Amount Of Urine Research Articles

Hyperosmolar Coma: Diagnostic Difficulties on the Clinical Example

Hyperosmolar hyperglycemic state is an acute complication of diabetes mellitus, the mortality rate of which reaches 50 %. One of the reasons for the unfavorable outcome is untimely diagnosis, which is often due to insufficient awareness of doctors regarding the features of clinical and laboratory manifestations of this diabetic complication. Hyperosmolar state often develops in older patients with polymorbidity, and neurological symptoms predominate in the clinical picture, which also complicates diagnosis and causes diagnostic errors. The article presents a clinical case of hyperosmolar hyperglycemic state, the diagnosis of which caused difficulties at all stages, including postmortem pathological examination. Initially, acute cerebrovascular accident was assumed, then the patient’s severe condition was associated with acute myocardial infarction, and based on the results of the pathological examination, a conclusion was made about sepsis and septic shock. Review of the patient’s medical history showed that the most probable diagnosis was hyperosmolar state, which developed as a result of decompensation of diabetes mellitus against the background of the inflammatory process. Severe dehydration of the patient, as the cause of her soporous state, was confirmed by the data of examination and laboratory and instrumental examination: dry skin and mucous membranes, small amount of urine, signs of blood thickening and prerenal acute renal failure. At the same time, the absence of obvious focal neurological disorders, clinically significant changes in the cardiovascular system, fever and hemodynamic disturbances did not allow, in our opinion, to associate the patient’s severe condition with acute cerebrovascular accident, myocardial infarction or septic shock. Dehydration was complicated by the development of disseminated vascular coagulation syndrome, gastrointestinal bleeding and hemorrhagic shock with a fatal outcome. This clinical case demonstrates that in differential diagnostics of diseases a more reliable approach is the analysis of the clinical picture from the point of view of the pathogenesis of disorders. Analysis of such clinical situations can serve as an aid for doctors in diagnosing hyperosmolar state.

Prevalence of HBsAg in Pregnant Women Monitored at the Mangol Health Center in the Urban Commune of Télimélé, Republic of Guinea

Hepatitis B is a viral disease caused by a DNA virus, belonging to the hepadnaviridae family whose only reservoir is humans. It is found in most human biological fluids such as blood, semen, vaginal secretions, saliva and finally in smaller quantities in milk and urine. This infection attacks the liver and is transmitted through sexual intercourse or contact with bodily fluids from an infected person. It constitutes a public health problem. This is an analytical and descriptive survey study. It took place from April 1 as of June 29, 2024. Objective: The main objective of this study is to determine the prevalence of HBsAg in the population of pregnant women followed at the Mangol Health Center. Method: For the detection of hepatitis B virus (HBV) surface antigen in the tested serum, the Aichek type chromatographic immune test technique is used. Results: At the end of the analyses, the results show that Out of a total of 234 pregnant women tested for hepatitis B, 5 were HBV carriers, or 2.14%, compared to 229 negative cases, or 97.86%. Married women, who were not only the most represented in this study, were also the most affected by HBV with 4 cases, or 80%. Housewives and hairdressers were the most affected by HBV with 2 cases respectively, or a respective prevalence of 20%. The 25-33 age group had 3 HBV positive cases, or 60%.

Does Adding TENS to Pelvic Floor Rehabilitation Effect on Urodynamics and Clinical Results in Children With Spina Bifida?

