Relationship of inflammatory markers and pain in patients with head and neck cancer prior to anticancer therapy

Pain is a common symptom in patients with cancer, including those with head and neck cancer (HNC). While studies suggest an association between chronic inflammation and pain, levels of inflammatory cytokines, such as C-reactive protein (CRP) and tumor necrosis factor-alpha (TNF-α), have not been correlated with pain in HNC patients who are not currently undergoing anticancer treatment. The purpose of this study was to examine the relationship between these inflammatory markers and perceived pain in HNC patients prior to anticancer therapy. The study group consisted of 127 HNC patients and 9 healthy controls. Pain was assessed using the Brief Pain Inventory (BPI), and serum levels of CRP and TNF-α were determined using the particle-enhanced turbidimetric immunoassay (PETIA) and ELISA techniques, respectively. Patients experiencing pain had significantly higher levels of CRP (P<0.01) and TNF-α (P<0.05) compared with controls and with patients reporting no pain. There were significantly positive associations between pain, CRP level, and tumor stage. This is the first study to report a positive association between perceived pain and CRP in HNC patients at the time of diagnosis. The current findings suggest important associations between pain and inflammatory processes in HNC patients, with potential implications for future treatment strategies.

Avaliação de diferentes técnicas para coloração de sêmen de peixes / Different techniques to evaluate to stain fish semen / Evaluación de técnicas para colorear sémen de peces

A análise da morfologia dos espermatozóides do sêmen colhido de 30 pacus (Piaractus mesopotamicus) consistiu de três soluções fixadoras: formol salina tamponada (FS), citrato sódio diidratado a 3% (CS) e água destilado (Ag) e para corar as células espermáticas três corantes: Vermelho Congo (VC), Rosa Bengala (RB) e Williams-modificado (WM). As combinações de corantes e soluções fixadoras utilizadas foram: RB X FS, WM X FS, VC X FS, VC X Ag, WM X Ag, WM X CS e VC X CS. Na avaliação dos esfregaços levaram-se em consideração as alterações anatômicas, a eficiência do corante, a aglutinação e a sujidade. Quando o sêmen foi diluído em CS e Ag, os espermatozóides sofreram alterações anatômicas e aglutinação, inviabilizando a análise. O FS não gerou alteração anatômica e nem aglutinação dos espermatozóides, sendo possível avaliar a eficiência do corante. Ao analisar a combinação RB X FS verificou-se a melhor média estimada de 9,97 pontos (P<0,05), com baixa sujidade e boa eficiência do corante. A combinação WM X FS resultou na média estimada de 7,35 pontos e a do VC X FS de 6,83 pontos que foram valores menores (P<0,05) em comparação aos esfregaços da combinação RB X FS. De acordo com os resultados obtidos neste estudo, a combinação do RB X FS apresentou os melhores resultados, sendo recomendado preparar esfregaços para analisar a morfologia dos espermatozóides de pacus (Piaractus mesopotamicus).

The analyses of spermatozoa morphology from semen obtained from pacus (Piaractus mesopotamicus) consisted of three fi xers solution: formal-saline buffered (FB), 3 % sodium citrate diihydrated (SC) and distilled water (DW) and to stain the spermatic cells were used three dyeing: Congo red (CR), Bengal rose (BR) and Williams modifi ed (WM). Combinations of dyeing and fi xers solution were: BR x BF, WM x FB, CR x FB, CR x DW, WM x DW, WM x SC and CR x SC. In the rubbing brush stained evaluation was considered spermatozoa anatomic alterations, dyeing effi ciency, agglutination and dirtiness. For semen diluted in SC and DW was observed spermatozoa anatomic alterations and agglutination on the rubbing brush, becoming impossible any analyses. When semen was diluted in FB to prepare rubbing brush was not observed spermatozoa anatomic alterations and agglutination, becoming possible to evaluate dyeing effi ciency. In analyze of BR x FB combination was verifi ed the best estimate average of 9.97 points (P<0.05), showing reduced dirtiness and good effi ciency of dyeing. When combination was WM x FB the estimate average was 7.35 points and CR x FB was 6.83 points which were lower (P<0.05) than the average verifi ed in the rubbing brush stained with BR x FB. According to the results observed in this study, the best combination to evaluate spermatozoa morphology from pacus semen was rubbing brush stained with BR x FB combination.

El análisis de la morfologia de los espermatozoides del semen colectado de 30 pacus (Piaractus mesopotamicus) consistio en tres soluciones fi jadoras: Formol salina tamponada (FS), citrato sodio bihidratado al 3% (CS) y agua destilada (Ag) y para colorear las células espermáticas tres colorantes: Rojo Congo (VC), Rosa Bengala (RB) y Williams ­ modifi cado (WM). Las combinaciones de colorantes y soluciones fi jadoras utilizadas fueron: RB x FS, WB x FS, VC x FS, VC x Ag, WM x Ag, WM x CS y VC x CS. En la evaluación de los frotis se tuvo en cuenta las alteraciones anatómicas, la efi ciencia del colorante, la aglutinacion y la suciedad. Cuando el semen fue diluído en CS y Ag, los espermatozoides sufrieron alteraciones anatómicas y aglutinación, inviabilizando el análisis. El FS no generó alteracion anatómica ni aglutinación de losespermatozoides, siendo posible evaluar la efi ciencia del colorante. Al analizar la combinación RB x FS se verifi có la mejor média estimada de 9,97 puntos (P〈0,05) con baja suciedad y buena efi ciencia del colorante. La combinación WM x FS resultó en el promedio estimado de 7,35 puntos y la de VC x FS de 6,83 puntos que fueron valores menores (P〈0,05) en comparación a los frotis de la combinación RB x FS. De acuerdo con los resultados obtenidos en este estudio, la combinación de RB x FS presentó los mejores resultados, siendo recomendado para preparar frotis para analizar la morfologia de los espermatozoides de pacus (Piaractus mesopotamicus).