RESUMO
Self-inflicted injury to external genitalia in men is an uncommon type of trauma. The international and domestic literature report isolated cases of injury to the external genitalia, caused by a patient intending to harm himself. This type of injury often occurs in patients with mental disorders. The authors describe their own clinical observations of rare types of self-inflicted genital injuries in patients without a history of mental disorders. During the period from 2012 to 2015, 4 patients with self-inflicted genital injuries were admitted to the hospital. There was a penile self-amputation, self-orchiectomy, penile rupture, and foreskin cut wound. Despite the sufficient public awareness and availability of urological care in a large industrial city, cases of self-inflicted genital injury occur. In addition to medical care, such cases warrant psychological and possibly psychiatric counseling.
Assuntos
Amputação Traumática , Pênis/lesões , Escroto/lesões , Comportamento Autodestrutivo , Testículo/lesões , Ferimentos Penetrantes , Adulto , Humanos , Masculino , Pessoa de Meia-IdadeAssuntos
Queimaduras/tratamento farmacológico , Movimento Celular/efeitos dos fármacos , Fatores de Crescimento de Fibroblastos , Cicatrização/efeitos dos fármacos , Ferimentos e Lesões/tratamento farmacológico , Animais , Queimaduras/metabolismo , Queimaduras/fisiopatologia , Drogas em Investigação/metabolismo , Drogas em Investigação/uso terapêutico , Células Endoteliais/metabolismo , Fatores de Crescimento de Fibroblastos/metabolismo , Fatores de Crescimento de Fibroblastos/uso terapêutico , Previsões , Humanos , Modelos Animais , Ferimentos e Lesões/metabolismo , Ferimentos e Lesões/fisiopatologiaRESUMO
OBJECTIVE: To study the phenomenon of asymptomatic penetration of bacteria from the gastrointestinal tract into various tissues of healthy rats and rats with skin wounds and closed fractures at different doses and with different species of bacteria. METHOD: Healthy rats and rats with full-thickness skin wounds and closed femoral fractures were given varying doses of radiolabeled bacteria (S. aureus 209P or B. subtilis 534) per os in doses of up to 1010 bacteria per 1kg of body mass. Six hours later, these animals were euthanised and, together with blood smears, tissue samples of liver, spleen, stomach, small and large intestine, lung, hypothalamus, posterior pituitary gland, epinephros and skin and muscle from the wound site were subjected to bacteriological and histological analysis. RESULTS: In total, 99 rats were used for the experiments. Viable bacteria were found to systemically penetrate into the tissues of the internal organs in 45 healthy animals, 27 rats with incisions and 27 rats with fractures. In healthy animals, viable bacteria mostly accumulated in the stomach wall, the mucous membranes of the small intestine, the mesenteric lymph nodes and in the spleen and liver. Translocation was registered in uninjured animals receiving 1x106 and more bacteria per 1kg of rat's weight and in injured rats receiving 1x104 bacteria and more. Bacteria penetrated the local tissues at both wound sites (skin wounds and fracture sites). CONCLUSION: Bacterial translocation is a protective mechanism that gives the immune system constant contact with external antigens, although it can contribute to the spreading of infection in an organism. In healthy animals, small amounts of bacteria penetrate systemically from the tract and small intestine into the tissues of the spleen and liver. During injury, translocated bacteria also appear at the focus of injury. CONFLICT OF INTEREST: None.
Assuntos
Translocação Bacteriana/fisiologia , Animais , Translocação Bacteriana/imunologia , Fraturas Ósseas/microbiologia , Fraturas Ósseas/fisiopatologia , Trato Gastrointestinal/microbiologia , Fígado/microbiologia , Linfonodos/microbiologia , Masculino , Ratos , Ratos Wistar , Lesões dos Tecidos Moles/microbiologia , Baço/microbiologia , Cicatrização/fisiologiaAssuntos
Bactérias Aeróbias/fisiologia , Bactérias Anaeróbias/fisiologia , Translocação Bacteriana , Infecção da Ferida Cirúrgica/microbiologia , Animais , Procedimentos Cirúrgicos do Sistema Digestório/efeitos adversos , Humanos , Intestinos/microbiologia , Prevalência , Infecção da Ferida Cirúrgica/epidemiologiaRESUMO
Under analysis are results of treatment of 21 patients. Positive effects were obtained in 19 of them. This effect was noted in 6 patients during 2 years.
Assuntos
Arteriosclerose Obliterante/terapia , Perna (Membro)/irrigação sanguínea , Dor , Idoso , Idoso de 80 Anos ou mais , Arteriosclerose Obliterante/diagnóstico , Estudos de Avaliação como Assunto , Teste de Esforço/métodos , Seguimentos , Humanos , Claudicação Intermitente/diagnóstico , Claudicação Intermitente/terapia , Masculino , Pessoa de Meia-Idade , Estimulação Física/métodosRESUMO
The method for a production of synthetic quinoid radiotoxins in vitro has been developed and described. Synthetic quinoid radiotoxins like quinoid radiotoxins (qRT) which are being produced from irradiated tissues of the organisms have demonstrated high toxicity at relatively high qRT concentrations. However, when synthetic qRT is introduced into the organisms in ultra-small concentrations, one can observe the opposite action: the resistance of the organism increases and a number of essential functions are activated. Quinoid radiotoxins are assumed to take part in regulatory processes responsible for radiation hormesis.
