Aim: To investigate the effect of melatonin on ischemia–reperfusion (I/R) injury in rat ovary. Material and Method: A total of 24 Wistar rats were divided into four groups. The rats were first numbered randomly and t...
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Aim: To investigate the effect of melatonin on ischemia–reperfusion (I/R) injury in rat ovary. Material and Method: A total of 24 Wistar rats were divided into four groups. The rats were first numbered randomly and then randomly divided into four equal groups: sham, torsion, detorsion and melatonin groups. In group I (n = 6) sham, as well as in group II ovary torsion was not performed and no drug was administered. In group III, 1 hour of ischemia and 2 hours of reperfusion were performed and no drug was given. In group IV, melatonin was dissolved in 1% ethanol just before use. Melatonin was injected 1 hour before torsion to the torsion plus melatonin group. Right ovaries were surgically removed in all groups. Result: Malondialdehyde (MDA) levels were measured. We suggested that administration of melatonin would be in treating ovaries from torsion/detorsion induced damage in humans. The histopathological changes such as vascular congestion, edema, hemorrhage, and follicular degeneration were found to be decreased in the melatonin + ischemia-reperfusion group. Ischemia-reperfusion group: PECAM-I expression is positive in vessel of the stromal area. The follicles and interfolicular area infiltrated with CD68 positive cells were increased in a time of ischemia-reperfusion exposure dependent manner. Conclusions: Melatonin after ischemia-reperfusion CD31 and CD68 expressions is weak, due to the reduction of the inflammatory effects and hemorrhage is thought that melatonin is effective.
BACKgROUND:Infective endocarditis(IE) has a high risk of morbidity and mortality.Complications are often due to systemic embolization.We treated a 47-year-old hemodialysis man with infective endocarditis complicated w...
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BACKgROUND:Infective endocarditis(IE) has a high risk of morbidity and mortality.Complications are often due to systemic embolization.We treated a 47-year-old hemodialysis man with infective endocarditis complicated with cerebral and splenic infarction.METHODS:The patient was brought to the emergency department because of altered mental status and fecal incontinence.Although he did not meet the Duke Criteria for IE diagnosis,clinical suspicions of IE warranted further diagnostic studies.Magnetic resonance imaging of the brain revealed cerebral infarction with abnormal neurological findings.An abdominal computerized tomography revealed an incidental and unexpected splenic infarction without physical findings.Echocardiography revealed a vegetative growth(-1.2×1 cm) over the mitral posterior leaflet with severe mitral valve regurgitation.Based on these results,the patient was diagnosed with IE complicated with severe cerebral and splenic infarction.RESULTS:The patient was treated with intravenous teicoplanin including gentamicin,subcutaneous low molecular weight heparin,and oral acetylsalicylic acid.Mitral valve replacement surgery was performed after the patient improved clinically.CONCLUSION:Emergency physicians should be aware of the life-threatening complications of IE,which may be presented subtly or without clinical evidence.
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