Toxicology

毒理学
  • 文章类型: Journal Article
    背景:由于大量合成农药被广泛和不合理地用于作物保护,目前,对人类健康和环境安全的抗性和负面影响已经出现。因此,开发潜在的候选农药是非常紧迫的。在这里,设计并合成了一系列蛇床子素的酯衍生物作为杀虫剂。
    结果:4'-(对甲苯酰氧基)蛇床子素(4b)的六个空间构型,4'-(间氟苯甲酰基氧基)蛇床子素(4f),4'-(对氟苯基乙酰氧基)蛇床子素(4m),4\'-(3\'\',4\'\'-亚甲二氧基苯甲酰氧基)蛇床子素(4q),通过X射线单晶衍射测定了4'-甲酰基氧基蛇床子素(4u)和4'-乙酰氧基蛇床子素(4v)。化合物4b,4'-(对氯苯甲酰氧基)蛇床子素(4g),4'-(间氯苯甲酰氧基)蛇床子素(4h),4\'-(对溴苯甲酰氧基)蛇床子素(4i)和4\'-(2\''-氯吡啶-3\'''-羰基氧基)蛇床子素(4p)对MythimnaseparataWalker的杀虫活性高于秋葵素;特别是,化合物4b显示的杀虫活性是前体蛇床子素的1.8倍。对朱砂叶猴Boisduval,化合物4g和4h显示蛇床子素的3.3和2.6倍的杀螨活性,和良好的控制效果在温室。扫描电镜分析表明,化合物4g可以破坏朱砂角质层,导致死亡。
    结论:化合物4g和4h可以进一步研究作为铅杀虫剂用于分离M.separata和Cinnabarinus的管理。这些结果将为蛇床子素衍生物作为农用化学品的应用铺平道路。©2024化学工业学会。
    BACKGROUND: Owing to large amounts of synthetic pesticides being extensively and unreasonably used for crop protection, currently, resistance and negative impacts on human health and environment safety have appeared. Therefore, development of potential pesticide candidates is highly urgent. Herein, a series of ester derivatives of osthole were designed and synthesized as pesticidal agents.
    RESULTS: Six spatial configurations of 4\'-(p-toluenoyloxy)osthole (4b), 4\'-(m-fluorobenzoyloxy)osthole (4f), 4\'-(p-fluorophenylacetyloxy)osthole (4m), 4\'-(3\'\',4\'\'-methylenedioxybenzoyloxy)osthole (4q), 4\'-formyloxyosthole (4u) and 4\'-acetyloxyosthole (4v) were determined by X-ray mono-crystal diffraction. Compounds 4b, 4\'-(p-chlorobenzoyloxy)osthole (4g), 4\'-(m-chlorobenzoyloxy)osthole (4h), 4\'-(p-bromobenzoyloxy)osthole (4i) and 4\'-(2\'\'-chloropyridin-3\'\'-ylcarbonyloxy)osthole (4p) showed higher insecticidal activity than toosendanin against Mythimna separata Walker; notably, compound 4b displayed 1.8 times insecticidal activity of the precursor osthole. Against Tetranychus cinnabarinus Boisduval, compounds 4g and 4h showed 3.3 and 2.6 times acaricidal activity of osthole, and good control effects in the glasshouse. Scanning electron microscopy assay demonstrated that compound 4g can damage the cuticle layer of T. cinnabarinus resulting in death.
