Higher Concentration Of Group Research Articles

Reintroducing serum FSH measurement during ovarian stimulation for ART

Research questionWhat is the impact of systemic FSH concentrations during ovarian stimulation for IVF/intracytoplasmic sperm injection on systemic progesterone concentrations in the late follicular phase? DesignPost-hoc analysis of a previously performed randomized controlled trial (RCT) performed between November 2017 and February 2020 in a tertiary IVF centre. The RCT included patients with infertility undergoing ovarian stimulation in a gonadotrophin-releasing hormone (GnRH) antagonist protocol. The GnRH antagonist was administered at 08:00 h and recombinant FSH at 20:00 h. Ultrasound and blood tests were performed 3–5 h after the GnRH antagonist. ResultsThe subgroup analysis comprised 105 patients. Systemic FSH concentrations increased from Day 2/3 until initiation of GnRH antagonist and remained constant until the day of trigger (DoT). The total group was split according to the median FSH DoT concentration (12.95 IU/l; Group A <12.95 IU/l; Group B ≥12.95 IU/l). Significant differences, with the higher concentrations in Group B, were found for: systemic FSH concentration on Day 2/3 (P = 0.04), total gonadotrophin dosage (P = 0.03), progesterone on DoT (P = 0.001) and progesterone per follicle (P = 0.004). In the total group, systemic DoT FSH concentration was statistically significantly positively correlated with the DoT progesterone concentration and the ratio of progesterone per follicle (ρ = 0.37 and 0.38, respectively, both P < 0.001). No significant correlations were seen between the systemic DoT FSH concentration and the number of retrieved oocytes. ConclusionWhile ovarian response seems to be independent from the systemic FSH concentrations on the DoT, high concentrations of circulatory FSH augment the production of progesterone.

The role of NT-proBNP in the diagnostics and differentiation of cardiac and reflex syncope in adults: relative importance to clinical presentation and medical examinations.

The aim of this study was to assess the clinical significance of N-terminal pro-B-type natriuretic peptide (NT-proBNP) concentrations in the differentiation of patients with cardiac and reflex syncope. The study included a group of 100 patients (56 women, 44 men), aged 18-77 years (mean 52.6 ± 16.7), with a history of reflex (group I) or cardiac syncope (group II). Diagnosis of syncope was performed according to the European Society of Cardiology (ESC) guidelines. In all patients, the concentration of NT-proBNP was measured. The assessment of NT-proBNP concentrations showed significantly higher concentrations in group II than in group I (448.7 ± 212.2 vs. 68.2 ± 64.1 pg/ml, P<0.0001). The receiver operating characteristic (ROC) curve analysis revealed that the concentration of NT-proBNP at 210.5 pg/ml may be a useful cut-off point which allows the prediction of cardiac syncope with 98 % specificity, 94 % sensitivity, and 94 % negative predictive value. In patients with cardiac arrhythmias and conduction abnormalities, the concentrations of NT-proBNP were higher in comparison to those without such disorders. The concentration of NT-proBNP is useful in the diagnosis of syncope and may initially guide the diagnostic process. The NT-proBNP value exceeding 200 pg/ml seems to be the most rational in determining cardiac syncope.

Paraspinal Muscle Sparing Versus Percutaneous Screw Fixation: A Comparative Enzyme Study of Tissue Injury during the Treatment of L4-L5 Spondylolisthesis.

ObjectiveScrew fixation via the paraspinal muscle sparing approach and by percutaneous screw fixation are known to diminish the risk of complications, such as, iatrogenic muscle injury as compared with the conventional midline approach. The purpose of this study was to evaluate tissue injury markers after these less traumatic screw fixation techniques for the treatment of L4-L5 spondylolisthesis.MethodsTwenty-two patients scheduled for posterior lumbar interbody fusion (PLIF) at the L4-L5 segment for spondylolisthesis were prospectively studied. Patients were divided into two groups by screw fixation technique (Group I: paraspinal muscle sparing approach and Group II: percutaneous screw fixation). Levels of serum enzymes representing muscle injury (CK-MM and Troponin C type 2 fast), pro-inflammatory cytokine (IL-8), and anti-inflammatory cytokine (IL-1ra) were analyzed using ELISA techniques on the day of the surgery and 1, 3, and 7 days after the surgery.ResultsSerum CK-MM, Troponic C type 2 fast (TNNC2), and IL-1ra levels were significantly elevated in Group I on postoperative day 1 and 3, and returned to preoperative levels on postoperative day 7. No significant intergroup difference was found between IL-8 levels despite higher concentrations in Group I on postoperative day 1 and 3.ConclusionThis study shows that percutaneous screw fixation procedure is the preferable minimally invasive technique in terms of minimizing muscle injury associated with L4-L5 spondylolisthesis.