Assuntos
Quinonas/administração & dosagem , Aerossóis , Envelhecimento/efeitos dos fármacos , Animais , Relação Dose-Resposta a Droga , Raios gama , Camundongos , Monofenol Mono-Oxigenase/efeitos da radiação , Quinonas/síntese química , Quinonas/efeitos da radiação , Tolerância a Radiação/efeitos dos fármacos , Sementes/efeitos dos fármacos , Sementes/crescimento & desenvolvimento , Sementes/efeitos da radiação , Solanum tuberosum/enzimologia , Estimulação Química , Fatores de Tempo , Triticum/efeitos dos fármacos , Triticum/crescimento & desenvolvimento , Triticum/efeitos da radiaçãoRESUMO
Two hours before irradiation (7.5 Gy) mice were injected with quinoid radiotoxins in concentrations close to those formed in mouse blood after gamma-irradiation with a dose of 10 cGy. This increased the survival rate (from 10-20% to 80%), prevented the radiation-induced weight loss, and increased catalase activity in the liver and blood of exposed animals.
Assuntos
Fenóis/efeitos da radiação , Extratos Vegetais/efeitos da radiação , Lesões Experimentais por Radiação/prevenção & controle , Toxinas Biológicas/efeitos da radiação , Animais , Catalase/efeitos dos fármacos , Catalase/metabolismo , Catalase/efeitos da radiação , Radioisótopos de Césio , Relação Dose-Resposta a Droga , Relação Dose-Resposta à Radiação , Avaliação Pré-Clínica de Medicamentos , Raios gama , Fígado/efeitos dos fármacos , Fígado/enzimologia , Fígado/efeitos da radiação , Masculino , Camundongos , Fenóis/uso terapêutico , Extratos Vegetais/uso terapêutico , Lesões Experimentais por Radiação/enzimologia , Lesões Experimentais por Radiação/mortalidade , Tolerância a Radiação , Fatores de Tempo , Toxinas Biológicas/uso terapêuticoRESUMO
Sorption by SKN-2M coal of various endogenous substances, including quinones (tyrosine oxidation products) and quinoid radiotoxins (QR) isolated from gamma-irradiated plant and animal tissues has been studied. The fact that the precursors of QR-DOPA, tyrosine and QR, isolated from gamma-irradiated plant and animal tissues, are readily absorbed by the sorbent under study supports the major contribution of QR removal from the organism to the therapeutic effect of hemosorption after gamma irradiation of animals with minimal lethal doses.
Assuntos
Hemoperfusão/métodos , Quinonas/isolamento & purificação , Lesões Experimentais por Radiação/terapia , Animais , Carvão Vegetal/uso terapêutico , Hemoperfusão/instrumentação , Quinonas/análise , Quinonas/efeitos da radiação , Lesões Experimentais por Radiação/metabolismo , Sementes/efeitos da radiação , EspectrofotometriaRESUMO
Gamma-irradiated serum albumin activated L-tyrosine oxidation to 3,4-dioxyphenyl alanine (DOPA) and forms adducts with DOPA oxidation products. These adducts are more resistant to proteolysis and have bactericidal and mutagenic capacity. A possible role of such adducts in a radiation damage to the organism is discussed.
Assuntos
Soroalbumina Bovina/efeitos da radiação , Di-Hidroxifenilalanina/metabolismo , Interações Medicamentosas , Raios gama , Técnicas In Vitro , Oxirredução/efeitos da radiação , Ligação Proteica/efeitos da radiação , Soroalbumina Bovina/metabolismo , Soluções , Tirosina/metabolismoRESUMO
In addition to the growth of low molecular weight quinoid radiotoxins the toxic effects of albumin were registered in rat plasma 4-24 h following gamma-irradiation. It is assumed that adducts of albumin with quinoid radiotoxins are formed and contribute to the development of radiation injury to critical organism tissues.
Assuntos
Lesões Experimentais por Radiação/sangue , Toxinas Biológicas/sangue , Animais , Atividade Bactericida do Sangue/efeitos da radiação , Radioisótopos de Cobalto , Raios gama , Masculino , Ratos , Ratos Endogâmicos , Albumina Sérica/metabolismoRESUMO
In experiments with a suspension culture of human Raji lymphoid cells it was shown that a 40 per cent deceleration of the population growth induced by 2.5 Gy gamma-radiation persisted within the following 15-16 generations, afterwards it gradually normalized to reach the control level in the 21st generation. However, the incompleteness of recovery was displayed with the repeated exposure and cultivation of cells under hyperthermia (40 degrees C) up to the 27th generation.
