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Piled preservation procedures lessen nitrogen reduction: A combined watershed review.
The rootstocks also interfered in the metabolism of the scion. CONCLUSIONS The developed LC/APCI-MS-SRM method for detecting CVC before the symptoms appear is simple and accurate. It is inexpensive, and many samples can be screened per hour using 1 mg of leaves. Knowledge of the influence of the rootstock on the chemical profile of the graft is limited. This study demonstrates the effect of the rootstock in synthesizing flavonoids and increasing its content in all parts of the graft. This article is protected by copyright. All rights reserved.An ultrastructural study on the lymphocytes from peripheral blood samples from 20 healthy adult Arabian oryx (Oryx leucocoryx) was undertaken. Small lymphocytes ranged in size from 2-3.5 µm and exhibited the typical repertoire of organelles found in small lymphocytes of other animals but showed no evidence of azurophilic granules. Medium-sized lymphocytes were 5-6.5 µm in diameter and occasionally demonstrated azurophilic granules. Microvilli were a common finding of lymphocytes. Of particular interest was the presence of multivesicular bodies, which have previously only been described in human lymphocytes. Both small- and medium-sized lymphocytes of the Arabian oryx were smaller than those reported for other animals. Small lymphocytes exhibited short, thick microvilli, whereas medium-sized lymphocytes had long thin microvilli, a single nucleolus and occasionally azurophilic granules and multivesicular bodies. © 2020 Blackwell Verlag GmbH.in English, German Mittelhand- und Phalangenfrakturen sind in der Summe die zweithäufigsten Frakturen der oberen Extremität. Die korrekte Therapie und Nachbehandlung sind essenziell für die Wiederherstellung der Funktion der verletzten Hand. Das bessere Verständnis von Anatomie und Biomechanik der Mittelhand und Phalangen sowie die Entwicklung moderner Implantate erlauben gute Ergebnisse bei der operativen Versorgung, wenn auch die konservative Therapie einen großen Stellenwert hat.Dear Editor,Drs. Kiaei and Molinaro 1 put forth two criticisms of the manuscript published by us 2. They state that the experimental design of this study is flawed and that the authors falsely claim that negative Thyretain™ TSI Reporter BioAssay results for two Graves' diseases patients undergoing drug treatments means the absence of stimulating antibodies. To substantiate this claim Drs. Kiaei and Molinaro point out that the manufacturer of the Thyretain TSI Reporter BioAssay clearly states in the package insert that "[t]he effects of various drug therapies on the performance of this Kit have not been established" 1. Second, the package insert explicitly states that "[a] negative result does not exclude the possibility of the presence of TSI" and results of the test should be interpreted in conjunction with information available from other clinical information, such as physical symptoms and thyroid hormone testing, as recommended by the American Thyroid Association (ATA)". Furthermore they state that the "authors of the manuscript did not consider the manufacturer's warning regarding the intended patient population and the ATA guidelines regarding the interpretation of the test results in conjunction with other clinical information. Instead, the authors based their conclusions on the negative Thyretain TSI Reporter BioAssay results and ignored the patients' clinical history of Graves' disease." © Georg Thieme Verlag KG Stuttgart · New York.Corticotroph adenomas frequently harbor somatic USP8 mutations. Staurosporine inhibitor These adenomas also commonly exhibit underexpression of P27, a cell cycle regulator. The present study aimed to determine the influence of USP8 mutations on clinical features of Cushing's disease and to elucidate the relationship between USP8 mutations and P27 underexpression in these tumors. Retrospective study with 32 patients with Cushing's disease was followed at the Ribeirao Preto Medical School University Hospital. We evaluated the patients' clinical data, the USP8 mutation status and the gene expression of cell cycle regulators P27/CDKN1B, CCNE1, CCND1, CDK2, CDK4, and CDK6 in tumor tissue in addition to the protein expression of P27/CDKN1B. We observed somatic mutations in the exon 14 of USP8 in 31.3% of the patients. Larger tumor size was observed in patients harboring USP8 mutations (p=0.04), with similar rates of remission, age of presentation, salivary cortisol at 2300 h and after 1 mg dexamethasone, ACTH levels, and early postoperative plasma cortisol. We observed no differences regarding the gene or protein expression of the cell cycle regulators according to USP8 mutation status. In this Brazilian series, the observed frequency of USP8 somatic mutations was similar to that reported in European ancestry populations. Although it was reasonable that USP8 mutations could contribute to cell cycle dysregulation and P27 underexpression in corticotroph adenomas, our data did not confirm this hypothesis. It is possible that increased deubiquitinase activity observed in mutated USP8 might influence other pathways related to cell growth and proliferation. © Georg Thieme Verlag KG Stuttgart · New York.The aim of this study was to explore the association of the triglyceride to high-density lipoprotein ratio (TG/HDL) and the visceral adiposity index (VAI) with metabolic syndrome (Mets) in high-risk populations of diabetic patients. Patients were recruited from the Endocrinology Clinic of Hebei General Hospital from April 2018 to April 2019,according to the "Guidelines for the Prevention and Treatment of Type 2 Diabetes in China (2017 Edition)". A total of 824 patients participated in the study. The association between TG/HDL or VAI and Mets in these patients was assessed