Inhibitory effect of Zataria multiflora Boiss and carvacrol on histamine (H1) receptors of guinea‐pig tracheal chains

The inhibitory effect of aqueous-ethanolic extract of Zataria multiflora Boiss (Labiatae) and carvacrol on histamine (H(1) ) receptors was examined on tracheal chains of guinea-pigs. The effects of three concentrations of aqueous-ethanolic extract, carvacrol, 10 nm chlorpheniramine, and saline on histamine (H(1) ) receptors were tested on three groups of guinea-pig tracheal chains as follows: incubated trachea with (i) indomethacin (n = 9), (ii) indomethacin, propranolol, and atropine (n = 7), and (iii) indomethacin and propranolol (n = 6). The EC(50) (effective concentration of histamine causing 50% of maximum response) obtained in the presence of chlorpheniramine for all concentrations of the extract and carvacrol in all three groups was significantly higher than that of saline (P < 0.001 for all cases). The EC(50) obtained in the presence of all concentrations of extract in groups 2 and 3 was lower than group 1 and in group 3 lower than group 2 (P < 0.01 to P < 0.001). However, EC(50) obtained in the presence of all concentrations of carvacrol in group 3 and two higher concentrations in group 2 was higher than that of group 1 (P < 0.01 to P < 0.001). There was no significant difference in the maximum response obtained in the presence of different concentrations of extract and carvacrol between three groups. There was a parallel rightward shift in concentration-response curves obtained in the presence of all concentrations of the extract and carvacrol in all three groups. These results indicated an inhibitory effect of Z. multiflora and its constituent carvacrol on histamine H(1) receptors.

Changes in fungal population of fly ash and vinasse mixture during vermicomposting by Eudrilus eugeniae and Eisenia fetida: Documentation of cellulase isozymes in vermicompost

Fly ash (FA) and vinasse (VN), two industrial wastes, are generated in huge amounts and cause serious hazards to the environment. In this experiment, different proportions of these two wastes were used as food for two epigeic earthworms ( Eisenia fetida and Eudrilus eugeniae) to standardize the recycling technique of these two wastes and to study their effect on fungal especially cellulolytic fungal population, cellulase activity and their isozyme pattern, chitin content and microbial biomass of waste mixture during vermicomposting. Increasing VN proportion from 25% to 50% or even higher, counts of both fungi and cellulolytic fungi in waste mixtures were significantly ( P ⩽ 0.05) increased during vermicomposting. Higher cellulase activity in treatments having 50% or more vinasse might be attributed to the significantly ( P ⩽ 0.05) higher concentration of group I isozyme while concentrations of other isozymes (group II and III) of cellulase were statistically at par. Higher chitin content in vinasse-enriched treatments suggested that fungal biomass and fungi-to-microbial biomass ratio in these treatments were also increased due to vermicomposting. Results revealed that Eudrilus eugeniae and Eisenia fetida had comparable effect on FA and VN mixture during vermicomposting. Periodical analysis of above-mentioned biochemical and microbial properties and nutrient content of final vermicompost samples indicated that equal proportion (1:1, w/w) of FA and VN is probably the optimum composition to obtain best quality vermicompost.

Quantification of hydrolytic and proteolytic enzymes in the excreta of three epigeic earthworms and detection of thiocarbamic acid by GC-MS-MS

Epigeic earthworms excrete various metabolites under stress conditions and a water-extract of this fluid (vermiwash), obtained from three different earthworms (E. fetida, E. euginae and P. excavatus) were examined in this experiment. The highest activities of cellulase and amylase enzymes in the vermiwash were observed in E. fetida, while P. excavatus and E. euginae recorded the highest activities of acid and alkaline phosphatases, respectively. Higher protease activity of P. excavatus and E. euginae was due to the higher concentration of group I, group II and group III isozymes, though E. fetida had a higher concentration of group IV isozyme. Thiocarbamic acid was detected in the vermiwash by GC-MS-MS analysis and is probably responsible for its pesticidal properties.

