, p=0.033) in the GD group while free T4 and TSH levels were similar between the two groups. In 24-hour Holter ECG recordings nonsustained ventricular tachycardia (VT) rates were significantly higher in the GD group than in TNG group [18.75% (n=3/16) vs. 0% (n=0/20), respectively, (p=0.043)]. Paroxysmal atrial fibrillation (AF) rates were significantly higher in the TNG group compared to GD group [(30% (n=6/20) vs. 0% (n=0/16), respectively, (p=0.016)]. CONCLUSION: Although free T3 levels were lower, paroxysmal AF rates were found significantly higher in the TNG group which may be associated with significantly higher age of this group. On the other hand, higher rate of nonsustained VT in the GD group may be related to either significantly higher free T3 levels or autoimmunity.

10.
Niger J Clin Pract ; 20(9): 1182-1188, 2017 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-29072244

RESUMO

BACKGROUND: It is important to be aware of oral and dental problems in the early period in children with chronic liver disease (CLD) to prevent late complications. Therefore, we aimed to analyze the oral and dental health status in children with CLD. METHODS: The three groups of children (3-18 years old); Group 1 (disease group, n = 31) patients with CLD, Group 2 (disease control group, n = 17) patients with chronic renal failure, and Group 3 healthy children (control group, n = 35). Examination of oral and dental structures were made, and then salivary parameters were analyzed. Antegonial index were calculated from panoramic X-rays. RESULTS: Enamel hypoplasia was found in 54.8%, 41.1%, and 31.4% of the children in the Groups 1, 2, and 3, respectively (P1-3 < 0.05). High salivary buffer capacity was found in 45.2% and 70.6% of the patients in Groups 1 and 2, respectively, and 45.7% of the children in healthy group, (P1-2 and P2-3 < 0.05). Factors associated with enamel hypoplasia in patients with CLD were male gender (64.7% vs. 21.4%, P < 0.05) and the presence of malnutrition (41.1% vs. 7.1%, P < 0.05). CONCLUSION: Pediatric hepatologists must be aware of the dental problems in children with CLD. Enamel hypoplasia is common in children with CLD, and it may predispose to dental caries.


Assuntos
Cárie Dentária/complicações , Cárie Dentária/epidemiologia , Falência Renal Crônica/complicações , Hepatopatias/complicações , Saúde Bucal , Saliva/metabolismo , Adolescente , Criança , Pré-Escolar , Doença Crônica , Hipoplasia do Esmalte Dentário/epidemiologia , Hipoplasia do Esmalte Dentário/etiologia , Feminino , Humanos , Masculino , Índice de Higiene Oral , Estudos Prospectivos , Turquia
11.
Niger J Clin Pract ; 20(1): 12-18, 2017 01.
Artigo em Inglês | MEDLINE | ID: mdl-27958240

RESUMO

AIM: To compare genetic aberrations in the oral epithelium of lung cancer patients with those without cancer. SUBJECTS AND METHODS: Buccal smears were performed to collect oral epithelium from each of the participants (smoker cancer patients n = 50, smoker control subjects n = 40, and nonsmoker control subjects n = 25). Cytogenetic changes in the samples were detected by micronuclei assay, whereas p53 and murine double minute 2 (MDM2) polymorphisms were genotyped using polymerase chain reaction-restriction fragment length polymorphism. RESULTS: p53 codon 72 polymorphism was seen in 44% of cancer patients versus 12.5% in smokers and 12% in nonsmokers of the control group. Similarly, MDM2 single nucleotide polymorphism 309 polymorphism was seen in 34% of patients with lung cancer as opposed to 12.5% of smokers (P = 0.038) and 8% of nonsmokers (P = 0.019) of the control group. CONCLUSION: A higher proportion of individuals with lung cancer demonstrate genetic damage to oral mucosa compared to those without cancer.


Assuntos
Códon/genética , Neoplasias Pulmonares/etiologia , Mucosa Bucal/fisiopatologia , Proteínas Proto-Oncogênicas c-mdm2/genética , Fumar/efeitos adversos , Idoso , Estudos de Casos e Controles , Estudos Transversais , Feminino , Genes p53 , Predisposição Genética para Doença , Genótipo , Humanos , Neoplasias Pulmonares/genética , Masculino , Pessoa de Meia-Idade , Reação em Cadeia da Polimerase , Polimorfismo de Nucleotídeo Único
12.
Sensors (Basel) ; 16(10)2016 Sep 29.
Artigo em Inglês | MEDLINE | ID: mdl-27690048