Children with spina bifida (SB) experience a reduced quality of life due to neurogenic bladder dysfunction and the risk of renal failure later in life. Pelvic floor rehabilitation (PFR) and transcutaneous electrical nerve stimulation (TENS) have gained prominence in recent years due to their positive effects in treating different types of bladder issues in both adults and children. Our study aims to investigate the effects of using these two methods together in children with SB and to delineate their potential value for clinical practice. Children with neurogenic bladder dysfunction due to SB who admitted to our spina bifida center were enrolled. Those patients, between 5 and 15 years of age, with only neurogenic detrusor overactivity (NDO) were randomly divided into two groups using an online computer application. While only the PFR was applied to Group PFR (n = 14), TENS was used in addition to this therapy in Group PFR + T (n = 14). The PFR sessions included abdominal massage, strength exercises, diaphragmatic breathing exercises, and contracting pelvic floor muscles. TENS was used in a standard fashion as previously described in patients with SB. Before and after treatment, patients' clinical data, dysfunctional voiding symptom score (DVSS), lower urinary tract symptoms, and quality of life scores due to urinary incontinence were evaluated. Urodynamic outcomes such as detrusor pressure, bladder capacity, contractility, and residual urine amount were also evaluated. Twenty eight children out of 750 SB patients were enrolled in our center. Children with only NDO due to SB were included in the study (Group PFR, mean age 8.3 ± + 2.7 years, 10 boys, four girls; Group PFR + T, 7.86 ± 2.03 years, eight boys, six girls). Treatment duration was 6 weeks (18 sessions). There was a decrease in voiding and lower urinary tract symptoms in both groups regardless of the use of TENS (p < 0.05). Maximum detrusor pressure significantly decreased only in the TENS group after treatment (from 82.143 ± 58.069 cmH2O to 58.077 ± 39.872 cmH2O) (p < 0.05). The difference in clinical parameters, quality of life scores and other urodynamic parameters were not found to be significant between groups. PFR and TENS may be effective in SB with NDO to reduce voiding symptoms, and protect bladder from increased pressures. PFR seems to be a useful conservative approach in patients with NDO, adjunt to standard treatment. Further studies are needed in delineation of a personalized holistic treatment approach in these patients. Addition of TENS to standard PFR in NDO may be effective in reducing maximum detrusor pressures, however, it does not seem to specifically contribute for improving incontinence and incontinence-related quality of life.

Standardization of Panchagavya for Enhanced Nutrient Content and Seed Germination in Sustainable Organic Farming

The detrimental effects of chemical-intensive agriculture have spurred interest in eco-friendly farming practices, particularly organic farming. Central to organic farming are organic manures, including various liquid organic formulations such as Panchagavya, which are rooted in Indigenous Technical Knowledge (ITK). Due to the variability in local production methodologies, there is a pressing need to standardize the production techniques of liquid organic manures, specifically Panchagavya, and to characterize their properties. The study standardizes Panchagavya production to reduce local variability. Eight ingredients were used, with 81 different combinations. Physical and chemical properties of prepared Panchagavya were analyzed, and principal component analysis was performed to determine optimal combinations for improved soil health and crop productivity. The nitrogen content of different combinations of Panchagavya ranged from 1.12% to 2.66%, phosphorus between 0.12% to 0.385%, potassium between 0.345% to 0.65%. The Ca content ranged between 186.3 mg L⁻¹ and 256.66 mg L⁻¹. Mg content the range was between 52.1 mg L-1 to 92.4 mg mg L-1, S varies between 0.08% and 0.3%, the Fe content in Panchagavya ranged from 49.7 mg L⁻¹ to 53.1 mg L⁻¹, Mn content ranged from 2.60 mg L⁻¹ to 5.05 mg L⁻¹, Zn content ranged from 4.1 mg L⁻¹ to 6.35 mg L⁻¹, and Cu content ranged from 12.50 mg L⁻¹ to 14.95 mg L⁻¹. with higher levels associated with increased quantities of cow urine, milk, curd, and ghee. Germination study indicated that Panchagavya positively affected seed germination and root growth increased from 3.45% to 114.66%. The growth hormone indole acetic acid values was between 56.6 µg mL⁻¹ and 104.19 µg mL⁻¹. Similarly, the gibberellic acid values ranged from 138.34 µg mL⁻¹ to 185.23 µg mL⁻¹. From the 81 treatment 10 best treatment was selected by principle component analysis of nutrient content of Panchagavya. Microbial analysis of selected Panchagavya demonstrated significant populations: bacteria (7.57 to 8.03 log cfu mL⁻¹), fungi (4.3 to 4.73 log cfu mL⁻¹), and actinomycetes (3.15 to 3.9 log cfu mL⁻¹). The presence of IAA and GA further substantiates its efficacy as an organic fertilizer. This research confirms that Panchagavya enhances nutrient content, microbial activity, and hormone levels, resulting in improved seed germination and root development. These findings highlight its potential as a sustainable alternative to chemical fertilizers, promoting organic farming practices and contributing to healthier soils.

