The In-hospital prognostic value of high sensitivity C-reactive protein in STEMI patients treated by thrombolysis versus primary

Introduction: Coronary artery disease (CAD) is considered a major causative agent of mortality and morbidity. Many reports recommended the use of C-reactive protein (CRP) as an inflammatory marker for its high sensitivity that could help in prevention of CAD.Objective: This work aimed to clarify the in-hospital prognostic value of high-sensitivity CRP (hs-CRP) in ST-elevation myocardial infarction (STEMI) cases who are treated by thrombolysis vs. primary percutaneous coronary intervention (PCI) and comparing the outcome of the treatment between the two groups.Patients and methods: 48 STEMI cases were divided into two groups in this cross-section study: Patients in group A had Primary PCI, whereas those in group B received thrombolysis treatment. Patients were evaluated by history, examinations, investigations and coronary angiography.Results: Most of patients had grade II mitral regurge (68.8%) with statistical insignificant differences between the study groups. Most of patients had wall motion abnormalities in anterior septum (43.8%) with statistical insignificant difference between groups. In this study, 41.7% of patients had positive troponin with statistical insignificant difference between groups. According to distribution of patients as regards outcomes, died patient and patients with heart failure had significantly higher median of first- and second-hour CRP than patients without adverse eventsConclusion: Impaired reperfusion was correlated with higher hs-CRP compared to optimal reperfusion. This study was conducted on CRP so further investigation with larger population size are necessary especially for inflammatory cascade

Thymoquinone and curcumin modify inducible nitric oxide synthase, caspase 3, and thioredoxin immunohistochemical expression in acetaminophen hepatotoxicity

Background: Acetaminophen (APAP) hepatotoxicity is characterised by an extensive oxidative stress due to depletion of glutathione (GSH), which results in massive lipid peroxidation and subsequent liver injury. The current paradigm suggests that mitochondria are the main source of reactive oxygen species (ROS), which impair mitochondrial function and are responsible for cell signalling resulting in cell death. This study was designed to compare the potential impact of thymoquinone (THQ), and/or curcumin (CURC) on liver injury induced by APAP toxicity in rats. Materials and methods: Serum levels of alanine transaminase, aspartate transaminase, total bilirubin, and total protein were measured. In addition, liver nitric oxide (NO), malondialdehyde, reduced glutathione (GSH), and superoxide dismutase (SOD) were estimated. Moreover, these biochemical parameters were confirmed by histopathological and immunohistochemical investigations for the expression of thioredoxin, iNOS and caspase 3. Results: Acetaminophen toxicity elevated most of the above-mentioned parameters but decreased GSH, SOD, and total protein levels. Histologically, liver sections demonstrated liver injury characterised by hepatocellular necrosis with nuclear pyknosis, karyorrhexis and karyolysis. Immunohistochemical study revealed increased expression of iNOS and caspase 3 proteins, while the thioredoxin protein expression was decreased. Conclusions: Treatment with the THQ and CURC regulated the biochemical and histopathological alterations induced by APAP toxicity. It was concluded that the combination strategy of THQ and CURC might be considered as a potential antidote in combating liver injury induced by APAP with minimal side effects

Evaluation of the efficacy of gingival crevicular blood in predicting the glycemic control

Background and Aim: Diabetes has emerged as a major healthcare problem in India. Diabetes and periodontitis interact in a bidirectional manner; therefore, there is a need to screen patients for diabetes in dental clinics. Development of an intraoral blood sampling technique would make screening easier for dental practitioners. Routine oral examination of patients with periodontal inflammation with or without diabetes produce ample bleeding which can be used in glucometers for screening diabetes mellitus. Therefore, the aim is to assess if gingival crevicular blood (GCB) is as efficient as capillary finger prick technique in estimating the glycemic status. Settings and Design: This was a cross-sectional study. Materials and Methods: Fifty-eight participants with gingivitis or periodontitis with bleeding on probing from at least one site were chosen. Periodontal parameters such as Probing pocket depth and gingival index were measured using William's graduated periodontal probe. GCB and capillary finger prick blood (CFB) were collected for the estimation of blood glucose with the help of glucometer. Statistical Analysis: Performed using Pearson's correlation coefficient. Results: The Pearson correlation coefficient of GCB and CFB was 0.982 with a P < 0.001. Conclusion: It can be concluded that GCB can be used for the estimation of glycemic status