RESUMO

Metal oxide gas sensors with integrated micro-hotplate structures are widely used in the industry and they are still being investigated and developed. Metal oxide gas sensors have the advantage of being sensitive to a wide range of organic and inorganic volatile compounds, although they lack selectivity. To introduce selectivity, the operating temperature of a single sensor is swept, and the measurements are fed to a discriminating algorithm. The efficiency of those data processing methods strongly depends on temperature uniformity across the active area of the sensor. To achieve this, hot plate structures with complex resistor geometries have been designed and additional heat-spreading structures have been introduced. In this work we designed and fabricated a metal oxide gas sensor integrated with a simple square planar indium tin oxide (ITO) heating element, by using conventional micromachining and thin-film deposition techniques. Power consumption-dependent surface temperature measurements were performed. A 420 °C working temperature was achieved at 120 mW power consumption. Temperature distribution uniformity was measured and a 17 °C difference between the hottest and the coldest points of the sensor at an operating temperature of 290 °C was achieved. Transient heat-up and cool-down cycle durations are measured as 40 ms and 20 ms, respectively.

13.
Sensors (Basel) ; 15(1): 1274-91, 2015 Jan 12.
Artigo em Inglês | MEDLINE | ID: mdl-25587976

RESUMO

In metal cutting, the magnitude of the temperature at the tool-chip interface is a function of the cutting parameters. This temperature directly affects production; therefore, increased research on the role of cutting temperatures can lead to improved machining operations. In this study, tool temperature was estimated by simultaneous temperature measurement employing both a K-type thermocouple and an infrared radiation (IR) pyrometer to measure the tool-chip interface temperature. Due to the complexity of the machining processes, the integration of different measuring techniques was necessary in order to obtain consistent temperature data. The thermal analysis results were compared via the ANSYS finite element method. Experiments were carried out in dry machining using workpiece material of AISI 4140 alloy steel that was heat treated by an induction process to a hardness of 50 HRC. A PVD TiAlN-TiN-coated WNVG 080404-IC907 carbide insert was used during the turning process. The results showed that with increasing cutting speed, feed rate and depth of cut, the tool temperature increased; the cutting speed was found to be the most effective parameter in assessing the temperature rise. The heat distribution of the cutting tool, tool-chip interface and workpiece provided effective and useful data for the optimization of selected cutting parameters during orthogonal machining.

14.
ScientificWorldJournal ; 2014: 497393, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24688392

RESUMO

Finite difference technique is applied to numerical solution of the initial-boundary value problem for the semilinear delay Sobolev or pseudoparabolic equation. By the method of integral identities two-level difference scheme is constructed. For the time integration the implicit rule is being used. Based on the method of energy estimates the fully discrete scheme is shown to be absolutely stable and convergent of order two in space and of order one in time. The error estimates are obtained in the discrete norm. Some numerical results confirming the expected behavior of the method are shown.


Assuntos
Conceitos Matemáticos , Modelos Teóricos
15.
J Exp Zool B Mol Dev Evol ; 320(1): 35-46, 2013 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-23165937

RESUMO

Canonical microRNAs are excised from their hairpin-shaped precursors by Dicer. In order to find possible exceptions to this rule and to identify additional substrates for Dicer processing we re-evaluate the small RNA sequencing data of the Dicer knockdown experiment in MCF-7 cells orignally published by Friedländer et al. [Friedländer et al., 2012, Nucleic Acids Res 40:37-52]. While the well-known non-Dicer mir-451 is not sufficiently expressed in these experiments, there are several additional Dicer-independent microRNAs, among them the important tumor supressor mir-663a. We recover previously described examples of non-miRNA Dicer substrates such as tRNA-Gln and several snoRNAs. Interestingly, sdRNAs derived from box C/D snoRNAs are Dicer-independent, while those derived from box H/ACA snoRNAs are often Dicer dependent. Several pol-III transcripts, in particular the vault RNAs and the great ape specific snaRs are processed by Dicer, while the small RNAs originating from Y RNAs seem to be Dicer independent.


