8 research outputs found
Neuropsychological analysis of peculiarities of formation of graphomotor skills in primary school children
Functions of serial organization of movements and actions and their role in the formation and development of graphomotor skills (writing in particular) in primary school children (193 pupils of 1st and 3dgrades) were investigated using traditional neuropsychological and new computerized methods. It allowed to trace the processes of automatization of graphomotor skill in normally developed children and to describe specific difficulties of graphomotor activity in children with learning disabilities
Π ΠΎΠ»Ρ ΡΠ΅ΠΌΠ΅ΠΉΠ½ΠΎΠ³ΠΎ Π²ΡΠ°ΡΠ° Π² ΠΏΡΠΎΡΠΈΠ»Π°ΠΊΡΠΈΠΊΠ΅ ΠΈ ΡΠ°Π½Π½Π΅ΠΌ Π²ΡΡΠ²Π»Π΅Π½ΠΈΠΈ ΡΠ°ΠΊΠ° ΡΠ΅ΠΉΠΊΠΈ ΠΌΠ°ΡΠΊΠΈ = Family Practitionerβs Role in Prevention and Diagnostics of Cervical Cancer
Lukyanchuk O. V., Velychko V. I., Danilchuk G. A., Kuzeva N. G. Π ΠΎΠ»Ρ ΡΠ΅ΠΌΠ΅ΠΉΠ½ΠΎΠ³ΠΎ Π²ΡΠ°ΡΠ° Π² ΠΏΡΠΎΡΠΈΠ»Π°ΠΊΡΠΈΠΊΠ΅ ΠΈ ΡΠ°Π½Π½Π΅ΠΌ Β Π²ΡΡΠ²Π»Π΅Π½ΠΈΠΈ ΡΠ°ΠΊΠ° ΡΠ΅ΠΉΠΊΠΈ ΠΌΠ°ΡΠΊΠΈ = Family Practitionerβs Role in Prevention and Diagnostics of Cervical Cancer. Journal of Education, Health and Sport. 2016;6(4):45-62. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.49413http://ojs.ukw.edu.pl/index.php/johs/article/view/3446Β The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015).755 Journal of Education, Health and Sport eISSN 2391-8306 7Β© The Author (s) 2016;This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, PolandOpen Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium,provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License(http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited.This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercialuse, distribution and reproduction in any medium, provided the work is properly cited.The authors declare that there is no conflict of interests regarding the publication of this paper.Received: 05.03.2016. Revised 10.04.2016. Accepted: 10.04.2016.Β Β Π ΠΎΠ»Ρ ΡΠ΅ΠΌΠ΅ΠΉΠ½ΠΎΠ³ΠΎ Π²ΡΠ°ΡΠ° Π² ΠΏΡΠΎΡΠΈΠ»Π°ΠΊΡΠΈΠΊΠ΅ ΠΈ ΡΠ°Π½Π½Π΅ΠΌ Β Π²ΡΡΠ²Π»Π΅Π½ΠΈΠΈ ΡΠ°ΠΊΠ° ΡΠ΅ΠΉΠΊΠΈ ΠΌΠ°ΡΠΊΠΈΠΡΠΊΡΡΠ½ΡΡΠΊ Π. Π., ΠΠ΅Π»ΠΈΡΠΊΠΎ Π. Π., ΠΠ°Π½ΠΈΠ»ΡΡΡΠΊ Π. Π., ΠΡΠ·Π΅Π²Π° Π. Π.Β Β Β Β Β Β Β Β Β ΠΠ΄Π΅ΡΡΠΊΠΈΠΉ Π½Π°ΡΠΈΠΎΠ½Π°Π»ΡΠ½ΡΠΉ ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠΈΠΉ ΡΠ½ΠΈΠ²Π΅ΡΡΠΈΡΠ΅ΡΒ Π Π΅Π·ΡΠΌΠ΅Β Π Π°ΠΊ ΡΠ΅ΠΉΠΊΠΈ ΠΌΠ°ΡΠΊΠΈ ΠΎΡΡΠ°Π΅ΡΡΡ ΠΎΠ΄Π½ΠΈΠΌ ΠΈΠ· Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ ΡΠ°ΡΠΏΡΠΎΡΡΡΠ°Π½Π΅Π½Π½ΡΡ