Assuntos
Linfócitos/efeitos da radiação , Divisão Celular/efeitos da radiação , Células Cultivadas , Raios gama , Temperatura Alta , Humanos , Processos Estocásticos , Fatores de TempoRESUMO
Quinoid radiotoxins were found in the peripheral blood 3-4 h following gamma-irradiation of dogs with doses of 5.76 Gy. The authors developed a simple method of isolation and purification of quinoid radiotoxins and specified their physicochemical and biological characteristics.
Assuntos
Quinonas/sangue , Lesões Experimentais por Radiação/sangue , Toxinas Biológicas/sangue , Animais , Cromatografia em Papel , Cães , Masculino , Espectrofotometria UltravioletaRESUMO
It was established that quinoid products of tyrosine oxidation, analogues of natural radiotoxins, when used in the studied doses decreased the radiosensitivity of spleen stem cells and enhanced the restoration of bone marrow cellularity of mice exposed to sublethal gamma-radiation doses.
Assuntos
Hematopoese/efeitos da radiação , Quinonas/farmacologia , Lesões Experimentais por Radiação/sangue , Tolerância a Radiação , Radiossensibilizantes/farmacologia , Animais , Camundongos , Quinonas/síntese química , Radiossensibilizantes/síntese química , SolubilidadeRESUMO
In the in vitro experiments with lymphoid cells Raji and X63-Ag8.653 gamma-irradiated in a synthetic medium, it was shown that a cessation of division (reproductive death) and lysis (interphase death) of cells were evoked by the abscopal effect of long-lived quinoid radiotoxins enhancing the direct effect of radiation to make it not additive but synergistic: a synergism coefficient was 1.3.
Assuntos
Linfócitos/efeitos da radiação , Animais , Divisão Celular/efeitos da radiação , Linhagem Celular , Sobrevivência Celular/efeitos da radiação , Meios de Cultura/efeitos da radiação , Raios gama , Humanos , Interfase/efeitos da radiação , Camundongos , Quinonas/toxicidade , RadiossensibilizantesRESUMO
A considerable increase in the lethal effect of gamma-radiation on mice was noted after postirradiation administration of nontoxic quantities of quinoid radiotoxins (synergism). The same synergistic effect was observed on human lymphoid cells Raji in culture.
Assuntos
Linfócitos/efeitos da radiação , Quinonas/toxicidade , Lesões Experimentais por Radiação/mortalidade , Radiossensibilizantes , Animais , Divisão Celular/efeitos dos fármacos , Divisão Celular/efeitos da radiação , Células Cultivadas , Raios gama , Humanos , Linfócitos/efeitos dos fármacos , Camundongos , Extratos Vegetais/toxicidadeRESUMO
A comparative study of virulence, viability and antibiotic sensitivity of Y. pestis strains grown at 28 degrees C and 37 degrees C in yeast-casein medium, yeast medium with Hottinger's meat digest and yeast medium with protein hydrolysate obtained from sunflower seed groats has been made. These media have been found to be suitable for the prolonged cultivation of Y. pestis at 28 degrees C and 37 degrees C, for the determination of its sensitivity to antibiotics, as well as for the preservation of Y. pestis cultures.
Assuntos
Antibacterianos/farmacologia , Temperatura , Yersinia pestis/patogenicidade , Animais , Meios de Cultura/metabolismo , Camundongos , Testes de Sensibilidade Microbiana , Preservação Biológica , Fatores de Tempo , Virulência , Yersinia pestis/efeitos dos fármacos , Yersinia pestis/crescimento & desenvolvimentoRESUMO
The method of exposure to external pain was used in 143 patients. It was shown to be highly efficient in treatment of a number of functional diseases. The authors emphasize the importance of further multilateral investigation of prospects of using this method in medicine.
Assuntos
Terapia por Acupuntura , Asma/terapia , Doença das Coronárias/terapia , Miopia/terapia , Dor , Radiculopatia/terapia , Adulto , Criança , Pré-Escolar , Feminino , Humanos , Pessoa de Meia-IdadeRESUMO
Immediate results of treatment of 55 patients with bronchial asthma of different severity by a method of the exposure to external pain are described. The method is shown to be efficient in bronchial asthma of any genesis, its use to be promising for overcoming any drug (even hormonal) dependence.
Assuntos
Asma/terapia , Reflexoterapia/métodos , Adolescente , Adulto , Idoso , Asma/fisiopatologia , Criança , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Respiração , Estado Asmático/terapiaRESUMO
The work deals with the theoretical approach to problem of pain. The mechanism of the appearance of pain is considered as lack of correspondence between functional capacity of the nervous system and the presented load. The function of pain as reparator and stimulator of defensive forces of the organism in pathological processes is disclosed. The possible employment of pain as a curative factor in practical medicine is discussed.