The purpose of the study is to establish the effect of the investigated drug PDT-Na on the parameters of free radical lipid oxidation and the system of antioxidant defence of the kidneys in rats on models of acute renal failure and gentamicin nephropathy. The studies were conducted on 96 white mature, full-grown non-linear rats of both sexes weighing 150-170 grams. The animals were divided into 16 groups (5 groups per model and one intact group): the animals of the experimental, reference and control pathology groups (1) received the corresponding nephrotoxin. In each model the groups of rats received the following treatment: experimental (2) - PDT-Na, reference - mexidol (3), hofitol - (4) and thiotriazolin (5). The results of the study show that under the conditions of acute kidney injury the PDT-Na assists to reduce the primary intermediates - diene conjugates and secondary intermediates of lipid peroxidation - TBA-reactive products, activation of enzymes of catalase antioxidant defence and superoxide dismutase and accumulation to the almost intact level of GSH endogenous antioxidant.The abovementioned information indicates that the drug of the pharmacological group - antihypoxicant PDT-Na with previously established nephroprotective activity has shown antioxidant, antiradical and cytoprotective properties during the experiment. This is a promising drug for complex treatment of kidney diseases.
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J Cardiothorac Vasc Anesth
January 2025
Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Boston, MA.
Vasoplegia is a pathophysiologic state of hypotension in the setting of normal or high cardiac output and low systemic vascular resistance despite euvolemia and high-dose vasoconstrictors. Vasoplegia in heart, lung, or liver transplantation is of particular interest because it is common (approximately 29%, 28%, and 11%, respectively), is associated with adverse outcomes, and because the agents used to treat vasoplegia can affect immunosuppressive and other drug metabolism. This narrative review discusses the pathophysiology, risk factors, and treatment of vasoplegia in patients undergoing heart, lung, and liver transplantation.
View Article and Find Full Text PDFKeio J Med
January 2025
I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation.
We describe a case of sarcoidosis in a previously healthy 39-year-old man with the development of an acute kidney injury, requiring renal replacement therapy, as the first manifestation of the disease. The course of the disease was complicated by a сatheter-associated bloodstream infection. According to the histological examination of kidney biopsy samples, granulomatous interstitial nephritis was diagnosed.
View Article and Find Full Text PDFObjectives: This study aimed to develop a prediction model for the detection of early sepsis-associated acute kidney injury (SA-AKI), which is defined as AKI diagnosed within 48 hours of a sepsis diagnosis.
Design: A retrospective study design was employed. It is not linked to a clinical trial.
Clin Microbiol Infect
January 2025
Department of internal medicine and liver research institute, Seoul national university hospital, Seoul national university college of medicine, Seoul, Republic of Korea. Electronic address:
Objectives: This study evaluated the adequacy of using blood cultures alone for antibiotic therapy in mild-to-moderate acute cholangitis after adequate biliary drainage.
Methods: A prospective, multi-centre, non-inferiority, randomised trial was conducted from August 2015 to September 2023 across 12 tertiary hospitals in South Korea. Patients were randomly assigned 1:1 to groups.
Dtsch Med Wochenschr
February 2025
St. Antonius-Hospital, Eschweiler, Deutschland.
An 83-year-old female patient presented with angina pectoris, hemoglobinuria and jaundice. Laboratory diagnostics proved difficult due to hemolysis in all blood tubes, following re-evaluation after warming the blood sample.With low haptoglobin, elevated lactate dehydrogenase and elevated indirect bilirubin, we made a suspected diagnosis of autoimmune hemolytic anemia with cold antibodies, which was confirmed through a positive Coombs test and detection of C3d-loaded erythrocytes.
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