Clinical Efficacy of Autologous Bone Marrow Mesenchymal Stem Cell Transplantation for the Treatment of Patients with Refractory Cirrhotic Ascites

Objective: To analyze the efficacy of autologous bone marrow mesenchymal stem cell (BMSC) transplantation for the treatment of cirrhotic ascites (refractory). Methods: 64 patients with cirrhosis ascites (refractory) who were admitted to the hospital between May 2022 and April 2024 were selected and divided equally by random number table, the observation group was treated with BMSC autologous transplantation, and the reference group was treated with conventional medication, and the total effective rate, therapeutic indexes, liver and renal function indexes, and the change of urine volume were compared. Results: The total effective rate of the observation group was higher than that of the reference group (P &lt; 0.05). Before treatment, there was no difference between the two groups in terms of therapeutic indexes such as depth of ascites, liver and kidney function indexes and 24-hour urine volume (P &gt; 0.05). After treatment, the observation group’s ascites depth and other indicators were better than that of the reference group, liver and kidney function indicators were better than that of the reference group, and 24h urine volume was more than that of the reference group (P &lt; 0.05). Conclusion: BMSC autotransplantation can improve the clinical efficacy of patients with cirrhosis ascites (refractory), accelerate the absorption of ascites, reduce the values of body mass and abdominal circumference, and protect the liver and kidney functions and increase the amount of urination.

The Impact of Covid-19 on Lower Urinary Tract Symptoms (LUTS) in Patients Treated Conservatively for Benign Prostatic Hyperplasia

Benign prostatic hyperplasia (BPH) is a non-malignant urological pathology characterized by a progressive increase in the volume of the prostate gland and one of the important diseases which affect lower urinary tract symptoms (LUTS). Covid-19 is a new viral infection with epidemiological characteristics of a pandemic. The disease is presented as a respiratory, cardiovascular, and neurological late complication. There is limited data that low urinary tract can be affected and aggravate symptoms and quality of life (QoL). Our pilot study describes a male population treated with conservative methods for BPH and the effect of Covid-19 infection on their LUTS and QoL. This was a case-control study between April 2021 and November 2021. The study included 33 patients with a history of Covid-19 infection. The assessment of LUTS was carried out by processing the data obtained from the completed by the patients IPSS questionnaires (the last one before, immediately, and five months after Covid-19). The control group consisted of 50 patients, which for the management of the selection bias, matched according to demographic and clinical features of the group. All patients underwent ultrasound diagnostics giving information about the volume of the prostate gland and the amount of residual urine. Two years after the beginning of the Covid-19 pandemic, we can confidently say that not all characteristics of this type of infection are sufficiently clear. More in-depth studies on Covid-19 as a cause of worsening LUTS and overall progression of BPH could help identify new aspects of infection leading to significant improvements in its treatment.

Остаточная моча: вопросы диагностики.

Introduction. To date, the problem of the presence of post voiding residual (PVR) in children remains urgent. PVR is the amount of urine remaining in the bladder after its voluntary emptying. The following conditions are associated with this, requiring the participation of a specialist: urinary tract infection, urolithiasis, bladder dysfunction. Materials and methods. A group of 125 children who were treated at medical centre «Alenka» for bladder dysfunction was under observation. In 42 of them, PVR was detected during uroflowmetric monitoring (UM) for 2 days on the SIGMA model uroflowmeter device, option F. Results. Processing and analysis of the data obtained allowed us to conclude that the reliability of the ultrasound diagnostic method is low (x2 =0.013; p&gt;0.05) when detecting PVR and high during voiding cystourethrography (x2= 3.889; p&lt;0.05). During uroflowmetric monitoring, there was a tendency to decrease the frequency of PVR with age. The average effective volume was reduced in 34 children (20 boys and 14 girls), was within the age norm in 3 boys and increased in 5 children (3 boys and 2 girls). Thus, PVR occurred almost 7 times more often with a decrease in the volume of the bladder than with an increase in it, which changes the idea of the nature of residual urine. Conclusion. According to the conducted research, it becomes clear that the symptom of residual urine is a common sign in pediatric urological practice. The most accurate method for determining PVR is two-day uroflowmonitoring, followed by miction cystography in terms of accuracy. Ultrasound examination reveals residual urine unreliably.