Assuntos
RNA Helicases DEAD-box/metabolismo , Genoma Humano/genética , MicroRNAs/metabolismo , Ribonuclease III/metabolismo , RNA Helicases DEAD-box/genética , DNA Polimerase III/metabolismo , Técnicas de Silenciamento de Genes , Humanos , Células MCF-7 , Ribonuclease III/genética
16.
Sci Rep ; 13(1): 7633, 2023 05 10.
Artigo em Inglês | MEDLINE | ID: mdl-37165210

RESUMO

Human papillomavirus (HPV) infection is one of the sexually transmitted diseases which have been implicated in the etiology of multiple cancers. To date, several studies have been conducted to evaluate the incidence of high-risk (HR) HPV in prostate cancer (PCa) which have generated widely conflicting data. Hence, this leaves a lack of awareness on the causal role of persistent HPV infection in the development of PCa. Although this has been investigated in a handful of countries, to the best of our knowledge, no prior studies have been conducted in the UK. In this study, polymerase chain reaction (PCR) and Sanger sequencing were implemented to analyze a total of 49 fresh prostate specimens (35 benign and 14 malignant specimens) for the presence of viral DNA of 12 HR-HPV types. Data obtained confirmed the presence of HR-HPV in 32.7% of analyzed benign and malignant prostate tissues with HPV 35 being identified as the most frequent type. Moreover, HR-HPV positivity rate was found to be higher in abnormal prostate tissues (adenocarcinoma and benign with prostatitis) compared those with normal prostate condition. Using immunohistochemistry, we have confirmed the expression of HPV E7 protein in prostate tissues positive for HPV DNA. This observation, the first reported from a UK population, suggests that the presence of HPV in prostate tissue is likely to be a related factor in the progression of certain cases of prostate cancer.


Assuntos
Infecções por Papillomavirus , Neoplasias da Próstata , Masculino , Humanos , Papillomavirus Humano , Infecções por Papillomavirus/complicações , Infecções por Papillomavirus/epidemiologia , Neoplasias da Próstata/patologia , Papillomaviridae/genética , Papillomaviridae/metabolismo , DNA Viral/análise , Reino Unido/epidemiologia
17.
Minerva Endocrinol ; 37(3): 275-82, 2012 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-22766894

RESUMO

AIM: Treatment of congenital adrenal hyperplasia (CAH) consists of lifelong glucocorticoid therapy (GT), and long-term GT may cause osteoporosis. We aim to analyse bone mineral status (BMS) and bone turnover markers in children with CAH. Methods. The study included 17 patients with CAH (mean age ± SD; 7.96± 3.58 years, range 3-13.3 years) and age-matched controls. Bone metabolism rate, vitamin D status and BMS were analyzed. Alterations in bone metabolism rate were prospectively evaluated. Results. We found that BMS Z score did not differ between the patients and control group. Vitamin D deficiency is common in groups, and osteocalcin, ß crosslaps and PTH was higher in patients than the healthy controls (5.3±3.4 vs. 3.2±1.8, P=0.036 and 2.19±1.59 vs. 1.27±0.99, P=0.049, 38.1±18.3 vs. 22.7±13.3, P=0.009, respectively). BMS Z score was only positively correlated with 17 OHP levels (r=0.462, P=0.05) and height SD Z scores (r=0.477, P=0.049). Seasonal measurements of vitamin D status, PTH levels and bone turnover markers exhibit that PTH levels, osteocalcin and ß crosslaps increase in response to low vitamin D levels. Conclusion. Children with CAH have BMS values that are not different age-matched controls. Vitamin D status should be systematically measured in CAH patients, and supplementation should be recommended in patients with low vitamin D levels.


Assuntos
Absorciometria de Fóton , Hiperplasia Suprarrenal Congênita/sangue , Conservadores da Densidade Óssea/sangue , Densidade Óssea , Remodelação Óssea , Osteocalcina/sangue , Hormônio Paratireóideo/sangue , Vitamina D/sangue , Adolescente , Hiperplasia Suprarrenal Congênita/diagnóstico , Hiperplasia Suprarrenal Congênita/tratamento farmacológico , Hiperplasia Suprarrenal Congênita/metabolismo , Algoritmos , Biomarcadores/sangue , Conservadores da Densidade Óssea/administração & dosagem , Osso e Ossos/metabolismo , Estudos de Casos e Controles , Criança , Pré-Escolar , Colágeno/sangue , Feminino , Glucocorticoides/administração & dosagem , Glucocorticoides/efeitos adversos , Humanos , Masculino , Osteoporose/induzido quimicamente , Fragmentos de Peptídeos/sangue , Estudos Prospectivos , Vitamina D/administração & dosagem , Deficiência de Vitamina D/tratamento farmacológico
18.
Clin Exp Allergy ; 41(12): 1767-76, 2011 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-22092675