ΠΎΠ½ΠΊΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ
Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ Π² ΠΆΠ΅Π½ΡΠΊΠΎΠΉ ΠΏΠΎΠΏΡΠ»ΡΡΠΈΠΈ. ΠΡΠ½ΠΎΠ²Π½ΠΎΠΉ ΠΏΡΠΈΡΠΈΠ½ΠΎΠΉ ΡΠ°Π·Π²ΠΈΡΠΈΡ ΠΏΡΠ΅Π΄ΠΎΠΏΡΡ
ΠΎΠ»Π΅Π²ΡΡ
ΠΈ ΠΎΠΏΡΡ
ΠΎΠ»Π΅Π²ΡΡ
Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ ΡΠ΅ΠΉΠΊΠΈ ΠΌΠ°ΡΠΊΠΈ, Π²Π»Π°Π³Π°Π»ΠΈΡΠ°, ΠΏΠΎΠ»ΠΎΠ²ΠΎΠ³ΠΎ ΡΠ»Π΅Π½Π°, Π²ΡΠ»ΡΠ²Ρ, Π³ΠΎΡΡΠ°Π½ΠΈ ΠΈ Π΄Ρ. ΡΠ²Π»ΡΠ΅ΡΡΡ Π²ΠΈΡΡΡ ΠΏΠ°ΠΏΠΈΠ»Π»ΠΎΠΌΡ ΡΠ΅Π»ΠΎΠ²Π΅ΠΊΠ°. Π Π½Π°ΡΡΠΎΡΡΠ΅Π΅ Π²ΡΠ΅ΠΌΡ ΡΠ΅ΠΌΠ΅ΠΉΠ½ΡΠΉ Π²ΡΠ°Ρ ΠΈΠ³ΡΠ°Π΅Ρ Π²Π°ΠΆΠ½ΡΡ ΡΠΎΠ»ΡΒ ΠΊΠ°ΠΊ Π² ΠΎΡΠ³Π°Π½ΠΈΠ·Π°ΡΠΈΠΈ Π²ΡΡΠ²Π»Π΅Π½ΠΈΡ ΠΏΡΠ΅Π΄ΠΎΠΏΡΡ
ΠΎΠ»Π΅Π²ΠΎΠΉ ΠΏΠ°ΡΠΎΠ»ΠΎΠ³ΠΈΠΈ ΡΠ΅ΠΏΡΠΎΠ΄ΡΠΊΡΠΈΠ²Π½ΠΎΠ³ΠΎ ΡΡΠ°ΠΊΡΠ°, ΡΠ°ΠΊ ΠΈ Π² ΠΏΠΎΠ²ΡΡΠ΅Π½ΠΈΠΈ ΠΎΠ±ΡΠ°Π·ΠΎΠ²Π°Π½ΠΈΡ Π½Π°ΡΠ΅Π»Π΅Π½ΠΈΡ ΠΎΡΠ½ΠΎΡΠΈΡΠ΅Π»ΡΠ½ΠΎ ΠΏΡΠΎΡΠΈΠ»Π°ΠΊΡΠΈΠΊΠΈ ΠΏΡΠ΅Π΄ΠΎΠΏΡΡ
ΠΎΠ»Π΅Π²ΡΡ
ΠΈ ΠΎΠΏΡΡ
ΠΎΠ»Π΅Π²ΡΡ
Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ ΡΠ΅ΠΉΠΊΠΈ ΠΌΠ°ΡΠΊΠΈ.Β ΠΠ»ΡΡΠ΅Π²ΡΠ΅ ΡΠ»ΠΎΠ²Π°: ΡΠ°ΠΊ ΡΠ΅ΠΉΠΊΠΈ ΠΌΠ°ΡΠΊΠΈ, Π²ΠΈΡΡΡ ΠΏΠ°ΠΏΠΈΠ»Π»ΠΎΠΌΡ ΡΠ΅Π»ΠΎΠ²Π΅ΠΊΠ°, ΡΠ΅ΠΌΠ΅ΠΉΠ½ΡΠΉ Π²ΡΠ°Ρ, Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠ°,Β ΠΏΡΠΎΡΠΈΠ»Π°ΠΊΡΠΈΠΊΠ°.Β Family Practitionerβs Role in Prevention and Diagnostics of Cervical CancerΒ Lukyanchuk O.V.Β Head of the Department of Reconstructive and Regenerative Medicine with a Course of Reproduction, oncogynecologyst, Ph.D.Velychko V.I. . Head of the Department of Family Medicine and General Practice, general practitioner, Prof., Ph.D.Danilchuk G.A. Assistant of the Department of Family Medicine and General Practice, general practitioner, Ph.D.Kuzeva N.G. Β Assistant of the Department of Reconstructive and Regenerative Medicine with a course of reproduction, gynecologist,Β Ph.D.Β SummaryΒ Cervical cancer remains one of the most frequent oncological diseases in the female part of the population. The main cause of precancerous and cancerous anomalies of the cervix, vagina, penis, pharynx etc. is Human papillomavirus. Family Practitioners currently play a leading role in organizing preventive measures for precancerous disorders of the reproductive tract and educating the population about prevention of cervical cancers.Β Keywords: cervical cancer, Human papillomavirus, Family Practitioner, diagnostics, prevention.