    CONCLUSIONS: Compounds 4g and 4h can be further studied as lead pesticidal agents for the management of M. separata and T. cinnabarinus. These results will pave the way for application of osthole derivatives as agrochemicals. © 2024 Society of Chemical Industry.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    受大规模和长期工业污染影响的社区通常渴望了解他们的健康是否因这种污染而受到损害。这需要将环境公共卫生和环境正义观点结合起来的答案。在这些地点,随着时间的推移,多种化学品造成的环境污染的暴露情景,通常涉及不同的环境矩阵,重建是复杂且具有挑战性的。
    提出了一种描述与环境污染相关的此类社区健康的方法,这些方法应用于环境污染的三个领域,人群暴露和毒理学,环境和社会流行病学,和环境公共卫生传播。从应用到托雷斯港的案例研究,都用实例描述了该方法,具有实质性工业条件演变的城镇。
    环境污染领域的活动,人口暴露和毒理学侧重于现有污染数据的收集和系统化,根据其毒理学特征确定优先污染物,对人群暴露于优先污染物的可能性及其已知健康影响的定性评估。环境和社会流行病学方法用于描述当地人口的健康状况和社会经济状况,考虑到来自当地信息系统的多种健康结果,并根据暴露和毒理学评估考虑特定疾病。环境公共卫生沟通方法旨在制定沟通计划,并通过与当地机构和社会行为者的互动来实施。对健康概况的解释得益于对结果的跨学科分析。
    拟议的方法结合了环境公共卫生和环境正义的需求,允许整合多学科知识,以定义减少和/或预防危险环境暴露和不利健康影响的建议。刺激利益相关者之间的互动,使公民更容易获得研究结果。
    UNASSIGNED: Communities affected by large scale and long lasting industrial contamination are often keen to understand whether their health has been impaired by such contamination. This requires answers that integrate environmental public health and environmental justice perspectives. At these sites, exposure scenarios from environmental contamination over time by multiple chemicals, often involving different environmental matrices, are complex and challenging to reconstruct.
    UNASSIGNED: An approach for describing the health of such communities in association with environmental contamination is presented, with the methods applied across the three domains of environmental contamination, population exposure and toxicology, environmental and social epidemiology, and environmental public health communication. The approach is described with examples from its application to the case study of Porto Torres, a town with a substantial industrially conditioned evolution.
    UNASSIGNED: Activities in the field of environmental contamination, population exposure and toxicology focus on the collection and systematization of available contamination data, the identification of priority pollutants based on their toxicological profiles, the qualitative assessment of the likelihood of exposure for the population to priority pollutants and their known health effects. Environmental and social epidemiology methods are applied to describe the health profiles and socioeconomic conditions of the local population, taking into account multiple health outcomes from local information systems and considering specific diseases based on exposure and toxicological assessments. The environmental public health communication methods are directed to produce a communication plan and for its implementation through interaction with local institutional and social actors. The interpretation of health profiles benefits from a transdisciplinary analysis of the results.
    UNASSIGNED: The proposed approach combines the needs of environmental public health and environmental justice allowing the integration of multidisciplinary knowledge to define recommendations for reducing and/or preventing hazardous environmental exposures and adverse health effects, stimulating the interactions between stakeholders, and making the study results more accessible to citizens.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    背景:铪合金由于其生物相容性和高耐腐蚀性而用于医疗应用。这些合金已在外科植入物中证明了成骨和抗微生物活性,并已用于治疗肉瘤。此外,据报道,基于铪纳米颗粒的传感器可用于检测2019年冠状病毒病。尽管铪的使用越来越多,文献综述显示,没有研究检查其对人类和动物精子的影响。
    方法:根据2010年世界卫生组织(WHO)标准对精液样本进行分析,和20个正常精子标本被纳入研究。组成三组:对照组,氯化铪2毫克/毫升,和4mg/mL。在第20分钟和第40分钟评估所有组的运动性和活力。
    结果:发现2mg/mlHfCl4组(差异:12.73±0.8,p<0.001)和4mg/mlHfCl4组(差异:41.72±1.34,p<0.001)与对照组相比,活精子数量明显减少。所有组的精子活力的时间依赖性降低是显著的(差异:8.93±0.59,p<0.001)。当与2mg/mlHfCl4组相比时,4mg/mlHfCl4组中的活精子数量显著减少(差异:29±1.27,p<0.001)。与对照组相比,在2mg/mlHfCl4组(差异:12.80±1.30,p<0.001)和4mg/mlHfCl4组(差异:35.63±1.12,p<0.001)中观察到总活动精子数量的减少。此外,与2mg/mlHfCl4组相比,4mg/mlHfCl4组的活动精子总数显着减少(差异:22.80±1.60,p<0.001)。总活动精子数量的时间依赖性减少也是显着的(差异:6.03±0.49,p<0.001)。
    结论:该研究确定氯化铪在体外对精子运动和活力产生负面影响。这些影响可能是由于酸性环境的存在。已经证明,包含该元素的仪器可能会带来潜在风险。
    BACKGROUND: Hafnium alloys are employed in medical applications due to their biocompatibility and high corrosion resistance. These alloys have demonstrated osteogenic and antimicrobial activities in surgical implants and have been utilized in the treatment of sarcoma. Additionally, a sensor based on hafnium nanoparticles has been reported for the detection of coronavirus disease 2019. Despite the increasing usage of hafnium, a literature review reveals no studies examining its effects on sperm in both human and animal species.