Neurohormonal Effects of Intravenous Dopamine in Patients with Acute Heart Failure

Background/Objectives: Many clinical trials have shown beneficial effects of low-dose dopamine on renal function, diuresis and symptom relief, or cardiac function in hospitalized patients with acute decompensated heart failure (HF). The aim is to assess the neurohormonal effects and the effects on clinical outcomes of the addition of low-dose dopamine in furosemide treatment in patients hospitalized for acute decompensated HF. Methods: A total of 62 patients hospitalized for acute decompensation of HF, were randomly allocated to one of the following three groups: i. LDF (low-dose furosemide), ii. HDF (high-dose furosemide) and, iii. LDFD (low-dose furosemide and dopamine). Primary outcomes of the present analysis were biochemical and neurohormonal indices (i.e., urea, creatinine, hemoglobin, electrolytes, natriuretic peptides, troponin, renin, angiotensin, aldosterone, adrenaline, noradrenaline). Secondary endpoints included clinical outcomes (i.e., length of stay, in-hospital mortality, 2-month mortality and rehospitalization, and 1-year mortality and rehospitalization). Results: Urea and creatinine levels were similar for each day among the three groups (p &gt; 0.05). The amount of urine was similar among the three groups per measurement at 2, 4, 6 and at 8 h (p &gt; 0.05). Biochemical and neurohormonal indices as well as clinical outcomes did not differ among patients receiving different doses of furosemide, nor in patients receiving furosemide in combination with dopamine (p &gt; 0.05). Conclusions: Although the addition of low-dose dopamine to intravenous furosemide was considered to have some theoretical advantages in maintaining renal function, no significant differences in neurohormonal effects and clinical outcomes were observed in patients hospitalized for acute decompensation of HF.

Overview of human health effects related to glyphosate exposure.

Glyphosate is a chemical compound derived from glycine, marketed as a broad-spectrum herbicide, and represents one of the most widely used pesticides in the world. For a long time, it was assumed that glyphosate was harmless, either due to its selective enzymatic acting method on plants, and because commercial formulations were believed to contain only inert chemicals. Glyphosate is widely spread in the environment, the general population is daily exposed to it via different routes, including the consumption of both plant, and non-plant based foods. Glyphosate has been detected in high amounts in workers' urine, but has been detected likewise in bodily fluids, such as blood and maternal milk, and also in 60%-80% of general population, including children. Considering its massive presence, daily exposure to glyphosate could be considered a health risk for humans. Indeed, in 2015, the IARC (International Agency for Research on Cancer) classified glyphosate and its derivatives in Group 2A, as probable human carcinogens. In 2022, nevertheless, EFSA (European Food Safety Authority) stated that the available data did not provide sufficient evidence to prove the mutagenic/carcinogenic effects of glyphosate. Therefore, the European Commission (EC) decided to renew the approval of glyphosate for another 10years. The purpose of this review is to examine the scientific literature, focusing on potential risks to human health arising from exposure to glyphosate, its metabolites and its commercial products (e.g., Roundup®), with particular regard to its mutagenic and carcinogenic potential and its effects as endocrine disrupter (ED) especially in the human reproductive system.

Novel simultaneous analysis of 18 types of glycosaminoglycan-derived disaccharides using 4-aminobenzoic acid ethyl ester derivatization by HPLC with fluorescence detection.