RESUMO

BACKGROUND: Anaphylaxis is a serious and potentially lethal systemic reaction affecting more than one organ or system. OBJECTIVE: We aimed to describe the demographic characteristics, clinical features, causes, settings, and administered therapy in Turkish children. METHODS: This retrospective, case note study included all children referred to the outpatient clinics of the Pediatric Allergy Departments of the participating study centres from 1 July 1999 to 30 June 2009 for investigation of anaphylaxis or who were seen by us at the moment of the reaction during the same period and who met the clinical criteria of anaphylaxis. RESULTS: Two hundred and twenty-four cases of anaphylaxis were reported in 137 children (88 boys, P = 0.0001). The mean ± SD age at the referral was 7.7 ± 4.2 years (range: 4 months-17 years). Ninety-eight episodes (43.8%) occurred at home. The symptoms were cutaneous in 222 (99.1%) episodes, respiratory in 217 (96.9%), neuro-psychiatric in 118 (52.7%), cardiovascular in 92 (41.1%), and gastrointestinal in 88 (39.3%). Biphasic reaction was reported in seven episodes (3.1%, 95% CI: 1.5-6.3). Death occurred in one case (0.4%, 95% CI: 0.08-2.4). Treatment was available in 158 episodes (70.5%). Of them, 148 (93.7%) received antihistamines, 132 (83.5%) corticosteroids, 51 (32.3%) epinephrine, and 17 (10.8%) beta-2-mimetics. The causative agents were foods in 86 (38.4%) episodes, hymenoptera venom in 84 (37.5%), drugs and medications in 47 (21.0%), and latex in 5 (2.2%). In two episodes (0.9%), the causative agent was unidentified. Allergy to the trigger was known prior to anaphylaxis in 116 (51.8%) episodes. An epinephrine auto-injector had been prescribed for 70 children (51.1%). CONCLUSIONS AND CLINICAL RELEVANCE: Anaphylaxis was seen significantly more in boys. Most of the reactions occurred at home. Foods were the most frequent cause. Epinephrine, the first-line treatment of anaphylaxis, was administered in only a third of the children.


Assuntos
Anafilaxia/epidemiologia , Adolescente , Anafilaxia/diagnóstico , Anafilaxia/etiologia , Anafilaxia/terapia , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Masculino , Recidiva , Estudos Retrospectivos , Turquia/epidemiologia
19.
Ann Trop Paediatr ; 31(3): 251-4, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21781421

RESUMO

Cardiac involvement is an uncommon complication of echinococcosis. It is usually asymptomatic and may only be diagnosed incidentally. A 7-year-old boy was admitted with acute stroke and bullous and ulcerated skin lesions. He was diagnosed with cardiac echinococcosis complicated by systemic emboli to the central nervous system and superficial cutaneous arteries. In endemic areas, echinococcosis should be considered in the differential diagnosis of cardiac disease and unexplained cerebral embolism.


Assuntos
Transtornos Cerebrovasculares/diagnóstico , Equinococose/complicações , Equinococose/diagnóstico , Cardiopatias/diagnóstico , Dermatopatias Parasitárias/diagnóstico , Dermatopatias Vesiculobolhosas/parasitologia , Úlcera Cutânea/parasitologia , Encéfalo/diagnóstico por imagem , Transtornos Cerebrovasculares/parasitologia , Criança , Ecocardiografia , Cardiopatias/complicações , Cardiopatias/parasitologia , Humanos , Imageamento por Ressonância Magnética , Masculino , Radiografia Torácica , Dermatopatias Parasitárias/parasitologia
20.
Hum Exp Toxicol ; 40(8): 1234-1240, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-33550865

RESUMO

Psoriasis is a chronic autoimmune disease in which peripheral blood mononuclear cells (PBMCs) are involved in the pathological process. Transient receptor potential (TRP) channels expressed in immune cells have been shown to be associated with inflammatory diseases. We aimed to evaluate mRNA expression levels of TRP channels in PBMCs of patients with psoriasis. 30 patients with plaque psoriasis and 30 healthy age- and gender-matched control subjects were included in this study. mRNA expression levels of TRP channels in psoriasis patients were determined by Real-time polymerase chain reaction. A decreased TRPM4, TRPM7, TRPV3, TRPV4, and TRPC6 genes expression levels were found in the patient group compared to controls, respectively (p = 0.045, p = 0.000, p = 0.000, p = 0.045, p = 0.009), whereas, an increased expression level was found in TRPM2 and TRPV1 genes in the patient group compared to controls (p = 0.001 and p = 0.028). This is the first study showing the TRP channel mRNA expressions in PBMCs of psoriasis patients. Different expression patterns of TRP channels may have a role in pathogenesis of psoriasis.


Assuntos
Psoríase/genética , Canais de Potencial de Receptor Transitório/genética , Adulto , Feminino , Humanos , Leucócitos Mononucleares/metabolismo , Masculino , RNA Mensageiro/metabolismo , Transcriptoma
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