The coordinated action of VCP/p97 and GCN2 regulates cancer cell metabolism and proteostasis during nutrient limitation
VCP/p97 regulates numerous cellular functions by mediating protein degradation through its segregase activity. Its key role in governing protein homoeostasis has made VCP/p97 an appealing anticancer drug target. Here, we provide evidence that VCP/p97 acts as a regulator of cellular metabolism. We found that VCP/p97 was tied to multiple metabolic processes on the gene expression level in a diverse range of cancer cell lines and in patient-derived multiple myeloma cells. Cellular VCP/p97 dependency to maintain proteostasis was increased under conditions of glucose and glutamine limitation in a range of cancer cell lines from different tissues. Moreover, glutamine depletion led to increased VCP/p97 expression, whereas VCP/p97 inhibition perturbed metabolic processes and intracellular amino acid turnover. GCN2, an amino acid-sensing kinase, attenuated stress signalling and cell death triggered by VCP/p97 inhibition and nutrient shortages and modulated ERK activation, autophagy, and glycolytic metabolite turnover. Together, our data point to an interconnected role of VCP/p97 and GCN2 in maintaining cancer cell metabolic and protein homoeostasis
Π ΠΎΠ»Ρ ΡΠ΅ΠΌΠ΅ΠΉΠ½ΠΎΠ³ΠΎ Π²ΡΠ°ΡΠ° Π² ΠΏΡΠΎΡΠΈΠ»Π°ΠΊΡΠΈΠΊΠ΅ ΠΈ ΡΠ°Π½Π½Π΅ΠΌ Π²ΡΡΠ²Π»Π΅Π½ΠΈΠΈ ΡΠ°ΠΊΠ° ΡΠ΅ΠΉΠΊΠΈ ΠΌΠ°ΡΠΊΠΈ = Family Practitionerβs Role in Prevention and Diagnostics of Cervical Cancer
Lukyanchuk O. V., Velychko V. I., Danilchuk G. A., Kuzeva N. G. Π ΠΎΠ»Ρ ΡΠ΅ΠΌΠ΅ΠΉΠ½ΠΎΠ³ΠΎ Π²ΡΠ°ΡΠ° Π² ΠΏΡΠΎΡΠΈΠ»Π°ΠΊΡΠΈΠΊΠ΅ ΠΈ ΡΠ°Π½Π½Π΅ΠΌ Β Π²ΡΡΠ²Π»Π΅Π½ΠΈΠΈ ΡΠ°ΠΊΠ° ΡΠ΅ΠΉΠΊΠΈ ΠΌΠ°ΡΠΊΠΈ = Family Practitionerβs Role in Prevention and Diagnostics of Cervical Cancer. Journal of Education, Health and Sport. 2016;6(4):45-62. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.49413
http://ojs.ukw.edu.pl/index.php/johs/article/view/3446
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The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015).