    METHODS: Semen samples were analyzed according to the 2010 World Health Organization (WHO) criteria, and 20 normospermic specimens were included in the study. Three groups were formed: control, hafnium chloride 2 mg/mL, and 4 mg/mL. Motility and viability were assessed in all groups at the 20th and 40th minutes.
    RESULTS: The decrease in viable sperm count was found to be significant in the 2 mg/ml HfCl4 group (difference: 12.73 ± 0.8, p<0.001) and the 4 mg/ml HfCl4 group (difference: 41.72 ± 1.34, p<0.001) compared to the control group. A time-dependent decrease in sperm viability was significant across all groups (difference: 8.93 ± 0.59, p<0.001). The decrease in viable sperm count in the 4 mg/ml HfCl4 group was significant when compared to the 2 mg/ml HfCl4 group (difference: 29 ± 1.27, p<0.001). The decrease in total motile sperm count was observed in both the 2 mg/ml HfCl4 group (difference: 12.80 ± 1.30, p<0.001) and the 4 mg/ml HfCl4 group (difference: 35.63 ± 1.12, p<0.001) compared to the control group. Additionally, the decrease in total motile sperm count in the 4 mg/ml HfCl4 group was significant compared to the 2 mg/ml HfCl4 group (difference: 22.80 ± 1.60, p<0.001). A time-dependent decrease in total motile sperm count was also significant (difference: 6.03 ± 0.49, p<0.001).
    CONCLUSIONS: The study determined that hafnium chloride negatively affects sperm motility and viability in vitro. These effects may be due to the presence of an acidic environment. It has been demonstrated that instruments containing this element may pose a potential risk.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    阿尔茨海默病(AD)是一种广泛的神经退行性疾病,影响全球超过5500万人。每年增加1000万新病例。尽管其患病率惊人,没有明确的治疗方法,就需要重新审视。
    我们探索替代策略,专注于乙醇提取物的潜在的治疗功效来自无花果的果实和叶。
    这项调查全面探索了生药学,植物化学,毒理学,和药理特性。除了生药学和理化分析,对实验动物进行的毒理学评估证明了外消旋F.的乙醇提取物(来自水果和叶子)的无害性质,血液相容性评估证明了这一点,氧化参数,和重要器官组织学。通过GC-MS进行植物化学分析,确定了果实和叶提取物中的48和80种植物成分,分别。使用“利平斯基五法则”筛选了这些成分的生物活性潜力,“从水果和叶子提取物中选择了25和33种成分,分别。随后针对AChE酶的分子对接研究揭示了所选植物成分的有希望的相互作用。此外,对得分最高的植物成分进行计算机筛选,以评估它们与β-和γ-分泌酶的相互作用,除了AChE酶。累积的发现证实了植物提取物的治疗效用,特别是在AD的背景下。
    总而言之,我们的研究强调了来自外消旋F的乙醇提取物的选定植物成分的有希望的治疗潜力,通过靶向关键酶位点如AChE来减轻AD病理,β-,和γ-分泌酶。
    UNASSIGNED: Alzheimer\'s disease (AD) presents as a widespread neurodegenerative condition impacting over 55 million individuals globally, with an annual rise of 10 million new cases. Despite its staggering prevalence, the absence of a definitive cure establishes the need for a revisit.
