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Which ICU patients need stress ulcer prophylaxis?

Authors:
Mariam Saeed Stephanie Bass Neal F Chaisson

Cleve Clin J Med 2022 07 1;89(7):363-367. Epub 2022 Jul 1.

Department of Pulmonary Medicine and Department of Critical Care Medicine, Respiratory Institute, Cleveland Clinic, Cleveland, OH.

Critically ill patients are at an increased risk for developing stress ulcers of the mucosa of the upper gastrointestinal (GI) tract. Bleeding from stress ulcers was previously associated with a longer stay in the intensive care unit and an increased risk of death. Thus, most patients admitted to the intensive care unit receive stress ulcer prophylaxis. However, there is a growing concern that acid-suppression drugs may be associated with increased frequency of nosocomial pneumonia and infection. In this article, the authors address controversies regarding stress ulcer prophylaxis in critically ill patients and provide guidance for its appropriate use in this setting.

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http://dx.doi.org/10.3949/ccjm.89a.21085DOI Listing
July 2022

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, Protected from Antibiotics and Stresses Inside Vacuoles, Cause Gastritis in Mice.

Authors:
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Int J Mol Sci 2022 Aug 2;23(15). Epub 2022 Aug 2.

Center of Excellence on Translational Research in Inflammation and Immunology (CETRII), Department of Microbiology, Chulalongkorn University, Bangkok 10330, Thailand.

Due to (i) the simultaneous presence of (ulcer-induced bacteria) and in the stomach and (ii) the possibility of prokaryotic-eukaryotic endosymbiosis (intravacuolar in the yeast cells) under stresses, we tested this symbiosis in vitro and in vivo. To that end, intravacuolar were induced by the co-incubation of with under several stresses (acidic pH, non--enrichment media, and aerobic environments); the results were detectable by direct microscopy (wet mount) and real-time polymerase chain reaction (PCR). Indeed, intravacuolar were predominant under all stresses, especially the lower pH level (pH 2-3). Read More

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Authors:
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Turk J Gastroenterol 2022 Aug 10. Epub 2022 Aug 10.

Department of Physiology, Marmara University Faculty of Medicine, İstanbul, Turkey.

Background: Previous studies found metformin as an effective agent to suppress oxidative stress, inflammation, and apoptosis in various inflammatory diseases. The present study investigated the effect of metformin against 2 experimental gastric injury models in rats, using macroscopical, histopathological, biochemical, and immunostaining studies.

Methods: After 24 hours of fasting, male Sprague-Dawley rats (280-400 g) (n = 8 per group) received indomethacin (80 mg/kg; indo ulcer group) or absolute ethanol (5 mL/kg; ethanol ulcer group) or vehicle orally by gavage. Read More

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Oxidative stress and the importance of eradication in patients with functional dyspepsia.

Authors:
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Saudi J Gastroenterol 2022 Aug 8. Epub 2022 Aug 8.

Deparment of Gastroenterology, Dicle University School of Medicine, Diyarbakır, Turkey.

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Authors:
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Tissue Cell 2022 Aug 3;78:101885. Epub 2022 Aug 3.

Department of Physiology, Faculty of Medicine, Akdeniz University, 07070 Antalya, Turkey.

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Authors:
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PLoS Negl Trop Dis 2022 Aug 8;16(8):e0010672. Epub 2022 Aug 8.

Department of Clinical Laboratory Science, Faculty of Medical Technology, Teikyo University, Tokyo, Japan.

Buruli ulcer is a chronic skin disease caused by a toxic lipid mycolactone produced by Mycobacterium ulcerans, which induces local skin tissue destruction and analgesia. However, the cytotoxicity pathway induced by mycolactone remains largely unknown. Here we investigated the mycolactone-induced cell death pathway by screening host factors using a genome-scale lenti-CRISPR mutagenesis assay in human premonocytic THP-1 cells. Read More

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