755 Journal of Education, Health and Sport eISSN 2391-8306 7
Β© The Author (s) 2016;
This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland
Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium,
provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License
(http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited.
This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial
use, distribution and reproduction in any medium, provided the work is properly cited.
The authors declare that there is no conflict of interests regarding the publication of this paper.
Received: 05.03.2016. Revised 10.04.2016. Accepted: 10.04.2016.
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Π ΠΎΠ»Ρ ΡΠ΅ΠΌΠ΅ΠΉΠ½ΠΎΠ³ΠΎ Π²ΡΠ°ΡΠ° Π² ΠΏΡΠΎΡΠΈΠ»Π°ΠΊΡΠΈΠΊΠ΅ ΠΈ ΡΠ°Π½Π½Π΅ΠΌ Β Π²ΡΡΠ²Π»Π΅Π½ΠΈΠΈ ΡΠ°ΠΊΠ° ΡΠ΅ΠΉΠΊΠΈ ΠΌΠ°ΡΠΊΠΈ
ΠΡΠΊΡΡΠ½ΡΡΠΊ Π. Π., ΠΠ΅Π»ΠΈΡΠΊΠΎ Π. Π., ΠΠ°Π½ΠΈΠ»ΡΡΡΠΊ Π. Π., ΠΡΠ·Π΅Π²Π° Π. Π.
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Β Β Β Β Β Β Β Β ΠΠ΄Π΅ΡΡΠΊΠΈΠΉ Π½Π°ΡΠΈΠΎΠ½Π°Π»ΡΠ½ΡΠΉ ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠΈΠΉ ΡΠ½ΠΈΠ²Π΅ΡΡΠΈΡΠ΅Ρ
Β
Π Π΅Π·ΡΠΌΠ΅
Β
Π Π°ΠΊ ΡΠ΅ΠΉΠΊΠΈ ΠΌΠ°ΡΠΊΠΈ ΠΎΡΡΠ°Π΅ΡΡΡ ΠΎΠ΄Π½ΠΈΠΌ ΠΈΠ· Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ ΡΠ°ΡΠΏΡΠΎΡΡΡΠ°Π½Π΅Π½Π½ΡΡ
ΠΎΠ½ΠΊΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ
Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ Π² ΠΆΠ΅Π½ΡΠΊΠΎΠΉ ΠΏΠΎΠΏΡΠ»ΡΡΠΈΠΈ. ΠΡΠ½ΠΎΠ²Π½ΠΎΠΉ ΠΏΡΠΈΡΠΈΠ½ΠΎΠΉ ΡΠ°Π·Π²ΠΈΡΠΈΡ ΠΏΡΠ΅Π΄ΠΎΠΏΡΡ
ΠΎΠ»Π΅Π²ΡΡ
ΠΈ ΠΎΠΏΡΡ
ΠΎΠ»Π΅Π²ΡΡ
Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ ΡΠ΅ΠΉΠΊΠΈ ΠΌΠ°ΡΠΊΠΈ, Π²Π»Π°Π³Π°Π»ΠΈΡΠ°, ΠΏΠΎΠ»ΠΎΠ²ΠΎΠ³ΠΎ ΡΠ»Π΅Π½Π°, Π²ΡΠ»ΡΠ²Ρ, Π³ΠΎΡΡΠ°Π½ΠΈ ΠΈ Π΄Ρ. ΡΠ²Π»ΡΠ΅ΡΡΡ Π²ΠΈΡΡΡ ΠΏΠ°ΠΏΠΈΠ»Π»ΠΎΠΌΡ ΡΠ΅Π»ΠΎΠ²Π΅ΠΊΠ°. Π Π½Π°ΡΡΠΎΡΡΠ΅Π΅ Π²ΡΠ΅ΠΌΡ ΡΠ΅ΠΌΠ΅ΠΉΠ½ΡΠΉ Π²ΡΠ°Ρ ΠΈΠ³ΡΠ°Π΅Ρ Π²Π°ΠΆΠ½ΡΡ ΡΠΎΠ»ΡΒ ΠΊΠ°ΠΊ Π² ΠΎΡΠ³Π°Π½ΠΈΠ·Π°ΡΠΈΠΈ Π²ΡΡΠ²Π»Π΅Π½ΠΈΡ ΠΏΡΠ΅Π΄ΠΎΠΏΡΡ