    UNASSIGNED: We explore the alternative strategies, focusing on the potential therapeutic efficacy of ethanolic extracts derived from the fruit and leaf of Ficus racemosa Linn.
    UNASSIGNED: The investigation comprehensively explores pharmacognostic, phytochemical, toxicological, and pharmacological characteristics. In addition to pharmacognostic and physicochemical analyses, toxicological evaluations conducted on experimental animals demonstrated the innocuous nature of the ethanolic extracts (from both fruit and leaf) of F. racemosa, as evidenced by assessments of hemocompatibility, oxidative parameters, and vital organ histology. Phytochemical profiling via GC-MS identified 48 and 80 phytoconstituents in the fruit and leaf extracts, respectively. These constituents were screened for bioactive potential using the \"Lipinski Rule of Five,\" resulting in the selection of 25 and 33 constituents from fruit and leaf extracts, respectively. Subsequent molecular docking studies against the AChE enzyme revealed promising interactions of the selected phytoconstituents. Furthermore, the top-scoring phytoconstituents were subjected to in silico screening to assess their interactions with β- and γ-secretase enzymes, in addition to the AChE enzyme. The cumulative findings substantiate the therapeutic utility of the plant extracts, particularly in the context of AD.
    UNASSIGNED: In conclusion, our investigation highlights the promising therapeutic potential of selected phytoconstituents derived from ethanolic extracts of F. racemosa in mitigating AD pathology by targeting key enzyme sites such as AChE, β-, and γ-secretase.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    机器学习(ML)作为一种新颖的基于模型的方法已用于研究环境领域的水生毒理学。斑马鱼,作为水生毒理学研究的理想模式生物,已被广泛用于研究各种污染物的毒性作用。然而,对生物体进行毒性测试可能会造成重大伤害,消耗大量的时间和资源,并引发道德问题。因此,ML用于相关研究,以减少动物实验,并协助研究人员进行毒理学研究。尽管ML技术在各个领域已经成熟,由于缺乏针对环境污染物和模式生物的全面大规模毒性数据库,基于ML的水生毒理学研究仍处于起步阶段。因此,为了更好地了解ML在研究发展方面的最新研究进展,行为,神经,和斑马鱼的遗传毒性,这篇综述主要集中在使用ML模型来评估和预测斑马鱼暴露于不同有毒化学物质的毒性效应。同时,分析了ML在毒理学领域面临的机遇和挑战。最后,为ML对斑马鱼的毒性研究在未来的应用提出了建议和观点。
    Machine learning (ML) as a novel model-based approach has been used in studying aquatic toxicology in the environmental field. Zebrafish, as an ideal model organism in aquatic toxicology research, has been widely used to study the toxic effects of various pollutants. However, toxicity testing on organisms may cause significant harm, consume considerable time and resources, and raise ethical concerns. Therefore, ML is used in related research to reduce animal experiments and assist researchers in conducting toxicological research. Although ML techniques have matured in various fields, research on ML-based aquatic toxicology is still in its infancy due to the lack of comprehensive large-scale toxicity databases for environmental pollutants and model organisms. Therefore, to better understand the recent research progress of ML in studying the development, behavior, nerve, and genotoxicity of zebrafish, this review mainly focuses on using ML modeling to assess and predict the toxic effects of zebrafish exposure to different toxic chemicals. Meanwhile, the opportunities and challenges faced by ML in the field of toxicology were analyzed. Finally, suggestions and perspectives were proposed for the toxicity studies of ML on zebrafish in future applications.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    这项研究的目的是调查使用废水流行病学(WBE)来估计SungaiPetani的重金属暴露,马来西亚。原子吸收光谱法用于检测铜(Cu),镍(Ni),锌(Zn),铁(Fe),2022年1月,SungaiPetani八个污水处理设施的废水中的镉(Cd)。在进水和流出物中测量重金属浓度,发现废水中的平均浓度顺序为:Fe>Ni>Zn>Cd>Cu,100%的检测频率。WBE估算结果表明,Fe,Ni,锌的估计人均暴露水平最高,Cd最低。与在槟城进行的类似研究相比,马来西亚,发现除Cu以外的所有金属在SungaiPetani中的浓度都较高,尽管它是非工业区。这些发现强调了解决SungaiPetani重金属污染并实施有效的风险管理和预防策略的重要性。