Glycosaminoglycans (GAGs), including hyaluronic acid (HA), chondroitin sulfate (CS)/dermatan sulfate (DS), heparan sulfate (HS)/heparin (HP), and keratan sulfate (KS), play pivotal roles in living organisms. Generally, GAGs are analyzed after enzymatic digestion into unsaturated or saturated disaccharides. Due to high structural similarity between disaccharides, however, separation during analysis is challenging. Additionally, little is known about the structures of GAGs and their functional relationships. Elucidating the function of GAGs requires highly sensitive quantitative analytical methods. We developed a method for the simultaneous analysis of 18 types of disaccharides derived from HA (1 type), CS/DS (7 types), HS/HP (8 types), and KS (2 types) potentially detectable in analyses of human urine. The simple method involves HPLC separation with fluorescence detection following derivatization of GAG-derived disaccharides using 4-aminobenzoic acid ethyl ester (ABEE) as a pre-labeling agent and 2-picoline borane as a reductant. The ABEE derivatization reaction can be performed under aqueous conditions, and excess derivatization reagents can be easily, rapidly, and safely removed. This method enables highly sensitive simultaneous analysis of the 18 abovementioned types of GAG-derived disaccharides using HPLC with fluorescence detection in small amounts of urine (1mL) in a single run. The versatile method described here could be applied to the analysis of GAGs in other biological samples.

Refining urine collection in mice: Development of an innovative urine collection device.

Urine collection can be challenging in studies involving small rodents like mice, as the actual methods of collection are anxiogenic and constrain animal welfare while having high variability in the volume of urine collected. To improve the current methods and eventually reduce the impact on the well-being of mice, we developed an innovative 3D-printed urine collection device (UCD). This two-compartment UCD is shaped to fit in classical husbandry cages and allows urine collection by spontaneous urination from two mice housed in their own cage without cross-contamination while enabling potential social interactions. We used our UCD to study the evolution of urinary parameters related to renal functions in a model of antibody-mediated chronic kidney disease. Overall, we report here a time-saving and affordable method for urine collection providing a large amount of uncontaminated urine and which we believe may improve animal welfare in comparison with other methods.

Water-Salt Homeostasis of the Human Body and Electrolytic Composition of the Internal Liquid Environment

Maintaining water and salt balance in the body is important for the basic functioning of cells. It reduces the water level by increasing the urine production of the kidneys. During excessive salt intake, the blood absorbs water from the tissues and edema occurs. To prevent this, the kidneys increase the amount of urine. Excess salt is excreted in the urine. Blood pressure regulation is one of the most complex aspects of homeostasis. The adrenal glands, spine, and sympathetic and parasympathetic nervous systems work together to balance blood pressure and keep it at a healthy level. Changes in blood pressure are detected by receptors and the information is sent to the brain for processing. Blood pressure either rises or falls with the help of nerve impulses and hormones to the heart.

Mechanisms controlling haemolymph circulation under resting conditions in the Chagas disease vector Rhodnius prolixus.

Chagas disease vectors can ingest several times their own volume in blood with each meal. This ad libitum feeding causes an intense process of diuresis, inducing the insect to eliminate a large quantity of urine and faeces. To ensure diuresis, the speed of circulation of the haemolymph is increased. The Triatominae circulatory system is quite simple, including the dorsal vessel, which pumps haemolymph in an anterograde direction. The return is caused by peristaltic contractions of the anterior midgut. Triatominae insects can spend several weeks without feeding, meaning that most of the time, the insect is in a resting condition. Although the mechanisms controlling the circulation of the haemolymph during post-prandial diuresis have been largely analysed, the mechanisms controlling it during resting conditions are poorly understood. In this study, we analysed several canonical pathways (i.e. L-type VGCC, GPCR, RyR, IP3R) and a novel system represented by the recently characterized Piezo proteins. Our results show that during the resting condition, haemolymph circulation depends on a cross-talk between myogenic activity, inhibitory and stimulatory cellular messengers, and Piezo proteins. This report also unveils for the first time the existence of a putative Piezo protein in Hemiptera.

Sustainable Urinal Filter: Odorless and Colorless Human Urine Purified in Activated Carbon and Neutralized in Vinegar (Acetic acid) as an Efficient Fertilizer for Pechay (Brassica rapa L.)