ΠΎΠ»Π΅Π²ΠΎΠΉ ΠΏΠ°ΡΠΎΠ»ΠΎΠ³ΠΈΠΈ ΡΠ΅ΠΏΡΠΎΠ΄ΡΠΊΡΠΈΠ²Π½ΠΎΠ³ΠΎ ΡΡΠ°ΠΊΡΠ°, ΡΠ°ΠΊ ΠΈ Π² ΠΏΠΎΠ²ΡΡΠ΅Π½ΠΈΠΈ ΠΎΠ±ΡΠ°Π·ΠΎΠ²Π°Π½ΠΈΡ Π½Π°ΡΠ΅Π»Π΅Π½ΠΈΡ ΠΎΡΠ½ΠΎΡΠΈΡΠ΅Π»ΡΠ½ΠΎ ΠΏΡΠΎΡΠΈΠ»Π°ΠΊΡΠΈΠΊΠΈ ΠΏΡΠ΅Π΄ΠΎΠΏΡΡ
ΠΎΠ»Π΅Π²ΡΡ
ΠΈ ΠΎΠΏΡΡ
ΠΎΠ»Π΅Π²ΡΡ
Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ ΡΠ΅ΠΉΠΊΠΈ ΠΌΠ°ΡΠΊΠΈ.
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ΠΠ»ΡΡΠ΅Π²ΡΠ΅ ΡΠ»ΠΎΠ²Π°: ΡΠ°ΠΊ ΡΠ΅ΠΉΠΊΠΈ ΠΌΠ°ΡΠΊΠΈ, Π²ΠΈΡΡΡ ΠΏΠ°ΠΏΠΈΠ»Π»ΠΎΠΌΡ ΡΠ΅Π»ΠΎΠ²Π΅ΠΊΠ°, ΡΠ΅ΠΌΠ΅ΠΉΠ½ΡΠΉ Π²ΡΠ°Ρ, Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠ°,Β ΠΏΡΠΎΡΠΈΠ»Π°ΠΊΡΠΈΠΊΠ°.
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Family Practitionerβs Role in Prevention and Diagnostics of Cervical Cancer
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Lukyanchuk O.V.Β Head of the Department of Reconstructive and Regenerative Medicine with a Course of Reproduction, oncogynecologyst, Ph.D.
Velychko V.I. . Head of the Department of Family Medicine and General Practice, general practitioner, Prof., Ph.D.
Danilchuk G.A. Assistant of the Department of Family Medicine and General Practice, general practitioner, Ph.D.
Kuzeva N.G. Β Assistant of the Department of Reconstructive and Regenerative Medicine with a course of reproduction, gynecologist,Β Ph.D.
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Summary
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Cervical cancer remains one of the most frequent oncological diseases in the female part of the population. The main cause of precancerous and cancerous anomalies of the cervix, vagina, penis, pharynx etc. is Human papillomavirus. Family Practitioners currently play a leading role in organizing preventive measures for precancerous disorders of the reproductive tract and educating the population about prevention of cervical cancers.