    The aim of this study was to investigate the use of wastewater-based epidemiology (WBE) to estimate heavy metal exposure in Sungai Petani, Malaysia. Atomic absorption spectroscopy was used to detect copper (Cu), nickel (Ni), zinc (Zn), iron (Fe), and cadmium (Cd) in wastewater from eight sewage treatment facilities in Sungai Petani in January 2022. The heavy metal concentrations were measured in both influent and effluent, and the mean concentrations in the wastewater were found to be in the following order: Fe > Ni > Zn > Cd > Cu, with a 100% detection frequency. The results of WBE estimation showed that Fe, Ni, and Zn had the highest estimated per population exposure levels, while Cd had the lowest. Compared to a similar study conducted in Penang, Malaysia, all metals except Cu were found to have higher concentrations in Sungai Petani, even though it is a non-industrial district. These findings highlight the importance of addressing heavy metal contamination in Sungai Petani and implementing effective risk management and prevention strategies.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    发送毒理学数据转换,创建了协调和分析平台,以改善与预期目标相关的独特发现的识别,物种,使用来自多个研究的数据和给药持续时间。缺乏用于数据分析的标准化数字格式阻碍了对体内毒理学研究的大规模分析。CDISCSEND标准能够分析来自不同实验室进行的多项研究的数据。这项工作描述了分析数据和自动化毒理学研究交叉研究分析的方法。交叉研究分析可用于了解所进行的所有研究中单一化合物的毒性概况和/或评估旨在用于相同药理学靶标的多种化合物的中靶毒性与脱靶毒性。这项工作涉及开发数据协调/转换策略,以实现对数字和分类SEND数据的交叉研究分析。来自BioCelerate数据库的四个去识别的SEND数据集用于分析。为肝脏开发了关键器官系统的毒性谱,肾,男性生殖道,内分泌系统,和使用SEND结构域的造血系统。为自定义分析创建了具有内置用户定义评分系统的跨研究分析仪表板,包括可视化,以评估器官系统级别的数据,并深入到单个动物数据。该数据分析为科学家使用SEND比较多项研究的毒性概况提供了工具。描述了旨在用于相同药理靶标的两种不同化合物的交叉研究分析,并且分析表明对肝脏的潜在靶标作用。肾,和造血系统。
    A SEND toxicology data transformation, harmonization, and analysis platform were created to improve the identification of unique findings related to the intended target, species, and duration of dosing using data from multiple studies. The lack of a standardized digital format for data analysis had impeded large-scale analysis of in vivo toxicology studies. The CDISC SEND standard enables the analysis of data from multiple studies performed by different laboratories. This work describes methods to analyze data and automate cross-study analysis of toxicology studies. Cross-study analysis can be used to understand a single compound\'s toxicity profile across all studies performed and/or to evaluate on-target versus off-target toxicity for multiple compounds intended for the same pharmacological target. This work involved development of data harmonization/transformation strategies to enable cross-study analysis of both numerical and categorical SEND data. Four de-identified SEND datasets from the BioCelerate database were used for the analyses. Toxicity profiles for key organ systems were developed for liver, kidney, male