This study was conducted for the purpose of determining the effectivity of human urine -purified fertilizer in activated carbon and neutralized in vinegar (Acetic acid) on Pechay (Brassica rapa L.). The researchers chose human urine because of its components mainly 0.9:0.12:0.26% of N, P, and K which makes it a viable replacement for synthetic fertilizers. Fertilizer is any substance or material added to soil to boost and encourage the growth of plants. There are numerous various varieties of fertilizers, a nd the majority of them comprise nitrogen (N), phosphorus (P), and potassium (K). Utilizing urine as an efficient and sustainable fertilizer is a bright idea, but not its odor that might gross others. One of the most promising solutions is creating a urina l filter that uses activated carbon and vinegar as a purifier and neutralizer, which is both accessible, low-cost, and eco-friendly. The experimental sample will have three trials for each sample. To gauge the fertilizer’s effectiveness, the researchers will use a randomized block design consisting of four set-ups of Pechay plants per block. The independent variable will be the amount of solution and urine, which will be separated into four groups: Set-up A, Set-up B, Set-up C, and Set-up D. These will be used to determine the best concentration in accordance with their treatments. The control sample will have three trials. The researchers will not do any fertilization and will only use water to act as the baseline or control set-up for the comparison of data. The findings showed that human urine purified in activated carbon and neutralized in vinegar (acetic acid) could serve as a potential fertilizer for Pechay (Brassica rapa L.). The experiment shows that there is a significant difference between the experimental and control samples. Moreover, from the results obtained, it is concluded that the urinal filter is significantly effective in purifying the human urine. This is proved by a significant filtration in total dissolved solids (TDS) and by qualitative analysis of the purified human urine.

SGLT-2 inhibitors in chronic peritoneal dialysis patients: a follow-up study

BackgroundSodium-glucose transporter-2 inhibitors (SGLT-2i) are recommended for use in patients with type 2 diabetes comorbid atherosclerotic cardiovascular disease, heart failure, or chronic kidney disease. Limited reports are currently available for their use in dialysis patients. In an observational, retrospective follow-up study, we reported the clinical characteristics of chronic peritoneal dialysis (PD) patients on SGLT-2i.MethodsWe enrolled 50 diabetic chronic PD patients, and 11 continued SGLT-2i after PD treatment. We reported the patients’ ultrafiltration, HbA1c, urinary tract infection episodes, and venous CO2 during follow-up and compared the differences in these factors between patients with and without SGLT-2i.ResultsThe mean age of the patients was 65 ± 15 years, and 16 (32%) patients were female. The age, gender, heart failure, and primary kidney disease were not different between patients with and without SGLT-2i at enrollment. In an average of 31 months follow-up, patients with SGLT-2i had higher ultrafiltration (1322 ± 200 ml/day vs. 985 ± 415 ml/day, p = 0.013), hemoglobin (11.2 ± 1.7 vs. 10.2 ± 1.7 g/dl), white blood cell count (9.2 ± 3.7 vs. 7.4 ± 2.1 109/L), and a lower venous CO2 (p = 0.036). The urine amount, the overall survival, the technical survival, and the chance of UTI were not different between patients with and without SGLT2i.ConclusionSGLT-2i may increase ultrafiltration volume and hemoglobin levels in chronic PD patients. SGLT-2i did not increase urinary tract infection but was linked to subclinical metabolic acidosis.What was knownThe effect of SGLT-2i in chronic PD patients is not clear?This study addsSGLT-2i is associated with increased ultrafiltration, hemoglobin, white blood cell counts, and a decreased CO2 in PD patient.Potential impactSGLT-2i may increase ultrafiltration in PD patients.