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Keywords: cervical cancer, Human papillomavirus, Family Practitioner, diagnostics, prevention
The coordinated action of VCP/p97 and GCN2 regulates cancer cell metabolism and proteostasis during nutrient limitation
VCP/p97 regulates numerous cellular functions by mediating protein degradation through its segregase activity. Its key role in governing protein homoeostasis has made VCP/p97 an appealing anticancer drug target. Here, we provide evidence that VCP/p97 acts as a regulator of cellular metabolism. We found that VCP/p97 was tied to multiple metabolic processes on the gene expression level in a diverse range of cancer cell lines and in patient-derived multiple myeloma cells. Cellular VCP/p97 dependency to maintain proteostasis was increased under conditions of glucose and glutamine limitation in a range of cancer cell lines from different tissues. Moreover, glutamine depletion led to increased VCP/p97 expression, whereas VCP/p97 inhibition perturbed metabolic processes and intracellular amino acid turnover. GCN2, an amino acid-sensing kinase, attenuated stress signalling and cell death triggered by VCP/p97 inhibition and nutrient shortages and modulated ERK activation, autophagy, and glycolytic metabolite turnover. Together, our data point to an interconnected role of VCP/p97 and GCN2 in maintaining cancer cell metabolic and protein homoeostasis
The coordinated action of VCP/p97 and GCN2 regulates cancer cell metabolism and proteostasis during nutrient limitation
VCP/p97 regulates numerous cellular functions by mediating protein degradation through its segregase activity. Its key role in governing protein homoeostasis has made VCP/p97 an appealing anticancer drug target. Here, we provide evidence that VCP/p97 acts as a regulator of cellular metabolism. We found that VCP/p97 was tied to multiple metabolic processes on the gene expression level in a diverse range of cancer cell lines and in patient-derived multiple myeloma cells. Cellular VCP/p97 dependency to maintain proteostasis was increased under conditions of glucose and glutamine limitation in a range of cancer cell lines from different tissues. Moreover, glutamine depletion led to increased VCP/p97 expression, whereas VCP/p97 inhibition perturbed metabolic processes and intracellular amino acid turnover. GCN2, an amino acid-sensing kinase, attenuated stress signalling and cell death triggered by VCP/p97 inhibition and nutrient shortages and modulated ERK activation, autophagy, and glycolytic metabolite turnover. Together, our data point to an interconnected role of VCP/p97 and GCN2 in maintaining cancer cell metabolic and protein homoeostasis
Age and frailty are independently associated with increased COVID-19 mortality and increased care needs in survivors: Results of an international multi-centre study
Age and frailty are independently associated with increased COVID-19 mortality and increased care needs in survivors: results of an international multi-centre study
Introduction: Increased mortality has been demonstrated in older adults with coronavirus disease 2019 (COVID-19), but the effect of frailty has been unclear.
Methods: This multi-centre cohort study involved patients aged 18 years and older hospitalised with COVID-19, using routinely collected data. We used Cox regression analysis to assess the impact of age, frailty and delirium on the risk of inpatient mortality, adjusting for sex, illness severity, inflammation and co-morbidities. We used ordinal logistic regression analysis to assess the impact of age, Clinical Frailty Scale (CFS) and delirium on risk of increased care requirements on discharge, adjusting for the same variables.
Results: Data from 5,711 patients from 55 hospitals in 12 countries were included (median age 74, interquartile range [IQR] 54β83; 55.2% male). The risk of death increased independently with increasing age (>80 versus 18β49: hazard ratio [HR] 3.57, confidence interval [CI] 2.54β5.02), frailty (CFS 8 versus 1β3: HR 3.03, CI 2.29β4.00) inflammation, renal disease, cardiovascular disease and cancer, but not delirium. Age, frailty (CFS 7 versus 1β3: odds ratio 7.00, CI 5.27β9.32), delirium, dementia and mental health diagnoses were all associated with increased risk of higher care needs on discharge. The likelihood of adverse outcomes increased across all grades of CFS from 4 to 9.
Conclusion: Age and frailty are independently associated with adverse outcomes in COVID-19. Risk of increased care needs was also increased in survivors of COVID-19 with frailty or older age.</p