reproductive tract, endocrine system, and hematopoietic system using SEND domains. A cross-study analysis dashboard with a built-in user-defined scoring system was created for custom analyses, including visualizations to evaluate data at the organ system level and drill down into individual animal data. This data analysis provides the tools for scientists to compare toxicity profiles across multiple studies using SEND. A cross-study analysis of 2 different compounds intended for the same pharmacological target is described and the analyses indicate potential on-target effects to liver, kidney, and hematopoietic systems.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    持续多巴胺能刺激(CDS)已成为治疗帕金森病(PD)药物开发的重要策略。注射用罗替戈汀二十二烷酸酯缓释微球(RBEM)代表了一种新的CDS治疗方案,并正在应用于临床试验。我们在食蟹猴中的研究是使用RBEM在90、180、360的剂量下进行的20周重复剂量毒性研究,恢复期为12周。结果观察到安慰剂微球和每个剂量的RBEM在应用部位和周围组织中的一些刺激,伴有白细胞计数和纤维蛋白原增加。另外注意到RBEM处理的猴子与催乳素的药理作用相关的降低。这些发现在12周恢复阶段后显示出一定的可逆性。罗替戈汀的血浆暴露没有明显的性别差异。暴露通常以剂量成比例的方式增加。总之,主要的毒理学作用与罗替戈汀的多巴胺激动剂相关特性有关,以及由p(丙交酯-共-乙交酯)(PLGA)和羧甲基纤维素钠(SCMC)引起的异物的去除,未观察到的不良反应水平(NOAEL)为360mg/kg。
    Continuous dopaminergic stimulation (CDS) has become an important strategy for the development of drugs to treat Parkinson\'s disease (PD). Rotigotine behenate extended-release microspheres (RBEM) for injection represents a new treatment regime for CDS and is being applied for clinical trial. Our study in cynomolgus monkeys was a 20-week repeat dose toxicity investigation with RBEM at dosages of 90, 180, 360, with a 12-week recovery period. The results observed some irritations in the application site and surrounding tissues in Placebo microspheres and each dose of RBEM, was accompanied with increased white blood count and fibrinogen. RBEM-treated monkeys were additionally noted with a pharmacological action-related decrease in prolactin. These findings showed certain reversibility after the 12-week recovery phase. No clear sex difference was noted in the plasma exposure to rotigotine. The exposure generally increased in a dose-proportional manner. In summary, major toxicological effects are associated with the dopamine agonist-related properties of rotigotine, and the removal of foreign bodies caused by p oly (lactide-co-glycolide) (PLGA)and sodium carboxymethyl cellulose (SCMC), and the no-observed-adverse-effect-level (NOAEL) was 360 mg/kg.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    背景:甲基苯丙胺相关心肌病(MACM)是甲基苯丙胺使用的已知并发症;然而,对MACM患者的危险因素和结局尚不清楚.
    目的:本研究旨在确定风险因素,急诊科(ED)干预措施,以及MACM的结果。
    方法:该病例对照研究于2012年至2020年在两个学术ED中进行。包括≥18岁的ED患者,其中包括记录在案的甲基苯丙胺使用情况。在随访期间(3个月-3年)记录有MACM的患者被认为是病例(MACM)。对照组包括有记录的使用甲基苯丙胺的患者,但没有已知的MACM以2:1的比例匹配。采用Logistic回归对MACM的危险因素进行建模。
    结果:共确定了9833名使用甲基苯丙胺的患者。由此,160名MACM患者与322名对照进行匹配。平均年龄是48.4岁,143例(29.7%)为女性。MACM患者在索引访视时更有可能入院(45.6%vs.34.8%,p=0.021)。与MACM相关的重要变量包括:索引访问时的入院(优势比[OR]1.51),糖尿病(OR3.02),肾脏疾病(OR5.47),和肺部疾病(OR2.39)。MACM患者在随访期间有更多的ED就诊(10.1vs.7,p=0.009),并且在所有就诊中均以较高的比例入院(32.5%与15.4%,p=0.009)。此外,MACM患者的住院时间明显长于对照组(平均额外18天,p=0.009)。
    结论:发生MACM的患者具有传统的心力衰竭危险因素,并且经历了更多的ED就诊,更多的住院治疗,住院时间比对照组长。
    BACKGROUND: Methamphetamine-associated cardiomyopathy (MACM) is a known complication of methamphetamine use; however, risk factors and outcomes of patients with MACM are not well understood.