Soluble endoglin as a diagnosis glycoprotein in preeclampsia

Background: Angiogenic factor imbalance, such as that caused by soluble endoglin (sEng), is a feature of preeclampsia. However, the connection between sEng and clinical and laboratory indicators, and the severity of preeclampsia is not entirely understood.Methods: Ninety subjects were incorporated in this study, 30 were healthy pregnant with mean age (35.6) years. (32) mild Preeclampsia case with mean age (32.65) years preeclampsia, and (30) sever PE with mean age (32.65) wherever all women were more than 24 weeks of pregnancy. Mean blood pressure and level of proteinuria were used as indicators of the severity of the disease. ELISA was used to measure the levels of sEng in the serum. Serum lipid profile was measured by enzymatic methods. The qualitative dip-stick technique (CYBOWTM DFI Co Ltd, Republic of Korea) was used to assess the amount of urine protein.Results : A substantial difference between the PE group's serum sEng concentration and that of the healthy subjects (p 0.001) could be seen. Serum sEng concentrations of patients with moderate PE and those with severe PE differed significantly. Additionally, there were strong positive relationships between the serum sEng concentration and the SBP and proteinuria. serum sEng levels, biochemical indicators, and other factors, however, did not significantly correlate. The diagnostic accuracy (86.2) in distinguishing mild PE from the healthy patient group was good thanks to the excellent area under the curve (AUC = 0.827, p &lt; 0.0001). Conclusion: Levels of sEng in sera of PE patients were elevated. sEng was significantly correlated with PE patients.Keywords: Soluble Endoglin; Preeclampsia; Proteinuria; Blood Pressure

Formulation and Evaluation of Diuretic Activity of Polyherbal Drug in Rats

An attempt was made in this study to investigate the diuretic activity of an ethanolic extract of a polyherbal formulation containing four drugs: seeds of Coriandrum sativum, buds of Syzigiumaromaticum, leaves of Ocimum sanctum, and curcumin (Curcuma longa), as well as leaves of Syzigiumaromaticum. According to the findings of this investigation, the extract of a polyherbal formulation (including seeds of Coriandrum sativum, buds and leaves of Syzigiumaromaticum&amp; leaves of Ocimum sanctum, and Curcuma longa) possessed substantial activity. Various quantities of Polyherbal formulations (200 and 400 mg/kg), furosemide (10 mg/kg), and vehicle were given orally to rats (n = 6 animals per group), and the urine output was collected after 24 hours. All concentrations of Polyherbal formulation exhibited a dose-dependent relationship when compared to the control animals in the study. According to the findings of this study, the Polyherbal formulations have significant diuretic effect in rats when tested in the above-mentioned experimental model. That polyherbal formulation extract has such potent effect may be due to their ability to stimulate the excretion of Na+, K+, and Cl- concentrations in urine while also increasing the amount of urine excreted by the body. As diuretics, medicinal herbs are a key source of supply. When it comes to diuretics, both mono- and poly-herbal formulations have been employed successfully

Fructus Jujubae cooperated with water-expelling members in Shizao decoction alleviated intestinal injury and malignant ascites by modulating gut microbiota and metabolic homeostasis

BackgroundShizao decoction (SZD) consisted of Euphorbia kansui (EK), Euphorbia pekinensis (EP), Daphne genkwa (DG), and Fructus Jujubae (FJ) is a classic Chinese herbal medicine formula for treating malignant ascites, which is closely related to the modulation of gut microbiota by our previous study. For water-expelling members (WEM) including EK, EP, and DG may have side effects on the intestine, FJ is employed for detoxification and effectivity enhancement of WEM. However, the underlying mechanism for the compatibility of WEM and FJ is still unknown. PurposeTo investigate the effect of the compatibility of WEM with FJ in SZD on malignant ascites and elucidate the potential mechanism from the perspective of the modulation of gut microbiota and related metabolic function. MethodsQualitative and quantitative evaluation of main components was conducted for comprehensive characterization of SZD and WEM. The effect of WEM and SZD was compared on malignant ascites effusion (MAE) rats. The intestinal injury was evaluated by HE staining and oxidative damage. Ascites weight, urine amount, fecal water content, the expression of aquaporins, and cytokines in ascites (IL-6, VEGF, and TNF-α) were measured to estimate the water-expelling activity. The intestinal flora was detected by 16S rDNA sequencing and the content of fecal short-chain fatty acids (SCFAs) was analyzed using gas chromatography-mass spectrometry. Pseudo-germ-free (PGF) and fecal bacteria transplantation animal experiments were subsequently employed to validate this finding. The fecal metabolomics and correlation analysis were finally conducted to explore the related metabolic changes. Results51 and 33 components were identified in SZD and WEM, respectively. Compared to WEM alone, the compatibility with FJ remarkably reduced intestinal oxidative damage in MAE rats. Ascites was also relieved by downregulating the expression of AQP3 in the colon and decreasing the levels of IL-6, TNF-α and VEGF in ascites. The diversity of gut microbiota was reversed with an increase in Lactobacillus and Clostridia_UCG-014 while a decrease in Colidextribacter. Under the PGF condition, compatibility of WEM with FJ failed to reduce intestinal injury and alleviate MA significantly, but this effect was further enhanced after FMT. 23 potential fecal metabolites were finally identified. Correlation analysis further showed that Lactobacillus and Clostridia_UCG-014 were positively correlated with SCFAs and l-tryptophan. Colidextribacter was negatively correlated with thymidine but positively correlated with ursodeoxycholic acid and deoxycholic acid. ConclusionFJ cooperated with WEM reduced intestinal injury and alleviated malignant ascites by modulating gut microbiota, short-chain fatty and tryptophan metabolism. These findings provide a scientific basis for the clinical application of FJ from SZD and the safe usage of SZD.