Plasma longitudinal changes of carotenoids and malondialdehyde in stroke patients: relationship to outcome

P158 Experimental research suggests the association between ischemic stroke and increased oxidative stress. Carotenoids are lipid-soluble molecules with antioxidant activity, but changes of their plasma concentrations during stroke have been never evaluated. Twenty-eight consecutive patients (19M, 9F, mean age 77 y) with acute ischemic stroke (onset &lt; 24 hrs) were divided in subgroups according to the functional outcome at one week as assessed by Barthel Index: group 1 - pts who died or experienced functional decline; group 2 - pts who remained functionally stable. Plasma levels of carotenoids including lutein, zeaxanthin, b-cryptoxanthin, lycopene, α- and β-carotene, and of malondialdehyde (MDA), a marker of lipid peroxidation, were measured on admission, after 6 and 24 hrs, and then on days 3, 5 and 7, by HPLC. Levels on admission were compared to those of age- and sex-matched controls (ctrls). On admission, plasma carotenoid levels were significantly lower (lutein, p&lt;.005; zeaxanthin, p&lt;.05; lycopene, p&lt;.001; α-carotene, p&lt;.004; β-carotene, p&lt;.001) and plasma MDA significantly higher (p&lt;.001) in pts than in ctrls. Plasma carotenoids showed a trend towards a decrease during the first 24 hrs after admission, independently of dietary intake and cholesterol levels. The time-course changes of lutein, α-carotene and lycopene plasma levels up to one week showed higher concentrations in group 2 as compared to group 1 patients. Differences reached statistical significance for lutein (p&lt;.01). Plasma MDA levels tended to decrease over time and were significantly lower in group 2 as compared to group 1 (p&lt;.005). We conclude that carotenoids, which are lipophilic antioxidants, are significantly lower in plasma from stroke patients compared to controls, and are reduced immediately after stroke. Lutein, lycopene and α-carotene are particularly reduced in patients with the worst outcome at one week. MDA is significantly higher in stroke patients on admission compared to controls and is highest in patients who died or declined functionally. A specific carotenoid and lipid peroxidative pattern is associated with a poor early outcome in ischemic stroke.

Tissue concentrations of clindamycin after multiple oral doses in normal cats

Eighteen normal cats were randomly allocated into two blocks with three treatment groups and dosed orally with clindamycin aqueous solution for 10 days at a dosage rate of 5.5 mg/kg twice daily (Group 1), 11 mg/kg twice daily (Group 2), or 22 mg/kg once daily (Group 3). At the end of dosing, all cats were killed and tissues were taken for clindamycin concentration analysis. Clindamycin was extracted from tissues using solid-phase extraction columns followed by microbiological assay of clindamycin using a cylinder plate assay using M. luteus. Recovery from each tissue was determined by inoculating known concentrations of clindamycin into drug-naive tissues and comparing the observed concentration from the expected concentration. Confirmation that the bioassay detected clindamycin and not N-desmethylclindamycin, its active metabolite, was done using gas-chromatography-mass-spectrometry. Concentrations were highest in the lung, with tissue:serum ratios greater than 3 in all groups. Concentrations were higher in Group 3 than Group 1 (P less than 0.05). Only liver concentrations in Group 3 were statistically higher than in Group 2, although all tissues except bone marrow and CSF had numerically higher concentrations in Group 3 than Group 2. The tissue:serum ratio was greater than 1 in all tissues studied except bone, cerebrospinal fluid, brain, and skeletal muscle.

Influence of modes of ACNU administration on tissue and blood drug concentration in malignant brain tumors.

The water-soluble nitrosourea compound ACNU is also lipid-soluble at normal physiological pH levels. It lacks toxic effects on vision that nitrosoureas occasionally produce following intra-arterial administration. In 28 cases of both primary and secondary malignant brain tumors, ACNU was administered at surgery or angiography by three different modes: intravenous injection in Group I (10 cases), intra-arterial injection via the carotid artery in Group II (11 cases), and intra-arterial injection via the carotid artery after opening the blood-brain barrier (BBB) by means of mannitol in Group III (seven cases). Tumor tissue and blood samples were taken serially at various time intervals after ACNU injection, and ACNU was measured by high-performance liquid chromatography. The time-concentration curve for ACNU was calculated in each case by the two- and one-compartment open models for determination of ACNU levels in blood and tissue, respectively. Pharmacokinetic parameters including biological half-life, blood and tissue levels (0-t minutes and 0-infinity minutes), total plasma clearance, and distribution volume of the beta phase were compared. Statistical analysis of tissue ACNU levels at 0-t minutes revealed higher concentrations in Group III patients than in Groups II and I: levels in Group II were significantly higher than in Group I. Mean biological half-life was 30.3, 23.0, and 38.5 minutes in Groups I, II, and III, respectively. Levels of ACNU were significantly increased in tumor tissue as well as in peritumoral tissue in one Group III patient with multiple metastatic anaplastic adenocarcinoma. In this series, treatment of malignant brain tumor by intra-arterial administration of ACNU produced significantly higher tissue levels of ACNU than did the systemic intravenous route.