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Sertraline-induced reproductive toxicity in male rats： evaluation of possible underlying mechanisms

Asian Journal of Andrology 2017年第6期19卷 672-679页

作者： Ozlem Atli merve baysal Gozde Aydogan-Kilic Volkan Kilic Seyda Ucarcan Burak Karaduman Sinem Ilgin Department of Pharmaceutical Toxicology Faculty of Pharmacy Anadolu University Eskisehir 26470 Turkey Department of Biology Faculty of Science Anadolu University Eskisehir 26470 Turkey

This study was conducted to clarify the toxic effects of sertraline （SRT） on the reproductive system of male rats and to elucidate the underlying mechanisms. Rats were treated orally with SRT at doses of 5, 10, and 20 mg kg-1 for 28 consecutive days. At the end of the treatment period, sperm concentration, sperm motility, and sperm morphology were investigated by computer-assisted sperm analysis system whereas sperm DNA damage was detected by comet assay. The oxidative status of the testes was investigated, and a histopathological examination was conducted. Serum testosterone, follicle-stimulating hormone （FSH）, and luteinizing hormone （LH） levels were measured to determine the effects of SRT on the spermatogenesis process. One-way ANOVA, post-hoc Dunnett＇s T3 test for the sperm comet assay, and post-hoc Tukey＇s test for the others were performed for statistical analysis. The results showed that SRT caused an increase in sperm DNA damage and induced histopathological lesions in all groups treated with SRT. There was abnormal sperm morphology and increased malondialdehyde （MDA） in the 10 mg kg-1 treatment group. More dramatic changes were observed in the 20 mg kg-1 treatment group. Decreased sperm count was accompanied by a significant increase in abnormal sperm morphology, DNA damage, and degeneration in cellular-tubular structures. Serum LH and testosterone levels were elevated in the 20 mg kg-~ treatment group. Decreased glutathione （GSH） and increased MDA were signs of enhanced oxidative stress （OS）. In conclusion, SRT induced testicular toxicity in a dose-dependent manner and OS is suggested as a crucial mechanism.

关键词： DNA damage oxidative stress reproductive toxicity sertraline

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Clinical characteristics and outcomes of nosocomial COVID-19 in Turkey:A retrospective multicenter study

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Asian Pacific Journal of Tropical Medicine 2023年第8期16卷 347-353页

作者： Süleyman Yıldırım Celalettin Yılmaz Gülru Polat Serap Argun Baris İlknur Başyiğit İlknur Kaya Ceyda Anar Mihriban Bozkurt HüsnüBaykal Hulya Dirol Gamzenur Ozbey Emine Ozsari Emel Cireli Ali KadriÇırak Dursun Tatar Mine Gayaf Selen Karaoglanoglu Yener Aydin Atilla Eroglu Yıldız Olçar Berna Botan Yıldırım Bengül Gürsoy Deniz Demir Yılmaz Elif Yelda Ozgun Niksarlioglu Ramazan Eren Ayşegül Tomruk Erdem Müge Meltem Tor Fusun Fakili MustafaÇolak merve Erçelik Ali Tabaru Özlem Ediboglu Intensive Care Unit Dr.Suat Seren Chest Disease and Surgery Training and Research HospitalUniversity of Health Sciences TurkeyİzmirTurkey Department of Pulmonology Dr.Suat Seren Chest Disease and Surgery Training and Research HospitalUniversity of Health Sciences TurkeyİzmirTurkey Department of Pulmonary Medicine School of MedicineKocaeli UniversityKocaeliTurkey Department of Pulmonology Kütahya Health Sciences UniversityKütahyaTurkey Department of Pulmonology Atatürk Training and Research Hospitalİzmir KatipÇelebi UniversityİzmirTurkey Department of Pulmonology Ankara Atatürk Sanatory Training and Research HospitalUniversity of Health SciencesAnkaraTurkey Department of Pulmonology Faculty of MedicineAkdeniz UniversityAntalyaTurkey Department of Pulmonology Bolu Abantİzzet Baysal University Training and Research HospitalBoluTurkey Department of Pulmonology Ordu University Training and Research HospitalOrduTurkey Department of Thoracic Surgery Medical FacultyErzurumAtaturk UniversityTurkey Department of Infectious Disease and Clinical Microbiology Kastamonu Training and Research HospitalKastamonuTurkey Department of Pulmonology Başkent University Hospital KonyaKonyaTurkey Department of Pulmonology İstanbul SancaktepeŞehit Prof.Dr.İlhan Varank Training and Research HospitalİstanbulTurkey Department of Chest Diseases Yedikule Chest Diseases and Thoracic Surgery Training and Research HospitalHealth Science UniversityİstanbulTurkey Department of Pulmonology Faculty of MedicineZonguldak Bülent Ecevit UniversityZonguldakTurkey Department of Pulmonary Medicine GaziantepFaculty of MedicineŞahinbey Research HospitalGaziantep UniversityTurkey Department of Pulmonology BalıkesirHealth Practice and Research HospitalBalıkesir UniversityTurkey Department of Pulmonology Afyonkarahisar Dinar State HospitalAfyonTurkey Department of Pulmonology Söke Fehime Faik Kocagöz State HospitalAydınTurkey

Objective:To identify the clinical characteristics and outcomes of hospital-acquired SARS-CoV-2 infection during the vaccination period nationwide in ***:COVID-19 patients followed in the pandemic services across Turkey between January 1,2021,and March 31,2022 were investigated *** COVID-19 was defined as a patient neither diagnosed with COVID-19 nor suspected COVID-19 at the hospital admission and was confirmed COVID-19≥5 days after hospital *** primary outcome of this study was in-hospital mortality;demographic features and vaccination status was compared between survivors and ***:During the study period,15573 COVID-19 patients were followed in 18 centers and 543(3.5%)patients were nosocomial *** patients with nosocomial COVID-19(80.4%)were transferred from medical wards.162(29.8%)of the patients with nosocomial COVID-19 admitted to the intensive care unit due to disease severity and 138(25.4%)of the patients died during hospital *** age(≥65 years)and number of comorbid diseases(≥2)was found to be associated with mortality in nosocomial COVID-19(OR 1.74,95%CI 1.11-2.74 and OR 1.60,95%CI 1.02-2.56,respectively).Vaccination was associated with survival in nosocomial COVID-19(OR 0.25,95%CI 0.16-0.38).Conclusions:Patients with nosocomial COVID-19 had increased admission to intensive care units and higher mortality *** can decrease the in-hospital mortality rate.

关键词： COVID-19 Nosocomial infection Vaccination Intensive care unit

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