Urinary tract infections in patients with urinary catheterization receiving home health service: A prevalence study

AbstractThis study aimed to determine the prevalence of urinary tract infections in patients with urinary catheterization receiving home health services and the affecting factors. The population of this descriptive study consisted of patients who had lived in the central districts of Erzurum between February and March 2022, were actively registered to home health services, had a urinary catheter and met the research criteria. The period prevalence method (3 months) was used in the study, and 121 patients constituted the study sample. The study data were collected using a Sociodemographic and Information Form on Urinary Catheter. Before the home visit, patients' relatives were asked to clamp the urinary catheter. After completing the data collection forms, a sufficient amount of urine was taken from the attached urinary catheter, put into the urine and culture cup/tube, and labelled with a barcode. The samples were sent to the laboratory within 15 min at the latest. The medical specialist evaluated the results, and the necessary pharmacological treatment was delivered to the patient. Of the patients with indwelling urinary catheters who received home health services, 94.2% had a urinary tract infection. Moreover, it was determined that there was a statistically significant correlation between the presence of urinary tract infection in patients and the variables of constipation, frequency of perineal cleaning, and the use of toilet paper. It was concluded that the prevalence of urinary tract infections is very high in patients with urinary catheterization receiving home health services.

Использование тулиевого лазера в лечении стриктуры уретры.

Introduction. The thulium laser is relatively recently used in the treatment of various urological diseases. Only a few studies report the use of thulium laser urethrotomy for urethral strictures. The purpose of this study was to evaluate the results of the use of a thulium laser for the treatment of urethral strictures. Materials and methods. A prospective, observational, uncontrolled study included 45 men with urethral stricture, aged 43 to 85 years (median, 65 years), who underwent thulium laser urethrotomy. The length of the stricture ranged from 0.5 to 2.5 cm (median 1.2 cm). A laser fiber with a length of 200 μm was used at an energy of 0.5 J and a power of 10 W. The success of the treatment was considered the absence of complaints of difficult urination in combination with a maximum urination rate of more than 15 ml/s and no or insignificant amount of residual urine (less than 50 ml). The dynamics of various parameters after surgery were assessed using the Wilcoxon test. The difference between the indicators was considered significant at p&lt;0.05. Results. Postoperative follow-up time ranged from 3 to 48 months (median 18 months). With these follow-up periods, treatment was successful in 32 (71.1%) patients. A significant improvement in the median of the following indicators for the entire group of patients after surgical treatment com- pared with preoperative data was established: maximum urination rate – from 9.2 to 21.1 ml/s (p=0.024); average urination rate – from 4.5 to 10.3 ml/s (p=0.025); residual urine volume – from 110 to 42 ml from 9.2 to 21.1 ml/s (p=0.014); indicators of the IPSS questionnaire – from 20 to 7 points (p=0.011); quality of life according to the IPSS questionnaire – from 5 to 2 points (p=0.017). There were no intraoperative complications. Of the postoperative complications, only urinary tract infection was noted in 5 (11.1%) patients. Conclusions. Thulium laser urethrotomy is a fairly safe and effective method for the treatment of short urethral strictures, regardless of the nature, etiology and localization of the cicatricial process. A small number of observations and a short period of postoperative observations in the world literature dictate the need to continue such scientific research.