    OBJECTIVE: This study aims to identify risk factors, emergency department (ED) interventions, and outcomes for MACM.
    METHODS: This case-control study was conducted between 2012 and 2020 at two academic EDs. ED patients ≥18 years with an index visit that included documented methamphetamine use were included. Patients with documented MACM during follow-up (3 months-3 years) were considered cases (MACM). A control group comprised of patients with documented methamphetamine use but no known MACM was matched at a 2:1 ratio. Logistic regression was used to model risk factors for MACM.
    RESULTS: A total of 9833 patients with methamphetamine use were identified. From this, 160 MACM patients were matched to 322 controls. The mean age was 48.4 years, and 143 patients (29.7%) were female. MACM patients were more likely to be admitted on their index visit (45.6% vs. 34.8%, p = 0.021). Significant variables associated with MACM included: admission at the index visit (odds ratio [OR] 1.51), diabetes (OR 3.02), kidney disease (OR 5.47), and pulmonary disease (OR 2.39). MACM patients had more ED visits in the follow-up period (10.1 vs. 7, p = 0.009) and were admitted at a higher rate across all visits (32.5% vs. 15.4%, p = 0.009). Additionally, MACM patients had significantly longer hospital stays than controls (mean 18 additional days, p = 0.009).
    CONCLUSIONS: Patients who developed MACM had traditional risk factors for heart failure and experienced significantly more ED visits, more hospitalizations, and longer hospital stays than matched controls.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Case Reports
    普罗帕酮(PPF)属于1C类抗心律失常药,可引起心电图相关的不良/毒性作用。很少研究PPF中毒的病例。我们开发了一种新颖的选择性GC-MS/MS方法,用于在故意致命中毒病例中测定PPF及其组织分布,适用于复杂死后样品中治疗至致死浓度范围内的PPF定量。对所有分析样品进行了简单有效的样品预处理。PPF是在不需要稀释的情况下确定的,即使在高度复杂的样品含有广泛的分析物浓度。使用标准添加方法进行定量,根据ICHM10指南进行开发和验证。获得的结果表明,活血时血清中的PPF浓度,治疗前,是文献中最高的。尽管患者入院后接受了强化治疗,肺中的PPF浓度,脾,脾股血液和心脏血液是致命的或异常高。另一方面,肝脏和骨骼肌中的浓度与治疗剂量病例中观察到的浓度更低或大致相同.据我们所知,PPF的分布尚未在致命性中毒病例中进行调查,这可能有助于临床或法医毒理学研究.
    Propafenone (PPF) belongs to the class 1C antiarrhythmics and can cause electrocardiogram-associated adverse/toxic effects. Cases of PPF intoxication are rarely investigated. We developed a novel and selective GC-MS/MS method for the determination of PPF and its tissue distribution in an intentional fatal poisoning case, which is applicable to PPF quantification in the range of therapeutic to lethal concentrations in complex post-mortem samples. A simple and effective sample pretreatment was applied to all analyzed samples. PPF was determined without the need for dilution, even in highly complex samples containing a wide range of analyte concentrations. Quantification was performed using the standard addition method, developed and validated according to the ICH M10 guidelines. The obtained results indicated that the PPF concentration in the serum from blood taken while alive, before therapy, was the highest ever reported in the literature. Despite the intensive therapy after the patients\' admission, the PPF concentrations in the lungs, spleen, femoral blood and cardiac blood were fatal or abnormally high. On the other hand, the concentrations in the liver and skeletal muscle were lower or approximately the same as observed in cases with therapeutic doses. To the best of our knowledge, the distribution of PPF has not been investigated in fatal intoxication cases and can be helpful in clinical or forensic toxicology.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

公众号