Metrological and Visual Analysis of the Status of Hypotension in Septic Shock

Author(s):  
wang qianfei ◽  
wang chenxi ◽  
wu lijuan ◽  
MEI jianqiang ◽  
XU wenzhong ◽  
...  

Abstract Background:At present, there is a lot of research in the field of septic shock and hypotension, but there is no comprehensive analysis of the current situation, hot spots and frontiers in this field,and many researchers don't know where to start..Therefore,in this study, the research status, research hotspots and frontier trends of septic shock hypotension in the past 30 years were analyzed by knowledge graph, so as to provide a reference basis for further research.Methods: We collected the literature related to hypotension in septic shock in Web Of Science (WOS) from 1991 to 2020, and made a bibliometric analysis of the literature. At the same time, we Use Excel2019 and Adobe Illustrator CC2018 software to analyze the annual volume of articles and draw bar charts and VOSviewer software to draw the relevant maps of countries, authors and institutions to explore the cooperative relationship in this field and CiteSpace software to draw keyword co-occurrence map, cluster timeline map and emergence map of keywords, and analyze the frontiers and hotspots in this field.Results: A total of 1419 articles were obtained, of which the country with the largest number of articles was the United States, and the centrality was the highest. Professor Bellomo Rinaldo in Australia has published the largest number of articles, up to 29 articles, which plays an important role in this field. In the organization cooperation graph, Univ sao Paulo cooperates closely with other agencies and publishes a large number of articles. There are high-frequency keywords such as sepsis, septic shock and hypotensio, 11 clusters such as relative adrenal insufficiency, nitric oxide and thromboxane, and high-prominence keywords of endotoxin and tumor necrosis factor.Conclusion: In the past 30 years, the volume of articles in the field of hypotension in septic shock showed a steady upward trend. Institutions in North America, Australia and Europe have made outstanding contributions to this field, but the degree of inter-country and inter-agency cooperation is worrying. Three major author cooperation groups have been formed, with close ties within the group. In the future, international exchanges and cooperation can be strengthened and the degree of cooperation in this field can be improved. Drugs for the treatment of hypotension, molecular mechanisms including endotoxin and tumor necrosis factor, and physiological and pathological mechanisms of hypotension are the research hotspots and frontiers in recent years.

Pharmaceutics ◽  
2021 ◽  
Vol 13 (7) ◽  
pp. 956
Author(s):  
Yonelian Yuyun ◽  
Pahweenvaj Ratnatilaka Na Bhuket ◽  
Wiwat Supasena ◽  
Piyapan Suwattananuruk ◽  
Kemika Praengam ◽  
...  

Curcumin (CUR) has been used as adjuvant therapy for therapeutic application in the treatment of psoriasis through several mechanisms of action. Due to the poor oral bioavailability of CUR, several approaches have been developed to overcome the limitations of CUR, including the prodrug strategy. In this study, CUR was esterified with mycophenolic acid (MPA) as a novel conjugate prodrug. The MPA-CUR conjugate was structurally elucidated using FT-IR, 1H-NMR, 13C-NMR, and MS techniques. Bioavailable fractions (BFs) across Caco-2 cells of CUR, MPA, and MPA-CUR were collected for further biological activity evaluation representing an in vitro cellular transport model for oral administration. The antipsoriatic effect of the BFs was determined using antiproliferation and anti-inflammation assays against hyperproliferation of tumor necrosis factor-alpha (TNF-α)-induced human keratinocytes (HaCaT). The BF of MPA-CUR provided better antiproliferation than that of CUR (p < 0.001). The enhanced hyperproliferation suppression of the BF of MPA-CUR resulted from the reduction of several inflammatory cytokines, including IL-6, IL-8, and IL-1β. The molecular mechanisms of anti-inflammatory activity were mediated by an attenuated signaling cascade of MAPKs protein, i.e., p38, ERK, and JNK. Our results present evidence for the MPA-CUR conjugate as a promising therapeutic agent for treating psoriasis by antiproliferative and anti-inflammatory actions.


Cytokine ◽  
2013 ◽  
Vol 61 (2) ◽  
pp. 676-681 ◽  
Author(s):  
Nikhil Kothari ◽  
Jaishri Bogra ◽  
Haider Abbas ◽  
Monica Kohli ◽  
Anita Malik ◽  
...  

2013 ◽  
Vol 53 (1) ◽  
pp. 1 ◽  
Author(s):  
Khrisanti Dinata ◽  
Ari L. Runtunuwu ◽  
Jose M. Mandei ◽  
Julius H. Lolombulan

Background The crucial role cytokines play in the pathophysiologyof sepsis is widely accepted. Infection stimulates the productionof cytokines in various cell types. Tumor necrosis factor-alpha(TNF-a) is one of the most extensively investigated cytokines inexperimental and clinical sepsis. Tumor necrosis factor-alpha hasbeen shown to mediate lethality in experimental sepsis.Objective To evaluate for a possible correlation between TNF-alevel and septic shock in children.Methods This cross-sectional study was conducted in Manadofrom June to September 2011. A total of 40 patients with arecent diagnosis of sepsis or septic shock were included. Plasmaspecimens were collected from subjects for measurement ofTNF-a concentration. Logistic regression analysis was used toassess the correlation between TNF-a level and sepsis, as well asthe probability of shock in children with sepsis, with P<0.05 asstatistically significant.Results There was a strong positive correlation betweenTNF-a level and the probability of shock in children with sepsis(regression coefficient = 0. 78, P = 0.002).Conclusions There is a strong positive correlation betweenTNF-a level with the probability of shock in children with sepsis.Higher plasma level ofTNF-a is associated with higher probabilityof septic shock.


2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Uzoamaka A. Eke ◽  
Harry Conte ◽  
Paula Anderson ◽  
Robert W. Lyons

Salmonella choleraesuisis one of the least commonly reported nontyphoidal salmonellae in the United States, accounting for only 0.08% and ranking lower than 20th place among all human source salmonellosis reported to the CDC in 2009. In the state of Connecticut, only 12 cases have been reported since 1998 and our case is the only case since 2008. We report a case of invasive Salmonellosis caused bySalmonella choleraesuisin a patient on an antitumor necrosis factor-αagent (adalimumab) who recently returned from a trip to the Dominican Republic.


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