Articles Related to IMPACT

Immune-checkpoint inhibitors (ICI) have provided groundbreaking advancements for a variety of malignancies. It has been of recent interest to identify predictive indicators of response to improve cancer management using immunotherapy. The intestinal microbiome has been recognized as a potential predictor of ICI anti- tumor activity. Antibiotics reduce diversity the overall composition of the gut microbiota, with effects seen as quickly as in a single day. Post-antibiotic dysbiosis recovery varies depending on type and duration of exposure. Preclinical studies in mice with advanced cancer treated with broad spectrum antibiotics have been associated with resistance to ICI treatment.

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The Aims: The retro-prospective clinical study was to compare these two methods of laparoscopic and classical cholecystectomy. To prove the postoperative benefits of laparoscopic treatment are, less pain, aesthetic aspect without surgical scarring and shorter hospital stay, faster return to social activities as well as more cost effective. Material and Methods: The operated patients, from January 2017 to December 2019 in the abdominal surgery ward in Gjilan. Important data for the study are taken from the operative list, history of the disease, adequate list compiled specifically for this study. The study included 389 patients with chronic calculous cholecystitis. Results: According to the results obtained for calculous diseases of the biliary system are predisposed persons with blood group O, Rh-positive, with 44.2%, followed by group A + with 29.5%, group B + with 14.7%. Other blood groups and Rh factors are below 6.5%. Statistical point of view is significant (p <0.05). The study analyzed, C-reactive protein (CRP) values in both research group (RG) and control groups (CG); CRP by gender; and by age group. RG recorded 76.9% of females with increased CRP values> 6, while 23.1% of males. The percentage difference in statistical terms is significant p <0.05. Conclusion: The results obtained have shown that there are no significant differences in the presentation of intra-operative complications in terms of gender and age, to both methods. Optimization measures for postoperative management of patients after laparoscopic cholecystectomy. Continuing education in laparoscopic surgery is important for successful management.

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Introduction: Diabetic retinopathy maybe defined as the presence and characteristic evolution of typical retinal micro-vascular lesions to an patient with diabetes. DR usually manifests as a gradual, painless progression of vision loss; however, visual loss may occur with vitreous hemorrhage or macular edema. Aims: To ascertain the prevalence of diabetic retinopathy (DR) based on the duration of the diabetes mellitus (DM) and to compare it with data from relevant literature and other referent clinics. This exploratory research was conducted to evaluate the clinical experience of DR, its impact of the other disease and health related quality of life. Material and methods: In this study are included the patients with diabetes mellitus type I insulin dependent (DMID) and diabetes mellitus type II non-insulin dependent (DMNID). The duration of diabetes in the examined patients varied from 5 till 30 years. We have applied examination by ophthalmoscope, slit lamp bio-microscopy with Volk and Goldman lens, optical coherence tomography - OCT as well as fluorescent angiography - FAG. Have been included for focus groups (n = 450) the treated patients with DR, from December 2016 - 2020. Results: Participants described a range of evaluate symptoms and clinical impact. In suffering for a period of 5 years, the prevalence of DR is 12.5%. In diabetic patients suffering over 30 years, the prevalence of DR is over 90.5 %. After the test of PDR impact the comlications results by the X2 -test, the difference was found to be statistically significant for p<0.05.

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Systematic literature review was conducted. Criteria included seizures, status epilepticus, and/or CMA developing prior to or during hospitalization, with concomitant COVID-19. COVID-19 severity was dichotomized into mild and severe cases, based on severity of respiratory symptoms. Good outcome was defined as discharge without severe deficits and/or return to near baseline.

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E-cigarettes (ECs) can affect several organs in the body. On the liver, it causes toxic and immunological effects associated with many inflammatory processes and oxidative stress. E-cigarettes may cause hepatic fibrosis, steatosis, cell dysfunction, injury with the elevation of liver enzymes, and cancer. On the other hand, it also causes hepatic DNA damage and mitochondrial dysfunction. Nicotine affects both cellular and humoral immune responses.

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When cancer is terminal and cancer-directed therapy has no value, the goal of treatment is to improve the quality of life (QoL). The current work proposed to assess the prognostic nutritional index (PNI) on QoL in patients with terminal cancer

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Cefazolin sodium is a broad-spectrum antibiotic useful for the treatment of many Gram-positive and some Gram-negative bacterial infections. This study was designed to investigate the impact of the Trivedi Effect® on the structural properties and the isotopic abundance ratio of cefazolin sodium using LC-MS and GC-MS spectroscopy. Cefazolin sodium sample was divided into two parts, one part of cefazolin sodium was considered as control

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3D gas-solid coupled symmetrical numerical model was developed on the basis of multiphysics finite element platform to study coal seam fracture stimulation under the high pressure gas impact loading generated by the highly pressurized multi-discharge carbon dioxide gas fracturing technique to improve pre gas drainage efficiency. The purposes of this study are to understand the natural and operational factors contribute to coal seam fracture stimulation and improvement of coal seam gas drainage efficiency and the interaction of these parameters.

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Inflammation has been involved in the pathogenesis of both metabolic syndrome (MS) and atrial fibrillation (AF). The magnitude of elevations in plasma C-reactive protein (CRP) a marker of inflammation is probably related to atrial structural remodeling and impaired atrial function. In patient with MS, limited data exist regarding impact of plasma levels of inflammatory markers, such as C-reactive protein on the: type of AF and atrial structural and functional remodeling.

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A great proportion of healthcare services need high-quality medication and nursery. For high-quality nursery needs best nurses and their education. Gradually, different types of nursery education systems can impact their life and career. In the future, more parameters can be used for judging the quality and promotion of nurses. This editorial addresses different educational efforts for their progresses in medical knowledge promotion, technical capability improvement and salary promotion.

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A prospective clinical cohort study covers 108 IS patients. 93 (86,1%) patients were released from the hospital with improvements, but 15 (13,9%) patients did not survive. The study was carried out in the most acute (1st day of hospitalization) and acute (7 days of hospitalization) phases of the IS. The level of interleukins in blood serum was defined by enzyme immunoassay method.

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Multiple myeloma is a malignant disease caused by monoclonal proliferation of multiple myeloma plasma cells [1]. In patients, high-dose melphalan chemotherapy and autologous stem cell transplantation are administered. Common side effects of high dose melphalan are oral mucositis, enteritis, and neutropenia [2].

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Teamwork has been a recent focus of radiology literature on multidisciplinary and intradepartmental levels. Several publications discuss team building roles and daily checklist utilization. The overall endpoints of these studies vary; however, the theme is to improve workflow, patient safety, problem-solving, and department morale.

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Various complementary approaches have been used against multiple organ dysfunction syndrome (MODS), which is the major contributor in high mortality among the healthcare centers.

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Tellurium is a chemical element, which known to have many industrial applications, i.e., manufacturing of semiconductor, metal alloys, etc.

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