using a multivariate logistic regression model. Receiver operating characteristic (ROC) curve analysis was used to evaluate the ability of TG/HDL and VAI to predict Mets in the diabetic susceptible population. The prevalence of Mets gradually increased in males and females with advancing tertiles of TG/HDL or VAI. After adjusting for the relevant risk factors, TG/HDL and VAI were positively correlated with Mets in men and women. Both of them showed a better the area under the ROC curve (AUC) for Mets in females than body mass index, waist circumference, TG and homeostatic model assessment of insulin resistance. In females, the cut-off point of 1.67 for VAI showed a higher accuracy for Mets (sensitivity 0.756, specificity 0.705, Youden index 0.461), the same relationship not significant in men. TG/HDL and VAI provide a high predictive value for Mets in a diabetic susceptible population, especially in females. © Georg Thieme Verlag KG Stuttgart · New York.Women with PCOS are linked to insulin resistance, inflammation, and vitamin D (VD) deficiency. The study endeavors to comprehend the differential impact of insulin sensitizers vs. anti-androgen on serum leptin levels among women with PCOS rendered vitamin D replete with high VD oral supplement. This was open-labeled randomized study that screened 180 eligible women presenting to Endocrine clinic with oligomenorrhea or features of hyperandrogenism. Ninety-nine women who furnished written informed consent and fulfilled the Rotterdam 2003 criteria for diagnosis of PCOS were randomized into 3 drug treatment arms to receive either spironolactone (50 mg/d; n=30), metformin (1000 mg/d; n=30) or pioglitazone (30 mg/d; n=30). These women were also administered oral VD (4000 IU/day) in addition to the allocated drug for a period of 6 months. Detailed history, clinical examination, and laboratory evaluation was carried out at baseline and 6 months after intervention. Number of menstrual cycles/year increased while as Ferriman-Gallwey score, blood glucose, HOMA-IR, and plasma insulin levels significantly decreased in all the three arms with better outcomes in spironolactone and pioglitazone arms (p less then 0.05). Similarly, serum leptin levels superiorly improved in spironolactone and pioglitazone group. Pioglitazone group showed better efficacy in lowering serum total testosterone (p less then 0.05). Co-supplementation of high dosage VD with spironolactone or pioglitazone are more effective in reducing plasma leptin levels than metformin, and thus might prove to be better therapeutic strategies for women with PCOS. © Georg Thieme Verlag KG Stuttgart · New York.Many studies have shown that estrogen has a protective effect on premenopausal women with metabolic disorders and non-alcoholic fatty liver disease. Estrogen supplements may, at least in theory, prevent the development and progression of NAFLD, while the possibility of inducing cancer limits its application in practice. Phytoestrogen is extracted from plants, whose molecular structure and biological activity are similar to those of mammals' estrogen, therefore, could replace the role of estrogen and prevent the occurrence of adverse reactions to estrogen. This article reviews the published literature related to phytoestrogens and NAFLD as well as suggest the possible mechanisms that may underlie the association between phytoestrogens and NAFLD. It is hoped to provide basis for the treatment of NAFLD with phytoestrogen. © Georg Thieme Verlag KG Stuttgart · New York.in English, German HINTERGRUND  Bei Patienten mit terminaler Niereninsuffizienz ist die pulmonale Hypertonie (PH) eine häufig beschriebene Komplikation mit unterschiedlicher Ätiologie. Die Prävalenzangaben liegen zwischen 17 – 56 %. Ein Zusammenhang mit einer Volumenüberladung bei Dialysepatienten und der PH wird vermutet. METHODEN  Allen Patienten des Dialysezentrums des Universitätsklinikums Gießen wurde ein nichtinvasives Screening auf PH angeboten. Bei Verdacht auf eine PH erfolgte die Korrektur der Flüssigkeitsretention anhand der Bioimpedanzspektroskopie mit dem Ziel der Normovolämie. Bei weiterem V. a. PH im erneuten Screening erfolgte eine invasive Abklärung durch Rechtsherzkatheter. ERGEBNISSE  52 Patienten stimmten der Untersuchung zu. Im nichtinvasiven Screening wurde eine PH bei 12 Patienten vermutet (23 %). Nach Einstellung auf Normovolämie bestand noch bei 4 Patienten der V. a. PH (7,7 %), der sich in 2 Fällen im Rechtsherzkatheter bestätigte (3,8 %). DISKUSSION  Bei Patienten mit terminaler Niereninsuffizienz ist der Verdacht auf PH im nichtinvasiven Screening signifikant mit Überwässerung assoziiert. Nach Korrektur des Flüssigkeitsstatus anhand der Bioimpedanzspektroskopie wurde in unserer Erhebung eine invasiv bestätigte PH in ca. 4 % gefunden.in English, German HINTERGRUND  Die vorliegende Studie verfolgt die Fragestellung, ob und inwieweit Patienten mit Asbestose langfristig von einer ambulanten medizinischen Rehabilitation (AMR) profitieren, die sich überwiegend aus bewegungs- und sporttherapeutischen Inhalten zusammensetzt und auf die Sicherung von Nachhaltigkeitseffekten ausgelegt ist. METHODE  157 männliche Asbestosepatienten im Lebensalter von 65,2 ± 5,7 Jahren durchliefen 5-mal wöchentlich à 6 h über 3 Wochen Phase 1 (Aufbauphase) der AMR, bestehend aus standardisierten Inhalten der pneumologischen Rehabilitation. In der direkt folgenden Phase 2 (Stabilisierungsphase) absolvierten die Patienten 1-mal wöchentlich à 3 h über 12 Wochen weitere therapeutische Applikationen mit Schwerpunkt auf der Sport- und Bewegungstherapie und wurden anschließend in wohnortnahe Gesundheitssportgruppen überführt (Erhaltungsphase). Die Effekte der AMR wurden zu Beginn (T1), am Ende der Phase 1 (T2) und 2 (T3) sowie 6 (T4) und 20 Monate nach Phase 2 (T5) evaluiert.
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